In the context of epidemiology, policies for disease control are often devised through a mixture of intuition and brute-force, whereby the set of logically conceivable policies is narrowed down to a small family described by a few parameters, following which linearization or grid search is used to identify the optimal policy within the set. This scheme runs the risk of leaving out more complex (and perhaps counter-intuitive) policies for disease control that could tackle the disease more efficiently. In this article, we use techniques from convex optimization theory and machine learning to conduct optimizations over disease policies described by hundreds of parameters. In contrast to past approaches for policy optimization based on control theory, our framework can deal with arbitrary uncertainties on the initial conditions and model parameters controlling the spread of the disease, and stochastic models. In addition, our methods allow for optimization over policies which remain constant over weekly periods, specified by either continuous or discrete (e.g.: lockdown on/off) government measures. We illustrate our approach by minimizing the total time required to eradicate COVID-19 within the Susceptible-Exposed-Infected-Recovered (SEIR) model proposed by Kissler \emph{et al.} (March, 2020).
翻译:在流行病学背景下,疾病控制政策往往是通过直觉和强力的结合来制定的,根据这种结合,在逻辑上可以想象的一套政策被缩小到几个参数描述的小型家庭,然后是线性搜索或网格搜索,以确定一套最优的政策。这个计划有可能使更复杂的(或许是反直觉的)疾病控制政策被抛在一边,从而更有效地应对疾病。在本条中,我们使用来自顺方优化理论和机器学习的技术,对数百个参数描述的疾病政策进行优化。与以往基于控制理论的政策优化方法相比,我们的框架可以处理控制疾病蔓延的初始条件和模型参数以及随机模型的任意不确定性。此外,我们的方法允许对每周保持不变的政策进行优化,这些政策由连续或离散的政府措施(例如:锁定/关闭)具体规定。我们通过最大限度地缩短在可感知的受感染-受感染-受感染(SEI) 2020年(SEI) 3月{阿尔姆雷特) 提议的模式(SEIRI) 来说明我们的方法。