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We study the role of vaccine acceptance in controlling the spread of COVID-19 in the US using AI-driven agent-based models. Our study uses a 288 million node social contact network spanning all 50 US states plus Washington DC, comprised of 3300 counties, with 12.59 billion daily interactions. The highly-resolved agent-based models use realistic information about disease progression, vaccine uptake, production schedules, acceptance trends, prevalence, and social distancing guidelines. Developing a national model at this resolution that is driven by realistic data requires a complex scalable workflow, model calibration, simulation, and analytics components. Our workflow optimizes the total execution time and helps in improving overall human productivity.This work develops a pipeline that can execute US-scale models and associated workflows that typically present significant big data challenges. Our results show that, when compared to faster and accelerating vaccinations, slower vaccination rates due to vaccine hesitancy cause averted infections to drop from 6.7M to 4.5M, and averted total deaths to drop from 39.4K to 28.2K nationwide. This occurs despite the fact that the final vaccine coverage is the same in both scenarios. Improving vaccine acceptance by 10% in all states increases averted infections from 4.5M to 4.7M (a 4.4% improvement) and total deaths from 28.2K to 29.9K (a 6% increase) nationwide. The analysis also reveals interesting spatio-temporal differences in COVID-19 dynamics as a result of vaccine acceptance. To our knowledge, this is the first national-scale analysis of the effect of vaccine acceptance on the spread of COVID-19, using detailed and realistic agent-based models. 

Abstract—The COVID-19 pandemic brought to the forefront an unprecedented need for experts, as well as citizens, to visualize spatio-temporal disease surveillance data. Web application dashboards were quickly developed to fill t his g ap, b ut a ll of these dashboards supported a particular niche view of the pandemic (ie, current status or specific r egions). I n t his paper, we describe our work developing our COVID-19 Surveillance Dashboard, which offers a unique view of the pandemic while also allowing users to focus on the details that interest them. From the beginning, our goal was to provide a simple visual tool for comparing, organizing, and tracking near-real-time surveillance data as the pandemic progresses. In developing this dashboard, we also identified 6 key metrics which we propose as a standard for the design and evaluation of real-time epidemic science dashboards. Our dashboard was one of the first r eleased t o the public, and continues to be actively visited. Our own group uses it to support federal, state and local public health authorities, and it is used by individuals worldwide to track the evolution of the COVID-19 pandemic, build their own dashboards, and support their organizations as they plan their responses to the pandemic. 

This paper describes an integrated, data-driven operational pipeline based on national agent-based models to support federal and state-level pandemic planning and response. The pipeline consists of ( i) an automatic semantic-aware scheduling method that coordinates jobs across two separate high performance computing systems; ( ii) a data pipeline to collect, integrate and organize national and county-level disaggregated data for initialization and post-simulation analysis; ( iii) a digital twin of national social contact networks made up of 288 Million individuals and 12.6 Billion time-varying interactions covering the US states and DC; ( iv) an extension of a parallel agent-based simulation model to study epidemic dynamics and associated interventions. This pipeline can run 400 replicates of national runs in less than 33 h, and reduces the need for human intervention, resulting in faster turnaround times and higher reliability and accuracy of the results. Scientifically, the work has led to significant advances in real-time epidemic sciences.