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A multi-stage stochastic programming approach to epidemic resource allocation with equity considerations

Authors: Xuecheng Yin; İ. E. Büyüktahtakın;

A multi-stage stochastic programming approach to epidemic resource allocation with equity considerations

Abstract

AbstractExisting compartmental models in epidemiology are limited in terms of optimizing the resource allocation to control an epidemic outbreak under disease growth uncertainty. In this study, we address this core limitation by presenting a multi-stage stochastic programming compartmental model, which integrates the uncertain disease progression and resource allocation to control an infectious disease outbreak. The proposed multi-stage stochastic program involves various disease growth scenarios and optimizes the distribution of treatment centers and resources while minimizing the total expected number of new infections and funerals. We define two new equity metrics, namely infection and capacity equity, and explicitly consider equity for allocating treatment funds and facilities over multiple time stages. We also study the multistage value of the stochastic solution (VSS), which demonstrates the superiority of the proposed stochastic programming model over its deterministic counterpart. We apply the proposed formulation to control the Ebola Virus Disease (EVD) in Guinea, Sierra Leone, and Liberia of West Africa to determine the optimal and fair resource-allocation strategies. Our model balances the proportion of infections over all regions, even without including the infection equity or prevalence equity constraints. Model results also show that allocating treatment resources proportional to population is sub-optimal, and enforcing such a resource allocation policy might adversely impact the total number of infections and deaths, and thus resulting in a high cost that we have to pay for the fairness. Our multi-stage stochastic epidemic-logistics model is practical and can be adapted to control other infectious diseases in meta-populations and dynamically evolving situations.

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Keywords

FOS: Computer and information sciences, Other Computer Science (cs.OH), capacity and prevalence equity metrics, Equity constraints, Statistics - Applications, Article, Disease Outbreaks, Resource Allocation, Ebola Virus Disease (EVD), Computer Science - Other Computer Science, Uncertainty in disease growth, West Africa, FOS: Mathematics, Humans, Epidemic diseases, Applications (stat.AP), Resource allocation, Quantitative Biology - Populations and Evolution, Epidemics, Mathematics - Optimization and Control, Stochastic Processes, Populations and Evolution (q-bio.PE), COVID-19, Hemorrhagic Fever, Ebola, Africa, Western, Models, Economic, Multi-stage stochastic mixed-integer programming model, Optimization and Control (math.OC), FOS: Biological sciences, Infection, Compartmental models

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
58
Top 1%
Top 10%
Top 1%
Green
bronze