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A Tale of Three Pandemic Models: Lessons Learned for Engagement with Policy Makers Before, During, and After a Crisis

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By Emil Johansson1,2, Vittorio Nespeca3, Mikhail Sirenko4, Mijke van den Hurk5, Jason Thompson6, Kavin Narasimhan7, Michael Belfrage1, 2, Francesca Giardini8, and Alexander Melchior5,9

  1. Department of Computer Science and Media Technology, Malmö University, Sweden
  2. Internet of Things and People Research Center, Malmö University, Sweden
  3. Computational Science Lab, University of Amsterdam, The Netherlands
  4. Faculty of Technology, Policy and Management, Delft University of Technology, The Netherlands
  5. Department of Information and Computing Sciences, Utrecht University, The Netherlands
  6. Transport, Health and Urban Design Research Lab, The University of Melbourne, Australia
  7. Centre for Research in Social Simulation, University of Surrey, United Kingdom
  8. Department of Sociology & Agricola School for Sustainable Development, University of Groningen, The Netherlands
  9. Ministry of Economic Affairs and Climate Policy and Ministry of Agriculture, Nature and Food Quality, The Netherlands

Motivation

Pervasive and interconnected crises such as the COVID-19 pandemic, global energy shortages, geopolitical conflicts, and climate change have shown how a stronger collaboration between science, policy, and crisis management is essential to foster societal resilience. As modellers and computational social scientists we want to help. Several cases of model-based policy support have shown the potential of using modelling and simulation as tools to prepare for, learn from (Adam and Gaudou, 2017), and respond to crises (Badham et al., 2021). At the same time, engaging with policy-makers to establish effective crisis-management solutions remains a challenge for many modellers due to lacking forums that promote and help develop sustained science-policy collaborations. Equally challenging is to find ways to provide effective solutions under changing circumstances, as it is often the case with crises.

Despite the existing guidance regarding how modellers can engage with policy makers e.g. (Vennix, 1996; Voinov and Bousquet, 2010), this guidance often does not account for the urgency that characterizes crisis response. In this article, we tell the stories of three different models developed during the COVID-19 pandemic in different parts of the world. For each of the models, we draw key lessons for modellers regarding how to engage with policy makers before, during, and after crises. Our goal is to communicate the findings from our experiences to  modellers and computational scientists who, like us, want to engage with policy makers to provide model-based policy and crisis management support. We use selected examples from Kurt Vonnegut’s 2004 lecture on ‘shapes of stories’ alongside analogy with Lewis Carroll’s Alice In Wonderland as inspiration for these stories.

Boy Meets Girl (Too Late)

A Social Simulation On the Corona Crisis’ (ASSOCC) tale

The perfect love story between social modellers and stakeholders would be they meet (pre-crisis), build a trusting foundation and then, when a crisis hits, they work together as a team, maybe have some fight, but overcome the crisis together and have a happily ever after.

In the case of the ASSOCC project, we as modellers met our stakeholders too late, (i.e., while we were already in the middle of the COVID-19 crisis). The stakeholders we aimed for had already met their ‘boy’: Epidemiological modellers. For them, we were just one of the many scientists showing new models and telling them that ours should be looked at. Although, for example, our model showed that using a track and tracing-app would not help reduce the rate of new COVID-19 infections (as turned out to be the case), our psychological and social approach was novel for them. It was not the right time to explain the importance of integrating these kinds of concepts in epidemiological models, so without this basic trust, they were reluctant to work with us.

The moral of our story is that not only should we invest in a (working) relationship during non-crisis times to get the stakeholders on board during a crisis, such an approach would be helpful for us modelers too. For example, we integrated both social and epidemiological models within the ASSOCC project. We wanted to validate our model with that used by Oxford University. However, our model choices were not compatible with this type of validation. Had we been working with these types of researchers before a pandemic, we could have built a proper foundation for validation.

So, our biggest lesson learned is the importance of having a good relationship with stakeholders before a crisis hits, when there is time to get into social models and show the advantages of using these. When you invest in building and consolidating this relationship over time, we promise a happily ever after for every social modeler and stakeholder (until the next crisis hits).

Modeller’s Adventures in Wonderland

A Health Emergency Response in Interconnected Systems (HERoS) tale

If you are a modeler, you are likely to be curious and imaginative, like Alice from “Alice’s Adventures in Wonderland.” You like to think about how the world works and make models that can capture these sometimes weird mechanisms. We are the same. When Covid came, we made a model of a city to understand how its citizens would behave.

But there is more. When Alice first saw the White Rabbit, she found him fascinating. A rabbit with a pocket watch which is too late, what could be more interesting? Similarly, our attention got caught by policymakers who wear waistcoats, who are always busy but can bring change. They must need a model that we made! But why are they running away? Our model is so helpful, just let us explain! Or maybe our model is not good enough?

Yes, we fell down deep into a rabbit hole. Our first encounter with a policymaker didn’t result in a happy “yes, let’s try your model out.” However, we kept knocking on doors. How many did Alice try? But alright, there is one. It seems too tiny. We met with a group of policymakers but had only 10 minutes to explain our large-scale data-driven agent-based-like model. How can we possibly do that? Drink from a “Drink me” bottle, which will make our presentation smaller! Well, that didn’t help. We rushed over all the model complexities too fast and got applause, but that’s it. Ok, we have the next one, which will last 1 hour. Quickly! Eat an “Eat me” cake that will make the presentation longer! Oh, too many unnecessary details this time. To the next venue!

We are in the garden. The garden of crisis response. And it is full of policymakers: Caterpillar, Duchess, Cheshire Cat and Mad Hatter. They talk riddles: “We need to consult with the Head of Paperclip Optimization and Supply Management,” want different things: “Can you tell us what will be the impact of a curfew. Hmm, yesterday?” and shift responsibility from one to another. Thankfully there is no Queen of Hearts who would order to behead us.

If the world of policymaking is complex, then the world of policymaking during the crisis is a wonderland. And we all live in it. We must overgrow our obsession with building better models, learn about its fuzzy inhabitants, and find a way to instead work together. Constant interaction and a better understanding of each other’s needs must be at the centre of modeler-policymaker relations.

“But I don’t want to go among mad people,” Alice remarked.

“Oh, you can’t help that,” said the Cat: “we’re all mad here. I’m mad. You’re mad.”

“How do you know I’m mad?” said Alice.

“You must be,” said the Cat, “or you wouldn’t have come here.”

Lewis Carroll, Alice in Wonderland

Cinderella – A city’s tale

Everyone thought Melbourne was just too ugly to go to the ball…..until a little magic happened.

Once upon a time, the bustling Antipodean city of Melbourne, Victoria found itself in the midst of a dark and disturbing period. While all other territories in the great continent of Australia had ridded themselves of the dreaded COVID-19 virus, it was itself, besieged. Illness and death coursed through the land.

Shunned, the city faced scorn and derision. It was dirty. Its sisters called it a “plague state” and the people felt great shame and sadness as their family, friends and colleagues continued to fall to the virus. All they wanted was a chance to rejoin their families and countryfolk at the ball. What could they do?

Though downtrodden, the kind-hearted and resilient residents of Melbourne were determined to regain control over their lives. They longed for a glimmer of sunshine on these long, gloomy days – a touch of magic, perhaps? They turned to their embattled leaders for answers. Where was their Fairy Godmother now?

In this moment of despair, a group of scientists offered a gift in the form of a powerful agent-based model that was running on a supercomputer. This model, the scientists said, might just hold the key to transforming the fate of the city from vanquished to victor (Blakely et al., 2020). What was this strange new science? This magical black box?

Other states and scientists scoffed. “You can never achieve this!”, they said. “What evidence do you have? These models are not to be trusted. Such a feat as to eliminate COVID-19 at this scale has never been done in the history of the world!” But what of it? Why should history matter? Quietly and determinedly, the citizens of Melbourne persisted. They doggedly followed the plan.

Deep down, even the scientists knew it was risky. People’s patience and enchantment with the mystical model would not last forever. Still, this was Melbourne’s only chance. They needed to eliminate the virus so it would no longer have a grip on their lives. The people bravely stuck to the plan and each day – even when schools and businesses began to re-open – the COVID numbers dwindled from what seemed like impossible heights. Each day they edged down…

and down…

and down…until…

Finally! As the clock struck midnight, the people of Melbourne achieved the impossible: they had defeated COVID-19 by eliminating transmission. With the help of the computer model’s magic, illness and death from the virus stopped. Melbourne had triumphed, emerging stronger and more united than ever before (Thompson et al., 2022a).

From that day forth, Melbourne was internationally celebrated as a shining example of resilience, determination, and the transformative power of hope. Tens of thousands of lives were saved – and after enduring great personal and community sacrifice, its people could once again dance at the ball.

But what was the fate of the scientists and the model? Did such an experience change the way agent-based social simulation was used in public health? Not really. The scientists went back to their normal jobs and the magic of the model remained just that – magic. Its influence vanished like fairy dust on a warm Summer’s evening.

Even to this day the model and its impact largely remains a mystery (despite over 10,000 words of ODD documentation). Occasionally, policy-makers or researchers going about their ordinary business might be heard to say, “Oh yes, the model. The one that kept us inside and ruined the economy. Or perhaps it was the other way around? I really can’t recall – it was all such a blur. Anyway, back to this new social problem – Shall we attack it with some big data and ML techniques?”.

The fairy dust has vanished but the concrete remains.

And in fairness, while agent-based social simulation remains mystical and our descriptions opaque, we cannot begrudge others for ever choosing concrete over dust (Thompson et al, 2022b).

Conclusions

So what is the moral of these tales? We consolidate our experiences into these main conclusions:

  • No connection means no impact. If modellers wish for their models to be useful before, during or after a crisis, then it is up to them to start establishing a connection and building trust with policymakers.
  • The window of opportunity for policy modelling during crises can be narrow, perhaps only a matter of days. Capturing it requires both that we can supply a model within the timeframe (impossible as it may appear) and that our relationship with stakeholders is already established.
  • Engagement with stakeholders requires knowledge and skills that might be too much to ask of modelers alone, including project management, communication with individuals without a technical background, and insight into the policymaking process.
  • Being useful only sometimes means being excellent. A good model is one that is useful. By investing more in building relationships with policymakers and learning about each other, we have a bigger chance of providing the needed insight. Such a shift, however, is radical and requires us to give up our obsession with the models and engage with the fuzziness of the world around us.
  • If we cannot communicate our models effectively, we cannot expect to build trust with end-users over the long term, whether they be policy-makers or researchers. Individual models – and agent-based social simulation in general – needs better understanding that can only be achieved through greater transparency and communication, however that is achieved.

As taxing, time-consuming and complex as the process of making policy impact with simulation models might be, it is very much a fight worth fighting; perhaps even more so during crises. Assuming our models would have a positive impact on the world, not striving to make this impact could be considered admitting defeat. Making models useful to policymakers starts with admitting the complexity of their environment and willingness to dedicate time and effort to learn about it and work together. That is how we can pave the way for many more stories with happy endings.

Acknowledgements

This piece is a result of discussions at the Lorentz workshop on “Agent Based Simulations for Societal Resilience in Crisis Situations” at Leiden, NL in earlier this year! We are grateful to the organisers of the workshop and to the Lorentz Center as funders and hosts for such a productive enterprise.

References

Adam, C. and Gaudou, B. (2017) ‘Modelling Human Behaviours in Disasters from Interviews: Application to Melbourne Bushfires’ Journal of Artificial Societies and Social Simulation 20(3), 12. http://jasss.soc.surrey.ac.uk/20/3/12.html. doi: 10.18564/jasss.3395

Badham, J., Barbrook-Johnson, P., Caiado, C. and Castellani, B. (2021) ‘Justified Stories with Agent-Based Modelling for Local COVID-19 Planning’ Journal of Artificial Societies and Social Simulation 24 (1) 8 http://jasss.soc.surrey.ac.uk/24/1/8.html. doi: 10.18564/jasss.4532

Crammond, B. R., & Kishore, V. (2021). The probability of the 6‐week lockdown in Victoria (commencing 9 July 2020) achieving elimination of community transmission of SARS‐CoV‐2. The Medical Journal of Australia, 215(2), 95-95. doi:10.5694/mja2.51146

Thompson, J., McClure, R., Blakely, T., Wilson, N., Baker, M. G., Wijnands, J. S., … & Stevenson, M. (2022). Modelling SARS‐CoV‐2 disease progression in Australia and New Zealand: an account of an agent‐based approach to support public health decision‐making. Australian and New Zealand Journal of Public Health, 46(3), 292-303. doi:10.1111/1753-6405.13221

Thompson, J., McClure, R., Scott, N., Hellard, M., Abeysuriya, R., Vidanaarachchi, R., … & Sundararajan, V. (2022). A framework for considering the utility of models when facing tough decisions in public health: a guideline for policy-makers. Health Research Policy and Systems, 20(1), 1-7. doi:10.1186/s12961-022-00902-6

Voinov, A., & Bousquet, F. (2010). Modelling with stakeholders. Environmental modelling & software, 25(11), 1268-1281. doi:10.1016/j.envsoft.2010.03.007

Vennix, J.A.M. (1996). Group Model Building: Facilitating Team Learning Using System Dynamics. Wiley.

Vonnegut, K. (2004). Lecture to Case College. https://www.youtube.com/watch?v=4_RUgnC1lm8

Johansson,E., Nespeca, V., Sirenko, M., van den Hurk, M., Thompson, J., Narasimhan, K., Belfrage, M., Giardini, F. and Melchior, A. (2023) A Tale of Three Pandemic Models: Lessons Learned for Engagement with Policy Makers Before, During, and After a Crisis. Review of Artificial Societies and Social Simulation, 15 Mar 2023. https://rofasss.org/2023/05/15/threepandemic

© The authors under the Creative Commons’ Attribution-NoDerivs (CC BY-ND) Licence (v4.0)

Content

Sound behavioural theories, not data, is what makes computational models useful

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By Umberto Gostoli and Eric Silverman

(A contribution to the: JASSS-Covid19-Thread)

The paper “Computational Models that Matter During a Global Pandemic Outbreak: A Call to Action” by Squazzoni et al. (2020) is a valuable contribution to the ongoing self-reflection in the social simulation community regarding the role of ABM in the broader social-scientific enterprise. In this paper the authors try to assess the potential capacity of ABM to provide policy makers with a tool allowing them to predict the evolution of the pandemic and the effects of alternative policy responses. Their conclusions suggest a role for computational modelling during the pandemic, but also have implications regarding the position of ABM within the scientific and policy arenas, and its added value relative to other methodologies of scientific inquiry.

We agree with the authors that ABM has an important (and urgent) role to play to help policy makers to take more informed decisions, provided that the models are based on reliable and robust theories of human behaviour and social interaction. However, following in the footsteps of Joshua Epstein (2008), we claim that the importance and relevance of ABM goes beyond the capacity of the models to make point predictions (i.e. in the form of ‘There will be X infections/deaths in Y days time’). We propose that the ability of ABM to develop, inform, and test relevant theory is of particular relevance during this global crisis.

This does not mean that additional data allowing for the models’ calibration and validation are not important, as they can certainly help reduce the uncertainty associated with the models’ outputs, but in our view they are not essential to what agent-based models have to offer. With that in mind, the lack of these data should not prevent the ABM community from participating in the mass mobilization of the scientific community, which is working at unprecedented speed to develop models to inform the vital policy decisions being taken during this pandemic.

As we argue in a recent position paper (Silverman et al. 2020), it is precisely when we have limited data, or no data at all, that simulations provide greater value than traditional methodologies like statistical inference; indeed, the less data we have the more important is the role that agent-based (and other computational) simulations have to play. Computational models provide a way to say something about the evolution of complex systems by delimiting the set of possible outcomes through the constraints imposed by the theoretical framework which is encoded in the model. When we find ourselves in new situations such as the Covid-19 pandemic, where the data (i.e., our past experience) cannot give us any clue regarding the future evolution of the system, we find that theories become the only tool we have to make educated guesses about what could (and could not) possibly happen. Models of complex systems have typically hundreds, if not thousands, of parameters, many of which have unknown values, and some of which have values we cannot know. If we wait for the data we need to make point predictions, we would never have a say in the policy arena, and probably if these data were available other methodologies would serve the purpose better than computational models. Delimiting and quantifying the uncertainty associated with future scenarios in the face of limited data is where computational models can make a vital contribution, as they can give policy-makers useful information for risk management.

By no means are we saying that the development and effective deployment of computational models is without challenges. But we claim that the main challenge lies in the identification and inclusion of sound behavioural theories, as the outputs we get will depend upon the reliability of our models’ theoretical input. Identifying such theories is a significant challenge, requiring theoretical contributions from a number of different fields, ranging from epidemiology and urban studies to sociology and economics.

Further, putting scholars from those disciplines into the same room will not be sufficient; we must create a multidisciplinary community of people sharing the same conceptual framework, an endeavour that takes a lot of dedication, perseverance and, crucially, time. The lack of such multidisciplinary research groups strongly limits the ABM community’s capacity to develop an effective computational model of the pandemic, and we hope that at least this crisis will prove that developing such a community is necessary to improve our capacity for a timely response to the next one.

In relation to this challenge, we are aiming to develop and support a global community of agent-based modellers focused on population health concerns, via the PHASE Network project funded by the UK Prevention Research Partnership. We urge readers to join the network via our website at https://phasenetwork.org/, and help us build a multidisciplinary health modelling community that can contribute to global efforts in improving health both during and after the Covid-19 pandemic.

We must also remember that the current crisis is very unlikely to be over quickly, and its longer-term effects on society will be substantial. At the time of writing more than 80 separate groups and institutions are embarking on efforts to build a vaccine for the coronavirus, but even with such concerted efforts there are no guarantees that a vaccine will be found. As Kissler et al. have shown, even if the virus appears to abate, further waves of infections could arise years afterwards (Kissler et al. 2020). Because of the resources and time it takes to develop theoretically sound computational models, in our view this methodology is better suited to address these longer-term questions of how society can reorganize itself to increase resilience against future pandemics – and here the ability of computational models to implement and test behavioural theories is of paramount importance. The questions that must be asked in the years to come are numerous and profound: How can the world of work change to be more robust to future crises and global shut-downs? Can welfare policies like universal basic income help prevent widespread economic devastation in future crises? How must our health and care systems evolve to better protect the most vulnerable in society?

We propose that computational models can make a particularly valuable contribution in this area. At the present time there is ample evidence of the disastrous effects of delayed or insufficient policy responses to a pandemic. Economic projections already suggest we are due to enter a post-pandemic collapse to rival the Great Depression. We can, and should, begin to develop theories and models about how we may adjust society for the post-Covid world. Models could be valuable tools for testing and developing ambitious socio-economic policy ideas in silico, in order to prepare for this new reality.

To conclude, in principle we share with the authors of the paper the belief that computational models have an important role to play to inform policy makers during crisis (such as pandemics). However, we wish to emphasize the need for sound and robust theoretical frameworks ready to be included in these models, rather than on the existence and availability of data. In practice, the lack of such frameworks is more critical for ensuring that the computational modelling community can make a useful contribution during this pandemic.

References

Epstein, J. M. (2008) Why model? Journal of Artificial Societies and Social Simulation, 11(4):12. <http://jasss.soc.surrey.ac.uk/11/4/12.html>.

Kissler, S. M., Tedijanto, C., Goldstein, E. Grad, Y. H.  and Lipsitch, M. (2020) Projecting the transmission dynamics of sars-cov-2 through the postpandemic period. Science. doi:10.1126/science.abb5793. <https://science.sciencemag.org/content/early/2020/04/14/science.abb5793>

Silverman, E., Gostoli, U., Picascia, S., Almagor, J., McCann, M., Shaw, R., & Angione, C. (2020). Situating Agent-Based Modelling in Population Health Research. arXiv preprint arXiv:2002.02345. <https://arxiv.org/abs/2002.02345&gt;

Squazzoni, F., Polhill, J. G., Edmonds, B., Ahrweiler, P., Antosz, P., Scholz, G., Chappin, É., Borit, M., Verhagen, H., Giardini, F. and Gilbert, N. (2020) Computational Models That Matter During a Global Pandemic Outbreak: A Call to Action. Journal of Artificial Societies and Social Simulation, 23(2):10. <http://jasss.soc.surrey.ac.uk/23/2/10.html>. doi: 10.18564/jasss.4298

Gostoli, U. and Silverman, E. (2020) Sound behavioural theories, not data, is what makes computational models useful. Review of Artificial Societies and Social Simulation, 22th April 2020. https://rofasss.org/2020/04/22/sound-behavioural-theories/

© The authors under the Creative Commons’ Attribution-NoDerivs (CC BY-ND) Licence (v4.0)