Vaccination Prioritization Strategy with SIR Models AM-115 Project1 Author: Shaoyi Li, Pedro Duarte Moreira, Astrid Zhao, Mofei Wang 01 02 Introduction Models 03 Analysis 04 Discussion & Conclusion 1. The Introduction ● ● ● ● Vaccination is an effective way to reduce cases in an epidemic as well as to accelerate the time to reach herd immunity. Prioritization for certain groups is a commonly employed vaccination strategy to optimize the use of vaccines. The original SIR model mentioned in class is simple and reasonable but it fails to capture the effect of vaccination. We are going to use two modified SIR models to represent and compare two possible vaccination strategies: ○ ○ One strategy revolves in vaccinating the entire population at the same time; The second one is based on the prioritization of people with higher infection risk but with a lower vaccination speed. 2. Models Original SIR model (Model 1) & SIR model with vaccination (Model 2) Transition from S to R (vaccination speed) will be at the capacity at the beginning and then slows down when S becomes small. When it starts to slow down the speed is proportional to S. ● Model 1 is Model 2 with c=0. ● Model 2 represents one simple vaccination strategy. ★ We assume the vaccine is 100% effective. ● 2. Models ● ● ● ● Two susceptible groups: S1 and S2. We assume the two groups have different infection rates and vaccination speed capacities: a1>a2>0 and c2>c1>0. Vaccinate Group S1 before Group S2. Vaccination speeds will start at their capacity and then slow down when S1 or S2 becomes small. When the speeds start to slow down until they are proportional to S1 or S2. (The vaccination for S2 starts as soon as the speed for S1 slows down.) SIR model with vaccination and two S groups (Model3) 2. Models Rationale to have 2 S Groups in Model 3 ● ● ● We treat S1 as the high infection rate group and S2 as the regular group. In reality, S1 represents the group with seniors or people with pre-existing conditions. In general, at the vaccination sites, the process usually moves slower for these people because: ○ It usually takes longer for them to line up, walk to certain spots, fill out the forms, etc. ○ The health care workers also tend to spend longer with them right before and after the shot to make sure vaccines don’t increase their risk of severe illness due to the side effects. It’s possible some other high infection rate groups have no slower vaccination speed than the regular group. We can intuitively tell these groups should be prioritized. There’s no need of mathematical models for tradeoff analysis. 2. Models: Parameters and Relationship How Do We Compare Model 2 and 3 Apple-to-Apple? ● We make a as initial population weighted average of a1 and a2; c as initial population weighted average of c1 and c2 ● We of course assume that S1(0)+S2(0) = S(0) as they represent the same system. In addition, here’re the default parameters for the analysis: a1=8, a2=4, b=2, c1=0.1, c2=0.15, S1(0)=240, S2(0)=720, I=30, R=10 The unit of t is assumed to be one month ● 3. Analysis: Model Comparisons How Do the Models Output Look like? 3. Analysis: Model Comparisons Comparing I(t) and R(t) among the three models: ● We can compare by plotting the curves from models in the same figure ● ● ● I peak reduction: max I value in Model 2 minus max I value in Model 3. Herd immunity delay: time reaching herd immunity in Model 3 minus time reaching herd immunity in Model 2 I peak reduction is our primary measurement for our study. 3. Analysis: Sensitivity Analysis Parameters When parameters increase, the I peak reduction: The ratio of c2/c1 Decreases c Decreases a1 Increases a2 Increases until a2 = 2.7, then decreases 3. Analysis: Sensitivity Analysis Parameters The ratio of c2/c1 When parameters increase, the herd immunity delay: Decreases until c2/c1 = 1.8, then increases c Decreases a1 Increases a2 Decreases until a2 = 6, then nearly constant 3. Analysis: Strategy choices When the vaccination prioritization strategy will be useful? The prioritization strategy is the best when the people in the risk groups are very at risk, and not much slower speed than the other group in getting the vaccine. Also useful when there is vaccine shortage. 4. Discussion & Conclusion ● Three models: SIR, SIR with vaccination, SIR with prioritized vaccination. ● If we do not have enough vaccine, or the risk of S1 is much higher, or the speed of S2 group getting vaccination is much quicker, prioritization strategy is useful. ● ● ● Vaccination prioritization strategy is useful in certain scenarios. The result aligns with our intuition. For most values that would be observed in real societies and diseases, the best strategy is to use the prioritization strategy. OTHER SOLUTION TO DECREASE THE PEAK OF THE EPIDEMIC: ❏ ❏ try to implement social distancing and lock down to decrease R0 try to acceleration the production of vaccine Reference [1] Smith , David, and Lang Moore. “The SIR Model for Spread of Disease - The Differential Equation Model.” The SIR Model for Spread of Disease - The Differential Equation Model | Mathematical Association of America, 2021, www.maa.org/press/periodicals/loci/joma/the-sir-model-for-spread-of-disease-the-differential-equa tion-model. [2]Hannah Ritchie, Esteban Ortiz-Ospina, Diana Beltekian, Edouard Mathieu, Joe Hasell, Bobbie Macdonald, Charlie Giattino, Cameron Appel, Lucas Rodés-Guirao and Max Roser (2020) "Coronavirus Pandemic (COVID-19)". Published online at OurWorldInData.org. Retrieved from: 'https://ourworldindata.org/coronavirus' [Online Resource]