Evidence map›Paper›PMID 36962770›Full record

ArticlePLOS global public health2022

What If…? Pandemic policy-decision-support to guide a cost-benefit-optimised, country-specific response.

Giorgio Mannarini, Francesco Posa, Thierry Bossy, Lucas Massemin, Javier Fernandez-Castanon, Tatjana Chavdarova, Pablo Cañas, Prakhar Gupta, Martin Jaggi, Mary-Anne Hartley

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Article in PLOS global public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Giorgio MannariniIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.ORCID https://orcid.org/0000-0001-9623-3260
Francesco PosaIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
Thierry BossyIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.ORCID https://orcid.org/0000-0001-8442-4705
Lucas MasseminIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
Javier Fernandez-CastanonIndependent Researcher, London, United Kingdom.
Tatjana ChavdarovaIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.ORCID https://orcid.org/0000-0002-6795-4576
Pablo CañasIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
Prakhar GuptaIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
Martin JaggiIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
Mary-Anne HartleyIntelligent Global Health, Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.ORCID https://orcid.org/0000-0002-8826-3870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter 18 months of responding to the COVID-19 pandemic, there is still no agreement on the optimal combination of mitigation strategies. The efficacy and collateral damage of pandemic policies are dependent on constantly evolving viral epidemiology as well as the volatile distribution of socioeconomic and cultural factors. This study proposes a data-driven approach to quantify the efficacy of the type, duration, and stringency of COVID-19 mitigation policies in terms of transmission control and economic loss, personalised to individual countries.

methodsWe present What If…?, a deep learning pandemic-policy-decision-support algorithm simulating pandemic scenarios to guide and evaluate policy impact in real time. It leverages a uniquely diverse live global data-stream of socioeconomic, demographic, climatic, and epidemic trends on over a year of data (04/2020-06/2021) from 116 countries. The economic damage of the policies is also evaluated on the 29 higher income countries for which data is available. The efficacy and economic damage estimates are derived from two neural networks that infer respectively the daily R-value (RE) and unemployment rate (UER). Reinforcement learning then pits these models against each other to find the optimal policies minimising both RE and UER.

findingsThe models made high accuracy predictions of RE and UER (average mean squared errors of 0.043 [CI95: 0.042-0.044] and 4.473% [CI95: 2.619-6.326] respectively), which allow the computation of country-specific policy efficacy in terms of cost and benefit. In the 29 countries where economic information was available, the reinforcement learning agent suggested a policy mix that is predicted to outperform those implemented in reality by over 10-fold for RE reduction (0.250 versus 0.025) and at 28-fold less cost in terms of UER (1.595% versus 0.057%).

conclusionThese results show that deep learning has the potential to guide evidence-based understanding and implementation of public health policies.

Identifiers

PMID36962770
PMCPMC10022143

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Textfull text, public
LicenceCC BY
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identifiers read9
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.