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Public control of rational and unpredictable epidemics

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  • Sims, Charles
  • Finnoff, David
  • O’Regan, Suzanne M.

Abstract

Efforts to improve disease forecasting are often justified on the grounds that accurate and reliable forecasts offer opportunities to improve response to epidemics. Yet little is known about how disease forecasts influence the responsiveness to public health interventions. This paper couples an optimal stopping model and rational disease prevention with a stochastic compartmental epidemiological model of disease spread to develop a framework for evaluating the timing of public health interventions in response to rational but unpredictable epidemics. Optimal behavior by a public health agency is characterized by a pair of critical prevalence thresholds that trigger implementation and suspension of a public prevention program. Unlike existing economic thresholds for disease prevention, our decision thresholds account for time-varying probabilities of different levels of infection, prevention by private individuals, and the likelihood of crossing epidemiological thresholds that determine disease persistence.

Suggested Citation

  • Sims, Charles & Finnoff, David & O’Regan, Suzanne M., 2016. "Public control of rational and unpredictable epidemics," Journal of Economic Behavior & Organization, Elsevier, vol. 132(PB), pages 161-176.
    • Handle: RePEc:eee:jeborg:v:132:y:2016:i:pb:p:161-176
    DOI: 10.1016/j.jebo.2016.04.005
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    Cited by:

    1. Robin N Thompson & Christopher A Gilligan & Nik J Cunniffe, 2018. "Control fast or control smart: When should invading pathogens be controlled?," PLOS Computational Biology, Public Library of Science, vol. 14(2), pages 1-21, February.
    2. Thomas Hellmann & Veikko Thiele, 2022. "A theory of voluntary testing and self‐isolation in an ongoing pandemic," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 24(5), pages 873-911, October.
    3. Novak, Lindsey, 2020. "Persistent norms and tipping points: The case of female genital cutting," Journal of Economic Behavior & Organization, Elsevier, vol. 177(C), pages 433-474.

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    More about this item

    Keywords

    Infectious disease; Public health interventions; Option value; Bifurcation; Hysteresis;
    All these keywords.

    JEL classification:

    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty
    • Q57 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Ecological Economics
    • Q58 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Environmental Economics: Government Policy

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