Preprints with The Lancet is a collaboration between The Lancet Group of journals and SSRN to facilitate the open sharing of preprints for early engagement, community comment, and collaboration. Preprints available here are not Lancet publications or necessarily under review with a Lancet journal. These preprints are early-stage research papers that have not been peer-reviewed. The usual SSRN checks and a Lancet-specific check for appropriateness and transparency have been applied. The findings should not be used for clinical or public health decision-making or presented without highlighting these facts. For more information, please see the FAQs.
Public Policy and Economic Dynamics of COVID-19 Spread: A Mathematical Modeling Study
33 Pages Posted: 23 Apr 2020
More...Abstract
Background: With the COVID-19 pandemic infecting millions of people, large-scale quarantine policies have been enacted across the globe. Understanding how to maximize the effectiveness of these policies while mitigating economic damage is essential. We develop a mathematical model to assess the impact of quarantine measures on deaths, hospitalizations, and economic output.
Methods: We expand the SEIR model to simulate the spread of COVID-19, incorporating the effects of quarantine policies and segmenting the population based on health risk and economic vulnerability. Using our model, we simulate a baseline scenario that leaves the current quarantine restrictions in place. We then simulate a rapid relaxation of the quarantine restrictions for non-seniors shortly after the outbreak is contained. Finally, we gradually relax the quarantine restrictions for the young individuals, while maintaining extremely strict restrictions for seniors.
Findings: In the baseline scenario, we find that over 76 weeks in a population of 330 million, there are 32,131 deaths among those under 60 and 175,775 deaths among those over 60, there is a peak of 189,136 hospitalizations, and the economy shrinks by 0.56%. In the scenario where quarantine is quickly lifted a second outbreak takes place. Overall, there are 242,869 deaths among those under 60, 545,946 deaths among those over 60, a peak of 4,363,654 hospitalizations, and the economy expands by 5.2%. In the scenario where quarantine policies are progressively relaxed for the young individuals, there are 33,750 deaths among those under 60, 187,993 deaths among those over 60, a peak of 189,136 hospitalizations, and the economy expands by 4%.
Interpretation: Strict restrictions on seniors combined with very gradual lifting of quarantine for the general population results in a limited number of deaths and lesser economic damage. We recommend this strategy and lowering contagiousness to control the pandemic while making quarantine economically viable.
Funding Statement: No funding to declare.
Declaration of Interests: The authors declare no competing interests.
Keywords: COVID-19, targeted quarantine, mathematical model
Suggested Citation: Suggested Citation
