Effective approaches to disaster evacuation during a COVID-like pandemic
This work addresses disaster evacuation planning for public health officials during pandemics, but it is incremental as it applies existing models to a new context.
The study applied an age-structured SEIR model to evaluate how Taiwan's Diversion protocol and vaccine uptake levels affect infection rates and outbreak timing in disaster shelters during a pandemic, finding that combining these strategies can decrease maximum infections and delay peaks, with specific impacts varying by age group.
Since COVID-19 vaccines became available, no studies have quantified how different disaster evacuation strategies can mitigate pandemic risks in shelters. Therefore, we applied an age-structured epidemiological model, known as the Susceptible-Exposed-Infectious-Recovered (SEIR) model, to investigate to what extent different vaccine uptake levels and the Diversion protocol implemented in Taiwan decrease infections and delay pandemic peak occurrences. Taiwan's Diversion protocol involves diverting those in self-quarantine due to exposure, thus preventing them from mingling with the general public at a congregate shelter. The Diversion protocol, combined with sufficient vaccine uptake, can decrease the maximum number of infections and delay outbreaks relative to scenarios without such strategies. When the diversion of all exposed people is not possible, or vaccine uptake is insufficient, the Diversion protocol is still valuable. Furthermore, a group of evacuees that consists primarily of a young adult population tends to experience pandemic peak occurrences sooner and have up to 180% more infections than does a majority elderly group when the Diversion protocol is implemented. However, when the Diversion protocol is not enforced, the majority elderly group suffers from up to 20% more severe cases than the majority young adult group.