Networks of necessity: Simulating COVID-19 mitigation strategies for disabled people and their caregivers

Disabled people who need help with daily life tasks, such as dressing or bathing, have frequent close contacts with caregivers. This prevents disabled people and their caregivers from physically distancing from one another, and it also significantly increases the risk of both groups of contracting COVID-19. How can society help disabled people and caregivers avoid infections? To answer this question, we simulate infections on networks that we model based on a city of about one million people. We find that one good strategy is for both disabled people and their caregivers to use masks when they are together. We also find that if only disabled people limit their contacts while other people continue their lives normally, disabled people are not protected effectively. However, it helps disabled people substantially if the general population also limits their contacts. We also study which vaccination strategies can most efficiently protect disabled people. Our simulations suggest that vaccinating caregivers against COVID-19 protects the disabled subpopulation about equally effectively as vaccinating a similar number of disabled people. Our findings highlight both behavioral measures and vaccination strategies that society can take to protect disabled people and caregivers from COVID-19.