English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

A major strategy to prevent the spread of COVID-19 is the limiting ofin-person contacts. However, this is impractical or impossible for the manydisabled people who do not live in care facilities, but still requirecaregivers. We seek to determine which interventions can prevent infectionsamong disabled people and their caregivers. We simulate transmission with amodel that includes susceptible, exposed, asymptomatic, symptomatically ill,hospitalized, and removed individuals. The networks on which we simulatedisease spread incorporate heterogeneity in the risks of different types ofinteractions, time-dependent lockdown and reopening measures, and contactdistributions for four different groups (caregivers, disabled people, essentialworkers, and the general population). We find the probability of becominginfected is largest for caregivers and second largest for disabled people. Ouranalysis of network structure illustrates that caregivers have the largestmodal eigenvector centrality. We find that two interventions --contact-limiting by all groups and mask-wearing by disabled people andcaregivers -- most reduce the cases among disabled people and caregivers. Wealso test which group spreads COVID-19 most readily by seeding infections in asubset of each group. We find caregivers are the most potent spreaders ofCOVID-19, particularly to other caregivers and to disabled people. We testwhere to use limited vaccine doses most effectively and find (1) vaccinatingcaregivers better protects disabled people than vaccinating the generalpopulation or essential workers and (2) vaccinating caregivers protectsdisabled people about as much as vaccinating disabled people themselves. Ourresults highlight the potential effectiveness of mask-wearing, contact-limitingthroughout society, and strategic vaccination for limiting the exposure ofdisabled people and their caregivers to COVID-19.

Networks of Necessity: Simulating COVID-19 Mitigation Strategies for Disabled People and Their Caregivers