Waves, Lock-Downs, and Vaccines - Decision Support and Model with Superb Geographical and Sociological Resolution
Lead Research Organisation:
Durham University
Department Name: Physics
Abstract
This proposal aims at further developing, validating, and deploying the JUNE model for the simulation of the spread of COVID-19 in the United Kingdom and the impact of medical and non-medical mitigation strategies. Recently constructed, JUNE combines superb geographical and sociological resolution in its virtual population model with a detailed, flexible and adjustable simulation of daily activities and the ability to include mitigation strategies and other interventions, to asses their effect. JUNE is already being used by NHS England to gain insights into the nature of the disease and the dynamics of its spreading, thereby informing operational planning and supporting decisions.
In this proposal we will
1. continue to provide valuable insights for the NHS, PHE, and the UK government, for example the impact of further complete or partial lock-downs, of the tier system and possible extensions and modifications, and of different vaccination protocols. This includes, in particular, the application of cutting-edge Bayesian methods for uncertainty quantification in projections of possible futures, and the development of robust data assimilation protocols to improve short-term predictions.
2. further refine the population model, with special emphasis on the transmission dynamics and conditions in minorities and on the effect of socio-economic factors on infection and fatality rates. We will also include models for multiple infectious diseases affecting the population concurrently, to quantify the impact of seasonal flu the resulting demands on the health care system.
As a by-product we will fully document the code and produce a convenient user-interface, to facilitate its use in future epidemics, thereby turning it into an enduring national asset.
In this proposal we will
1. continue to provide valuable insights for the NHS, PHE, and the UK government, for example the impact of further complete or partial lock-downs, of the tier system and possible extensions and modifications, and of different vaccination protocols. This includes, in particular, the application of cutting-edge Bayesian methods for uncertainty quantification in projections of possible futures, and the development of robust data assimilation protocols to improve short-term predictions.
2. further refine the population model, with special emphasis on the transmission dynamics and conditions in minorities and on the effect of socio-economic factors on infection and fatality rates. We will also include models for multiple infectious diseases affecting the population concurrently, to quantify the impact of seasonal flu the resulting demands on the health care system.
As a by-product we will fully document the code and produce a convenient user-interface, to facilitate its use in future epidemics, thereby turning it into an enduring national asset.
Publications
Aylett-Bullock J
(2021)
June: open-source individual-based epidemiology simulation.
in Royal Society open science
Aylett-Bullock J
(2022)
Epidemiological modelling in refugee and internally displaced people settlements: challenges and ways forward.
in BMJ global health
Cuesta-Lazaro C
(2021)
Vaccinations or Non-Pharmaceutical Interventions: Safe Reopening of Schools in England
Vernon I
(2022)
Bayesian Emulation and History Matching of JUNE
Description | We have updated our agent-based model to include various (COVID) variants as quasi independent infections, which interact differently with newly included flexible vaccination strategies. This allowed us to continue providing high-quality projections of future epidemic dynamics to the NHS and has led to a collaboration with PHE/UKHSA who want to use our model for ongoing and future epidemics. We also started to investigate various scenarios for why vaccine efficacy is waning. Most of the objectives charted in the timeline of the proposal have been met, so the project was, by far and large, successful. Our code being open-source will allow its application to a wide rang of settings; in a parallel project we collaborate with WHO and UN to roll it out for refugee camps. |
Exploitation Route | Open-source code can be rolled out in a wide range of settings. |
Sectors | Communities and Social Services/Policy Healthcare |
Description | Operational planning by NHS England for the ongoing COVID epidemic and its various waves. Emerging collaboration with UKHSA (formerly PHE) to re-purpose our code for other, human-to-human transmitted diseases such as seasonal flu etc., and to support their planning and forecasting. The code has also been used by the UN and WHO to investigate the impact of COVID on refugee camps. In an ongoing project it is being utilised to optimise the design of such settlements to enhance resilience to epidemics. |
First Year Of Impact | 2021 |
Sector | Healthcare |
Impact Types | Societal |
Description | Providing projections on Delta and Omicron for the NHS through Kevin Fong |
Geographic Reach | National |
Policy Influence Type | Participation in a guidance/advisory committee |
Title | JUNE code |
Description | Simulation model and code for epidemics with human-to-human transmission dynamics. |
Type Of Material | Improvements to research infrastructure |
Year Produced | 2021 |
Provided To Others? | Yes |
Impact | Can be repurposed for any human-to-human transmissible disease in any large-scale population. |
URL | https://github.com/IDAS-Durham/JUNE |
Description | United Nations / Cox's Bazaar |
Organisation | United Nations (UN) |
Country | United States |
Sector | Public |
PI Contribution | Provision of JUNE model and adaptation to Cox's Bazaar (Bangladesh) |
Collaborator Contribution | Data insights: Population/demographics of Cox's Bazaar, COVID infection and impact. |
Impact | Ongoing analysis; some first publication submitted to BMJ (and accepted, but doi still missing). |
Start Year | 2021 |
Title | JUNE |
Description | JUNE model to simulate epidemics with human-to-human transmission dynamics, in large-scale populations |
Type Of Technology | Software |
Year Produced | 2020 |
Open Source License? | Yes |
Impact | Decision support fror NHS etc. |
Description | bi-weekly collaboration meetings with PHE/UKHSA |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | bi-weekly collaboration meetings with PHE/UKHSA, to turn JUNE into one of their central simulation tools |
Year(s) Of Engagement Activity | 2021,2022 |