评估 COVID-19 疫苗接种对疾病传播的动态和影响:数据驱动法

IF 8.8 3区 医学 Q1 Medicine
Farhad Waseel , George Streftaris , Bhuvendhraa Rudrusamy , Sarat C. Dass
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引用次数: 0

摘要

COVID-19 大流行自 2019 年 12 月出现以来,对全球健康、社会和经济形势产生了重大影响。本研究的主要重点是提出一种独特的疫苗接种政策,并采用贝叶斯数据驱动法评估其对控制 COVID-19 在马来西亚传播的影响,重点关注 2021 年。我们采用了一个 "易感-暴露-感染-恢复-疫苗接种"(SEIRV)分区模型,其中包含一个时变传播率,并通过探索性数据分析(EDA)方法采用数据驱动法对其进行估计。虽然任何疫苗都不能保证对疾病的完全免疫力,而且疫苗免疫力会随着时间的推移而减弱,但为了更好地模拟疫苗诱导的保护作用随时间推移的动态变化,纳入并准确估计疫苗效力以及疫苗免疫力衰减或减弱的常数至关重要。根据疫苗的分布和有效性,我们整合了数据驱动的疫苗效价估算,计算出马来西亚的疫苗效价为 75%,强调了模型的现实性和与该国具体情况的相关性。贝叶斯推理框架用于吸收各种数据源,并考虑模型参数的潜在不确定性。该模型与马来西亚的实际数据相匹配,用于分析疾病传播趋势和评估我们建议的疫苗接种政策的有效性。我们的研究结果表明,这种独特的疫苗接种政策强调在计划的初始阶段加快疫苗接种率,在缓解 COVID-19 的传播和大幅降低流行高峰和新感染率方面非常有效。研究发现,采用更好的疫苗接种政策(如本文提出的政策)为 57-66% 的人口接种疫苗(而实际数据为 76%),能够显著减少新感染病例的数量,并最终降低与新感染病例相关的成本。这项研究有助于对 COVID-19 的传播和疫苗接种情况进行可靠、翔实的描述,为政策制定者了解不同疫苗接种政策的潜在益处和局限性提供了宝贵的见解,尤其是强调了计划周密、高效的疫苗接种推广策略的重要性。虽然本研究中使用的方法特别适用于马来西亚的全国数据,但它在马来西亚雪兰莪州和柔佛州等当地地区的成功应用表明了其适应性和更广泛应用的潜力。这表明该模型可适应各种人口和流行病学环境下的政策评估和改进,意味着它对不同地理区域的类似数据集也很有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the dynamics and impact of COVID-19 vaccination on disease spread: A data-driven approach

The COVID-19 pandemic has significantly impacted global health, social, and economic situations since its emergence in December 2019. The primary focus of this study is to propose a distinct vaccination policy and assess its impact on controlling COVID-19 transmission in Malaysia using a Bayesian data-driven approach, concentrating on the year 2021. We employ a compartmental Susceptible-Exposed-Infected-Recovered-Vaccinated (SEIRV) model, incorporating a time-varying transmission rate and a data-driven method for its estimation through an Exploratory Data Analysis (EDA) approach. While no vaccine guarantees total immunity against the disease, and vaccine immunity wanes over time, it is critical to include and accurately estimate vaccine efficacy, as well as a constant vaccine immunity decay or wane factor, to better simulate the dynamics of vaccine-induced protection over time. Based on the distribution and effectiveness of vaccines, we integrated a data-driven estimation of vaccine efficacy, calculated at 75% for Malaysia, underscoring the model's realism and relevance to the specific context of the country. The Bayesian inference framework is used to assimilate various data sources and account for underlying uncertainties in model parameters. The model is fitted to real-world data from Malaysia to analyze disease spread trends and evaluate the effectiveness of our proposed vaccination policy. Our findings reveal that this distinct vaccination policy, which emphasizes an accelerated vaccination rate during the initial stages of the program, is highly effective in mitigating the spread of COVID-19 and substantially reducing the pandemic peak and new infections. The study found that vaccinating 57–66% of the population (as opposed to 76% in the real data) with a better vaccination policy such as proposed here is able to significantly reduce the number of new infections and ultimately reduce the costs associated with new infections. The study contributes to the development of a robust and informative representation of COVID-19 transmission and vaccination, offering valuable insights for policymakers on the potential benefits and limitations of different vaccination policies, particularly highlighting the importance of a well-planned and efficient vaccination rollout strategy. While the methodology used in this study is specifically applied to national data from Malaysia, its successful application to local regions within Malaysia, such as Selangor and Johor, indicates its adaptability and potential for broader application. This demonstrates the model's adaptability for policy assessment and improvement across various demographic and epidemiological landscapes, implying its usefulness for similar datasets from various geographical regions.

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来源期刊
Infectious Disease Modelling
Infectious Disease Modelling Mathematics-Applied Mathematics
CiteScore
17.00
自引率
3.40%
发文量
73
审稿时长
17 weeks
期刊介绍: Infectious Disease Modelling is an open access journal that undergoes peer-review. Its main objective is to facilitate research that combines mathematical modelling, retrieval and analysis of infection disease data, and public health decision support. The journal actively encourages original research that improves this interface, as well as review articles that highlight innovative methodologies relevant to data collection, informatics, and policy making in the field of public health.
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