Optimizing infectious disease mitigation under dynamic conditions

Fuente: arXiv
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Autori principali: Müller, Laura, Sartori, Fabio, Dehning, Jonas, Eggl, Maximilian F., Priesemann, Viola
Natura: Preprint
Pubblicazione: 2025
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author Müller, Laura
Sartori, Fabio
Dehning, Jonas
Eggl, Maximilian F.
Priesemann, Viola
author_facet Müller, Laura
Sartori, Fabio
Dehning, Jonas
Eggl, Maximilian F.
Priesemann, Viola
contents Mitigation measures are essential for controlling the spread of infectious diseases during pandemics and epidemics, but they impose considerable societal, individual, and economic costs. We developed a general optimization framework to balance costs related to infection and to mitigation. Optimizing the trade-off between mitigation and infection cost, we identified three novel, surprising effects: First, assuming a constant reproduction number $R_0$, the optimal response to an infectious disease requires either strict mitigation or none at all, depending on disease severity, but never does one find an intermediate mitigation level to be optimal. Second, under seasonal variations, optimal mitigation is stricter during winter. Interestingly, a single wave of infections still arises in spring with 3 months delay to the seasonal peak of infectivity, replacing the autumn/winter waves known for classical influenza. Third, during steady vaccination campaigns, even optimal mitigation can result in transient infection waves. Finally, we quantify the cost of delayed mitigation onset and show that even short delays can substantially increase total costs -- if the disease is severe. Overall, our framework is easily applicable to general and complex settings and thereby presents a versatile tool to explore optimal mitigation strategies for endemic and pandemic infectious disease.
format Preprint
id arxiv_https___arxiv_org_abs_2512_11454
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Optimizing infectious disease mitigation under dynamic conditions
Müller, Laura
Sartori, Fabio
Dehning, Jonas
Eggl, Maximilian F.
Priesemann, Viola
Populations and Evolution
Optimization and Control
Mitigation measures are essential for controlling the spread of infectious diseases during pandemics and epidemics, but they impose considerable societal, individual, and economic costs. We developed a general optimization framework to balance costs related to infection and to mitigation. Optimizing the trade-off between mitigation and infection cost, we identified three novel, surprising effects: First, assuming a constant reproduction number $R_0$, the optimal response to an infectious disease requires either strict mitigation or none at all, depending on disease severity, but never does one find an intermediate mitigation level to be optimal. Second, under seasonal variations, optimal mitigation is stricter during winter. Interestingly, a single wave of infections still arises in spring with 3 months delay to the seasonal peak of infectivity, replacing the autumn/winter waves known for classical influenza. Third, during steady vaccination campaigns, even optimal mitigation can result in transient infection waves. Finally, we quantify the cost of delayed mitigation onset and show that even short delays can substantially increase total costs -- if the disease is severe. Overall, our framework is easily applicable to general and complex settings and thereby presents a versatile tool to explore optimal mitigation strategies for endemic and pandemic infectious disease.
title Optimizing infectious disease mitigation under dynamic conditions
topic Populations and Evolution
Optimization and Control
url https://arxiv.org/abs/2512.11454