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科学家对法国新冠病毒大流行进行建模分析
作者:小柯机器人 发布时间:2020/7/16 17:49:42

法国巴黎大学Nicolas Hoertel等研究人员对新冠病毒(SARS-CoV-2 )在法国的大流行进行了建模分析。该研究于2020年7月14日在线发表在《自然—医学》上。

研究人员报道了法国COVID-19大流行的微模拟建模结果。研究人员剖析了封锁后措施对累积疾病发生率和死亡率以及对重症监护病房(ICU)的影响占用的潜在影响,这些措施包括物理疏远、戴口罩以及保护最易受到COVID-19感染的个人。尽管封锁有效地抑制了病毒传播,但无论持续时间长短,解除封锁都不太可能阻止反弹。
 
物理疏远和戴口罩虽然有效地减缓了流行病的流行并降低了死亡率,但在最终防止ICU变得不堪重负和随后的第二次封锁方面也无效。这些措施以及对弱势人群的保护将带来更好的结果,包括降低死亡率和保持足够的ICU容量以防止再次封锁。但是,如果大多数人不遵守这些措施,或者如果维持这些措施的时间不够长,效果将大大降低。
 
据悉,许多欧洲国家通过实施全国性的保护措施和封锁措施来应对COVID-19大流行。但是,如果放宽此类措施,该流行病可能会反弹,可能导致需要第二次或更多次反复封锁。
 
附:英文原文

Title: A stochastic agent-based model of the SARS-CoV-2 epidemic in France

Author: Nicolas Hoertel, Martin Blachier, Carlos Blanco, Mark Olfson, Marc Massetti, Marina Snchez Rico, Frdric Limosin, Henri Leleu

Issue&Volume: 2020-07-14

Abstract: Many European countries have responded to the COVID-19 pandemic by implementing nationwide protection measures and lockdowns1. However, the epidemic could rebound when such measures are relaxed, possibly leading to a requirement for a second or more, repeated lockdowns2. Here, we present results of a stochastic agent-based microsimulation model of the COVID-19 epidemic in France. We examined the potential impact of post-lockdown measures, including physical distancing, mask-wearing and shielding individuals who are the most vulnerable to severe COVID-19 infection, on cumulative disease incidence and mortality, and on intensive care unit (ICU)-bed occupancy. While lockdown is effective in containing the viral spread, once lifted, regardless of duration, it would be unlikely to prevent a rebound. Both physical distancing and mask-wearing, although effective in slowing the epidemic and in reducing mortality, would also be ineffective in ultimately preventing ICUs from becoming overwhelmed and a subsequent second lockdown. However, these measures coupled with the shielding of vulnerable people would be associated with better outcomes, including lower mortality and maintaining an adequate ICU capacity to prevent a second lockdown. Benefits would nonetheless be markedly reduced if most people do not adhere to these measures, or if they are not maintained for a sufficiently long period. 

DOI: 10.1038/s41591-020-1001-6

Source: https://www.nature.com/articles/s41591-020-1001-6

期刊信息

Nature Medicine:《自然—医学》,创刊于1995年。隶属于施普林格·自然出版集团,最新IF:30.641
官方网址:https://www.nature.com/nm/
投稿链接:https://mts-nmed.nature.com/cgi-bin/main.plex