The spread of infectious epidemics is often accelerated by super-spreader events. Understanding their effect is important, particularly in the context of standard epidemiological models, which require estimates for parameters such as $R_0$. In this letter, we show that the effective value of $R_0$ in super-spreader situations is significantly large, of the order of hundreds, suggesting a delta-function-like behavior during the event. Use of a well-mixed room model supports these findings. They elucidate infection kinetic modeling in enclosed environments, which differ from the standard SIR model, and provide expressions for $R_0$ in terms of physical and operational parameters. The overall impact of super-spreader events can be significant, depending on the state of the epidemic and how the infections generated by the event subsequently spread in the community.
Knowing which individuals can be more efficient in spreading a pathogen throughout a determinate environment is a fundamental question in disease control. Indeed, over the last years the spread of epidemic diseases and its relationship with the topology of the involved system have been a recurrent topic in complex network theory, taking into account both network models and real-world data. In this paper we explore possible correlations between the heterogeneous spread of an epidemic disease governed by the susceptible-infected-recovered (SIR) model, and several attributes of the originating ve…
Effectiveness of probabilistic contact tracing in epidemic containment: the role of super-spreaders and transmission path reconstruction
Politecnico di Torino（都灵理工大学）；Italian Institute for Genomic Medicine（意大利基因组医学研究所）；Politecnico di Milano（米兰理工大学）；Universidad Complutense（康普顿斯大学）；Collegio Carlo Alberto（卡洛·阿尔贝托学院）
A key characteristic of the spread of infectious diseases is their ability to use efficient transmission paths within contact graphs. This enables the pathogen to maximise infection rates and spread within a target population. In this work, we devise techniques to localise infections and decrease infection rates based on a principled analysis of disease transmission paths within human-contact networks (proximity graphs). Experimental results of disease spreading shows that that at low visibility rates contact tracing slows disease spreading. However to stop disease spreading, contact tracing r…
In individual SARS-CoV-2 outbreaks, the count of confirmed cases and deaths follow a Gompertz growth function for locations of very different sizes. This lack of dependence on region size leads us to hypothesize that virus spread depends on universal properties of the network of social interactions. We test this hypothesis by simulating the propagation of a virus on networks of different topologies. Our main finding is that Gompertz growth observed for early outbreaks occurs only for a scale-free network, in which nodes with many more neighbors than average are common. These nodes that have ve…
In recent years, it became clear that super-spreader events play an important role, particularly in the spread of airborne infections. We investigate a novel model for super-spreader events, not based on a heterogeneous contact graph but on a random contact rate: Many individuals become infected synchronously in single contact events. We use the branching-process approach for contact tracing to analyze the impact of super-spreader events on the effect of contact tracing. Here we neglect a tracing delay. Roughly speaking, we find that contact tracing is more efficient in the presence of super-s…
Temporal networks are widely used to represent a vast diversity of systems, including in particular social interactions, and the spreading processes unfolding on top of them. The identification of structures playing important roles in such processes remains largely an open question, despite recent progresses in the case of static networks. Here, we consider as candidate structures the recently introduced concept of span-cores: the span-cores decompose a temporal network into subgraphs of controlled duration and increasing connectivity, generalizing the core-decomposition of static graphs. To a…
In stochastic modeling of infectious diseases, it has been established that variations in infectivity affect the probability of a major outbreak, but not the shape of the curves during a major outbreak, which is predicted by deterministic models [Diekmann et al., 2012]. However, such conclusions are derived under idealized assumptions such as the population size tending to infinity, and the individual degree of infectivity only depending on variations in the infectiousness period. In this paper we show that the same conclusions hold true in a finite population representing a medium size city, …
Methicillin-resistant Staphylococcus aureus (MRSA) is a difficult-to-treat infection that only in the European Union affects about 150,000 patients and causes extra costs of 380 million Euros annually to the health-care systems. Increasing efforts have been taken to mitigate the epidemics and to avoid potential outbreaks in low endemic settings. Understanding the population dynamics of MRSA through modeling is essential to identify the causal mechanisms driving the epidemics and to generalize conclusions to different contexts. We develop an innovative high-resolution spatiotemporal contact net…
I discuss the so-called SuperSpreader epidemic, for which SARS is the canonical examples (and, perhaps, MERS will be another). I use simulation by an agent-based model as well as the mathematics of multi-type branching-processes to illustrate how the SS epidemic differs from the more familiar uniform epidemic (e.g., caused by influenza). The conclusions may surprise the reader: (a) The SS epidemic must be described by at least two numbers, such as the mean reproductive number (of "secondary" cases caused by a "primary case"), R0, and the variance of same, call it V0; (b) Even if R0 > 1, if V0 …
A Nine-Compartment Nonlinear Epidemic Model with Spline-Based Identification of Time-Varying Transmission and Vaccination Dynamics: Application to the COVID-19 Third Wave in Italy
University of Palermo（巴勒莫大学）；University of Bayreuth（拜罗伊特大学）；Regional Health Care and Social Agency of Lodi, Azienda Socio-Sanitaria Territoriale (ASST) Lodi（洛迪地区卫生与社会服务机构，地方社会卫生企业（ASST）洛迪）；InEmbryo S.r.l.s.（InEmbryo有限公司）；Department of Internal Medicine “PROMISE”, University of Palermo（巴勒莫大学“PROMISE”内科学系）
In this paper we provide the derivation of a super compact pairwise model with only 4 equations in the context of describing susceptible-infected-susceptible (SIS) epidemic dynamics on heterogenous networks. The super compact model is based on a new closure relation that involves not only the average degree but also the second and third moments of the degree distribution. Its derivation uses an a priori approximation of the degree distribution of susceptible nodes in terms of the degree distribution of the network. The new closure gives excellent agreement with heterogeneous pairwise models th…
Network-based models of epidemic spread have become increasingly popular in recent decades. Despite a rich foundation of such models, few low-dimensional systems for modeling SIS-type diseases have been proposed that manage to capture the complex dynamics induced by the network structure. We analyze one recently introduced model and derive important epidemiological quantities for the system. We derive the epidemic threshold and analyze the bifurcation that occurs, and we use asymptotic techniques to derive an approximation for the endemic equilibrium when it exists. We consider the sensitivity…
On the base of logic discrete equations system mathematical modeling of COVID-19 epidemic spread was carried out in the world and in the countries with the largest number of infected people such as the USA, Brasil, Russia and India in the first half of 2020. It was shown that for the countries with strong restrictive measures the spread of COVID-19 fit on a single wave with small capacity as for a number of countries with violation of restrictive measures the spread of the epidemic fit on a waves superposition. For countries with large population mixing, the spread of the epidemic today also f…
The effects of demographic stochasticity in the long term behaviour of endemic infectious diseases have been considered for long as a necessary addition to an underlying deterministic theory. The latter would explain the regular behaviour of recurrent epidemics, and the former the superimposed noise of observed incidence patterns. Recently, a stochastic theory based on a mechanism of resonance with internal noise has shifted the role of stochasticity closer to the center stage, by showing that the major dynamic patterns found in the incidence data can be explained as resonant fluctuations, who…
So far most of the analysis of coronavirus 2020 epidemic data has been focusing on a short-time window and consequently a quantitative test of statistical physical laws of Coronavirus Epidemics with Containment Measures (CEwCM) is currently lacking. Here we report a quantitative analysis of CEwCM over 230 days, covering the full-time lapse of the first epidemic wave. We use a 3D phase diagram tracking the simultaneous evolution of the doubling time Td(t) and reproductive number Rt(t) showing that this expanded parameter space is needed for biological physics of CEwCP. We have verified that in …
Extended Kalman Filter-Based State Estimation for a Nine-Compartment Nonlinear Epidemic Model -- Convergence Analysis and In-Silico Benchmark Calibrated on the COVID-19 Third Wave in Italy
University of Palermo（巴勒莫大学）；InEmbryo S.r.l.s.（InEmbryo有限公司）
Here we propose and implement a generalized mathematical model to find the time evolution of population in infectious diseases and apply the model to study the recent COVID-19 pandemic. Our model at the core is a non-local generalization of the widely used Kermack-McKendrick(KM) model where the susceptible(S) population evolves into two other categories, namely infectives(I) and removed(R). This is the well-known SIR model in which we further divide both S and I into high and low risk categories. We first formulate a set of non-local dynamical equations for the time evolution of distinct popul…
The interplay of biological, social, structural and random factors makes disease forecasting extraordinarily complex. The course of an epidemic exhibits average growth dynamics determined by features of the pathogen and the population, yet also features significant variability reflecting the stochastic nature of disease spread. In this work, we reframe a stochastic branching process analysis in terms of probability generating functions and compare it to continuous time epidemic simulations on networks. In doing so, we predict the diversity of emerging epidemic courses on both homogeneous and h…
Pathogens can spread epidemically through populations. Beneficial contagions, such as viruses that enhance host survival or technological innovations that improve quality of life, also have the potential to spread epidemically. How do the dynamics of beneficial biological and social epidemics differ from those of detrimental epidemics? We investigate this question using three theoretical approaches. First, in the context of population genetics, we show that a horizontally-transmissible element that increases fitness, such as viral DNA, spreads superexponentially through a population, more quic…
Standard epidemic models based on compartmental differential equations are investigated under continuous parameter change as external forcing. We show that seasonal modulation of the contact parameter superimposed a monotonic decay needs a different description than that of the standard chaotic dynamics. The concept of snapshot attractors and their natural probability distribution has been adopted from the field of the latest climate-change-research to show the importance of transient effect and ensemble interpretation of disease spread. After presenting the extended bifurcation diagram of mea…
Most models of epidemic spread, including many designed specifically for COVID-19, implicitly assume mass-action contact patterns and undirected contact networks, meaning that the individuals most likely to spread the disease are also the most at risk to receive it from others. Here, we review results from the theory of random directed graphs which show that many important quantities, including the reproduction number and the epidemic size, depend sensitively on the joint distribution of in- and out-degrees ("risk" and "spread"), including their heterogeneity and the correlation between them. …
Effective contact tracing is crucial to contain epidemic spreading without disrupting societal activities especially in the present time of coexistence with a pandemic outbreak. Large gatherings play a key role, potentially favouring superspreading events. However, the effects of tracing in large groups have not been fully assessed so far. We show that beside forward tracing, which reconstructs to whom disease spreads, and backward tracing, which searches from whom disease spreads, a third "sideward" tracing is always present, when tracing gatherings. This is an indirect tracing that detects i…
This paper focuses on studying and understanding of stochastic dynamics in population composition when the population is subject to rumor spreading. We undertake the study by first developing an individual Susceptible-Exposed-Infectious-Removed (iSEIR) model, an extension of the SEIR model, for summarizing rumor-spreading behaviors of interacting groups in the population. With this iSEIR model, the interacting groups may be regarded as nodes in a multiplex network. Then various properties of the dynamic behaviors of the interacting groups in rumor spreading can be drawn from samples of the mul…
