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Effects of Physical Distancing to Control COVID-19 on Public Health, the Economy, and the Environment

机译:物理疏远控制Covid-19对公共卫生,经济和环境的影响

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摘要

Physical distancing measures are important tools to control disease spread, especially in the absence of treatments and vaccines. While distancing measures can safeguard public health, they also can profoundly impact the economy and may have important indirect effects on the environment. The extent to which physical distancing measures should be applied therefore depends on the trade-offs between their health benefits and their economic costs. We develop an epidemiological-economic model to examine the optimal duration and intensity of physical distancing measures aimed to control the spread of COVID-19. In an application to the United States, our model considers the trade-off between the lives saved by physical distancing-both directly from stemming the spread of the virus and indirectly from reductions in air pollution during the period of physical distancing-and the short- and long-run economic costs that ensue from such measures. We examine the effect of air pollution co-benefits on the optimal physical distancing policy and conduct sensitivity analyses to gauge the influence of several key parameters and uncertain model assumptions. Using recent estimates of the association between airborne particulate matter and the virulence of COVID-19, we find that accounting for air pollution co-benefits can significantly increase the intensity and duration of the optimal physical distancing policy. To conclude, we broaden our discussion to consider the possibility of durable changes in peoples' behavior that could alter local markets, the global economy, and our relationship to nature for years to come.
机译:物理疏远措施是控制疾病传播的重要工具,特别是在没有治疗和疫苗的情况下。虽然脱节措施可以保护公共卫生,但它们也可以深刻影响经济,可能对环境产生重要的间接影响。因此,应适用身体疏散措施的程度取决于健康福利与其经济成本之间的权衡。我们开发了流行病学 - 经济模型,以检查旨在控制Covid-19传播的物理脱节措施的最佳持续时间和强度。在向美国的申请中,我们的模型考虑了物理疏散挽救的寿命之间的权衡 - 无论是直接源于病毒的蔓延,间接地从空气污染过程中的减少 - 以及短期 - 并从这些措施中随之而来的长期经济成本。我们研究了空气污染共同效益对最佳物理疏散政策的影响,并进行敏感性分析,以衡量若干关键参数和不确定模型假设的影响。利用最近的空气颗粒物质与Covid-19之间关联的估计,我们发现空气污染有效期会核算可以显着提高最佳物理疏散政策的强度和持续时间。为了得出结论,我们展开讨论,以考虑有可能改变当地市场,全球经济的人民行为的持久变化以及多年来与自然的关系的可能性。

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