scholarly journals Increasing efficacy of contact-tracing applications by user referrals and stricter quarantining

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250435
Author(s):  
Leslie Ann Goldberg ◽  
Joost Jorritsma ◽  
Júlia Komjáthy ◽  
John Lapinskas

We study the effects of two mechanisms which increase the efficacy of contact-tracing applications (CTAs) such as the mobile phone contact-tracing applications that have been used during the COVID-19 epidemic. The first mechanism is the introduction of user referrals. We compare four scenarios for the uptake of CTAs—(1) the p% of individuals that use the CTA are chosen randomly, (2) a smaller initial set of randomly-chosen users each refer a contact to use the CTA, achieving p% in total, (3) a small initial set of randomly-chosen users each refer around half of their contacts to use the CTA, achieving p% in total, and (4) for comparison, an idealised scenario in which the p% of the population that uses the CTA is the p% with the most contacts. Using agent-based epidemiological models incorporating a geometric space, we find that, even when the uptake percentage p% is small, CTAs are an effective tool for mitigating the spread of the epidemic in all scenarios. Moreover, user referrals significantly improve efficacy. In addition, it turns out that user referrals reduce the quarantine load. The second mechanism for increasing the efficacy of CTAs is tuning the severity of quarantine measures. Our modelling shows that using CTAs with mild quarantine measures is effective in reducing the maximum hospital load and the number of people who become ill, but leads to a relatively high quarantine load, which may cause economic disruption. Fortunately, under stricter quarantine measures, the advantages are maintained but the quarantine load is reduced. Our models incorporate geometric inhomogeneous random graphs to study the effects of the presence of super-spreaders and of the absence of long-distant contacts (e.g., through travel restrictions) on our conclusions.

2020 ◽  
Author(s):  
Leslie Ann Goldberg ◽  
Joost Jorritsma ◽  
Júlia Komjáthy ◽  
John Lapinskas

AbstractWe study the effects of two mechanisms which increase the efficacy of contact-tracing applications (CTAs) such as the mobile phone contact-tracing applications that have been used during the COVID-19 epidemic. The first mechanism is the introduction of user referrals. We compare four scenarios for the uptake of CTAs — (1) the p% of individuals that use the CTA are chosen randomly, (2) a smaller initial set of randomly-chosen users each refer a contact to use the CTA, achieving p% in total, (3) a small initial set of randomly-chosen users each refer around half of their contacts to use the CTA, achieving p% in total, and (4) for comparison, an idealised scenario in which the p% of the population that uses the CTA is the p% with the most contacts. Using agent-based epidemiological models incorporating a geometric space, we find that, even when the uptake percentage p% is small, CTAs are an effective tool for mitigating the spread of the epidemic in all scenarios. Moreover, user referrals significantly improve efficacy. In addition, it turns out that user referrals reduce the yearly quarantine load. The second mechanism for increasing the efficacy of CTAs is tuning the severity of quarantine measures. Our modelling shows that using CTAs with mild quarantine measures is effective in reducing the maximum hospital load and the number of people who become ill, but leads to a relatively high quarantine load, which may cause economic disruption. Fortunately, under stricter quarantine measures, the advantages are maintained but the quarantine load is reduced. Our models incorporate geometric inhomogeneous random graphs to study the effects of the presence of super-spreaders and of the absence of long-distant contacts (e.g., through travel restrictions) on our conclusions.


2021 ◽  
Vol 11 (12) ◽  
pp. 5367
Author(s):  
Amirarsalan Rajabi ◽  
Alexander V. Mantzaris ◽  
Ece C. Mutlu ◽  
Ozlem O. Garibay

Governments, policy makers, and officials around the globe are working to mitigate the effects of the COVID-19 pandemic by making decisions that strive to save the most lives and impose the least economic costs. Making these decisions require comprehensive understanding of the dynamics by which the disease spreads. In traditional epidemiological models, individuals do not adapt their contact behavior during an epidemic, yet adaptive behavior is well documented (i.e., fear-induced social distancing). In this work we revisit Epstein’s “coupled contagion dynamics of fear and disease” model in order to extend and adapt it to explore fear-driven behavioral adaptations and their impact on efforts to combat the COVID-19 pandemic. The inclusion of contact behavior adaptation endows the resulting model with a rich dynamics that under certain conditions reproduce endogenously multiple waves of infection. We show that the model provides an appropriate test bed for different containment strategies such as: testing with contact tracing and travel restrictions. The results show that while both strategies could result in flattening the epidemic curve and a significant reduction of the maximum number of infected individuals; testing should be applied along with tracing previous contacts of the tested individuals to be effective. The results show how the curve is flattened with testing partnered with contact tracing, and the imposition of travel restrictions.


2020 ◽  
Author(s):  
Amirarsalan Rajabi ◽  
Alexander V. Mantzaris ◽  
Ece C. Mutlu ◽  
Ivan Garibay

AbstractGovernments, policy makers and officials around the globe are trying to mitigate the effects and progress of the COVID-19 pandemic by making decisions which will save the most lives and impose the least costs. Making these decisions needs a comprehensive understanding about the dynamics by which the disease spreads. In this work, we propose an epidemic agent-based model that simulates the spread of the disease. We show that the model is able to generate an important aspect of the pandemic: multiple waves of infection. A key point in the model description is the aspect of ’fear’ which can govern how agents behave under different conditions. We also show that the model provides an appropriate test-bed to apply different containment strategies and this work presents the results of applying two such strategies: testing, contact tracing, and travel restriction. The results show that while both strategies could result in flattening the epidemic curve and significantly reduce the maximum number of infected individuals; testing should be applied along with tracing previous contacts of the tested individuals to be effective. The results show how the curve is flattened with testing partnered with contact tracing, and the imposition of travel restrictions.


2020 ◽  
Author(s):  
Daniel Tang

With the recent announcement that Apple and Google will introduce a contact-tracing API to iOS and Android, and later add contact tracing functionality directly to their OS's, it seems increasingly likely that contact tracing via a smart phone will form an important part of the effort to manage the COVID-19 pandemic and prevent resurgences of the disease after an initial outbreak.However, contact-tracing models have shown that there remains a high degree of uncertainty over whether contact tracing alone will be enough to control the virus. Here, we suggest complementary policies that could be used as part of a responsive policy to increase the effectiveness of smart phone contact tracing in the event that a resurgence looks imminent.


Author(s):  
Hannes Malmberg ◽  
Tom Britton

AbstractWhen a region tries to prevent an outbreak of an epidemic, like that of COVID-19, two broad strategies are initially available: limiting the inflow of infected cases using travel restrictions and quarantines, and reducing the transmissions from inflowing cases using contact tracing and community interventions. A large number of papers have used epidemiological models to argue that inflow restrictions are unlikely to be effective. We conduct a mathematical analysis using a simple epidemiological model and perform simulations which show how this conclusion changes if we relax the assumption of unlimited capacity in containment efforts such as contact tracing. In particular, when contact tracing is effective, but the system is close to being overwhelmed, moderate travel restrictions can have a very large effect on the probability of an epidemic.


2020 ◽  
Vol 17 (170) ◽  
pp. 20200351 ◽  
Author(s):  
Hannes Malmberg ◽  
Tom Britton

When a region tries to prevent an outbreak of an epidemic, two broad strategies are available: limiting the inflow of infected cases by using travel restrictions and quarantines or limiting the risk of local transmission from imported cases by using contact tracing and other community interventions. A number of papers have used epidemiological models to argue that inflow restrictions are unlikely to be effective. We simulate a simple epidemiological model to show that this conclusion changes if containment efforts such as contact tracing have limited capacity. In particular, our results show that moderate travel restrictions can lead to large reductions in the probability of an epidemic when contact tracing is effective but the contact tracing system is close to being overwhelmed.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jonatan Almagor ◽  
Stefano Picascia

AbstractA contact-tracing strategy has been deemed necessary to contain the spread of COVID-19 following the relaxation of lockdown measures. Using an agent-based model, we explore one of the technology-based strategies proposed, a contact-tracing smartphone app. The model simulates the spread of COVID-19 in a population of agents on an urban scale. Agents are heterogeneous in their characteristics and are linked in a multi-layered network representing the social structure—including households, friendships, employment and schools. We explore the interplay of various adoption rates of the contact-tracing app, different levels of testing capacity, and behavioural factors to assess the impact on the epidemic. Results suggest that a contact tracing app can contribute substantially to reducing infection rates in the population when accompanied by a sufficient testing capacity or when the testing policy prioritises symptomatic cases. As user rate increases, prevalence of infection decreases. With that, when symptomatic cases are not prioritised for testing, a high rate of app users can generate an extensive increase in the demand for testing, which, if not met with adequate supply, may render the app counterproductive. This points to the crucial role of an efficient testing policy and the necessity to upscale testing capacity.


2021 ◽  
pp. 0272989X2110030
Author(s):  
Serin Lee ◽  
Zelda B. Zabinsky ◽  
Judith N. Wasserheit ◽  
Stephen M. Kofsky ◽  
Shan Liu

As the novel coronavirus (COVID-19) pandemic continues to expand, policymakers are striving to balance the combinations of nonpharmaceutical interventions (NPIs) to keep people safe and minimize social disruptions. We developed and calibrated an agent-based simulation to model COVID-19 outbreaks in the greater Seattle area. The model simulated NPIs, including social distancing, face mask use, school closure, testing, and contact tracing with variable compliance and effectiveness to identify optimal NPI combinations that can control the spread of the virus in a large urban area. Results highlight the importance of at least 75% face mask use to relax social distancing and school closure measures while keeping infections low. It is important to relax NPIs cautiously during vaccine rollout in 2021.


2016 ◽  
Vol 11 (1s) ◽  
Author(s):  
Adrian M. Tompkins ◽  
Nicky McCreesh

One year of mobile phone location data from Senegal is analysed to determine the characteristics of journeys that result in an overnight stay, and are thus relevant for malaria transmission. Defining the home location of each person as the place of most frequent calls, it is found that approximately 60% of people who spend nights away from home have regular destinations that are repeatedly visited, although only 10% have 3 or more regular destinations. The number of journeys involving overnight stays peaks at a distance of 50 km, although roughly half of such journeys exceed 100 km. Most visits only involve a stay of one or two nights away from home, with just 4% exceeding one week. A new agent-based migration model is introduced, based on a gravity model adapted to represent overnight journeys. Each agent makes journeys involving overnight stays to either regular or random locations, with journey and destination probabilities taken from the mobile phone dataset. Preliminary simulations show that the agentbased model can approximately reproduce the patterns of migration involving overnight stays.


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