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Identifying Cost-Effective Dynamic Policies to Control Epidemics

2016

This paper describes a mathematical decision model for identifying dynamic health policies for controlling epidemics. The dynamic policies aim to select the best current intervention based on accumulating epidemic data and the availability of resources at each decision point. An algorithm is proposed to approximate dynamic policies that optimize the population's net health benefit, a performance measure which accounts for both health and monetary outcomes.

The authors further illustrate how dynamic policies can be defined and optimized for the control of a novel viral pathogen, where a policy maker must decide (i) when to employ or lift a transmission-reducing intervention (e.g. school closure) and (ii) how to prioritize population members for vaccination when a limited quantity of vaccines first become available. Within the context of this application, they demonstrate that dynamic policies can produce higher net health benefit than more commonly described static policies that specify a pre-determined sequence of interventions to employ throughout epidemics.

 

Source:

Yaesoubi R, Cohen T. Identifying Cost-Effective Dynamic Policies to Control Epidemics. Statistics in Medicine 2016; 35 (28): 5189–5209. http://dx.doi.org/10.1002/sim.7047