585 research outputs found

    The benefits of combining early aspecific vaccination with later specific vaccination

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    Timing is of crucial importance for successful vaccination. To avoid a large outbreak, vaccines are administered preferably as quickly as possible. However

    Literature review: The vaccine supply chain

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    Vaccination is one of the most effective ways to prevent and/or control the outbreak of infectious diseases. This medical intervention also brings about many logistical questions. In the past years, the Operations Research/Operations Management community has shown a growing interest in the logistical aspects of vaccination. However, publications on vaccine logistics often focus on one specific logistical aspect. A broader framework is needed so that open research questions can be identified more easily and contributions are not overlooked.In this literature review, we combine the priorities of the World Health Organization for creating a flexible and robust vaccine supply chain with an Operations Research/Operations Management supply chain perspective. We propose a classification for the literature on vaccine logistics to structure this relatively new field, and identify promising research directions. We classify the literature into the following four components: (1) product, (2) production, (3) allocation, and (4) distribution. Within the supply chain classification, we analyze the decision problems for existing outbreaks versus sudden outbreaks and developing countries versus developed countries. We identify unique characteristics of the vaccine supply chain: high uncertainty in both supply and demand; misalignment of objectives and decentralized decision making between supplier, public health organization and end customer; complex political decisions concerning allocation and the crucial

    Literature Review - the vaccine supply chain

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    Vaccination is one of the most effective ways to prevent the outbreak of an infectious disease. This medical intervention also brings about many logistical quest

    U.S. IOOS coastal and ocean modeling testbed: Evaluation of tide, wave, and hurricane surge response sensitivities to mesh resolution and friction in the Gulf of Mexico: IOOS TESTBED-RESOLUTION AND FRICTION

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    This paper investigates model response sensitivities to mesh resolution, topographical details, bottom friction formulations, the interaction of wind waves and circulation, and nonlinear advection on tidal and hurricane surge and wave processes at the basin, shelf, wetland, and coastal channel scales within the Gulf of Mexico. Tides in the Gulf of Mexico are modestly energetic processes, whereas hurricane surge and waves are highly energetic. The unstructured-mesh, coupled wind-wave and circulation modeling system, SWAN+ ADCIRC, is implemented to generate modeled tidal harmonic constituents and hurricane waves and surge for a Hurricane Ike (2008) hindcast. In the open ocean, mesh resolution requirements are less stringent in achieving accurate tidal signals or matching hurricane surge and wave responses; however, coarser resolution or the absence of intertidal zones decreases accuracy along protected nearshore and inland coastal areas due to improper conveyance and/or lateral attenuation. Bottom friction formulations are shown to have little impact on tidal signal accuracy, but hurricane surge is much more sensitive, especially in shelf waters, where development of a strong shore-parallel current is essential to the development of Ike's geostrophic setup. The spatial and temporal contributions of wave radiation stress gradients and nonlinear advection were charted for Ike. Nonlinear advection improves model performance by capturing an additional 10―20 cm of geostrophic setup and increasing resonant cross-shelf waves by 30―40 cm. Wave radiation stress gradients improve performance at coastal stations by adding an extra 20―40 cm to water levels

    The most efficient critical vaccination coverage and its equivalence with maximizing the herd effect

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    β€˜Critical vaccination coverages’ are vaccination allocations that result in an effective reproduction ratio of one. In a population with interacting subpopulations there are many different critical vaccination coverages. To find the most efficient critical vaccination coverage, we define the following optimization problem: minimize the required amount of vaccines to obtain an effective reproduction ratio of exactly one. We prove that this optimization problem is equivalent to the problem of maximizing the proportion of susceptibles that escape infection during an epidemic (i.e., maximizing the herd effect). We propose an efficient general algorithm to solve these optimization problems based on Perron- Frobenius theory. We study two special cases that provide further insight into these optimization problems. First, we derive an explicit analytic solution for the case of two interacting populations. Second, we derive an efficient algorithm for the case of multiple populations that interact according to separable mixing. In this algorithm the subpopulations are ordered by their ratio of population size to reproduction ratio. Allocating vaccines based on this priority order results in an optimal allocation. We apply our solutions in a case study for pre-pandemic vaccination in the initial phase of an influenza pandemic where the entire population is susceptible to the new influenza virus. The results show that for the optimal allocation the critical vaccination coverage is achieved for a much smaller amount of vaccines as compared to allocations proposed previously

    Dose-optimal vaccine allocation over multiple populations

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    For a large number of infectious diseases, vaccination is the most effective way to prevent an epidemic. However, the vaccine stockpile is hardly ever sufficient to treat the entire population, which brings about the challenge of vaccine allocation. To aid decision makers facing this challenge, we provide insights into the structure of this problem. We first investigate the dependence of health benefit on the fraction of people that receive vaccination, where we define health benefit as the total number of people that escape infection. We start with the seminal SIR compartmental model. Using implicit function analysis, we prove the existence of a unique vaccination fraction that maxi- mizes the health benefit per dose of vaccine, and that the health benefit per dose of vaccine decreases monotonically when moving away from this fraction in either direc- tion. Surprisingly, this fraction does not coincide with the so-called critical vaccination coverage that has been advocated in literature. We extend these insights to other compartmental models such as the SEIR model. These results allow us to provide new insights into vaccine allocation to multiple non-interacting or weakly interacting populations. We explain the counter-intuitive switching behavior of optimal allocation. We show that allocations that maximize health benefits are rarely equitable, while equitable allocations may be significantly non-optimal

    Hurricane Gustav (2008) Waves and Storm Surge: Hindcast, Synoptic Analysis, and Validation in Southern Louisiana

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    Hurricane Gustav (2008) made landfall in southern Louisiana on 1 September 2008 with its eye never closer than 75 km to New Orleans, but its waves and storm surge threatened to flood the city. Easterly tropical-storm-strength winds impacted the region east of the Mississippi River for 12-15 h, allowing for early surge to develop up to 3.5 m there and enter the river and the city's navigation canals. During landfall, winds shifted from easterly to southerly, resulting in late surge development and propagation over more than 70 km of marshes on the river's west bank, over more than 40 km of Caernarvon marsh on the east bank, and into Lake Pontchartrain to the north. Wind waves with estimated significant heights of 15 m developed in the deep Gulf of Mexico but were reduced in size once they reached the continental shelf. The barrier islands further dissipated the waves, and locally generated seas existed behind these effective breaking zones. The hardening and innovative deployment of gauges since Hurricane Katrina (2005) resulted in a wealth of measured data for Gustav. A total of 39 wind wave time histories, 362 water level time histories, and 82 high water marks were available to describe the event. Computational models-including a structured-mesh deepwater wave model (WAM) and a nearshore steady-state wave (STWAVE) model, as well as an unstructured-mesh "simulating waves nearshore'' (SWAN) wave model and an advanced circulation (ADCIRC) model-resolve the region with unprecedented levels of detail, with an unstructured mesh spacing of 100-200 m in the wave-breaking zones and 20-50 m in the small-scale channels. Data-assimilated winds were applied using NOAA's Hurricane Research Division Wind Analysis System (H*Wind) and Interactive Objective Kinematic Analysis (IOKA) procedures. Wave and surge computations from these models are validated comprehensively at the measurement locations ranging from the deep Gulf of Mexico and along the coast to the rivers and floodplains of southern Louisiana and are described and quantified within the context of the evolution of the storm

    Hindcast and validation of Hurricane Ike (2008) waves, forerunner, and storm surge: HINDCAST AND VALIDATION OF HURRICANE IKE

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    [1] Hurricane Ike (2008) made landfall near Galveston, Texas, as a moderate intensity storm. Its large wind field in conjunction with the Louisiana‐Texas coastline's broad shelf and large scale concave geometry generated waves and surge that impacted over 1000 km of coastline. Ike's complex and varied wave and surge response physics included: the capture of surge by the protruding Mississippi River Delta; the strong influence of wave radiation stress gradients on the Delta adjacent to the shelf break; the development of strong wind driven shore‐parallel currents and the associated geostrophic setup; the forced early rise of water in coastal bays and lakes facilitating inland surge penetration; the propagation of a free wave along the southern Texas shelf; shore‐normal peak wind‐driven surge; and resonant and reflected long waves across a wide continental shelf. Preexisting and rapidly deployed instrumentation provided the most comprehensive hurricane response data of any previous hurricane. More than 94 wave parameter time histories, 523 water level time histories, and 206 high water marks were collected throughout the Gulf in deep water, along the nearshore, and up to 65 km inland. Ike's highly varied physics were simulated using SWAN + ADCIRC, a tightly coupled wave and circulation model, on SL18TX33, a new unstructured mesh of the Gulf of Mexico, Caribbean Sea, and western Atlantic Ocean with high resolution of the Gulf's coastal floodplain from Alabama to the Texas‐Mexico border. A comprehensive validation was made of the model's ability to capture the varied physics in the system

    A comparison of the nonlinear frictional characteristics of two-dimensional and three-dimensional models of a shallow tidal embayment

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    The nonlinear frictional behavior of two-dimensional (2-D) and three-dimensional (3-D) models are compared in this study of tides in the Bight of Abaco. The shallow depths and the existence of an extensive set of tidal elevation data (five astronomical and two overtide constituents at 25 stations) from Filloux and Snyder (1979) offer an excellent opportunity to compare the effects of different frictional formulations. In addition, previous modeling efforts in the bight have consistently overpredicted the M6and generally overdamped the O1, K1, and S2tides. The results indicate that although the 2-D and 3-D models may be calibrated to produce nearly identical responses for the dominant M2tide, there are systematic differences in the responses of the primary overtides. These differences are explained using analytical expansions of the friction terms and are shown to be due to differences in the terms that are nonlinear in velocity and in water level. The investigation concludes that the overgeneration of M6and the overdamping of secondary astronomical tides will occur in 3-D models as well as 2-D models. Although several causes for these problems were considered, improvement in these constituents could be achieved only by modifying the standard quadratic friction or flow-dependent eddy viscosity relations to reduce the nonlinear frictional effect relative to the linear frictional effect. The required modifications suggest the presence of a constant background velocity, residual turbulence field, or possibly the need for a more advanced frictional closure

    ΠžΠ±Ρ€Π°Π±ΠΎΡ‚ΠΊΠ° оптичСских ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ Ρ‚Ρ€Π°Π΅ΠΊΡ‚ΠΎΡ€ΠΈΠΈ Π»Π΅Ρ‚Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΎΠ²

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    РассмотрСны ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ уравнивания ΡƒΠ³Π»ΠΎΠ²Ρ‹Ρ… ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ ΠΏΠΎ способу Π½Π°ΠΈΠΌΠ΅Π½ΡŒΡˆΠΈΡ… ΠΊΠ²Π°Π΄Ρ€Π°Ρ‚ΠΎΠ²: ΠΌΠ΅Ρ‚ΠΎΠ΄ уравнивания ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½ΠΎ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΌ Π²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΠΌ сСчСнии, ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»Π°Π³Π°ΡŽΡ‰ΠΈΠΉ Π½ΡƒΠ»Π΅Π²ΠΎΠ΅ матСматичСскоС ΠΎΠΆΠΈΠ΄Π°Π½ΠΈΠ΅ случайных ошибок ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ, ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ уравнивания ΠΈΠ·Π±Ρ‹Ρ‚ΠΎΡ‡Π½Ρ‹Ρ… оптичСских ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ с ΠΏΠΎΠ΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ ΠΈΡ… постоянных систСматичСских ошибок Π² ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠΈ засорСнности ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ ΠΊΠ°ΠΊ случайными, Ρ‚Π°ΠΊ ΠΈ нСизвСстными ΠΏΠΎ Π²Π΅Π»ΠΈΡ‡ΠΈΠ½Π΅ ΠΈ Π·Π½Π°ΠΊΡƒ систСматичСскими ΠΏΠΎΠ³Ρ€Π΅ΡˆΠ½ΠΎΡΡ‚ΡΠΌΠΈ.Розглянуто ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ Π·Ρ€Ρ–Π²Π½ΡŽΠ²Π°Π½Π½Ρ ΠΊΡƒΡ‚ΠΎΠ²ΠΈΡ… Π²ΠΈΠΌΡ–Ρ€ΡŽΠ²Π°Π½ΡŒ Π·Π° способом Π½Π°ΠΉΠΌΠ΅Π½ΡˆΠΈΡ… ΠΊΠ²Π°Π΄Ρ€Π°Ρ‚Ρ–Π²: ΠΌΠ΅Ρ‚ΠΎΠ΄ Π·Ρ€Ρ–Π²Π½ΡŽΠ²Π°Π½Π½Ρ Π²ΠΈΠΌΡ–Ρ€ΡŽΠ²Π°Π½ΡŒ ΠΎΠΊΡ€Π΅ΠΌΠΎ Π² ΠΊΠΎΠΆΠ½ΠΎΠΌΡƒ часовому Ρ€ΠΎΠ·Ρ€Ρ–Π·Ρ–, Ρ‰ΠΎ ΠΏΠ΅Ρ€Π΅Π΄Π±Π°Ρ‡Π°Ρ” Π½ΡƒΠ»ΡŒΠΎΠ²Π΅ ΠΌΠ°Ρ‚Π΅ΠΌΠ°Ρ‚ΠΈΡ‡Π½Π΅ очікування Π²ΠΈΠΏΠ°Π΄ΠΊΠΎΠ²ΠΈΡ… ΠΏΠΎΡ…ΠΈΠ±ΠΎΠΊ Π²ΠΈΠΌΡ–Ρ€ΡŽΠ²Π°Π½ΡŒ, Ρ– ΠΌΠ΅Ρ‚ΠΎΠ΄ Π·Ρ€Ρ–Π²Π½ΡŽΠ²Π°Π½Π½Ρ Π½Π°Π΄Π»ΠΈΡˆΠΊΠΎΠ²ΠΈΡ… ΠΎΠΏΡ‚ΠΈΡ‡Π½ΠΈΡ… Π²ΠΈΠΌΡ–Ρ€ΡŽΠ²Π°Π½ΡŒ Ρ–Π· Π·Π°Π³Π»ΡƒΡˆΠ΅Π½Π½ΡΠΌ Ρ—Ρ… постійних систСматичних ΠΏΠΎΡ…ΠΈΠ±ΠΎΠΊ Ρƒ ΠΏΡ€ΠΈΠΏΡƒΡ‰Π΅Π½Π½Ρ– засмічСності Π²ΠΈΠΌΡ–Ρ€ΡŽΠ²Π°Π½ΡŒ як Π²ΠΈΠΏΠ°Π΄ΠΊΠΎΠ²ΠΈΠΌΠΈ, Ρ‚Π°ΠΊ Ρ– Π½Π΅Π²Ρ–Π΄ΠΎΠΌΠΈΠΌΠΈ Π·Π° Π²Π΅Π»ΠΈΡ‡ΠΈΠ½ΠΎΡŽ Ρ‚Π° Π·Π½Π°ΠΊΠΎΠΌ систСматичними ΠΏΠΎΡ…ΠΈΠ±ΠΊΠ°ΠΌΠΈ.The methods of equalizing angular measurements according to the method of least squares are examined: the method of equalizing measurements separately in each temporary section, that assumes the zero mathematical expectation of the random errors of measurements, and the method of equalizing excessive optical measurements with suppression of their constant systematic errors under the assumption of the obstruction of measurements by systematic errors both random and unknowns by value and sign
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