National responses to the Covid-19 pandemic varied markedly across countries, from business-as-usual to complete shutdowns. Policies aimed at disrupting the viral transmission cycle and preventing the healthcare system from being overwhelmed, simultaneously exact an economic toll. We developed a intervention policy model that comprised the relative human, economic and healthcare costs of non-pharmaceutical epidemic intervention and arrived at the optimal strategy using the neuroevolution algorithm. The proposed model finds the minimum required reduction in contact rates to maintain the burden on the healthcare system below the maximum capacity. We find that such a policy renders a sharp increase in the control strength at the early stages of the epidemic, followed by a steady increase in the subsequent ten weeks as the epidemic approaches its peak, and finally control strength is gradually decreased as the population moves towards herd immunity. We have also shown how such a model can provide an efficient adaptive intervention policy at different stages of the epidemic without having access to the entire history of its progression in the population. This work emphasizes the importance of imposing intervention measures early and provides insights into adaptive intervention policies to minimize the economic impacts of the epidemic without putting an extra burden on the healthcare system.
翻译:各国对Covid-19大流行病的对策差别很大,从“一切照旧”到“完全停机”,旨在打破病毒传播循环和防止保健系统不堪重负、同时造成经济损失的政策,我们制定了干预政策模式,其中包括非药物性流行病干预的相对人力、经济和保健费用,并采用神经革命算法制定了最佳战略;拟议的模式认为接触率最低需要降低,才能将保健系统的负担维持在最大能力之下;我们发现,这种政策使该流行病早期阶段的控制力急剧增加,随后在艾滋病达到高峰后10周内稳步增加,随着人口向动物免疫的移动,最终控制力逐渐减少;我们还表明,这种模式如何在流行病的不同阶段提供有效的适应性干预政策,而不能了解整个人口发展史;这项工作强调尽早实施干预措施的重要性,并深入了解适应性干预政策,以尽量减少该流行病的经济影响,同时又不给保健系统带来额外负担。