scholarly journals Listening to Bluetooth Beacons for Epidemic Risk Mitigation

Author(s):  
Gilles Barthe ◽  
Roberta De Viti ◽  
Peter Druschel ◽  
Deepak Garg ◽  
Manuel Gomez Rodriguez ◽  
...  

Abstract The ongoing COVID-19 pandemic let to efforts to develop and deploy digital contact tracing systems to expedite contact tracing and risk notification. Unfortunately, the success of these systems has been limited, partly owing to poor interoperability with manual contact tracing, low adoption rates, and a societally sensitive trade-off between utility and privacy. In this work, we introduce a new privacy-preserving and inclusive system for epidemic risk assessment and notification that aims to address these limitations. Rather than capturing pairwise encounters between user devices as done by existing systems, our system captures encounters between user devices and beacons placed in strategic locations where infection clusters may originate. Epidemiological simulations using an agent-based model demonstrate that, by utilizing location and environmental information and interoperating with manual contact tracing, our system can increase the accuracy of contact tracing actions and may help reduce epidemic spread already at low adoption.

2021 ◽  
Author(s):  
Gilles Barthe ◽  
Roberta De Viti ◽  
Peter Druschel ◽  
Deepak Garg ◽  
Manuel Gomez Rodriguez ◽  
...  

Abstract During the ongoing COVID-19 pandemic, there have been burgeoning efforts to develop and deploy smartphone apps to expedite contact tracing and risk notification. Unfortunately, the success of these apps has been limited, partly owing to poor interoperability with manual contact tracing, low adoption rates, and a societally sensitive trade-off between utility and privacy. In this work, we introduce a new privacy-preserving and inclusive system for epidemic risk assessment and notification that aims to address the above limitations. Rather than capturing pairwise encounters between smartphones as done by existing apps, our system captures encounters between inexpensive, zero-maintenance, small devices carried by users, and beacons placed in strategic locations where infection clusters are most likely to originate. Epidemiological simulations using an agent-based model demonstrate several beneficial properties of our system. By achieving bidirectional interoperability with manual contact tracing, our system can help control disease spread already at low adoption. By utilizing the location and environmental information provided by the beacons, our system can provide significantly higher sensitivity and specificity than existing app-based systems. In addition, our simulations also suggest that it is sufficient to deploy beacons in a small fraction of strategic locations for our system to achieve high utility.


2021 ◽  
Author(s):  
Gilles Barthe ◽  
Roberta De Viti ◽  
Peter Druschel ◽  
Deepak Garg ◽  
Manuel Gomez-Rodriguez ◽  
...  

AbstractDuring the ongoing COVID-19 pandemic, there have been burgeoning efforts to develop and deploy smartphone apps to expedite contact tracing and risk notification. Unfortunately, the success of these apps has been limited, partly owing to poor interoperability with manual contact tracing, low adoption rates, and a societally sensitive trade-off between utility and privacy. In this work, we introduce a new privacy-preserving and inclusive system for epidemic risk assessment and notification that aims to address the above limitations. Rather than capturing pairwise encounters between smartphones as done by existing apps, our system captures encounters between inexpensive, zero-maintenance, small devices carried by users, and beacons placed in strategic locations where infection clusters are most likely to originate. Epidemiological simulations using an agent-based model demonstrate several beneficial properties of our system. By achieving bidirectional interoperability with manual contact tracing, our system can help control disease spread already at low adoption. By utilizing the location and environmental information provided by the beacons, our system can provide significantly higher sensitivity and specificity than existing app-based systems. In addition, our simulations also suggest that it is sufficient to deploy beacons in a small fraction of strategic locations for our system to achieve high utility.


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 ◽  
Author(s):  
James Thompson ◽  
Stephen Wattam

AbstractCoronavirus disease 2019 (COVID-19) is an infectious disease of humans caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since the first case was identified in China in December 2019 the disease has spread worldwide, leading to an ongoing pandemic. In this article, we present a detailed agent-based model of COVID-19 in Luxembourg, and use it to estimate the impact, on cases and deaths, of interventions including testing, contact tracing, lockdown, curfew and vaccination.Our model is based on collation, with agents performing activities and moving between locations accordingly. The model is highly heterogeneous, featuring spatial clustering, over 2000 behavioural types and a 10 minute time resolution. The model is validated against COVID-19 clinical monitoring data collected in Luxembourg in 2020.Our model predicts far fewer cases and deaths than the equivalent equation-based SEIR model. In particular, with R0 = 2.45, the SEIR model infects 87% of the resident population while our agent-based model results, on average, in only around 23% of the resident population infected. Our simulations suggest that testing and contract tracing reduce cases substantially, but are much less effective at reducing deaths. Lockdowns appear very effective although costly, while the impact of an 11pm-6am curfew is relatively small. When vaccinating against a future outbreak, our results suggest that herd immunity can be achieved at relatively low levels, with substantial levels of protection achieved with only 30% of the population immune. When vaccinating in midst of an outbreak, the challenge is more difficult. In this context, we investigate the impact of vaccine efficacy, capacity, hesitancy and strategy.We conclude that, short of a permanent lockdown, vaccination is by far the most effective way to suppress and ultimately control the spread of COVID-19.


2020 ◽  
Author(s):  
Junjiang Li ◽  
Philippe J. Giabbanelli

AbstractThere is a range of public health tools and interventions to address the global pandemic of COVID-19. Although it is essential for public health efforts to comprehensively identify which interventions have the largest impact on preventing new cases, most of the modeling studies that support such decision-making efforts have only considered a very small set of interventions. In addition, previous studies predominantly considered interventions as independent or examined a single scenario in which every possible intervention was applied. Reality has been more nuanced, as a subset of all possible interventions may be in effect for a given time period, in a given place. In this paper, we use cloud-based simulations and a previously published Agent-Based Model of COVID-19 (Covasim) to measure the individual and interacting contribution of interventions on reducing new infections in the US over 6 months. Simulated interventions include face masks, working remotely, stay-at-home orders, testing, contact tracing, and quarantining. Through a factorial design of experiments, we find that mask wearing together with transitioning to remote work/schooling has the largest impact. Having sufficient capacity to immediately and effectively perform contact tracing has a smaller contribution, primarily via interacting effects.


2020 ◽  
Author(s):  
Ernie Chang ◽  
Kenneth A. Moselle ◽  
Ashlin Richardson

ABSTRACTThe agent-based model CovidSIMVL (github.com/ecsendmail/MultiverseContagion) is employed in this paper to delineate different network structures of transmission chains in simulated COVID-19 epidemics, where initial parameters are set to approximate spread from a single transmission source, and R0ranges between 1.5 and 2.5.The resulting Transmission Trees are characterized by breadth, depth and generations needed to reach a target of 50% infected from a starting population of 100, or self-extinction prior to reaching that target. Metrics reflecting efficiency of an epidemic relate closely to topology of the trees.It can be shown that the notion of superspreading individuals may be a statistical artefact of Transmission Tree growth, while superspreader events can be readily simulated with appropriate parameter settings. The potential use of contact tracing data to identify chain length and shared paths is explored as a measure of epidemic progression. This characterization of epidemics in terms of topological characteristics of Transmission Trees may complement equation-based models that work from rates of infection. By constructing measures of efficiency of spread based on Transmission Tree topology and distribution, rather than rates of infection over time, the agent-based approach may provide a method to characterize and project risks associated with collections of transmission events, most notably at relatively early epidemic stages, when rates are low and equation-based approaches are challenged in their capacity to describe or predict.MOTIVATION – MODELS KEYED TO CONTEMPLATED DECISIONSOutcomes are altered by changing the processes that determine them. If we wish to alter contagion-based spread of infection as reflected in curves that characterize changes in transmission rates over time, we must intervene at the level of the processes that are directly involved in preventing viral spread. If we are going to employ models to evaluate different candidate arrays of localized preventive policies, those models must be posed at the same level of granularity as the entities (people enacting processes) to which preventive measures will be applied. As well, the models must be able to represent the transmission-relevant dynamics of the systems to which policies could be applied. Further, the parameters that govern dynamics within the models must embody the actions that are prescribed/proscribed by the preventive measures that are contemplated. If all of those conditions are met, then at a formal or structural level, the models are conformant with the provisions of the Law of Requisite Variety1 or the restated version of that law – the good regulator theorem.2On a more logistical or practical level, the models must yield summary measures that are responsive to changes in key parameters, highlight the dynamics, quantify outcomes associated with the dynamics, and communicate that information in a form that can be understood correctly by parties who are adjudicating on policy options.If the models meet formal/structural requirements regarding requisite variety, and the parameters have a plausible interpretation in relationship to real-world situations, and the metrics do not overly-distort the data contents that they summarize, then the models provide information that is directly relevant to decision-making processes. Models that meet these requirements will minimize the gap that separates models from decisions, a gap that will otherwise be filled by considerations other than the data used to create the models (for equation-based models) or the data generated by the simulations.In this work, we present an agent-based model that targets information requirements of decision-makers who are setting policy at a local level, or translate population level directives to local entities and operations. We employ an agent-based modeling approach, which enables us to generate simulations that respond directly to the requirements of the good regulator theorem. Transmission events take place within a spatio-temporal frame of reference in this model, and rates are not conditioned by a reproduction rate (R0) that is specified a priori. Events are a function of movement and proximity. To summarize dynamics and associated outcomes of simulated epidemics, we employ metrics reflecting topological structure of transmission chains, and distributions of those structures. These measures point directly to dynamic features of simulated outbreaks, they operationalize the “efficiency” construct, and they are responsive to changes in parameters that govern dynamics of the simulations.


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