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Retrospective analysis of Covid-19 hospitalization modelling scenarios which guided policy response in France
Thomas Starck
Maxime Langevin
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2023.12.16.23300086
https://www.medrxiv.org/content/10.1101/2023.12.16.23300086v1
Epidemiological modelling has played a key role in proposing, analyzing and justifying non-pharmaceuticals interventions in response to the COVID-19 pandemic. Despite its importance, evaluations of models’ ability to accurately anticipate the evolution of the disease remain scarce. Thus, robust, systematic, and pre-specified evaluation criteria are needed to assess the relevance of modelling scenarios that guided policy response during the pandemic. We conduct a retrospective assessment of modelling reports which guided policy response in France from April 2020 to April 2022. After systematically verifying the scenarios hypotheses (e.g., exclusion of no-lockdown scenarios when a lockdown was effectively in place), we find that epidemiological models were (a) uncertain, (b) unaccurate, and (c) biased towards an overestimation of predicted COVID-19 related hospitalizations. In more than half of the reports, reality is below or equal to even the best-case scenario. To our knowledge, this is the only national systematic retrospective assessment of COVID-19 pandemic scenarios; such an approach should be reproduced in other countries whenever possible.
bioRxiv
17-12-2023
Preimpreso
Público en general
VIRUS RESPIRATORIOS
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