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A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution

An orderly and effective vaccination campaign is essential in combating the global COVID-19 pandemic. As one of the pioneers, the U.S. Center for Disease Control proposes a phased plan to promote the vaccination process. This plan starts with vaccinating the high-priority population in Phase 1, then...

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Detalles Bibliográficos
Autores principales: Xu, Xinglu, Rodgers, Mark D., Guo, Weihong (Grace)
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384589/
https://www.ncbi.nlm.nih.gov/pubmed/34509324
http://dx.doi.org/10.1016/j.vaccine.2021.08.069
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author Xu, Xinglu
Rodgers, Mark D.
Guo, Weihong (Grace)
author_facet Xu, Xinglu
Rodgers, Mark D.
Guo, Weihong (Grace)
author_sort Xu, Xinglu
collection PubMed
description An orderly and effective vaccination campaign is essential in combating the global COVID-19 pandemic. As one of the pioneers, the U.S. Center for Disease Control proposes a phased plan to promote the vaccination process. This plan starts with vaccinating the high-priority population in Phase 1, then turns to the remainder of the public in Phase 2, and ends with a scale-back network in Phase 3. The phased plan not only provides a sense of hope to impacted communities that this global pandemic can be defeated, but can serve as a template for other countries. To enhance this plan, this paper develops a generalizable framework for designing a hub-and-spoke vaccination dispensing network to achieve the goals in the Phase 2, which aims to expand the vaccination coverage for the general public. We introduce a new coverage index to measure the priority of different potential dispensing sites based on geo-data and develop an optimization model for network design. The hub-and-spoke network enhances the accessibility of the vaccines to various communities and helps to overcome the challenges related to ultra-cold storage facility shortage. A case study of Middlesex County in New Jersey is presented to demonstrate the application of the framework and provide insights for the Phase 2. Results from the baseline scenario show that increasing the driving time limit from 10 min to 25 min can improve the total coverage index from 40.8 to 55.9. Additionally, we explore how the changes of parameters impact the network design and discuss potential solutions for some special cases. When we allow 4 outreach nodes per hub, all potential 45 outreach points can be covered in the vaccination network within a 20-minute drive, and the total coverage index reaches its maximum value of 58.3.
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spelling pubmed-83845892021-08-25 A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution Xu, Xinglu Rodgers, Mark D. Guo, Weihong (Grace) Vaccine Article An orderly and effective vaccination campaign is essential in combating the global COVID-19 pandemic. As one of the pioneers, the U.S. Center for Disease Control proposes a phased plan to promote the vaccination process. This plan starts with vaccinating the high-priority population in Phase 1, then turns to the remainder of the public in Phase 2, and ends with a scale-back network in Phase 3. The phased plan not only provides a sense of hope to impacted communities that this global pandemic can be defeated, but can serve as a template for other countries. To enhance this plan, this paper develops a generalizable framework for designing a hub-and-spoke vaccination dispensing network to achieve the goals in the Phase 2, which aims to expand the vaccination coverage for the general public. We introduce a new coverage index to measure the priority of different potential dispensing sites based on geo-data and develop an optimization model for network design. The hub-and-spoke network enhances the accessibility of the vaccines to various communities and helps to overcome the challenges related to ultra-cold storage facility shortage. A case study of Middlesex County in New Jersey is presented to demonstrate the application of the framework and provide insights for the Phase 2. Results from the baseline scenario show that increasing the driving time limit from 10 min to 25 min can improve the total coverage index from 40.8 to 55.9. Additionally, we explore how the changes of parameters impact the network design and discuss potential solutions for some special cases. When we allow 4 outreach nodes per hub, all potential 45 outreach points can be covered in the vaccination network within a 20-minute drive, and the total coverage index reaches its maximum value of 58.3. Elsevier Ltd. 2021-10-01 2021-08-25 /pmc/articles/PMC8384589/ /pubmed/34509324 http://dx.doi.org/10.1016/j.vaccine.2021.08.069 Text en © 2021 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 Article
Xu, Xinglu
Rodgers, Mark D.
Guo, Weihong (Grace)
A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title_full A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title_fullStr A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title_full_unstemmed A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title_short A hub-and-spoke design for ultra-cold COVID-19 vaccine distribution
title_sort hub-and-spoke design for ultra-cold covid-19 vaccine distribution
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384589/
https://www.ncbi.nlm.nih.gov/pubmed/34509324
http://dx.doi.org/10.1016/j.vaccine.2021.08.069
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