查看更多>>摘要:We investigate the containment of epidemic spreading in networks from a normative point of view. We consider a susceptible/infected model in which agents can invest in order to reduce the contagiousness of network links. In this setting, we study the relationships between social efficiency, individual behaviours and network structure. First, we characterise individual and socially efficient behaviour using the notions of communicability and exponential centrality. Second we show, by computing the Price of Anarchy, that the level of inefficiency can scale up linearly with the number of agents. Third, we prove that policies of uniform reduction of interactions satisfy some optimality conditions in a vast range of networks. In setting where no central authority can enforce such stringent policies, we consider as a type of second-best policy the implementation of cooperation frameworks that allow agents to subsidise prophylactic investments in the global rather than in the local network. We then characterise the scope for Pareto improvement opened by such policies through a notion of Price of Autarky, measuring the ratio between social welfare at a global and a local equilibrium. Overall, our results show that individual behaviours can be extremely inefficient in the face of epidemic propagation but that policy can take advantage of the network structure to design welfare improving containment policies. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:This paper offers a parsimonious, rational-choice model to study the effect of pre-existing inequalities on the transmission of COVID-19. Agents decide whether to "go out'' (or self-quarantine) and, if so, whether to wear protection such as masks. Three elements distinguish the model from existing work. First, non-symptomatic agents do not know if they are infected. Second, some of these agents unknowingly transmit infections. Third, we permit two-sided prevention via the use of non-pharmaceutical interventions: the probability of a person catching the virus from another depends on protection choices made by each. We find that a mean-preserving increase in pre-existing income inequality unambiguously increases the equilibrium proportion of unprotected, socializing agents and may increase or decrease the proportion who self-quarantine. Strikingly, while higher pre-COVID inequality may or may not raise the overall risk of infection, it increases the risk of disease in social interactions. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:Economic recessions are traditionally associated with asset price declines, and recoveries with asset price booms. Standard asset pricing models make sense of this: during a recession, dividends are low and the marginal value of income is high, causing low asset prices. Here, I develop a simple model which shows that this is not true during a recession caused by consumption restrictions, such as those seen during the 2020 pandemic: the restrictions drive the marginal value of income down, and thereby drive asset prices up, to an extent that tends to overwhelm the effect of low dividends. This result holds even if investors misperceive the economic forces at work. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:We analyze the spread of an infectious disease in a population when individuals strategically choose how much time to interact with others. Individuals are either of the severe type or of the asymptomatic type. Only severe types have symptoms when they are infected, and the asymptomatic types can be contagious without knowing it. In the absence of any symptoms, individuals do not know their type and continuously tradeoff the costs and benefits of self-isolation on the basis of their belief of being the severe type. We show that all equilibria of the game involve social interaction, and we characterize the unique equilibrium in which individuals partially self-isolate at each date. We calibrate our model to the COVID-19 pandemic and simulate the dynamics of the epidemic to illustrate the impact of some public policies. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:Triage protocols for intensive care units are based on priorities assigned to presents, but ignore patients about to arrive, so a priority newcomer may not find a ventilator and its associated nursing staff available because they are occupied by a lower-priority patient who however was present at the moment of assignment. Conversely, waiting too long leads to losing elderly patients who could have been saved by ventilators. As age and sex are major determinants of mortality by Covid-19 and have the merit, in contrast to other priority criteria, of being immediately available to health professionals, the criterion is the minimization of the mean mortality rate weighted by age-and sex-specific life expectancies. The dynamics is a queuing process involving mortality and return home flows and competition between ages. The result is the determination of an optimal threshold age that can guide triage. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:This paper presents a first model integrating the relation between biodiversity loss and zoonotic pandemic risks in a general equilibrium dynamic economic set-up. The occurrence of pandemics is modeled as Poissonian leaps in economic variables. The planner can intervene in the economic and epidemiological dynamics in two ways: first (prevention), by deciding to conserve a greater quantity of biodiversity to decrease the probability of a pandemic occurring, and second (mitigation), by reducing the death toll through a lockdown policy, with the collateral effect of affecting negatively labor productivity. The policy is evaluated using a social welfare function embodying society's risk aversion, aversion to fluctuations, degree of impatience and altruism towards future generations. The model is explicitly solved and the optimal policy described. The dependence of the optimal policy on natural, productivity and preference parameters is discussed. In particular the optimal lockdown is more severe in societies valuing more human life, and the optimal biodiversity conservation is larger for more "forward looking'' societies, with a small discount rate and a high degree of altruism towards future generations. Moreover, societies accepting a large welfare loss to mitigate the pandemics are also societies doing a lot of prevention. After calibrating the model with COVID-19 pandemic data we compare the mitigation efforts predicted by the model with those of the recent literature and we study the optimal prevention-mitigation policy mix. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:Without widespread immunization, the road to recovery from the current COVID-19 lockdowns will optimally follow a path that finds the difficult balance between the social and economic benefits of liberty and the toll from the disease. We provide an approach that combines epidemiology and economic models, taking as given that the maximum capacity of the healthcare system imposes a constraint that must not be exceeded. Treating the transmission rate as a decreasing function of the severity of the lockdown, we first determine the minimal lockdown that satisfies this constraint using an epidemiology model with a homogeneous population to predict future demand for healthcare. Allowing for a heterogeneous population, we then derive the optimal lockdown policy under the assumption of homogeneous mixing and show that it is characterized by a bang-bang solution. Possibilities such as the capacity of the healthcare system increasing or a vaccine arriving at some point in the future do not substantively impact the dynamically optimal policy until such an event actually occurs. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:We explore the space-time and mortality dynamics of recent infectious diseases outbreaks which have occurred in a large number of developed and developing countries. We fully acknowledge the heterogeneity of infectious diseases. We find that many outbreaks exhibit spatial dependence, due to the international movement of people and goods. All countries are exposed to these negative cross-border health externalities, which can be triggered by climate shocks. The mortality consequences are much more severe in developing countries. Paying attention to spatial dependence has important implications for economic research and international policymaking. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:We extend the classic approach (SIR) to a SEAIRD model with policy controls. A social planner's objective reflects the trade-off between mortality reduction and GDP, featuring its perception of the value of statistical life (PVSL). We introduce realistic and drastic limitations to the control available to it. Within this setup, we explore the results of various control policies. We notably describe the joint dynamics of infection and economy in different contexts with unique or multiple confinement episodes. Compared to other approaches, our contributions are: (i) to restrict the class of functions accessible to the social planner, and in particular to impose that they remain constant over some fixed periods; (ii) to impose implementation frictions, e.g. a lag in their implementation; (iii) to prove the existence of optimal strategies within this set of possible controls; iv) to exhibit a sudden change in optimal policy as the statistical value of life is raised, from laissez-faire to a sizeable lockdown level, indicating a possible reason for conflicting policy proposals. (c) 2021 Elsevier B.V. All rights reserved.
查看更多>>摘要:We analyze a model where the government has to decide whether to impose a lockdown in a country to prevent the spread of a possibly virulent disease. If the government decides to impose a lockdown, it has to determine its intensity, timing and duration. We find that there are two competing effects that push the decision in opposite directions. An early lockdown is beneficial not only to slow down the spread of the disease, but creates beneficial habit formation (such as social distancing, developing hygienic habits) that persists even after the lockdown is lifted. Against this benefit of an early lockdown, there is a cost from loss of information about the virulence and spread of the disease in the population in addition to a direct cost to the economy. Based on the prior probability of the disease being virulent, we characterize the timing, intensity and duration of a lockdown with the above mentioned tradeoffs. Specifically, we show that as the precision of learning goes up, a government tends to delay the imposition of lockdown. Conversely, if the habit formation parameter is very strong, a government is likely to impose an early lockdown. (C) 2021 Elsevier B.V. All rights reserved.