<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.0 20120330//EN" "JATS-archivearticle1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Using Agent-Based Simulation to Investigate Behavioral Interventions in a Pandemic</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Simulating Behavioral Interventions in a Pandemic</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Jan de Mooij</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Davide Dell'Anna</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Parantapa Bhattacharya</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Mehdi Dastani</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Brian Logan</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Samarth Swarup</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Biocomplexity Institute and Initiative, University of Virginia</institution>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Control and Operations, Delft University of Technology</institution>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Intelligent Systems, Information and Computing Sciences, Utrecht University</institution>
        </aff>
      </contrib-group>
      <abstract>
        <p>Simulation is a useful tool for evaluating behavioral interventions when the adoption rate among a population is uncertain. Individual agent models are often prohibitively expensive, but, unlike stochastic models, allow studying compliance heterogeneity. In this paper we demonstrate the feasibility of evaluating behavioral intervention policies using large-scale data-driven agent-based simulations. We explain how the simulation is calibrated with respect to real-world data, and demonstrate the utility of our approach by studying the effectiveness of interventions used in Virginia in early 2020 through counterfactual simulations.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Agent-based Computational Epidemiology</kwd>
        <kwd>Agent-based Modeling</kwd>
        <kwd>Policy Evaluation</kwd>
        <kwd>Normative Reasoning</kwd>
        <kwd>Complex Social Simulation</kwd>
        <kwd>Belief-Desire-Intention</kwd>
        <kwd>Synthetic Population</kwd>
        <kwd>Multi-agent Simulation</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        In the absence of pharmaceutical interventions, behavioral interventions are often the first line of
defense early in an epidemic. However, the effect of behavioral interventions can be unpredictable,
especially when the adoption rate of the population is unknown. While stochastic models are often
used to evaluate the costs and benefits of such interventions [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ] due to their low computational
complexity, agent-based models allow the effects of compliance heterogeneity to be studied [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
      </p>
      <p>
        In this work, we demonstrate the feasibility of using large-scale data-driven agent-based
simulation for evaluating the effectiveness of behavioral interventions. In addition, we address
the concern of generalization of a population to the ‘standard human’ [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] by instantiating the
simulated agents from a detailed and representative synthetic population [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Each agent in the
population is associated with an activity schedule that is representative of their socio-demographic
background, and which is used to drive their default behavior. By calibrating mobility patterns
and disease progression, the framework may be applied to other regions where interventions or
compliance rates may differ, provided the required data is available.
      </p>
    </sec>
    <sec id="sec-2">
      <title>1. A Data-Driven Agent-Based Simulation</title>
      <p>Between March and June 2020, nine subsets of the interventions shown in Table 1 were
implemented in the form of Executive Orders (EOs) issued by the Governor of Virginia to mitigate
the spread of COVID-19. The interventions are parameterized by the individuals affected and
circumstances under which they apply. The timeline of these interventions is shown in Figure 1.</p>
      <p>
        In previous work, we developed a large-scale data-driven normative agent-based simulation to
study the effects of compliance with these interventions [
        <xref ref-type="bibr" rid="ref6 ref7">6, 7</xref>
        ] 1. The simulation was developed
using an extension of the agent programming language 2APL [
        <xref ref-type="bibr" rid="ref8 ref9">8, 9</xref>
        ] called Sim-2APL 2, and
consisted of 86 thousand agents drawn from a detailed synthetic population [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Each agent
adopts goals to perform actions from a representative activity schedule. When no norms are active,
1The version of the framework described in this paper is archived at https://github.com/
A-Practical-Agent-Programming-Language/Normative-COVID-19-Simulation/releases/tag/v1.0.0.
2Archived at https://github.com/A-Practical-Agent-Programming-Language/Sim-2APL/releases/tag/v1.0.0
EO1 : n1, n4
EO2 : n7(K12)
EO3 : n8(100, public)
EO4 : n6(10), n2(DMV), n8(10, public), n9(sick or age ≥ 65)
EO5 : n2(NEB), n9(all), n10(rest)
EO6 : n5, n7(K12 or HE), n8(10, all)
EO7 : n3, n6(50%)
EEOO98 :: nn171(K12), n8(50, all)
these are exactly the activities they perform. However, throughout the simulation, we activate or
deactivate norms according to the timeline from Figure 1. When a scheduled activity is prohibited
by an intervention modeled as a norm, the agents use previous observations and intrinsic values
to determine whether to comply with the norm by altering or canceling the activity, or to violate
the norm by performing the activity as scheduled. Two important factors used in this reasoning
are the agent’s trust in institutions, and the behavior of other agents. In particular, agents tend
towards the compliance behavior of other agents they have encountered in the past. However, the
magnitude of this tendency is determined by the trust the agent holds in institutions, which is
sampled from a Beta distribution at the start of the simulation. The normative deliberation process
followed by the Sim-2APL agents each simulated day is shown in Figure 2. Agent deliberation
essentially follows the Belief-Desire-Intention (BDI) approach: each agent pursues a set of goals
(in the current work, these are the activities from their activity schedules), and responds to a set
of triggers, such as messages, or events from the environment. At each stage in the reasoning
process, each agent also has access to a context that encodes its beliefs and other persistent data.
Plan Schemes map triggers to plans. Each plan encodes a particular form of agent behavior as
a sequence of zero or more actions. When the reasoning process of all agents is complete, the
actions generated by the plans selected by each agent are processed by the environment to move
the global simulation state to the next time step.
      </p>
      <p>
        A contagion simulator called PanSim simulates the progression of COVID-19 based on agents’
collocation [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. PanSim also allows the distribution and synchronization of a simulation across
multiple compute nodes, which allows scaling up beyond the initial 86 thousand agents.
      </p>
    </sec>
    <sec id="sec-3">
      <title>2. Calibration</title>
      <p>To ground the model in real-world data, both the behavior model and the disease model were
calibrated. For the behavior model, the parameters that were calibrated were the mean of the Beta
distribution from which the agents’ trust is sampled, a discount factor termed fatigue and the start
time at which fatigue comes into effect. Fatigue reduces the trust of all agents linearly starting
from the start time, and models the gradual increase in mobility after the first intervention which
is not associated with the deactivation of norms. For the disease model, the parameters that were
remove goal
each norm is applied to each trigger</p>
      <p>modifies
find plan
for trigger</p>
      <p>planschemes</p>
      <p>For each
plan application
rule
contexts
conditions
put plan
on plan
base
deliberation
start
triggers /
goals
for each
trigger &amp; norm
no applies yes</p>
      <p>yes
regimented
no
transform</p>
      <p>trigger
attitude &gt;= θ
&lt; θ
remove plan
execute
each
adopted
plan
adopted
plans
external
actions
yes
plan
finished</p>
      <p>plan
produces
yes
goal
achieved
trigger &amp;
no belief conditions yes
match?
collected by</p>
      <p>Sim-2APL
after deliberation
calibrated were the probability of symptomatic and asymptomatic infected agents infecting their
susceptible contacts.</p>
      <p>The behavior interventions had—by design—significant impact on mobility patterns. This was
used to calibrate the behavior model using the mobility index: the percentage change in Cuebiq
mobility data for each county compared to pre-pandemic levels. The mobility index of each of the
four simulated counties in our calibrated simulation is plotted against those reported by Cuebiq in
Figure 3a.</p>
      <p>The disease model was calibrated using the cumulative number of reported cases. To account
for under-testing at the start of the pandemic, we multiplied the number of reported cases by 30.
While this scale factor is arbitrary, it can be changed without affecting the methodology of our
work. The simulated case counts are plotted against the reported case count in Figure 3b.</p>
      <p>
        For both calibration processes, Nelder-Mead [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] was used to minimize the Root Mean Square
Error (RMSE) between the real-world data and the simulated data across 5 simulations for each
proposed configuration of parameters. 3 Each simulation spans the time period 1 March to 29
June, and in each simulation, the activation and deactivation of norms follows the timeline from
Figure 1. For the behavior model, the RMSE was calculated as the error between the real-world
and simulated mobility index for each county individually. The final obtained RMSE was 17.65.
For the disease model, where numbers are significantly lower, the cumulative value across all
simulated counties was used. The final obtained RMSE was 2052 on a population of 86150
agents.
      </p>
      <p>As can be seen in Figure 3b, the disease model was not able to accurately reproduce either
our estimate of the total number of infections or the time at which infections start to increase
significantly. Other approaches to estimating the real number of cases, such as the number of
3Initial simulations indicated that the standard deviation is sufficiently small for a reasonable level of confidence;
the purpose of using more than one simulation is to avoid a statistical outlier as a global minimum
hospitalizations or deaths, may give better results. However, while the number of hospitalizations
or deaths is generally assumed to be more accurate, like the number of positive tests, they are
only a proxy for actual disease spread, and the effect of disease spread on these metrics needs to
be known or calibrated as well.</p>
    </sec>
    <sec id="sec-4">
      <title>3. Experiment</title>
      <p>In this section, we brieyfl show how our simulation framework can be used to help policy makers
evaluate interventions through counterfactual simulations. For the interventions implemented in
Virginia, we ran 10 experiments E0 . . . , E9. In E0, we disabled all interventions, in E1 we included
only the interventions from EO0 (n1 and n4); in E2 we included the interventions from the first
two EOs, in E3 the first three EOs, and so on up to E9 in which we simulate all interventions
reflecting the actual policy implemented in Virginia. Note that, in each experiment, all activated
EOs still follow the timeline from Figure 1. For each experiment we ran 10 simulations to
account for stochastic variation. Figure 4 shows the average progression of the disease in each
of the 10 experiments plotted against the reported (and scaled) number of cases. Compared to
no interventions at all (E0), the policy implemented in Virginia (E9) can be considered effective
in the sense that it reduced the number of infections in the first four months from ∼ 50% of the
population to only ∼ 7%. Moreover, the results show that each additional set of interventions both
reduced the number of infections and delayed the exponential spread compared to the previous
set of interventions. The largest gain appears to be made by going from E3 (in yellow) to E4
(max group size of 10, stay home when sick, reduce business capacity to 10), and from E4 to
E5 (Closure of all non-essential businesses, everyone asked to stay home as much as possible,
restaurants closed except for take-away).</p>
    </sec>
    <sec id="sec-5">
      <title>4. Conclusion</title>
      <p>We showed the feasibility of using data-driven multi-agent simulation to evaluate the effectiveness
of behavioral intervention policies. We explained how both the behavior and disease model
components can be calibrated with real-world data, and demonstrated the utility of such a
model through a simple experiment in which we quantify the effect of the 9 different sets of
behavioral interventions that were implemented in Virginia in the early months of the COVID-19
pandemic through counterfactual simulations. Given the availability of suitable data, such as a
synthetic population, the model can be calibrated and applied to different regions with different
interventions or varying rates of compliance.</p>
      <p>Our model is not able to correctly approximate the spread of disease, both temporally and in
magnitude. In future work, we plan to both incorporate age-stratified infectivity and calibrate
against better estimations of true infections, which may help improve the calibration and modeling
of the spread of disease. This may also prove useful for studying the effects of interventions in
regions with different age distributions.</p>
      <p>
        We also plan to investigate the use of the Stringency Index [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ], a measure to express the
stringency of a set of measures as a single dimension to allow easy comparison of intervention
policies between regions. Because this metric was designed for comparing regions, it does not
capture the finer details of any specific region, as categories to which measures are assigned are
relatively broad. For this reason, we have not used the stringency index to determine the impact of
mitigation measures in this work. Instead, we are investigating how the stringency index can be
used to denfie the cost of a policy, as part of a methodology to efficiently find effective mitigation
policies that balance the effect on transmission with societal impact.
      </p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgments</title>
      <p>We thank Cuebiq; mobility data is provided by Cuebiq, a location intelligence and measurement
platform. Through its Data for Good program, Cuebiq provides access to aggregated mobility
data for academic research and humanitarian initiatives. This first-party data is collected from
anonymized users who have opted-in to provide access to their location data anonymously,
through a GDPR and CCPA compliant framework. To further preserve privacy, portions of the
data are aggregated to the US Census block group level.</p>
      <p>PB and SS were supported in part by NSF Expeditions in Computing Grant CCF-1918656.
policies (Oxford COVID-19 government response tracker), Nature Human Behaviour 5
(2021) 529–538.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          [1]
          <string-name>
            <given-names>G. R.</given-names>
            <surname>Shinde</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A. B.</given-names>
            <surname>Kalamkar</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P. N.</given-names>
            <surname>Mahalle</surname>
          </string-name>
          ,
          <string-name>
            <given-names>N.</given-names>
            <surname>Dey</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Chaki</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A. E.</given-names>
            <surname>Hassanien</surname>
          </string-name>
          ,
          <article-title>Forecasting models for coronavirus disease (COVID-19): a survey of the state-of-the-art</article-title>
          ,
          <source>SN Computer Science</source>
          <volume>1</volume>
          (
          <year>2020</year>
          )
          <fpage>1</fpage>
          -
          <lpage>15</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          [2]
          <string-name>
            <given-names>F.</given-names>
            <surname>Lorig</surname>
          </string-name>
          , E. Johansson,
          <string-name>
            <given-names>P.</given-names>
            <surname>Davidsson</surname>
          </string-name>
          ,
          <article-title>Agent-based social simulation of the COVID-19 pandemic: A systematic review</article-title>
          ,
          <source>JASSS: Journal of Artificial Societies and Social Simulation</source>
          <volume>24</volume>
          (
          <year>2021</year>
          ).
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          [3]
          <string-name>
            <given-names>F.</given-names>
            <surname>Squazzoni</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J. G.</given-names>
            <surname>Polhill</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            <surname>Edmonds</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.</given-names>
            <surname>Ahrweiler</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.</given-names>
            <surname>Antosz</surname>
          </string-name>
          , G. Scholz, É. Chappin,
          <string-name>
            <given-names>M.</given-names>
            <surname>Borit</surname>
          </string-name>
          ,
          <string-name>
            <given-names>H.</given-names>
            <surname>Verhagen</surname>
          </string-name>
          ,
          <string-name>
            <given-names>F.</given-names>
            <surname>Giardini</surname>
          </string-name>
          , et al.,
          <article-title>Computational models that matter during a global pandemic outbreak: A call to action (</article-title>
          <year>2020</year>
          ).
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          [4]
          <string-name>
            <given-names>S.</given-names>
            <surname>Milan</surname>
          </string-name>
          ,
          <article-title>Techno-solutionism and the standard human in the making of the COVID-19 pandemic</article-title>
          ,
          <source>Big Data &amp; Society</source>
          <volume>7</volume>
          (
          <year>2020</year>
          )
          <article-title>2053951720966781</article-title>
          . URL: https://doi.org/10.1177/2053951720966781. doi:
          <volume>10</volume>
          .1177/2053951720966781. arXiv:https://doi.org/10.1177/2053951720966781.
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          [5]
          <string-name>
            <given-names>A.</given-names>
            <surname>Adiga</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Agashe</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Arifuzzaman</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C. L.</given-names>
            <surname>Barrett</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R. J.</given-names>
            <surname>Beckman</surname>
          </string-name>
          ,
          <string-name>
            <given-names>K. R.</given-names>
            <surname>Bisset</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Chen</surname>
          </string-name>
          ,
          <string-name>
            <given-names>Y.</given-names>
            <surname>Chungbaek</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S. G.</given-names>
            <surname>Eubank</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Gupta</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Khan</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C. J.</given-names>
            <surname>Kuhlman</surname>
          </string-name>
          ,
          <string-name>
            <given-names>E.</given-names>
            <surname>Lofgren</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B. L.</given-names>
            <surname>Lewis</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Marathe</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M. V.</given-names>
            <surname>Marathe</surname>
          </string-name>
          ,
          <string-name>
            <given-names>H. S.</given-names>
            <surname>Mortveit</surname>
          </string-name>
          ,
          <string-name>
            <given-names>E.</given-names>
            <surname>Nordberg</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Rivers</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.</given-names>
            <surname>Stretz</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Swarup</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Wilson</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Xie</surname>
          </string-name>
          ,
          <article-title>Generating a Synthetic Population of the United States</article-title>
          ,
          <source>Technical Report NDSSL 15-009</source>
          ,
          <string-name>
            <given-names>Network</given-names>
            <surname>Dynamics</surname>
          </string-name>
          and Simulation Science Laboratory,
          <year>2015</year>
          .
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          [6]
          <string-name>
            <surname>J. de Mooij</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          <string-name>
            <surname>Dell'Anna</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          <string-name>
            <surname>Bhattacharya</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          <string-name>
            <surname>Dastani</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          <string-name>
            <surname>Logan</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          <string-name>
            <surname>Swarup</surname>
          </string-name>
          ,
          <article-title>Quantifying the effects of norms on COVID-19 cases using an agent-based simulation</article-title>
          ,
          <source>in: Proceedings of the The 22nd International Workshop on Multi-Agent-Based Simulation (MABS)</source>
          ,
          <year>2021</year>
          .
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          [7]
          <string-name>
            <given-names>P.</given-names>
            <surname>Bhattacharya</surname>
          </string-name>
          ,
          <string-name>
            <surname>A. J. de Mooij</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          <string-name>
            <surname>Dell'Anna</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          <string-name>
            <surname>Dastani</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          <string-name>
            <surname>Logan</surname>
          </string-name>
          , S. Swarup, PanSim+ Sim-2APL:
          <article-title>A framework for large-scale distributed simulation with complex agents</article-title>
          , in: International Workshop on Engineering Multi-Agent
          <string-name>
            <surname>Systems</surname>
          </string-name>
          ,
          <year>2021</year>
          .
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          [8]
          <string-name>
            <given-names>M.</given-names>
            <surname>Dastani</surname>
          </string-name>
          ,
          <article-title>2APL: a practical agent programming language, Autonomous agents and multi-agent systems 16 (</article-title>
          <year>2008</year>
          )
          <fpage>214</fpage>
          -
          <lpage>248</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          [9]
          <string-name>
            <given-names>M.</given-names>
            <surname>Dastani</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            <surname>Testerink</surname>
          </string-name>
          ,
          <article-title>From multi-agent programming to object oriented design patterns</article-title>
          , in: International Workshop on Engineering Multi-Agent Systems, Springer,
          <year>2014</year>
          , pp.
          <fpage>204</fpage>
          -
          <lpage>226</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          [10]
          <string-name>
            <given-names>J. A.</given-names>
            <surname>Nelder</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R.</given-names>
            <surname>Mead</surname>
          </string-name>
          ,
          <article-title>A simplex method for function minimization</article-title>
          ,
          <source>The Computer Journal</source>
          <volume>7</volume>
          (
          <year>1965</year>
          )
          <fpage>308</fpage>
          -
          <lpage>313</lpage>
          . arXiv:https://academic.oup.com/comjnl/article-pdf/7/4/308/1013182/7-4-308.pdf.
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          [11]
          <string-name>
            <given-names>T.</given-names>
            <surname>Hale</surname>
          </string-name>
          ,
          <string-name>
            <given-names>N.</given-names>
            <surname>Angrist</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R.</given-names>
            <surname>Goldszmidt</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            <surname>Kira</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Petherick</surname>
          </string-name>
          ,
          <string-name>
            <given-names>T.</given-names>
            <surname>Phillips</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Webster</surname>
          </string-name>
          ,
          <string-name>
            <given-names>E.</given-names>
            <surname>Cameron-Blake</surname>
          </string-name>
          ,
          <string-name>
            <given-names>L.</given-names>
            <surname>Hallas</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Majumdar</surname>
          </string-name>
          , et al.,
          <article-title>A global panel database of pandemic</article-title>
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>