Behavioral responses to risk promote vaccinating high‐contact individuals first

How should communities prioritize COVID-19 vaccinations? Prior studies found that prioritizing the elderly and most vulnerable minimizes deaths. However, prior research has ignored how behavioral responses to risk of disease endogenously change transmission rates. We show that incorporating risk-dri...

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Main Author: Rahmandad, Hazhir
Other Authors: Sloan School of Management
Format: Article
Language:English
Published: Wiley 2023
Online Access:https://hdl.handle.net/1721.1/147994
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author Rahmandad, Hazhir
author2 Sloan School of Management
author_facet Sloan School of Management
Rahmandad, Hazhir
author_sort Rahmandad, Hazhir
collection MIT
description How should communities prioritize COVID-19 vaccinations? Prior studies found that prioritizing the elderly and most vulnerable minimizes deaths. However, prior research has ignored how behavioral responses to risk of disease endogenously change transmission rates. We show that incorporating risk-driven behavioral responses enhances fit to data and may change prioritization to vaccinating high-contact individuals. Behavioral responses matter because deaths grow exponentially until communities are compelled to reduce contacts, with deaths stabilizing at levels that oblige higher-contact groups to sufficiently cut their interactions and slow transmissions. More lives may be saved by vaccinating and taking those high-contact groups out of transmission chains earlier because the remaining groups will take more precautions while waiting for their turn for vaccination. These findings are especially important considering the need for further vaccination in many countries, the emergence of new variants, and the expected challenge of distributing new vaccines in the coming months and years. © 2022 The Author. System Dynamics Review published by John Wiley & Sons Ltd on behalf of System Dynamics Society.
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spelling mit-1721.1/1479942023-02-11T03:34:48Z Behavioral responses to risk promote vaccinating high‐contact individuals first Rahmandad, Hazhir Sloan School of Management How should communities prioritize COVID-19 vaccinations? Prior studies found that prioritizing the elderly and most vulnerable minimizes deaths. However, prior research has ignored how behavioral responses to risk of disease endogenously change transmission rates. We show that incorporating risk-driven behavioral responses enhances fit to data and may change prioritization to vaccinating high-contact individuals. Behavioral responses matter because deaths grow exponentially until communities are compelled to reduce contacts, with deaths stabilizing at levels that oblige higher-contact groups to sufficiently cut their interactions and slow transmissions. More lives may be saved by vaccinating and taking those high-contact groups out of transmission chains earlier because the remaining groups will take more precautions while waiting for their turn for vaccination. These findings are especially important considering the need for further vaccination in many countries, the emergence of new variants, and the expected challenge of distributing new vaccines in the coming months and years. © 2022 The Author. System Dynamics Review published by John Wiley & Sons Ltd on behalf of System Dynamics Society. 2023-02-10T13:08:46Z 2023-02-10T13:08:46Z 2022 2023-02-10T13:01:43Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/147994 Rahmandad, Hazhir. 2022. "Behavioral responses to risk promote vaccinating high‐contact individuals first." System Dynamics Review, 38 (3). en 10.1002/SDR.1714 System Dynamics Review Creative Commons Attribution NonCommercial License 4.0 https://creativecommons.org/licenses/by-nc/4.0/ application/pdf Wiley Wiley
spellingShingle Rahmandad, Hazhir
Behavioral responses to risk promote vaccinating high‐contact individuals first
title Behavioral responses to risk promote vaccinating high‐contact individuals first
title_full Behavioral responses to risk promote vaccinating high‐contact individuals first
title_fullStr Behavioral responses to risk promote vaccinating high‐contact individuals first
title_full_unstemmed Behavioral responses to risk promote vaccinating high‐contact individuals first
title_short Behavioral responses to risk promote vaccinating high‐contact individuals first
title_sort behavioral responses to risk promote vaccinating high contact individuals first
url https://hdl.handle.net/1721.1/147994
work_keys_str_mv AT rahmandadhazhir behavioralresponsestoriskpromotevaccinatinghighcontactindividualsfirst