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Modeling COVID-19 Outbreaks in Long-Term Care Facilities Using an Agent-Based Modeling and Simulation Approach
Ali Asgary1, Hudson Blue1, Adriano O Solis2
1Disaster and Emergency Management Area, School of Administrative Studies, York University, Toronto, ON M3J 1P3, Canada.
An agent-based simulation accurately predicts COVID-19 deaths in long-term care facilities. High-effectiveness personal protective equipment and targeted daily testing significantly reduce resident mortality.
Area of Science:
- Epidemiology
- Computational modeling
- Infectious disease dynamics
Background:
- Elderly populations, particularly those in long-term care facilities (LTCFs), faced disproportionately high risks during the COVID-19 pandemic.
- LTCFs experienced significantly higher resident death rates compared to the general population.
- Understanding disease transmission dynamics within LTCFs is crucial for effective public health interventions.
Purpose of the Study:
- To develop and validate an agent-based simulation tool for modeling infectious disease spread in LTCFs.
- To assess the predictive accuracy of the simulation tool against real-world COVID-19 outbreak data.
- To evaluate the effectiveness of various infection control measures in mitigating resident deaths.
Main Methods:
- Development of an agent-based simulation incorporating a contact matrix representing daily interactions among seven agent types in LTCFs.
- Validation of the simulation tool by comparing its predictions to actual COVID-19 outbreak data from LTCFs in Ontario, Canada.
- Modeling the impact of infection control strategies, including personal protective equipment (PPE) effectiveness and random daily testing.
Main Results:
- The simulation tool accurately predicted resident deaths within 50 days, with a variation of less than 0.1 in the death rate.
- Personal protective equipment effectiveness exceeding 50% was identified as necessary to significantly reduce resident deaths.
- Implementing daily random COVID-19 testing for less than 10% of the LTCF population could decrease resident deaths by over 75%.
Conclusions:
- The developed agent-based simulation is a reliable tool for predicting COVID-19 mortality in LTCFs.
- Combining multiple infection control measures, such as enhanced PPE use and regular testing, yields superior outcomes in reducing resident deaths.
- These findings provide valuable insights for optimizing infection control strategies in LTCFs to protect vulnerable residents.
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