Understanding the dynamics of SARS-CoV-2 variants of concern in Ontario, Canada: a modeling study.

Understanding the dynamics of SARS-CoV-2 variants of concern in Ontario, Canada: a modeling study.
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DOI:
10.1038/s41598-022-06159-x
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发表时间:
2022-02-08
期刊:
影响因子:
4.6
通讯作者:
Sadria M
Sadria M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Layton AT;Sadria M

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在最初的野生型严重急性呼吸道综合征冠状病毒2(SARS-CoV-2)毒株开始对世界造成破坏一年后,它们被新的变异体(VOC)所取代。在加拿大的安大略,野生型首先被Alpha/B1.1.17变体取代,然后被Delta/B.1.617变体取代。本研究的主要目的是开发和应用一个更广泛的易感-感染-排除型模型,以更好地了解多种VOC的传播,并评估疫苗接种和非药物干预(NPI)的有效性。该模型代表了VOC之间的竞争,并揭示了它们之间的相互抑制作用。通过分别跟踪无症状和有症状的感染,模型模拟确定了疫苗突破在Delta传播中的重要作用。此外,Delta疫情的严重程度不仅取决于NPI和疫苗接种率,还取决于疫苗类型。令人震惊的是,尽管安大略现有的NPI和相对成功的疫苗推出,未来,更危险的VOC可能会感染该省的人口的很大一部分,并压倒医疗保健系统。为了阻止VOC,该省可能需要同时快速部署第三种加强疫苗和严格的NPI。
A year after the initial wild-type Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) strains began their devastation of the world, they were supplanted by new variants of concern (VOC). In Ontario, Canada, the wild type was overtaken first by the Alpha/B1.1.17 variant, and then by the Delta/B.1.617 variant. The principal objective of the present study is to develop and apply a much expanded Susceptible-Infection-Recovered-type model to better understand the spread of multiple VOC, and assess the effectiveness of vaccination and non-pharmaceutical interventions (NPI). The model represents competition among VOC, and reveals their mutual inhibitory effects. By separately tracking asymptomatic and symptomatic infections, model simulations identify a significant role of vaccine breakthrough in the spread of Delta. Furthermore, the severity of a Delta outbreak depends not only on the NPI and vaccination rate but also on the vaccine types. Alarmingly, despite Ontario’s existing NPI and relatively successful vaccine rollout, a future, more dangerous VOC could potentially infect a significant fraction of the province’s population and overwhelm the health care system. To stop that VOC, the province may need the simultaneous and rapid deployment of a third booster vaccine and stringent NPI.
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发表时间: 2020-10
影响因子: 4.3
作者:
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影响因子: --
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