Sustainable Supply Chain Management of COVID-19 Vaccines for
Vaccination Delivery based on Routing Algorithms
THEODOROS ANAGNOSTOPOULOS1, MICHAIL PLOUMIS2, ALKINOOS PSARRAS1,
FAIDON KOMISOPOULOS1, IOANNIS SALMON1, KLIMIS NTALIANIS1,
S. R. JINO RAMSON3
1Department of Business Administration,
University of West Attica,
12243 Athens,
GREECE
2War Theory and Analytics Department,
Hellenic Army Academy (Sxoli Evelpidon),
16673 Athens,
GREECE
3Global Foundries
VT 05452 Vermont
UNITED STATES OF AMERICA
Abstract: - Covid-19 pandemic has changed daily life in the city of Athens where vaccines are exploited with
supply chain technology potentiality. Vaccines are tracked at the city’s airport till their delivery to vaccination
centers. Due to the sensitivity of vaccines to the warm climate inherent in the city, delivery is assigned to a fleet
of trucks. Specifically, two use cases, i.e., UC-I and UC-II, are proposed, which are based on global and local
routing algorithms to exploit trucks’ load COVID-19 vaccine delivery from the airport and transport it to
vaccination centers. In this paper, we focus on the supply chain routing algorithm technology of collecting
COVID-19 vaccines from the airport and delivering them to vaccination centers in the smart city of Athens,
Greece. Concretely, the purpose and the objectives of the research effort are in the areas of: (1) describing in
deep detail the proposed supply chain system, (2) exploiting the adopted architecture based on certain separate
use cases for system experimentation, (3) adopting specific vaccination routing algorithms to support
vaccination distribution, and (4) evaluating experimentally the proposed supply chain system architecture with
regards to the adopted use cases’ routing algorithms.
Key-Words: - Supply chain management, routing algorithms, covid-19 vaccination delivery
Received: May 15, 2023. Revised: October 23, 2023. Accepted: November 7, 2023. Published: November 17, 2023.
1 Introduction
This Covid-19 era changed rapidly the social
interaction of citizens in smart cities, [1]. Although,
smart cities are the future of earth habitation,
according to the Cities 2.0 paradigm, where 67
percent of the human population will live in vast
cities, such a habitation concept has been challenged
due to the coronavirus pandemic in the last couple
of years, [2]. Internet of Things (IoT) and
contemporary technologies, such as artificial
intelligence, edge computing, data science, global
and local scheduling, and global and local routing,
are incorporated to make feasible the establishment
of smart cities due to high-quality technological
advancements in the area of smart devices, such as
sensors and actuators, and remake the way we make
things, [3]. However, technology by itself is not
adequate to preserve the healthcare and safety of the
smart cities’ population, [4]. Covid-19 emerged with
new challenges, which should be undertaken to face
current threatening reality, [5]. Lockdown, mask
protection, and vaccination services were used to
face the pandemic in real-time, [6]. Regarding
vaccination supply chain management of stock
COVID-19 vaccines, it should be considered certain
healthcare parameters to ensure vaccinations are
performed correctly and in time according to a
certain schedule, [7]. In the case of Greece, COVID-
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
2587
Volume 20, 2023
19 vaccines have entered the country through the
smart city of Athens airport. When airplane flights
come into the city there is a supply chain
management process, that is responsible for storing
vaccine stock in certain warehouses in the airport
area. Warehouses are specially designed to keep
vaccines frozen at the same temperature they had
during the flight. Accordingly, there is a process,
which uses trucks to collect vaccines from the
airport’s warehouse and distribute them to
vaccination centers in the city of Athens.
To further analyze the significance of the
examined research area, in, [8], the authors perform
an analysis focusing on the impact relational
governance has on designing performance
improvements in the area of cultural intelligence of
smart cities. Such a system is based on Structural
Equation Modelling (SEM), which aims to provide
manufacturing firms with the theoretical tools to
reconfigure emerging social knowledge. A
particular type of knowledge can support and build a
learning capability to treat efficiently social
infrastructure inefficiencies in vast cities.
Concretely, in, [9], the authors propose a buyer-
supplier relationship system, that focuses on social
performance improvement. Such a system performs
an extensive survey of adequate methods aiming to
face social performance. Results indicate that
fundamental elements of commitment and relational
governance should be combined to produce a viable
green ecosystem in smart cities.
It should be noted that Athens is a smart city in
Greece based on research proposed in, [10], where it
is presented a system, that incorporates sustainable
strategies for smart city services. In addition,
research proposed in, [11], analyses the importance
of collecting various data sources from the smart
city of Athens to support advanced municipality
green solutions for the citizens. Subsequently, the
authors in, [12], propose innovative sustainable
planning for the smart city of Athens focusing on
the economic role required to support an integrated
strategy for a green environment.
In this paper, we focus on the green and
sustainable supply chain management technology of
collecting COVID-19 vaccine stock from the airport
and delivering it with the incorporation of trucks to
vaccination centers in the area of the smart city of
Athens Greece. Such a system focuses mainly on the
adoption of sustainable supply chain management to
efficiently face time critical operations, which need
to be treated in real-time in case of an emergency.
Such a sensitive situation might emerge from a
COVID-19 incident, which requires instant health
treatment. The proposed system faces both citizens’
quality of life as well as the technical maturity of the
adopted infrastructural operations. Since vaccines
are sensitive to high temperatures, which is a
common climate condition in Athens, a truck should
provide refrigerator services during the
transportation of the vaccines. In addition, to
optimize the distribution process vaccination centers
should record their stock of available vaccines and
order new vaccines on time from the system. There
is proposed a system, that faces the population needs
to be vaccinated. Concretely, certain use cases are
performed, namely UC-I and UC-II, to treat the
vaccination distribution process. Supply chain
technology is assessed by incorporating certain
evaluation parameters for both use cases, such as
spatial and temporal distance, fuel consumption,
cost of routes in Euros, and efficiency of sustainable
global and local routing algorithms to assist the
vaccination delivery process with regard to
algorithms' time complexity. Both use cases have
strengths and weaknesses, which are addressed and
it is proposed that the smart city’s headquarters’
control center should balance between the strengths
and the weaknesses to choose which use case covers
its requirements for an integrated supply chain
management of vaccination process service.
1.1 Impact of the Research Effort
The proposed research effort has an innovative and
methodological impact in the areas of:
Performing analytical exploitation of state-
of-the-art contemporary research in the
domain,
Describing in deep detail the proposed
supply chain system,
Exploiting the adopted architecture based on
two separate use cases for system
experimentation,
Presenting the system parameters used to
input supported infrastructure,
Adopting two vaccination routing
algorithms, namely global and local, to
support vaccination distribution in the smart
city of Athens,
Evaluating experimentally the proposed
supply chain system architecture with
regards to the adopted use cases’ routing
algorithms,
Performing in-depth discussion on the
observed results of the research effort, and
Proposing future research work required by
the domain experts to be ready to face an
emerging pandemic in the near future.
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
The rest of the paper is structured as follows. In
Section II related work is provided. Section III
describes the supply chain system architecture along
with the two use cases, UC-I and UC-II. In Section
IV there are presented certain system parameters.
Section V proposes the separate use cases of global
and local routing algorithms. In Section VI proposed
use cases are evaluated experimentally providing
certain results. Section VII discusses the observed
results, while Section VIII concludes the paper and
proposes research work for an upcoming future
pandemic.
2 Related Work
Contemporary research against covid-19 pandemic
during the last year provide researchers, academics,
and professional with a variety of tools to fight the
coronavirus, which is responsible for the quality of
life in the globe. Concretely, certain systems are
proposed to treat covid-19 pandemic. Such systems
focus on (1) sustainable solutions, (2) routing
algorithms, and (3) supply chain management.
Fig. 1: Distribution of vaccination centers in the
smart city of Athens
Source: Authors
2.1 Systems Focusing on Sustainable
Solutions
Sustainability is the main effort in this area of
adopted solutions. Specifically, according to, [13],
the authors study the impact of the coronavirus
pandemic on global society's choices with regard to
economic and social parameters. They also
contextualize such choices from the social
innovation point of view, while they try to
understand what implications arise out of the
coronavirus crisis for the relevant societal smart
cities’ stakeholders. However, such measures have a
high impact on the citizen's quality of life as
discussed in, [14]. A downstream system is
examined in, [15], where there are examined risks,
efficiencies as well and models of product
distributions before and during the COVID-19
pandemic. Special focus is given to business-to-
business (B2B) and business-to-customer (B2C)
channels regarding novel approaches in supporting
green and sustainable supply chain methodologies.
Research in, [16], analyses covid-19 pandemic
based on certain green information channels
supporting vaccine delivery, which are evaluated by
the smart city’s population. Efficient planning of the
COVID-19 vaccine problem is proposed in, [17],
where the goal of the proposed solution is the
minimization of total costs without loss of the
provided sustainable healthcare service. A green and
sustainable platform, which delivers COVID-19
vaccines from stock by exploiting electric vehicle
technology is proposed in, [18]. Such a system uses
effectively the available capacity of electric vehicles
to perform accurate online distribution of the
vaccines in the city. A sustainable system is
proposed in, [19], where there is analyzed a facility
location distribution solution focuses on a green
approach. Such a system incorporates the optimal
position of the vaccination vehicles network to face
the expiration of stored COVID-19 vaccines.
In this category proposed systems’ goal is to
maximize citizens’ well-being in a smart city.
Intuitively, the adopted solution’s main effort is to
respect the quality of life thus providing green
approaches in facing the coronavirus. However,
such systems might have more expensive operations
than others.
2.2 Systems Focusing on Routing Algorithms
Routing systems, which are based on adopted
technical models have also been applied to face
coronavirus problems. Specifically, in, [20], the
authors focus on methods to treat pandemic supply
risk mitigation by incorporating adequate measures
and potential recovery paths. Distribution and
delivery of COVID-19 vaccines are presented in,
[21], where the study focuses on the Ethereum
blockchain-based solution for managing data related
to covid-19 vaccination context. According to, [22],
the authors propose an alternative blockchain
platform to treat COVID-19 vaccine distribution by
incorporating a prototyping system, which is based
on the Ethereum test network. Research in, [23],
studies the various transactions performed during
the coronavirus pandemic, which are related to
vaccine requests, orders, distribution, and tracking
by incorporating blockchain technology. A
blockchain-based 5G-assisted Unmanned Aerial
Vehicle (UAV) vaccine distribution scheme for
dealing with covid-19 pandemic is proposed in,
[24], where authors used global and local routing
algorithms to deliver vaccines to certain areas of the
smart city. In, [25], the authors propose a system,
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
that uses blockchain solutions incorporating smart
procurement contracts to automate the organization
of the routing process for covid-19 vaccination.
Research in, [26], treats covid-19 pandemic mainly
as a technical problem incorporating certain
resource allocation management policies, which
exploit the potentiality of a proposed reinforcement
learning algorithm. In, [27], the authors of the
research effort analyze a routing algorithm, which is
able to serve the vaccination needs of a smart city.
Specifically, it uses a fleet of UAVs within a certain
range and payload constraints to deliver covid-19
vaccine in real time. According to, [28], the authors
present a system where it is achieved an effective
vaccination process in smart cities based on a
proposed routing algorithm. Such a system focuses
on routing simulation analysis to deliver COVID-19
vaccines to certain vaccination centers. In, [29], the
authors propose an optimal vaccination routing
algorithm to face covid-19 pandemic. Such an
algorithm is based on a sliding window exploiting
available vehicle location data sources under a
certain vehicle capacity threshold. According to,
[30], the authors analyze a vaccine optimization
system for facing smart cities’ healthcare
requirements. Such a system is able to treat covid-19
vaccination process under a distributed and robust
evolutionary routing algorithm.
Solutions adopted in this section focus mainly
on technical safety and soundness to treat the
coronavirus problem in smart cities. Intuitively,
such systems are designed to achieve efficient
operation expenses and a wider area of applications
within cities’ infrastructure.
2.3 Systems Focusing on Supply Chain
Management
Supply chain management systems are also
provided as solutions to the coronavirus pandemic.
According to, [31], the authors propose a supply
value chain design of an adopted system, which is
able to support the demands of the contemporary
circular economy in green ecosystems. Such a
system handles effectively the implications that
emerge from the daily performance of the Industry
4.0 infrastructure technology as a fundamental
component of sustainable manufacturing in smart
cities. Concretely, in, [32], the authors adopt a
healthcare supply chain system, that focuses on
emergent reactions in the case of covid-19
pandemic. Such a system is based on a robust least
square regression aiming to find the parameters and
the forecasting estimates, which are extensively
used in case of a healthcare incident emergency in
smart sustainable living areas in smart city terrain.
Modeling the barriers of a transparent supply chain
for a COVID-19 research scenario is proposed in,
[33]. Authors identify and model certain barriers in
the process of implementing a transparent supply
chain for covid-19 pandemic. They suggest that
customer privacy involves more barriers to the
system. To overcome such inefficiency, they
propose a data pipeline to make the process
transparent to the end users. According to, [34], the
authors discuss the impact of supply chain
disruption management on SMEs' performance with
regard to covid-19 pandemic in India from the
perspective of developing countries' survivability.
The consequences of supply chain practices on
flexibility during covid-19 pandemic with risk
analysis and management options are studied in,
[35]. Of particular research interest is the supply
chain management in several economic sectors in
India, such as the goods pricing, revenue, and
transportation, that was implemented by
stakeholders to face lockdown COVID-19 pandemic
inefficiencies as presented in, [36]. Measures to
prevent the spread of covid-19 such as lockdowns
and closures of the borders are taken to protect the
population from the pandemic. In, [37], the authors
have designed a system, which is able to provide a
vaccine supply chain to citizens according to their
needs. They have taken into consideration the
fragrant nature of COVID-19 vaccines and have
performed risk management analysis to provide
vaccines in cool temperatures thus avoiding loss of
healthcare equipment. In, [38], the authors take into
consideration the sensitivity of COVID-19 vaccines
and propose a local simulation to improve the
supply chain logistics performance for vaccine
distribution within the smart city. They used
anyLogistix simulation platform software to study a
real-world problem in Norway. A mathematical
programming solution is provided in, [39], which is
able to treat COVID-19 vaccine distribution in
developing countries as a supply chain and stock
operations problem. The study encodes certain types
of vaccines according to their current temperature
and distributes them in an efficient way, thus
eliminating the loss of vaccines due to high
temperatures. According to, [40], the authors in their
research effort analyze efficient logistics and supply
chain management operations during the period of
the coronavirus pandemic. They are also discussing
how the research community can learn lessons from
the COVID-19 era and be ready to face the next
pandemic in the future. In, [41], the authors propose
an efficient supply chain management system able
to handle covid-19 pandemic. Such a system focuses
on a robust delivery network of vehicles distributing
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
time-available vaccines to certain vaccination
centers.
Systems adopted in this area focus on supply
chain management, which treats the coronavirus
problem as a socio-technical problem. Provided
approaches are designed to both cover citizens’
well-being needs as well as technical operational
efficiency.
In this paper, there is an intention to design a
supply chain global and local routing system, which
will exploit the strengths of the available research
efforts while simultaneously avoiding their
weaknesses. The proposed system exploits related
work systems' potentiality to maximize strengths
and eliminate weaknesses of the addressed research
efforts. Specifically, we propose a green supply
chain system architecture, which faces the
population that needs to be vaccinated. Concretely,
the adopted system focuses on the sociotechnical
concept of supply chain management to effectively
treat covid-19 pandemic. Such research effort is
designed to fulfill citizens’ daily activities in the
city. Intuitively, special effort is given to ensure that
the proposed system operates in time-critical
emergency reactions, which affect the quality of
technical soundness based on the adopted
infrastructure. Certain use cases are introduced,
namely UC-I and UC-II, to evaluate the proposed
vaccination delivery process. Specifically,
sustainable supply chain technology is assessed by
incorporating certain evaluation parameters for both
use cases, such as spatial and temporal distance, fuel
consumption, and cost of routes in Euros. In
addition, adopted parameters are input to the
proposed system’s global and local routing
algorithms to assist the vaccination delivery process.
Such algorithms are able to provide results with
regard to time complexity robust behavior. Both use
cases have strengths and weaknesses, which are
further analyzed based on the adopted experimental
system parameters. Subsequently, findings are
provided to support third parties, such as the smart
city of Athens Ministry of Health, and decision
support headquarters’ control center. Concretely, the
control center is responsible for assessing the
observed results and deciding which supply chain
use case and proposed algorithm to adapt to face the
coronavirus pandemic.
3 Supply Chain System Architecture
The sustainable supply chain system architecture is
composed of a warehouse located at the Athens
airport, where the COVID-19 vaccines that enter
Greece are stocked in places with cool temperatures
since vaccines need to be preserved in low
temperatures to avoid loss. The smart city of Athens
has a certain amount of vaccination centers where
the vaccines should be distributed on time to use for
citizens' vaccination. Trucks collect COVID-19
vaccines from the warehouse stock and deliver them
to vaccination centers in the city. Such trucks are
equipped with refrigerators to preserve the low
temperatures of vaccines during the distribution
process. Vaccination centers have adequate storage
areas to stock delivered vaccines. The distribution of
vaccination centers in the smart city of Athens is
presented in Figure 1.
Stocks keep a track record of entered and used
COVID-19 vaccines to be aware of the amount of
vaccines that should be ordered from the green
supply chain architecture for use by certain city
populations. In addition, vaccination centers take
into consideration the time required for a number of
vaccines to get to the proper temperature for use in
citizens. There are two use cases to assess the
potentiality of the adopted supply chain architecture,
namely UC-I and UC-II. Specifically, adopted use
cases enhance research focuses on supply chain
management to face COVID-19 as a social health
threat that needs urgent technical treatment. Such a
proposed approach is designed to provide citizens an
adequate well-being status quo as well as technical
operational efficiency during their daily social
interaction schedule in a smart city.
Fig. 2: Sustainable green supply chain architecture
overview: (a) routing algorithms at conceptual level,
(b) vaccination center, (c) trucks, (d) smart city of
Athens airport, and (e) smart city headquarters
control center
Source: Authors
Intuitively, smart city sectors are divided based
on municipality regions serving a certain amount of
population, which are a special category of political
boundaries. The adopted system is based on a
dedicated homogeneous fleet of trucks to deliver on
time the vaccines to the vaccination centers. There
are no available electric trucks or a heterogeneous
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
fleet of trucks to support such a service in the smart
city of Athens to provide a green footprint in the
designed infrastructure. However, sustainability
requirements are met regarding the adopted shortest
path model used to eliminate carbon dioxide
emissions during efficient routing in the city road
network, as presented in Figure 7. Specifically,
Figure 7, it is assesses the effectiveness of UC-II
compared to UC-I with respect to the CO2 emissions
produced in kilograms. It is proved that UC-II is
more efficient than UC-I since UC-II produces less
carbon dioxide emissions than UC-I (See Section 6).
Concretely, shortest routes technology is adopted,
which serves the nearest vaccination centers like
these that are near the airport. In addition, such
routes follow a multi-hop approach to serve distant
points after delivering vaccines to the shortest ones.
Actually, the proposed algorithms are implementing
the traveling salesman problem by decomposing
each delivery based on the exploited shortest route
between the prior and the next vaccination center.
Table 1. UC-I system parameters
Parameter
Value
 Airport
1
 Whole smart city
1
 Number of trucks
100
 Vaccination centers
1000
 Number of vaccines
[100000, 200000]
Spatial distance (kilometers)
[10, 60]
 Temporal distance (hours)
[0.5, 4.5]
Fuel consumption (litters)
[4.2, 9.8]
 Total cost (Euros)
[8.9208, 20.8152]
Total CO2 emission (kilograms)
[3.5532, 8.2908]
 Total CPU Time (minutes)
[8.6217, 14.8162]
Table 2. UC-II system parameters
Parameter
 Airport
 Number of smart city sectors
Number of trucks per sector
 Vaccination centers per sector
Number of vaccines per sector
Spatial distance per sector (kilometers)
Temporal distance per sector (hours)
Fuel consumption per sector (litters)
Total cost per sector (Euros)
Total CO2 emission per sector (kilograms)
 Total CPU Time (minutes)
Table 3. UC-I global routing algorithm
#
UC-I global routing algorithm
1
Input:   
2
Output:    
3
Begin
4
If 󰇛  󰇜 Then // If a trigger occurs global routing is performed
5
For 󰇛 󰇜 Do // , takes values of all trucks in the
6
// whole smart city
7
󰇟    󰇠 󰇛    󰇜
8
End For
9
Return 󰇟    󰇠
10
End If
11
End
Specifically, in the case of UC-I, the distribution
of vaccines from the airport warehouse to end-point
vaccination centers is performed by a dedicated
global routing algorithm for the whole coverage area
of the city. Instead, in the case of UC-II the vaccine
delivery is based on a local routing algorithm where
routes are changed through time upon certain
requirements defined by the served vaccination
centers located in certain sector areas in the smart
city. The proposed sustainable and green supply
chain system architecture overview is presented in
Figure 2.
Table 4. Shortest path UC-I algorithm
#
Shortest path UC-I algorithm
1
Input:   
2
Output:    
3
Begin
4
 // Initialize global route with the airport
5
// location
6
For 󰇛 󰇜 Do // For all vaccination centers  belong to the whole
7
// smart city
8
󰇛 󰇜 // Deliver with truck a certain number of vaccines
9
// to certain vaccination
10
// center  in the whole smart city
11
  // Append global route with certain vaccination
12
// center  location
13
 󰇛  󰇜 // Update system parameter values
14
// for certain truck
15
// delivery in the whole smart city
16
End For
17
Return 󰇟   󰇠
18
End
Table 5. UC-II local routing algorithm
#
UC-II local routing algorithm
1
Input:  
2
Output: 
3
Begin
4
While 󰇛󰇜 Then // Execute local routing continuously
5
For 󰇛 󰇜 Do // , takes values of certain trucks in specific
6
// sector belongs to
7
For 󰇛 󰇜 Do // take specific value from certain sectors
8
󰇟
󰇠
󰇛   󰇜
9
End For
10
End For
11
Return 󰇟
󰇠
12
End While
13
End
4 System Parameters
The supply chain of COVID-19 vaccine stock
management is based on adopted system parameters
to be able to assess the system’s efficiency.
Parameters are differentiated according to the
proposed use cases incorporated in the research
effort study, except for the parameter , which
denotes the Athens airport where vaccines are
imported from abroad countries and has value 1
airport. Specifically, in the case of UC-I, we have
the parameter , which denotes the whole city
where vaccines are delivered by trucks and has a
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
2592
Volume 20, 2023
value of 1 smart city. The number of trucks assigned
to deliver vaccines from the airport to the whole city
of Athens is defined to be , trucks. The
number of vaccination centers is defined with the
parameter , and has a value 1000. The number of
vaccines is denoted with , which are transported by
assigned trucks in the city and is defined to be with
the interval [100000, 200000] covid-19 vaccines.
Spatial distance covered from the airport to all
vaccination centers is defined with parameter , and
is defined within the interval [10, 60] kilometers,
where the nearest vaccination center in the city has a
distance of 10 kilometers from the airport, while the
most distant vaccination center in Athens has
distance 60 kilometers from the airport. Parameter ,
is assigned to the temporal distance a truck requires
to transport vaccines to vaccination centers in the
city, such parameter takes values with the interval
[0.5, 4.5] hours. Fuel consumption parameter ,
denotes the litters of oil consumed for COVID-19
vaccine delivery in the whole city of Athens and is
defined within the interval [4.2, 9.8] litters. The total
cost of fuel in the Euros parameter , for vaccine
distribution, is defined within the interval [8.9208,
20,8152] Euros, where diesel oil is considered to
cost 2.124 Euros per 1 litter of fuel. Total CO2
emission , during truck movement is defined in the
interval of [3.5532, 8.2908] kilograms, where diesel
oil is considered to produce CO2 emissions of 0.846
kilograms per 1 litter of fuel.
Table 6. Shortest path UC-II algorithm
#
Shortest path UC-II algorithm
1
Input:  
2
Output: 
3
Begin
4
 // Initialize local route with the airport location
5
 // Append local route with certain sector location
6
For 󰇛 󰇜 Do // For all vaccination centers  belong to certain
7
// sector
8
󰇛 󰇜 // Deliver by truck certain number of vaccines
9
// to the certain vaccination center  belong to
10
// specific sector
11
  // Append local route with certain vaccination
12
// center  location of specific sector
13

// Update
system
14
// parameter values for certain
15
// truck delivery in specific sector
16
End For
17

// Update system parameter values
18
//
for specific
19
// performed deliveries of certain sectors
20
Return 󰇟
󰇠
21
End
The Central Processing Unit (CPU) total
execution time of the global routing algorithm is
denoted with , while it is defined in the interval
[8.6217, 14.8162] minutes. System parameters for
UC-I are presented in Table 1.
System parameter values for UC-II are defined
as follows. The smart city of Athens is divided into
certain sectors , where this parameter takes the
value of 50 separate sectors in the city. In addition,
assigned trucks transport and deliver COVID-19
vaccines locally to assigned sectors according to
current vaccination centers’ needs. The number of
trucks assigned to each sector is defined to be
trucks to serve a certain sector. Vaccination
centers per sector are defined to be 
centers. Vaccines transported by trucks per sector
are denoted by , and are defined within the
interval of [20000, 40000].
Fig. 3: Spatial distance covered in kilometers
Source: Authors
Fig. 4: Temporal distance required in hours
Source: Authors
Fig. 5: Fuel consumption in litters
Source: Authors
Spatial distance , required to transport a stock
of COVID-19 vaccines from the airport to certain
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
2593
Volume 20, 2023
vaccination centers per sector is defined with the
interval [10, 20] kilometers, where the nearest
vaccination center within a sector has distance of 10
kilometers and the most distant vaccination center
within a sector has distance of 20 kilometers.
Temporal distance , required to transport a certain
amount of vaccines per sector is defined within the
interval [0.5, 1.5] hours. Fuel consumption
, of oil
fuel consumed by trucks to all vaccination centers
per smart city sectors is defined within the interval
[4.2, 6.3] litters. Total cost of COVID-19 vaccine
delivery per sector , is defined to be in the interval
of [8.9208, 13.3812] Euros, where diesel oil is
considered to cost 2.124 Euros per 1 liter of fuel.
Total CO2 emission , during truck movement is
defined in the interval of [3.5532, 5.3298]
kilograms, where diesel oil is considered to produce
CO2 emissions of 0.846 kilograms per 1 liter of fuel.
The Central Processing Unit (CPU) total execution
time of the local routing algorithm is denoted with
, while it is defined in the interval [23.2034,
31.1607] minutes. System parameters for UC-II are
presented in Table 2.
5 Use Cases System Algorithms
Each use case executes a different algorithm to
compute its routing map based on different delivery
needs. Specifically, UC-I is based on a global
routing algorithm, which means that execution is
performed in rare periodical time slots according to
the supply chain transportation of vaccine
requirements. Such a global algorithm is based on
Dijkstra’s shortest path routing algorithm (i.e.,
customized Shortest Path UC-I) to transport a
vehicle with a stock of COVID-19 vaccines from an
origin to a given destination in the whole smart city,
[42]. Note that delivery is relevant to the whole
smart city area. That is a certain fine tuning on the
algorithm parameters is performed once and then the
global route might change in case of emergency,
such as loss of COVID-19 vaccines due to high
temperatures occurring due to heavy traffic latencies
in the smart city’s road network. UC-I incorporates
assignment instructions to match a truck with a
certain route within the whole city of Athens. The
time computation complexity of the UC-I algorithm
is defined to be 󰇛󰇜, since a route assignment is
performed to each smart city truck during global
algorithm execution. UC-I global routing algorithm
is presented in Table 3, while the Shortest path UC-I
algorithms are presented in Table 4.
In the case of UC-II instructions performed by
the supported local routing algorithm are relevant to
the needs of certain city sectors. Such sectors’
requirements are variable and changing locally to
provide effective services to each sector, thus
avoiding the loss of vaccines due to high
temperatures in real-time. The local routing
algorithm is executed online each time slot a new
COVID-19 vaccine stock requires transport and
delivery by available trucks. Such a local algorithm
is also based on Dijkstra’s shortest path routing
algorithm (i.e., customized Shortest Path UC-II),
which however is used to deliver stock of COVID-
19 vaccines from an origin to a given destination per
certain sector of the smart city, [42]. Note that
delivery is relevant to certain sector areas of the
city. This means that routing a truck follows is not
global for a certain period of time in the whole city
but it changes according to the current sector’s
needs. So, it is possible to have local detours of the
computed local route to deliver COVID-19 vaccines
to specific vaccination centers based on real-time
changes in road network traffic latencies such as
road labor tasks, malfunctioned vehicles on the road,
or a water leakage in a certain central road segment.
The local routing algorithm is able to provide a
robust route to overcome such problems in the road
traffic network. The time computational complexity
of the UC-II algorithm is defined to be 󰇛󰇜, since
a route assignment is performed to each smart city
truck per selected sector, which faces online routing
inefficiencies during local algorithm execution. UC-
II local routing algorithm is presented in Table 5,
while the Shortest path UC-II is presented in Table
6.
It should be noted that a modified shortest path
algorithm is used as the main model of routing in
both adopted use cases in the current research effort.
Such a modification has been performed to extend
the shortest path potentiality from origin to multiple
destinations based on the concept of the traveling
salesman problem. Concretely, given the whole
global area of the city, in the case of UC-I, or a
certain amount of local municipality sectors, in the
case of UC-II, certain trucks are following a
spatiotemporal trajectory. A given trajectory serves
subsequently each vaccination center starting from
the nearest one up to the furthest of them based on
certain inferred route vectors computed per cycle of
the model’s execution.
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
Fig. 6: Total cost spent in Euros
Source: Authors
6 Experimental Evaluation and
Results
We experimented with the adopted global and local
routing algorithms defined for the proposed use
cases, UC-I and UC-II. An experimental smart city
is the capital city of Greece, which is Athens. The
data used for the experiments are synthetic.
Specifically, there are used real unclassified data
provided online by the smart city of Athens, [43].
Such data are the number of vaccination centers, the
number of vaccines, and the number of trucks.
Based on these real data we implemented a
simulation environment to test the proposed global
and local routing algorithms. Synthetic data are
formed by using real data as ground truth
information for our simulations. Specifically,
unclassified data provided in [43], were
preprocessed to feed adopted UC-I and UC_II
models. Such data contain the vaccination centers'
location in the smart city as well as the need for
vaccines in the whole area of the city of Athens.
Distribution of vaccination centers in the city were
visualized as shown in Figure 1. Consequently, the
sum of the vaccines required to be delivered to the
whole city where divided by the number of
vaccination centers as presented in Table 1 and
Table 2 for UC-I and UC-II, respectively.
Subsequently, vaccination centers were divided by
the number of municipalities that existed in the
whole city area thus forming the examined sectors.
Based on this information a certain fleet of trucks is
assigned to the whole smart city for UC-I while a set
of smaller fleets were assigned to certain
municipality sectors.
Fig. 7: CO2 emissions produced in kilograms
Source: Authors
Fig. 8: Total CPU execution time required in
minutes
Source: Authors
Concretely, we added on provided real data
certain Gaussian distribution white noise to observe
simulated realistic values for the incorporated
parameter variables of the proposed system.
Simulation algorithms are implemented in Python
release version 3.9.10, while experiments were
performed on an HP ProBook 455R G6 computer
with 8.00 GB memory. We performed 1000
experimental iterations invoking adopted global and
local routing algorithms of UC-I and UC-II use
cases, where the observed results were visualized.
Subsequently, in Figure 3, there are presented
the results of spatial distance covered, in kilometers,
by UC-I and UC-II. Figure 4, presents the temporal
distance required to deliver vaccines, in hours, in
both use cases. Figure 5 presents the fuel
consumption, in litters, of the local and global
algorithms. Figure 6, presents the total amount of
cost, in Euros, spent in delivering vaccines to
vaccination centers by both algorithms. Figure 7
presents the CO2 emissions produced, in kilograms,
to the smart city green and sustainable environment
for UC-I and UC-II. Figure 8, presents the total CPU
execution time required, in minutes, to observe the
results of the adopted global and local algorithms.
7 Discussion
The results of both use cases are promising to
provide a set of sustainable policies to be adopted by
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
the smart city of Athens. Specifically, comparing
UC-I with UC-II regarding the dimension of the
spatial distance covered by the fleet of trucks we can
observe that values observed in UC-II are more
robust compared with experimental values observed
in UC-I accordingly. Concretely, it should be noted
that in Figure 3, UC-II is optimal compared with
UC-I according to the spatial distance covered with
regard to the increasing discrete values of
experimental iterations. This is observed due to the
fact that UC-II achieves to covers less spatial
distance than UC-I. This is explained by the fact that
delivering medical COVID-19 vaccines by
dedicated trucks to certain sectors in the city is more
robust compared with the massive transportation of
the COVID-19 vaccines to the whole smart city
without segmentation of the city into adequate
sectors. In addition, the emergence of routing
problems due to labor work or an accident on the
road affects the traffic load in the whole city rather
than just a small sector. In the last case, such
problems are solved locally by incorporating UC-II
instead of UC-I without affecting the massive fleet
of trucks during their time-sensitive operation.
It should be noted that both use cases have a
dynamic nature in computing the inferred routing
vectors to be used by the incorporated vaccination
trucks in the city. Specifically, in the case of UC-I
inferred routes might be relatively more stable in
time since trucks have a dedicated schedule.
However, even in such a case, a change in delivery
to a certain vaccination center is highly possible,
which is able to reactivate the UC-I model to
provide new dynamic routes for the engaging trucks
of the whole city according to their current positions
in the smart city. Concretely, UC-I is less efficient
since it is executed based on a centralized concept,
which may not be efficient enough when having to
compute an integrated route trajectory for all the
trucks. Intuitively, in the case of UC-II, it has
adopted a distributed architecture, which is more
flexible in emerging routing inefficiencies during
truck visits to deliver vaccines in certain centers. In
such a case distributed nature of municipality-
defined sectors provides a more robust trajectory
routing vector required to serve the upcoming needs
of the sectors’ vaccination units. Subsequently, the
adopted research effort has taken into consideration
that the mobility of assigned trucks is supported by
smart city policies to provide priorities to the fleet of
trucks. Since such policies are applied horizontally
to the smart city infrastructure proposed models
were executed based on equally input transportation
conditions.
Concretely, the temporal distance required by
the fleet of trucks either in UC-I or in UC-II is
relational and affected by the spatial distance
covered. Specifically, it should be noted that in
Figure 4, UC-II is optimal compared with UC-I
according to the temporal distance required with
regard to the increasing discrete values of
experimental iterations. This is explained due to the
fact that UC-II achieves to requires less temporal
distance than UC-I. In addition, road network
problems such as traffic bottlenecks in certain areas
of the city increase the values of temporal distance,
which should be as minimal as possible to avoid
loss of COVID-19 vaccines due to road network
latencies. So, localizing the distribution problem
incorporating city sectors has the positive impact of
less time required to deliver the vaccines observed
in UC-II which results in the robustness of UC-II
compared with UC-I regarding the temporal
experimental parameter. Another relation exists in
the comparison between the fuel consumption
observed by both use cases. Subsequently, it should
be noted that in Figure 5, UC-II is optimal compared
with UC-I according to the fuel consumption
required with regard to the increasing discrete
values of experimental iterations. This is explained
due to the fact that UC-II achieves to requires less
fuel consumption than UC-I. It holds that high
values of the spatial and temporal distance
parameters of UC-I lead to an inefficient use case
compared to low values of temporal and distance
parameters observed in the case of UC-II. So, it
holds that fuel consumption is more efficient in the
case of UC-II than that of UC-I based on the
observed results.
Subsequently, the total cost spent in Euros for
UC-I is much more than the amount of money spent
in the case of UC-II. Concretely, it should be noted
that in Figure 6, UC-II is optimal compared with
UC-I according to the total amount of cost spent
with regard to the increasing discrete values of
experimental iterations. This is observed due to the
fact that UC-II achieves to spent less total amount of
cost than UC-I. This is explained, by more fuel
consumption levels observed by high values of
spatial and temporal distances in the case of UC-I.
In addition, this fact leads to a more robust
efficiency of UC-II compared to UC-I, with regards
to the adopted sustainable and green supply chain
system for COVID-19 vaccine delivery. Concretely,
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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more fuel consumed in the case of UC-I results in
more CO2 emissions produced in this case.
Intuitively, it should be noted that in Figure 7, UC-II
is optimal compared with UC-I according to the
CO2 emissions produced with regard to the
increasing discrete values of experimental iterations.
This is explained due to the fact that UC-II achieves
to produces less CO2 emissions than UC-I. Since in
case UC-II fuel consumption is less than UC-I,
observed results by the experiments indicate that
UC-II is more robust compared to UC-I with regards
to the proposed system’s effectiveness. However, in
case the total CPU execution time is required by
both use cases, it holds that UC-I is better than that
of UC-II. Concretely, it should be noted that in
Figure 8, UC-I is optimal compared with UC-II
according to the CPU execution time required with
regard to the increasing discrete values of
experimental iterations. This is observed due to the
fact that UC-I achieves to requires less CPU
execution time than UC-II. This is explained by
comparing the time computational complexities of
the two use cases’ adopted algorithms. Specifically,
in the case of UC-I proposed global algorithm has
less time computational complexity than that
required by the UC-II local routing algorithm. We
expected this result since the local routing of UC-II
has to take into consideration more computational
inputs to produce a route for the available trucks
assigned per sector. Instead, the global routing of
UC-I is more lightweight compared to the local
routing of UC-II.
Concretely, it seems that there are two choices
for the smart city’s Greek Ministry of Health
headquarters control center. In addition, it should be
noted that the proposed system exploits the benefits
of having real-time information to schedule each of
the adopted use cases to focus on supply chain
management. Such a system design raises the need
to consider the COVID-19 pandemic as both a
social and technical problem. Experiments on UC-I
and UC-II are mainly focused on covering citizens’
well-being needs. Cost-benefit analysis is performed
as a factor, which balances the trade-off between
social impacts in daily life on one side as well as
technical soundness and operability on the other
side. To explain such a concept, it is crucial to
examine both use cases with regard to certain cost
indicators like values relevant to CPU time
complexity, spatial distance, temporal distance,
fuels, CO2 emissions, and cost spend. Intuitively,
the first choice indicates that the control center will
use UC-I to observe low values of CPU time
complexity required but have high values of spatial
distance covered, temporal distance required, fuel
consumed, total cost spent in Euros, and total CO2
emissions produced. The opposite holds in case the
second choice where will hold if the control center
adopts UC-II. In this case CPU time complexity
required is high but the rest of the parameter
quantities are low. It is at the discretion of the Greek
Ministry of Health to decide which of the two
policies, P-I and P-II, is better for adoption for
supporting a sustainable and green supply chain to
deliver COVID-19 vaccines to vaccination centers
in the smart city of Athens by the significant support
of adopted trucks. Overall smart city’s control
center will decide, which use case to adopt based on
certain priorities that emerged upon the proposed
parameters.
8 Conclusions and Future Work
A supported supply chain technology is proposed in
this paper, which incorporates two separate use
cases to treat vaccines during their transport to the
city. The first use case, UC-I, assumes that the smart
city supply chain management area is flat, which
means that a truck can collect a load of vaccines and
transport them in any area within the city. In the
case of the second use case, UC-II, it is assumed
that the city is divided into certain sectors, and
trucks are assigned to serve certain sectors. Supply
chain technology is assessed by incorporating
certain evaluation parameters for both use cases,
such as spatial and temporal distance, fuel
consumption, cost of routes in Euros, and efficiency
of sustainable global and local routing algorithms to
assist the vaccination delivery process with regard to
algorithms' time complexity. Observed results state
that UC-II is better than UC-I compared with
spatial, temporal, fuel, and cost parameters.
However, UC-I achieves better results regarding the
time complexity parameter.
An alternative conventional delivery priority,
which will be based on same-day delivery of online
vaccine orders by certain vaccination centers could
be supported in a future quarantine of an emerging
pandemic. Such a delivery priority should exploit
the AMAZON routing trajectory, which is based on
Unmanned Aerial Vehicles (UAV) technology.
Concretely, future routing might face rapidly
changing congestion in the potential routes, while
simultaneously incorporating real-time information
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DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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Volume 20, 2023
to provide a decisive vaccination delivery service.
It is suggested that it is at the discretion of the
smart city headquarters’ control center to choose,
which of the two use cases will be incorporated
according to its priorities upon the proposed
parameters. Future work should focus on how to
evaluate lessons learned from covid-19 pandemic to
be ready to face a possibly emerging new pandemic
in the near future. In addition, in the future more
social and economic contexts should be exploited to
provide a robust cost-benefit analysis based on the
adopted use cases. Information like this might be
provided by running the adopted models for a
certain amount of time in real conditions to gain
more inside into the proposed healthcare city
infrastructure. Such economic analysis would focus
on smart city challenges to provide the Greek
Ministry of Health headquarters the information
required to decide if adopting UC-I and UC-II
capabilities into their control center is meaningful
regarding relative cost requirements. Humanity after
the coronavirus pandemic is wiser and acts more
rationally to protect its offspring and the next
generation of humankind. Green and sustainable
supply chain and vaccine stock system technology
should be further evaluated with continuous
domain-specific research to be ready for the next
time their services should be needed for the sake of
humanity’s healthcare and safety.
We conclude the paper by summarizing the
proposed research impact of the current study.
Specifically, it has been performed analytical
exploitation of state-of-the-art contemporary
research in the domain. In addition, it has been
described in deep detail the proposed supply chain
system, while has been exploited the adopted
architecture based on two separate use cases for
system experimentation. Subsequently, it has been
presented the system parameters used to input
supported infrastructure. Concretely, it has been
adopted two vaccination routing algorithms, namely
global and local, to support vaccination distribution
in the smart city of Athens, while it has been
evaluated experimentally the proposed supply chain
system architecture with regards to the adopted use
cases’ routing algorithms. Subsequently, it has been
performed in-depth discussion on the observed
results of the research effort, and finally, it has been
proposed future research work required by the
domain experts to be ready to face an emerging
pandemic in the near future.
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Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
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WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
2600
Volume 20, 2023
Contribution of Individual Authors to the
Creation of a Scientific Article (Ghostwriting
Policy)
- Theodoros Anagnostopoulos and Michail Ploumis
were the main authors and were responsible for
the conceptualization, the writing of the original
project, the investigation, the statistics, the formal
analysis, the resources, the software, the
methodology, and the visualization.
- Alkinoos Psarras and Faidon Komisopoulos were
responsible for the conceptualization, the
methodology, the resources, and the writing
review & editing.
- Ioannis Salmon and Klimis Ntalianis were
responsible for the review of the statistics, the
methodology, the validation, the supervision, and
the writing review & editing.
- S.R. Jino Ramson was responsible for the
methodology, the supervision, the project
administration, the writing review & editing, and
the funding acquisition.
Sources of Funding for Research Presented in a
Scientific Article or Scientific Article Itself
This research was funded by the Master of Business
Administration (MBA) of the Department of
Business Administration at the University of West
Attica, Greece.
Conflict of Interest
The authors have no conflicts of interest to declare.
Creative Commons Attribution License 4.0
(Attribution 4.0 International, CC BY 4.0)
This article is published under the terms of the
Creative Commons Attribution License 4.0
https://creativecommons.org/licenses/by/4.0/deed.en
_US
WSEAS TRANSACTIONS on BUSINESS and ECONOMICS
DOI: 10.37394/23207.2023.20.221
Theodoros Anagnostopoulos,
Michail Ploumis, Alkinoos Psarras,
Faidon Komisopoulos, Ioannis Salmon,
Klimis Ntalianis, S. R. Jino Ramson
E-ISSN: 2224-2899
2601
Volume 20, 2023