We propose a novel data-driven framework for assessing the a-priori epidemic risk of a geographical area and for identifying high-risk areas within a country. Our risk index is evaluated as a function of three different components: the hazard of the disease, the exposure of the area and the vulnerability of its inhabitants. As an application, we discuss the case of COVID-19 outbreak in Italy. We characterize each of the twenty Italian regions by using available historical data on air pollution, human mobility, winter temperature, housing concentration, health care density, population size and age. We find that the epidemic risk is higher in some of the Northern regions with respect to Central and Southern Italy. The corresponding risk index shows correlations with the available official data on the number of infected individuals, patients in intensive care and deceased patients, and can help explaining why regions such as Lombardia, Emilia-Romagna, Piemonte and Veneto have suffered much more than the rest of the country. Although the COVID-19 outbreak started in both North (Lombardia) and Central Italy (Lazio) almost at the same time, when the first cases were officially certified at the beginning of 2020, the disease has spread faster and with heavier consequences in regions with higher epidemic risk. Our framework can be extended and tested on other epidemic data, such as those on seasonal flu, and applied to other countries. We also present a policy model connected with our methodology, which might help policy-makers to take informed decisions.
It has been known that epidemic outbreaks in the SIR model on networks are described by phase transitions. Despite the similarity with percolation transitions, whether an epidemic outbreak occurs or not cannot be predicted with probability one in the thermodynamic limit. We elucidate its mechanism by deriving a simple Langevin equation that captures an essential aspect of the phenomenon. We also calculate the probability of epidemic outbreaks near the transition point.
Epidemic spreading has been studied for a long time and most of them are focused on the growing aspect of a single epidemic outbreak. Recently, we extended the study to the case of recurrent epidemics (Sci. Rep. {\bf 5}, 16010 (2015)) but limited only to a single network. We here report from the real data of coupled regions or cities that the recurrent epidemics in two coupled networks are closely related to each other and can show either synchronized outbreak phase where outbreaks occur simultaneously in both networks or mixed outbreak phase where outbreaks occur in one network but do not in …
Motivated by recent epidemic outbreaks, including those of COVID-19, we solve the canonical problem of calculating the dynamics and likelihood of extensive outbreaks in a population within a large class of stochastic epidemic models with demographic noise, including the Susceptible-Infected-Recovered (SIR) model and its general extensions. In the limit of large populations, we compute the probability distribution for all extensive outbreaks, including those that entail unusually large or small (extreme) proportions of the population infected. Our approach reveals that, unlike other well-known …
At the moment of writing (12 February, 2020), the future evolution of the 2019-nCoV virus is unclear. Predictions of the further course of the epidemic are decisive to deploy targeted disease control measures. We consider a network-based model to describe the 2019-nCoV epidemic in the Hubei province. The network is composed of the cities in Hubei and their interactions (e.g., traffic flow). However, the precise interactions between cities is unknown and must be inferred from observing the epidemic. We propose a network-based method to predict the future prevalence of the 2019-nCoV virus in eve…
A mathematical model is proposed for quantitative description of the outbreak of novel coronavirus COVID-19 in China. Although the model is relatively simple, the comparison with the public data shows that an exact solution solution of the model (with the correctly-specified parameters) leads to the results, which are in good agreement with the measured data. Prediction of the total number of the COVID-19 cases is discussed and an example is presented using the measured data in Austria.
Assessing and managing the impact of large-scale epidemics considering only the individual risk and severity of the disease is exceedingly difficult and could be extremely expensive. Economic consequences, infrastructure and service disruption, as well as the recovery speed, are just a few of the many dimensions along which to quantify the effect of an epidemic on society's fabric. Here, we extend the concept of resilience to characterize epidemics in structured populations, by defining the system-wide critical functionality that combines an individual's risk of getting the disease (disease at…
We study the epidemic spreading process following contact dynamics with heavy-tailed waiting time distributions. We show both analytically and numerically that the temporal heterogeneity of contact dynamics can significantly suppress the disease's transmissibility, hence the size of epidemic outbreak, obstructing the spreading process. Furthermore, when the temporal heterogeneity is strong enough, one obtains the vanishing transmissibility for any finite recovery time and regardless of underlying structure of contacts, the condition of which was derived.
COVID-19 outbreaks have proven to be very difficult to isolate and extinguish before they spread out. An important reason behind this might be that epidemiological barriers consisting in stopping symptomatic people are likely to fail because of the contagion time before onset, mild cases and/or asymptomatics carriers. Motivated by these special COVID-19 features, we study a scheme for containing an outbreak in a city that consists in adding an extra firewall block between the outbreak and the rest of the city. We implement a coupled compartment model with stochastic noise to simulate a localiz…
Time varying susceptibility of host at individual level due to waning and boosting immunity is known to induce rich long-term behavior of disease transmission dynamics. Meanwhile, the impact of the time varying heterogeneity of host susceptibility on the shot-term behavior of epidemics is not well-studied, even though the large amount of the available epidemiological data are the short-term epidemics. Here we constructed a parsimonious mathematical model describing the short-term transmission dynamics taking into account natural-boosting immunity by reinfection, and obtained the explicit solut…
In the absence of other tools, monitoring the effects of protective measures, including social distancing and forecasting the outcome of outbreaks is of immense interest. Real-time data is noisy and very often hampered by systematic errors in reporting. Detailed epidemic models may contain a large number of empirical parameters, which cannot be determined with sufficient accuracy. In this paper, we show that the cumulative number of deaths can be regarded as a master variable, and the parameters of the epidemic such as the basic reproduction number, the size of the susceptible population, and …
During an infectious disease outbreak, biases in the data and complexities of the underlying dynamics pose significant challenges in mathematically modelling the outbreak and designing policy. Motivated by the ongoing response to COVID-19, we provide a toolkit of statistical and mathematical models beyond the simple SIR-type differential equation models for analysing the early stages of an outbreak and assessing interventions. In particular, we focus on parameter estimation in the presence of known biases in the data, and the effect of non-pharmaceutical interventions in enclosed subpopulation…
The COVID-19 pandemic poses challenges for continuing economic activity while reducing health risks. While these challenges can be mitigated through testing, testing budget is often limited. Here we study how institutions, such as nursing homes, should utilize a fixed test budget for early detection of an outbreak. Using an extended network-SEIR model, we show that given a certain budget of tests, it is generally better to test smaller subgroups of the population frequently than to test larger groups but less frequently. The numerical results are consistent with an analytical expression we der…
We discuss the generation of various reproduction ratios or numbers that are very useful to monitor an ongoing epidemic like Covid-19 and examine the effects of intervention measures. A detailed SEIR algorithm is described for their computation, with applications given to the current Covid-19 outbreaks in a number of countries (Argentina, Brazil, France, Italy, Mexico, Spain, UK and USA). The corresponding matlab script, complete and ready to use, is provided for free downloading.
Intent of this research is to explore how mathematical models, specifically Susceptible-Infected-Removed (SIR) model, can be utilized to forecast peak outbreak timeline of COVID-19 epidemic amongst a population of interest starting from the date of first reported case. Till the time of this research, there was no effective and universally accepted vaccine to control transmission and spread of this infection. COVID-19 primarily spreads in population through respiratory droplets from an infected person cough and sneeze which infects people who are in proximity. COVID-19 is spreading contagiously…
Recent literature has suggested that climate conditions have considerably significant influences on the transmission of coronavirus COVID-19. However, there is a lack of comprehensive study that investigates the relationships between multiple weather factors and the development of COVID-19 pandemic while excluding the impact of social factors. In this paper, we study the relationships between six main weather factors and the infection statistics of COVID-19 on 250 cities in Mainland China. Our correlation analysis using weather and infection statistics indicates that all the studied weather fa…
A central feature of an emerging infectious disease in a pandemic scenario is the spread through geographical scales and the impacts on different locations according to the adopted mitigation protocols. We investigated a stochastic epidemic model with the metapopulation approach in which patches represent municipalities. Contagion follows a stochastic compartmental model for municipalities; the latter, in turn, interact with each other through recurrent mobility. As a case of study, we consider the epidemic of COVID-19 in Brazil performing data-driven simulations. Properties of the simulated e…
In the Susceptible-Infectious-Recovered (SIR) model of disease spreading, the time to extinction of the epidemics happens at an intermediate value of the per-contact transmission probability. Too contagious infections burn out fast in the population. Infections that are not contagious enough die out before they spread to a large fraction of people. We characterize how the maximal extinction time in SIR simulations on networks depend on the network structure. For example we find that the average distances in isolated components, weighted by the component size, is a good predictor of the maximal…
The COVID-19 disease has forced countries to make a considerable collaborative effort between scientists and governments to provide indicators to suitable follow-up the pandemic's consequences. Mathematical modeling plays a crucial role in quantifying indicators describing diverse aspects of the pandemic. Consequently, this work aims to develop a clear, efficient, and reproducible methodology for parameter optimization, whose implementation is illustrated using data from three representative regions from Chile and a suitable generalized SIR model together with a fitted positivity rate. Our res…
We study a susceptible-infected-removed (SIR) model with multiple seeds on a regular random graph. Many researchers have studied the epidemic threshold of epidemic models above which a global outbreak can occur, starting from an infinitesimal fraction of seeds. However, there have been few studies of epidemic models with finite fractions of seeds. The aim of this paper is to clarify what happens in phase transitions in such cases. The SIR model in networks exhibits two percolation transitions. We derive the percolation transition points for the SIR model with multiple seeds to show that as the…
High impact epidemics constitute one of the largest threats humanity is facing in the 21st century. Testing, contact tracing and quarantining are critical in slowing down epidemic dynamics, but may prove insufficient for highly contagious diseases. In the absence of pharmaceutical interventions, physical distancing measures remain as the last resort to avoid a widespread outbreak. Here we show that such combined countermeasures drastically change the rules of the epidemic transition if testing capacities are limited: Instead of continuous the response to countermeasures becomes discontinuous a…
COVID-19 epidemics in Japan and Tokyo were analyzed by a fundamental equation of the dynamic phase transition. As a result, the epidemic was found to be in good agreement with the random nucleation and linear growth model suggesting that the epidemic between March 13, 2020 and May 22, 2020 was simply rate-limited by the three constant-parameters: the initial susceptible, domain growth rate, and nucleation decay constant. This model provides a good predictor of the epidemic because it consists of one equation and the initial specific plot is linear.
The adoption of prophylaxis attitudes, such as social isolation and use of face masks, to mitigate epidemic outbreaks strongly depends on the support of the population. In this work, we investigate a susceptible-infected-recovered (SIR) epidemic model, in which the epidemiological perception of the environment can adapt the behavior of susceptible individuals towards preventive behavior. {Two compartments of susceptible individuals are considered, to distinguish those that adopt or not prophylaxis attitudes.} Two rules, depending on local and global epidemic prevalence, for the spread of the e…
We propose a novel framework to study viral spreading processes in metapopulation models. Large subpopulations (i.e., cities) are connected via metalinks (i.e., roads) according to a metagraph structure (i.e., the traffic infrastructure). The problem of containing the propagation of an epidemic outbreak in a metapopulation model by controlling the traffic between subpopulations is considered. Controlling the spread of an epidemic outbreak can be written as a spectral condition involving the eigenvalues of a matrix that depends on the network structure and the parameters of the model. Based on …
We study Susceptible-Exposed-Asymptomatic-Infectious-Recovered (SEAIR) epidemic spreading model of COVID-19. It captures two important characteristics of the infectiousness of COVID-19: delayed start and its appearance before onset of symptoms, or even with total absence of them. The model is theoretically analyzed in continuous-time compartmental version and discrete-time version on random regular graphs and complex networks. We show analytically that there are relationships between the epidemic thresholds and the equations for the susceptible populations at the endemic equilibrium in all thr…
The Covid-19 outbreak of 2020 has required many governments to develop mathematical-statistical models of the outbreak for policy and planning purposes. This work provides a tutorial on building a compartmental model using Susceptibles, Exposed, Infected, Recovered and Deaths status through time. A Bayesian Framework is utilized to perform both parameter estimation and predictions. This model uses interventions to quantify the impact of various government attempts to slow the spread of the virus. Predictions are also made to determine when the peak Active Infections will occur.
The current outbreak of novel coronavirus disease 2019 (COVID-19) poses an unprecedented global health and economic threat to interconnected human societies. Until a vaccine is developed, strategies for controlling the outbreak rely on aggressive social distancing. These measures largely disconnect the social network fabric of human societies, especially in urban areas. Here, we estimate the growth rates and reproductive numbers of COVID-19 in US cities from March 14th through March 19th to reveal a power-law scaling relationship to city population size. This means that COVID-19 is spreading f…
Background: Wuhan, China was the epicenter of COVID-19 pandemic. The goal of current study is to understand the infection transmission dynamics before intervention measures were taken. Methods: Data and key events were searched through pubmed and internet. Epidemiological data were calculated using data extracted from a variety of data sources. Results: We established a timeline showing by January 1, 2020, Chinese authorities had been presented convincing evidence of human-to-human transmission; however, it was not until January 20, 2020 that this information was shared with the public. Our st…
Drug resistance and strong contacts actually play crucial roles in epidemic spread in complex systems. Nevertheless, neither theoretical model or methodology is proposed to address this. We thus consider an edge-based epidemic spread model considering the two key ingredients, in which the contacts are grouped into two classes: strong contacts and normal ones. Next, we present a unified edge-based compartmental approach to the spread dynamics on Erdös-Rényi (ER) networks and validate its results by extensive numerical simulations. In case that epidemic is totally drug-resistant, we both numeric…
I employ a simple mathematical model of an epidemic process to evaluate how four basic quantities: the reproduction number (R), the numbers of sensitive (S) and infectious individuals(I), and total community size (N) affect strategies to control COVID-19. Numerical simulations show that strict suppression measures at the beginning of an epidemic can create low infectious numbers, which thereafter can be managed by mitigation measures over longer periods to flatten the epidemic curve. The stronger the suppression measure, the faster it achieves the low numbers of infections that are conducive t…
Standard epidemic models exhibit one continuous, second order phase transition to macroscopic outbreaks. However, interventions to control outbreaks may fundamentally alter epidemic dynamics. Here we reveal how such interventions modify the type of phase transition. In particular, we uncover three distinct types of explosive phase transitions for epidemic dynamics with capacity-limited interventions. Depending on the capacity limit, interventions may (i) leave the standard second order phase transition unchanged but exponentially suppress the probability of large outbreaks, (ii) induce a first…
The dynamics of epidemics depend on how people's behavior changes during an outbreak. At the beginning of the epidemic, people do not know about the virus, then, after the outbreak of epidemics and alarm, they begin to comply with the restrictions and the spreading of epidemics may decline. Over time, some people get tired/frustrated by the restrictions and stop following them (exhaustion), especially if the number of new cases drops down. After resting for a while, they can follow the restrictions again. But during this pause the second wave can come and become even stronger then the first on…
We study implications of the dynamical and spatial contact structure between Brazilian escorts and sex-buyers for the spreading of sexually transmitted infections (STI). Despite a highly skewed degree distribution diseases spreading in this contact structure have rather well-defined epidemic thresholds. Temporal effects create a broad distribution of outbreak sizes even if the transmission probability is taken to the hypothetical value of 100%. Temporal correlations speed up outbreaks, especially in the early phase, compared to randomized contact structures. The time-ordering and the network t…
The recent outbreak of COVID-19 in Mainland China is characterized by a distinctive algebraic, sub-exponential increase of confirmed cases during the early phase of the epidemic, contrasting an initial exponential growth expected for an unconstrained outbreak with sufficiently large reproduction rate. Although case counts vary significantly between affected provinces in Mainland China, the scaling law $t^μ$ is surprisingly universal, with a range of exponents $μ=2.1\pm0.3$. The universality of this behavior indicates that despite social, regional, demographical, geographical, and socio-economi…
We present a compartmental mathematical model with demography for the spread of the COVID-19 disease, considering also asymptomatic infectious individuals. We compute the basic reproductive ratio of the model and study the local and global stability for it. We solve the model numerically based on the case of Italy. We propose a vaccination model and we derive threshold conditions for preventing infection spread in the case of imperfect vaccines.
The basic reproduction number R0 -- the number of individuals directly infected by an infectious person in an otherwise susceptible population -- is arguably the most widely used estimator of how severe an epidemic outbreak can be. This severity can be more directly measured as the fraction people infected once the outbreak is over, Ω. In traditional mathematical epidemiology and common formulations of static network epidemiology, there is a deterministic relationship between R0 and Ω. However, if one considers disease spreading on a temporal contact network -- where one knows when contacts ha…
We analyse the data for the global corona virus (COVID-19) outbreak using the results of a previously studied Susceptible-Infected-Removed (SIR) model of epidemic spreading on Euclidean networks. We also directly study the correlation of the distance from the epicenter and the number of cases. An inverse square law is seen to exist approximately. The studies are made for China and the rest of the world separately.
We consider the problem of controlling the propagation of an epidemic outbreak in an arbitrary contact network by distributing vaccination resources throughout the network. We analyze a networked version of the Susceptible-Infected-Susceptible (SIS) epidemic model when individuals in the network present different levels of susceptibility to the epidemic. In this context, controlling the spread of an epidemic outbreak can be written as a spectral condition involving the eigenvalues of a matrix that depends on the network structure and the parameters of the model. We study the problem of finding…
To understand the contact patterns of a population -- who is in contact with whom, and when the contacts happen -- is crucial for modeling outbreaks of infectious disease. Traditional theoretical epidemiology assumes that any individual can meet any with equal probability. A more modern approach, network epidemiology, assumes people are connected into a static network over which the disease spreads. Newer yet, temporal network epidemiology, includes the time in the contact representations. In this paper, we investigate the effect of these successive inclusions of more information. Using empiri…
This paper investigates the effect of the structure of the contact network on the dynamics of the epidemic outbreak. In particular, we focus on the peak number of critically infected nodes (PCIN), determining the maximum workload of intensive healthcare units which should be kept low. As a model and simulation method, we develop a continuous-time Markov chain (CTMC) model and an efficient simulation-based on Gillespie's Stochastic Simulation Algorithm (SSA). This methods combine a realistic approximation of the stochastic process not relying on the assumptions of mean-field models and large as…
A configuration model for epidemic spread, based on a scale-free network, is introduced. We obtain the analytical solutions describing both unstable and stable dynamics of the epidemic spreading, and demonstrate how these regimes can interchange during the epidemic. We apply the model to the COVID-19 case and demonstrate the predictive features of our model.
The coronavirus disease 2019 (COVID-19) had caused more that 8 million infections as of middle June 2020. Recently, Brazil has become a new epicentre of COVID-19, while India and African region are potential epicentres. This study aims to predict the inflection point and outbreak size of these new/potential epicentres at the early phase of the epidemics by borrowing information from more `mature' curves from other countries. We modeled the cumulative cases to the well-known sigmoid growth curves to describe the epidemic trends under the mixed-effect models and using the four-parameter logistic…
Predicting the viral dynamics of an epidemic process requires the knowledge of the underlying contact network. However, the network is not known for most applications and has to be inferred from observing the viral state evolution instead. We propose a polynomial-time network reconstruction algorithm for the discrete-time NIMFA model based on a basis pursuit formulation. Given only few initial viral state observations, the network reconstruction method allows for an accurate prediction of the further viral state evolution of every node provided that the network is sufficiently sparse.
The problem of targeted network immunization can be defined as the one of finding a subset of nodes in a network to immunize or vaccinate in order to minimize a tradeoff between the cost of vaccination and the final (stationary) expected infection under a given epidemic model. Although computing the expected infection is a hard computational problem, simple and efficient mean-field approximations have been put forward in the literature in recent years. The optimization problem can be recast into a constrained one in which the constraints enforce local mean-field equations describing the averag…
This letter investigates the epidemic spreading in two-vectors propagation network (TPN). We propose detailed theoretical analysis that allows us to accurately calculate the epidemic threshold and outbreak size. It is found that the epidemics can spread across the TPN even if two sub-single-vector propagation networks (SPNs) of TPN are well below their respective epidemic thresholds. Strong positive degree-degree correlation of nodes in TPN could lead to a much lower epidemic threshold and a relatively smaller outbreak size. However, the average similarity between the neighbors from different …
This letter investigates the multiple routes transmitted epidemic process on multiplex networks. We propose detailed theoretical analysis that allows us to accurately calculate the epidemic threshold and outbreak size. It is found that the epidemic can spread across the multiplex network even if all the network layers are well below their respective epidemic thresholds. Strong positive degree-degree correlation of nodes in multiplex network could lead to a much lower epidemic threshold and a relatively smaller outbreak size. However, the average similarity of neighbors from different layers of…
In this paper, we introduce a novel modeling framework for incorporating fear of infection and frustration with social distancing into disease dynamics. We show that the resulting SEIR behavior-perception model has three principal modes of qualitative behavior---no outbreak, controlled outbreak, and uncontrolled outbreak. We also demonstrate that the model can produce transient and sustained waves of infection consistent with secondary outbreaks. We fit the model to cumulative COVID-19 case and mortality data from several regions. Our analysis suggests that regions which experience a significa…
The COVID-19 pandemic has, worldwide and up to December 2020, caused over 1.7 million deaths, and put the world's most advanced healthcare systems under heavy stress. In many countries, drastic restrictive measures adopted by political authorities, such as national lockdowns, have not prevented the outbreak of new pandemic's waves. In this article, we propose an integrated detection-estimation-forecasting framework that, using publicly available data, is designed to: (i) learn relevant features of the pandemic (e.g., the infection rate); (ii) detect as quickly as possible the onset (or the ter…
University of Gothenburg(哥德堡大学);CNR-IPCF, Istituto per i Processi Chimico-Fisici(意大利国家研究委员会化学物理过程研究所)
Containment of epidemic outbreaks entails great societal and economic costs. Cost-effective containment strategies rely on efficiently identifying infected individuals, making the best possible use of the available testing resources. Therefore, quickly identifying the optimal testing strategy is of critical importance. Here, we demonstrate that machine learning can be used to identify which individuals are most beneficial to test, automatically and dynamically adapting the testing strategy to the characteristics of the disease outbreak. Specifically, we simulate an outbreak using the archetypa…
In a given country, the cumulative death toll of the first wave of the COVID-19 epidemic follows a sigmoid curve as a function of time. In most cases, the curve is well described by the Gompertz function, which is characterized by two essential parameters, the initial growth rate and the decay rate as the first epidemic wave subsides. These parameters are determined by socioeconomic factors and the countermeasures to halt the epidemic. The Gompertz model implies that the total death toll depends exponentially, and hence very sensitively, on the ratio between these rates. The remarkably differe…
From late December, 2019, the novel Corona-Virus began to spread in the mainland of China. For predicting the trend of the Corona Virus spread, several time delay dynamic systems (TDD) are proposed. In this paper, we establish a novel fractional time delay dynamic system (FTDD) to describe the local outbreak of COVID-19. The fractional derivative is introduced to account for the sub-diffusion process of the confirmed and cured peoples growth. Based on the public health data by the government, we propose a stable reconstruction algorithm of the coefficients. The reconstructed coefficients are u…
This manuscript proposes a model of $n$ distinct populations interaction structured SEIR to describe the spread of COVID-19 pandemic diseases. The proposed model has the flexibility to include geographically separated communities as well as taking into account aging population groups and their interactions. We show that distinct assumptions on the dynamics of the proposed model lead to a plateau-like curve of the infected population, reflecting collected data from large countries like Brazil. Such observations aim to the following conjecture: " Covid-19 diseased diffusion from the capitals to …
The prediction of spread patterns of COVID19 virus in India is very difficult due to its versatile demographic as well as meteorological data distribution. Various researchers across the globe have attempted to correlate the interdependency of these data with the spread pattern of COVID19 cases in India. But it is hard to predict the exact pattern, especially the peak in the number of active cases. In the present article we have tried to predict the number of active, recovered, death and total cases of COVID19 in India using generalized SEIR model. In our prediction, the occurrence of peak in …
We use daily data from Lombardy, the Italian region most affected by the COVID-19 outbreak, to calibrate a SIR model individually on each municipality. These are all covered by the same health system and, in the post-lockdown phase we focus on, all subject to the same social distancing regulations. We find that municipalities with a higher number of cases at the beginning of the period analyzed have a lower rate of diffusion, which cannot be imputed to herd immunity. In particular, there is a robust and strongly significant negative correlation between the estimated basic reproduction number (…
We present a finite-size scaling theory of a contact process with permanent immunity on uncorrelated scale-free networks. We model an epidemic outbreak by an analog of the susceptible-infected-removed model where an infected individual attacks only one susceptible in a time unit in a way we can expect a non-vanishing critical threshold at scale-free networks. As we already know, the susceptible-infected-removed model can be mapped in a bond percolation process, allowing us to compare the critical behavior of site and bond universality classes on networks. We used the external field finite-scal…
We introduce a theoretical framework that highlights the impact of physical distancing variables such as human mobility and physical proximity on the evolution of epidemics and, crucially, on the reproduction number. In particular, in response to the coronavirus disease (CoViD-19) pandemic, countries have introduced various levels of 'lockdown' to reduce the number of new infections. Specifically we use a collisional approach to an infection-age structured model described by a renewal equation for the time homogeneous evolution of epidemics. As a result, we show how various contributions of th…