Evidence map›Paper›PMID 38320602›Full record

ArticleJournal of the Royal Society, Interface2024

Ethical dilemma arises from optimizing interventions for epidemics in heterogeneous populations.

Pratyush K Kollepara, Rebecca H Chisholm, István Z Kiss, Joel C Miller

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

4 authors.

Pratyush K KolleparaDepartment of Mathematical and Physical Sciences, La Trobe University, Melbourne, Australia.ORCID 0000-0002-7794-7759
Rebecca H ChisholmDepartment of Mathematical and Physical Sciences, La Trobe University, Melbourne, Australia.ORCID 0000-0002-7830-793X
István Z KissNetwork Science Institute, Northeastern University London, London E1W 1LP, UK.ORCID 0000-0003-1473-6644
Joel C MillerDepartment of Mathematical and Physical Sciences, La Trobe University, Melbourne, Australia.ORCID 0000-0003-4426-0405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interventions to mitigate the spread of infectious diseases, while succeeding in their goal, have economic and social costs associated with them. These limit the duration and intensity of the interventions. We study a class of interventions which reduce the reproduction number and find the optimal strength of the intervention which minimizes the final epidemic size for an immunity inducing infection. The intervention works by eliminating the overshoot part of an epidemic, and avoids a second wave of infections. We extend the framework by considering a heterogeneous population and find that the optimal intervention can pose an ethical dilemma for decision and policymakers. This ethical dilemma is shown to be analogous to the trolley problem. We apply this optimization strategy to real-world contact data and case fatality rates from three pandemics to underline the importance of this ethical dilemma in real-world scenarios.

Indexed as

EpidemicsPandemicsethicsinfectious diseaseinterventionmathematical modelling‌trolley problem

Identifiers

PMID38320602
PMCPMC10846932

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.