Behavioral Dynamics of Epidemic Trajectories and Vaccination Strategies: A Simulation-Based Analysis

Human behavior shapes epidemic trajectories, evolving as individuals reassess risks over time. Our study closes the loop between epidemic status, individual risk assessments, and interactions. We developed an agent-based model where the individuals can alter their decisions based on perceived risks. In our model, agents’ perceived risk is proxied by their full awareness of actual risks, such as the probability of infection or death. We conducted several simulations of COVID-19 spread for a large metropolitan city akin to New York City, covering the period from December 2020 to May 2021. Our model allows residents to decide daily on traveling to crowded city areas or stay in neighborhoods with relatively lower population density. Our base run simulations indicate that when individuals assess their own risk and understand how diseases spread, they adopt behaviors that slow the spread of virus, leading to fewer cumulative cases and deaths but extending the duration of the outbreak. This model was then simulated with various vaccination strategies such as random distribution, prioritizing older individuals, high-contact-rate individuals, or crowded area residents, all within a risk-response behavioral framework. Results show that, in the presence of agents’ behavioral response, there is only a marginal difference across different vaccination strategies. Specifically, vaccination in crowded areas slightly outperformed other vaccination strategies in reducing infections and prioritizing the elderly was slightly more effective in decreasing deaths. The lack of a universally superior vaccination strategy comes from the fact that lowering a risk leads to more risky behavior which partly compensates for vaccination effects. The comparable outcomes of random versus targeted vaccinations highlight the importance of equitable distribution as another key focus in pandemic responses.