The paradigm for compartment models in epidemiology assumes exponentially distributed incubation and removal times, which is not realistic in actual populations. Commonly used variations with multiple exponentially distributed variables are more flexible, yet do not allow for arbitrary distributions. We present a new formulation, focussing on the SEIR concept that allows to include general distributions of incubation and removal times. We compare the solution to two types of agent-based model simulations, a spatially homogeneous one where infection occurs by proximity, and a model on a scale-free network with varying clustering properties, where the infection between any two agents occurs via their link if it exists. We find good agreement in both cases. Furthermore a family of asymptotic solutions of the equations is found in terms of a logistic curve, which after a non-universal time shift, fits extremely well all the microdynamical simulations. The formulation allows for a simple numerical approach; software in Julia and Python is provided.
In this paper, we show how to modify a compartmental epidemic model, without changing the dimension, such that separable static heterogeneity is taken into account. The derivation is based on the Kermack-McKendrick renewal equation.
Based on the classical SIR model, we derive a simple modification for the dynamics of epidemics with a known incubation period of infection. The model is described by a system of integro-differential equations. Parameters of our model directly related to epidemiological data. We derive some analytical results, as well as perform numerical simulations. We use the proposed model to analyze COVID-19 epidemic data in Armenia. We propose a strategy: organize a quarantine, and then conduct extensive testing of risk groups during the quarantine, evaluating the percentage of the population among risk …
In this work, we have developed a Coxian distributed SEIR model in incorporating an empirical incubation period. We show that the global dynamics are completely determined by a basic reproduction number. An application of the Coxian distributed SEIR model using data of an empirical incubation period is explored. The model may be useful for resolving causing the realistic intrinsic parts in classical epidemic models since Coxian distribution approximately converges to any distribution.
In Fall 2020, several European countries reported rapid increases in COVID-19 cases along with growing estimates of the effective reproduction rates. Such an acceleration in epidemic spread is usually attributed to time-dependent effects, e.g. human travel, seasonal behavioral changes, mutations of the pathogen etc. In this case however the acceleration occurred when counter measures such as testing and contact tracing exceeded their capacity limit. Considering Austria as an example, here we show that this dynamics can be captured by a time-independent, i.e. autonomous, compartmental model tha…
To reduce the biases of traditional survey-based methods, this paper proposes an epidemic model-based approach to inference the incubation period distribution of COVID-19 utilizing the publicly reported confirmed case number. We construct an epidemic model, namely SEAIR, and take advantage of the dynamic transmission process depicted by SEAIR to estimate the onset probability in each day of exposed individuals in eight impacted countries. Based on these estimations, the general incubation probability distribution of COVID-19 has been revealed. The proposed method can avoid several biases of tr…
Modelling SARS-CoV-2 epidemics via compartmental and cellular automaton SEIRS model with temporal immunity and vaccination
Yukhnovskii Institute for Condensed Matter Physics of the National Academy of Sciences of Ukraine（乌克兰国家科学院尤赫诺夫斯基凝聚态物理研究所）；Institute of Applied Mathematics and Fundamental Sciences, Lviv Polytechnic National University（利沃夫国立理工大学应用数学与基础科学研究所）
This paper presents a novel extension of the edge-based compartmental model for epidemics with arbitrary distributions of transmission and recovery times. Using the message passing approach we also derive a new pairwise-like model for epidemics with Markovian transmission and an arbitrary recovery period. The new pairwise-like model allows one to formally prove that the message passing and edge-based compartmental models are equivalent in the case of Markovian transmission and arbitrary recovery processes. The edge-based and message passing models are conjectured to also be equivalent for arbi…
We discuss the failure of monotonicity properties for even simple compartmental epidemic models, for the case where transmission rates are non-constant. We also identify a special case in which monotonicity holds.
Compartmental epidemic models have been widely used for predicting the course of epidemics, from estimating the basic reproduction number to guiding intervention policies. Studies commonly acknowledge these models' assumptions but less often justify their validity in the specific context in which they are being used. Our purpose is not to argue for specific alternatives or modifications to compartmental models, but rather to show how assumptions can constrain model outcomes to a narrow portion of the wide landscape of potential epidemic behaviors. This concrete examination of well-known models…
Assessing the performance of compartmental and renewal models for learning $R_{t}$ using spatially heterogeneous epidemic simulations on real geographies
Nowcasting and forecasting of epidemic spreading rely on incidence series of reported cases to derive the fundamental epidemiological parameters for a given pathogen. Two relevant drawbacks for predictions are the unknown fractions of undocumented cases and levels of nonpharmacological interventions, which span highly heterogeneously across different places and times. We describe a simple data-driven approach using a compartmental model including asymptomatic and presymptomatic contagions that allows to estimate both the level of undocumented infections and the value of effective reproductive …
Mathematical models are often regarded as recent innovations in the description and analysis of infectious disease outbreaks and epidemics, but simple models have been in use for projection of epidemic trajectories for more than a century. We recently described a single equation model (the incidence decay with exponential adjustment, or IDEA, model) that can be used for short term forecasting. In the mid-19th century, Dr. William Farr developed a single equation approach (Farr's law) for epidemic forecasting. We show here that the two models are in fact identical, and can be expressed in terms…
The adoption of containment measures to reduce the amplitude of the epidemic peak is a key aspect in tackling the rapid spread of an epidemic. Classical compartmental models must be modified and studied to correctly describe the effects of forced external actions to reduce the impact of the disease. The importance of social structure, such as the age dependence that proved essential in the recent COVID-19 pandemic, must be considered, and in addition, the available data are often incomplete and heterogeneous, so a high degree of uncertainty must be incorporated into the model from the beginnin…
The importance of spatial networks in the spread of an epidemic is an essential aspect in modeling the dynamics of an infectious disease. Additionally, any realistic data-driven model must take into account the large uncertainty in the values reported by official sources, such as the amount of infectious individuals. In this paper we address the above aspects through a hyperbolic compartmental model on networks, in which nodes identify locations of interest, such as cities or regions, and arcs represent the ensemble of main mobility paths. The model describes the spatial movement and interacti…
The duration, type and structure of connections between individuals in real-world populations play a crucial role in how diseases invade and spread. Here, we incorporate the aforementioned heterogeneities into a model by considering a dual-layer static-dynamic multiplex network. The static network layer affords tunable clustering and describes an individual's permanent community structure. The dynamic network layer describes the transient connections an individual makes with members of the wider population by imposing constant edge rewiring. We follow the edge-based compartmental modelling app…
IMT School for Advanced Studies Lucca（卢cca高等研究院）；TREE-TOWER S.R.L.（TREE-TOWER有限责任公司）
Computational models for the simulation of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic evolution would be extremely useful to support authorities in designing healthcare policies and lockdown measures to contain its impact on public health and economy. In Italy, the devised forecasts have been mostly based on a pure data-driven approach, by fitting and extrapolating open data on the epidemic evolution collected by the Italian Civil Protection Center. In this respect, SIR epidemiological models, which start from the description of the nonlinear interactions between…
In order to model an epidemic, different approaches can be adopted. Mainly, the deterministic approach and the stochastic one. Recently, a large amount of literature has been published using the two approaches. The aim of this paper is to illustrate the usual framework used for commonly adopted compartmental models in epidemiology and introduce variant analytic and numerical tools that interfere on each one of those models, as well as the general related types of existing, ongoing and future possible contributions.
A model of an Ebola epidemic is developed with infected individuals structured according to disease age. The transmission of the infection is tracked by disease age through an initial incubation (exposed) phase, followed by an infectious phase with variable transmission infectiousness. The removal of infected individuals is dependent on disease age, with three types of removal rates: (1) removal due to hospitalization (isolation), (2) removal due to mortality separate from hospitalization, and (3) removal due to recovery separate from hospitalization. The model is applied to the Ebola epidemic…
In this paper, we show that many structured epidemic models may be described using a straightforward product structure. Such products, derived from products of directed graphs, may represent useful refinements including geographic and demographic structure, age structure, gender, risk groups, or immunity status. Extension to multi-strain dynamics, i.e. pathogen heterogeneity, is also shown to be feasible in this framework. Systematic use of such products may aid in model development and exploration, can yield insight, and could form the basis of a systematic approach to numerical structural se…
It is of vital importance to understand and track the dynamics of rapidly unfolding epidemics. The health and economic consequences of the current COVID-19 pandemic provide a poignant case. Here we point out that since they are based on differential equations, the most widely used models of epidemic spread are plagued by an approximation that is not justified in the case of the current COVID-19 pandemic. Taking the example of data from New York City, we show that currently used models significantly underestimate the initial basic reproduction number ($R_0$). The correct description, based on i…
This paper gives an introduction to rule-based modelling applied to topics in infectious diseases. Rule-based models generalise reaction-based models with reagents that have internal state and may be bound together to form complexes, as in chemistry. Rule-based modelling is directly transferable from molecular biology to epidemiology and allows us to express a broad class of models for processes of interest in epidemiology that would not otherwise be feasible in compartmental models. This includes dynamics commonly found in compartmental models such as the spread of a virus from an infectious …
Stochastic compartmental models are important tools for understanding the course of infectious diseases epidemics in populations and in prospective evaluation of intervention policies. However, calculating the likelihood for discretely observed data from even simple models -- such as the ubiquitous susceptible-infectious-removed (SIR) model -- has been considered computationally intractable, since its formulation almost a century ago. Recently researchers have proposed methods to circumvent this limitation through data augmentation or approximation, but these approaches often suffer from high …
Compartmental equations are primary tools in disease spreading studies. Their predictions are accurate for large populations but disagree with empirical and simulated data for finite populations, where uncertainties become a relevant factor. Starting from the agent-based approach, we investigate the role of uncertainties and autocorrelation functions in SIS epidemic model, including their relationship with epidemiological variables. We find new differential equations that take uncertainties into account. The findings provide improved predictions to the SIS model and it can offer new insights f…
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…
Over a year after the start of the COVID-19 epidemics, we are still facing the virus and it is hard to correctly predict its future spread over weeks to come, as well as the impacts of potential political interventions. Current epidemic models mainly fall in two approaches: compartmental models, divide the population in epidemiological classes and rely on the mathematical resolution of differential equations to give a macroscopic view of the epidemical dynamics, allowing to evaluate its spread a posteriori; agent-based models are computer models that give a microscopic view of the situation, s…
We consider the control of the COVID-19 pandemic through a standard SIR compartmental model. This control is induced by the aggregation of individuals' decisions to limit their social interactions: when the epidemic is ongoing, an individual can diminish his/her contact rate in order to avoid getting infected, but this effort comes at a social cost. If each individual lowers his/her contact rate, the epidemic vanishes faster, but the effort cost may be high. A Mean Field Nash equilibrium at the population level is formed, resulting in a lower effective transmission rate of the virus. We prove …
The recent coronavirus disease (COVID-19) outbreak has dramatically increased the public awareness and appreciation of the utility of dynamic models. At the same time, the dissemination of contradictory model predictions has highlighted their limitations. If some parameters and/or state variables of a model cannot be determined from output measurements, its ability to yield correct insights -- as well as the possibility of controlling the system -- may be compromised. Epidemic dynamics are commonly analysed using compartmental models, and many variations of such models have been used for analy…
The SEIR model is a compartmental model used to simulate the dynamics of an epidemic. In this chapter, we introduce two control functions in the compartmental SEIR model representing vaccination and plasma transfusion. Optimal control problems are proposed to study the effects of these two control measures, on the reduction of infected individuals and increase of recovered ones, with minimal costs. Up to our knowledge, the plasma transfusion treatment has never been considered as a control strategy for epidemics mitigation. The proposed vaccination and treatment strategies may have a real appl…
The state of the art of epidemic modelling in terrestrial ecosystems is the compartmental SIR model and its extensions from the now classical work of Kermack-Mackendrick. In contrast, epidemic modelling of marine ecosystems is a bit behind, and compartmental models have been introduced only recently. One of the reasons is that many epidemic processes in terrestrial ecosystems can be described through a contact process, while modelling marine epidemics is more subtle in many cases. Here we present a model describing disease outbreaks caused by parasites in bivalve populations. The SIRP model is…
Deterministic compartmental models have been used extensively in modeling epidemic propagation. These models are required to fit available data and numerical procedures are often implemented to this end. But not every model architecture is able to fit the data because the structure of the model imposes hard constraints on the solutions. We investigate in this work two such situations: first the distribution of transition times from a compartment to another may impose a variable number of intermediary states; secondly, a non-linear relationship between time-dependent measures of compartments si…
In this paper, we propose a continuous-time stochastic intensity model, namely, two-phase dynamic contagion process(2P-DCP), for modelling the epidemic contagion of COVID-19 and investigating the lockdown effect based on the dynamic contagion model introduced by Dassios and Zhao (2011). It allows randomness to the infectivity of individuals rather than a constant reproduction number as assumed by standard models. Key epidemiological quantities, such as the distribution of final epidemic size and expected epidemic duration, are derived and estimated based on real data for various regions and co…
After the introduction of drastic containment measures aimed at stopping the epidemic contagion from SARS-CoV2, many governments have adopted a strategy based on a periodic relaxation of such measures in the face of a severe economic crisis caused by lockdowns. Assessing the impact of such openings in relation to the risk of a resumption of the spread of the disease is an extremely difficult problem due to the many unknowns concerning the actual number of people infected, the actual reproduction number and infection fatality rate of the disease. In this work, starting from a compartmental mode…
We develop a minimalist compartmental model to study the impact of mobility restrictions in Italy during the Covid-19 outbreak. We show that an early lockdown shifts the epidemic in time, while that beyond a critical value of the lockdown strength, the epidemic tend to restart after lifting the restrictions. As a consequence, specific mitigation strategies must be introduced. We characterize the relative importance of different broad strategies by accounting for two fundamental sources of heterogeneity, i.e. geography and demography. First, we consider Italian regions as separate administrativ…
Epidemic spread in a population is traditionally modeled via compartmentalized models which represent the free evolution of disease in absence of any intervention policies. In addition, these models assume full observability of disease cases and do not account for under-reporting. We present a mathematical model, namely PolSIRD, which accounts for the under-reporting by introducing an observation mechanism. It also captures the effects of intervention policies on the disease spread parameters by leveraging intervention policy data along with the reported disease cases. Furthermore, we allow ou…
The outbreak of COVID-19 in 2020 has led to a surge in interest in the mathematical modeling of infectious diseases. Such models are usually defined as compartmental models, in which the population under study is divided into compartments based on qualitative characteristics, with different assumptions about the nature and rate of transfer across compartments. Though most commonly formulated as ordinary differential equation (ODE) models, in which the compartments depend only on time, recent works have also focused on partial differential equation (PDE) models, incorporating the variation of a…
Accurate modeling of lockdown effects on SARS-CoV-2 epidemic evolution is a key issue in order e.g. to inform health-care decisions on emergency management. The compartmental and spatial models so far proposed use parametric descriptions of the contact rate, often assuming a time-invariant effect of the lockdown. In this paper we show that these assumptions may lead to erroneous evaluations on the ongoing pandemic. Thus, we develop a new class of nonparametric compartmental models able to describe how the impact of the lockdown varies in time. Exploiting regularization theory, hospitalized dat…
We performed a thorough sensitivity analysis of the herd immunity threshold for discrete-time SIR compartmental models with a static network structure. We find unexpectedly that these models violate classical intuition which holds that the herd immunity threshold should monotonically increase with the transmission parameter. We find the existence of bifurcations in the herd immunity threshold in the high transmission probability regime. The extent of these bifurcations is modulated by the graph heterogeneity, the recovery parameter, and the network size. In the limit of large, well-mixed netwo…
A general framework for obtaining exact transition rate matrices for stochastic systems on networks is presented and applied to many well-known compartmental models of epidemiology. The state of the population is described as a vector in the tensor product space of $N$ individual probability vector spaces, whose dimension equals the number of compartments of the epidemiological model $n_c$. The transition rate matrix for the $n_c^N$-dimensional Markov chain is obtained by taking suitable linear combinations of tensor products of $n_c$-dimensional matrices. The resulting transition rate matrix …
