自愿和强制性保持社会距离:中国各省和选定国家COVID-19暴露率的证据

A. Chudik, M. Pesaran, A. Rebucci
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引用次数: 95

摘要

本文考虑对标准的易感-感染-康复(SIR)流行病模型进行修改,允许不同程度的强制和自愿社会距离。结果表明,自我隔离的人口比例随感染疾病的感知概率而变化。研究了社会距离对流行病和衰退曲线的影响,并在许多不同的社会距离和经济参与情景下模拟了它们的权衡。我们的研究表明,强制保持社交距离在使疫情曲线趋于平缓方面非常有效,但在就业损失方面代价高昂。但是,如果针对最有可能传播感染的个人,则可以在一定程度上减少就业损失。我们还表明,由个人感知到的被感染风险驱动的自愿自我隔离仅在疫情高峰期开始,对平缓疫情曲线的影响很小或没有影响。利用现有统计数据并校正测量误差,我们估计了中国21个省份和选定的一些国家的COVID-19暴露率。接触率通常很小,但湖北与中国其他省份以及各国之间差异很大。引人注目的是,湖北省的暴露率是中国其他省份的40倍左右,一些欧洲国家的暴露率是湖北(疫情中心)的3-5倍。该论文还提供了具体国家的回收率估计,显示回收率约为21天(比通常假设的14天长一周),并且在中国各省和选定的一些国家中相对均匀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Voluntary and Mandatory Social Distancing: Evidence on COVID-19 Exposure Rates from Chinese Provinces and Selected Countries
This paper considers a modification of the standard Susceptible-Infected-Recovered (SIR) model of epidemic that allows for different degrees of compulsory as well as voluntary social distancing. It is shown that the fraction of population that self-isolates varies with the perceived probability of contracting the disease. Implications of social distancing both on the epidemic and recession curves are investigated and their trade off is simulated under a number of different social distancing and economic participation scenarios. We show that mandating social distancing is very effective at flattening the epidemic curve, but is costly in terms of employment loss. However, if targeted towards individuals most likely to spread the infection, the employment loss can be somewhat reduced. We also show that voluntary self-isolation driven by individual's perceived risk of becoming infected kicks in only towards the peak of the epidemic and has little or no impact on flattening the epidemic curve. Using available statistics and correcting for measurement errors, we estimate the rate of exposure to COVID-19 for 21 Chinese provinces and a selected number of countries. The exposure rates are generally small, but vary considerably between Hubei and other Chinese provinces as well as across countries. Strikingly, the exposure rate in Hubei province is around 40 times larger than the rates for other Chinese provinces, with the exposure rates for some European countries being 3-5 times larger than Hubei (the epicenter of the epidemic). The paper also provides country-specific estimates of the recovery rate, showing it to be about 21 days (a week longer than the 14 days typically assumed), and relatively homogeneous across Chinese provinces and for a selected number of countries.
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