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Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()

The diffusion of COVID-19 represents a real threat for the health and economic system of a country. Therefore the governments have to adopt fast containment measures in order to stop its spread and to prevent the related devastating consequences. In this paper, a technique is proposed to optimally d...

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Autores principales: Borri, Alessandro, Palumbo, Pasquale, Papa, Federico, Possieri, Corrado
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758039/
https://www.ncbi.nlm.nih.gov/pubmed/33390766
http://dx.doi.org/10.1016/j.arcontrol.2020.12.002
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author Borri, Alessandro
Palumbo, Pasquale
Papa, Federico
Possieri, Corrado
author_facet Borri, Alessandro
Palumbo, Pasquale
Papa, Federico
Possieri, Corrado
author_sort Borri, Alessandro
collection PubMed
description The diffusion of COVID-19 represents a real threat for the health and economic system of a country. Therefore the governments have to adopt fast containment measures in order to stop its spread and to prevent the related devastating consequences. In this paper, a technique is proposed to optimally design the lock-down and reopening policies so as to minimize an aggregate cost function accounting for the number of individuals that decease due to the spread of COVID-19. A constraint on the maximal number of concomitant infected patients is also taken into account in order to prevent the collapse of the health system. The optimal procedure is built on the basis of a simple SIR model that describes the outbreak of a generic disease, without attempting to accurately reproduce all the COVID-19 epidemic features. This modeling choice is motivated by the fact that the containing measurements are actuated during the very first period of the outbreak, when the characteristics of the new emergent disease are not known but timely containment actions are required. In fact, as a consequence of dealing with poor preliminary data, the simplest modeling choice is able to reduce unidentifiability problems. Further, the relative simplicity of this model allows to compute explicitly its solutions and to derive closed-form expressions for the maximum number of infected and for the steady-state value of deceased individuals. These expressions can be then used to design static optimization problems so to determine the (open-loop) optimal lock-down and reopening policies for early-stage epidemics accounting for both the health and economic costs.
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spelling pubmed-77580392020-12-28 Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models() Borri, Alessandro Palumbo, Pasquale Papa, Federico Possieri, Corrado Annu Rev Control Vision Article The diffusion of COVID-19 represents a real threat for the health and economic system of a country. Therefore the governments have to adopt fast containment measures in order to stop its spread and to prevent the related devastating consequences. In this paper, a technique is proposed to optimally design the lock-down and reopening policies so as to minimize an aggregate cost function accounting for the number of individuals that decease due to the spread of COVID-19. A constraint on the maximal number of concomitant infected patients is also taken into account in order to prevent the collapse of the health system. The optimal procedure is built on the basis of a simple SIR model that describes the outbreak of a generic disease, without attempting to accurately reproduce all the COVID-19 epidemic features. This modeling choice is motivated by the fact that the containing measurements are actuated during the very first period of the outbreak, when the characteristics of the new emergent disease are not known but timely containment actions are required. In fact, as a consequence of dealing with poor preliminary data, the simplest modeling choice is able to reduce unidentifiability problems. Further, the relative simplicity of this model allows to compute explicitly its solutions and to derive closed-form expressions for the maximum number of infected and for the steady-state value of deceased individuals. These expressions can be then used to design static optimization problems so to determine the (open-loop) optimal lock-down and reopening policies for early-stage epidemics accounting for both the health and economic costs. Elsevier Ltd. 2021 2020-12-23 /pmc/articles/PMC7758039/ /pubmed/33390766 http://dx.doi.org/10.1016/j.arcontrol.2020.12.002 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Vision Article
Borri, Alessandro
Palumbo, Pasquale
Papa, Federico
Possieri, Corrado
Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title_full Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title_fullStr Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title_full_unstemmed Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title_short Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models()
title_sort optimal design of lock-down and reopening policies for early-stage epidemics through sir-d models()
topic Vision Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758039/
https://www.ncbi.nlm.nih.gov/pubmed/33390766
http://dx.doi.org/10.1016/j.arcontrol.2020.12.002
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