A computational framework for modelling infectious disease policy based on age and household structure with applications to the COVID-19 pandemic
Joe Hilton, Heather Riley, Lorenzo Pellis, Rabia Aziza, Samuel P. C. Brand, Ivy K. Kombe, John Ojal, Andrea Parisi, Matt J. Keeling, D. James Nokes, Robert Mans… 展开作者
Joe Hilton, Heather Riley, Lorenzo Pellis, Rabia Aziza, Samuel P. C. Brand, Ivy K. Kombe, John Ojal, Andrea Parisi, Matt J. Keeling, D. James Nokes, Robert Manson-Sawko, Thomas House
The widespread, and in many countries unprecedented, use of non-pharmaceutical interventions (NPIs) during the COVID-19 pandemic has highlighted the need for mathematical models which can estimate the impact of these measures while accounting for the highly heterogeneous risk profile of COVID-19. Models accounting either for age structure or the household structure necessary to explicitly model many NPIs are commonly used in infectious disease modelling, but models incorporating both levels of structure present substantial computational and mathematical challenges due to their high dimensionality. Here we present a modelling framework for the spread of an epidemic that includes explicit representation of age structure and household structure. Our model is formulated in terms of tractable systems of ordinary differential equations for which we provide an open-source Python implementation. Such tractability leads to significant benefits for model calibration, exhaustive evaluation of possible parameter values, and interpretability of results. We demonstrate the flexibility of our model through four policy case studies, where we quantify the likely benefits of the following measures which were either considered or implemented in the UK during the current COVID-19 pandemic: control of within- and between-household mixing through NPIs; formation of support bubbles during lockdown periods; out-of-household isolation (OOHI); and temporary relaxation of NPIs during holiday periods. Our ordinary differential equation formulation and associated analysis demonstrate that multiple dimensions of risk stratification and social structure can be incorporated into infectious disease models without sacrificing mathematical tractability. This model and its software implementation expand the range of tools available to infectious disease policy analysts.
In this paper we study the household-structure SIS epidemic spreading on general complex networks. The household structure gives us the way to distinguish inner and the outer infection rate. Unlike household-structure models on homogenous networks, such as regular and random networks, here we consider heterogeneous networks with arbitrary degree distribution p(k). First we introduce the epidemic model. Then rate equations under mean field appropriation and computer simulations are used here to analyze our model. Some unique phenomena only existing in divergent network with household structure …
Much traditional statistical modelling assumes that the outcome variables of interest are independent of each other when conditioned on the explanatory variables. This assumption is strongly violated in the case of infectious diseases, particularly in close-contact settings such as households, where each individual's probability of infection is strongly influenced by whether other household members experience infection. On the other hand, general multi-type transmission models of household epidemics quickly become unidentifiable from data as the number of types increases. This has led to a sit…
The response of many governments to the COVID-19 pandemic has involved measures to control within- and between-household transmission, providing motivation to improve understanding of the absolute and relative risks in these contexts. Here, we perform exploratory, residual-based, and transmission-dynamic household analysis of the Office for National Statistics (ONS) COVID-19 Infection Survey (CIS) data from 26 April 2020 to 15 July 2021 in England. This provides evidence for: (i) temporally varying rates of introduction of infection into households broadly following the trajectory of the overa…
Population-wide vaccination is critical for containing the SARS-CoV-2 (Covid-19) pandemic when combined with restrictive and prevention measures. In this study, we introduce SAIVR, a mathematical model able to forecast the Covid-19 epidemic evolution during the vaccination campaign. SAIVR extends the widely used Susceptible-Infectious-Removed (SIR) model by considering the Asymptomatic (A) and Vaccinated (V) compartments. The model contains several parameters and initial conditions that are estimated by employing a semi-supervised machine learning procedure. After training an unsupervised neur…
In this study, we present a new epidemiological model, with contamination from confirmed and unreported. We also compute equilibria and study their stability without intervention strategies. Optimal control theory has proven to be a successful tool in understanding ways to curtail the spread of infectious diseases by devising the optimal disease intervention strategies. We investigate the impact of distancing, case finding, and case holding controls while at the same time, we minimize the number of infected and dead individuals. The method consists of minimizing the cost functional related to …
The rapidly spreading Covid-19 that affected almost all countries, was first reported at the end of 2019. As a consequence of its highly infectious nature, countries all over the world have imposed extremely strict measures to control its spread. Since the earliest stages of this major pandemic, academics have done a huge amount of research in order to understand the disease, develop medication, vaccines and tests, and model its spread. Among these studies, a great deal of effort has been invested in the estimation of epidemic parameters in the early stage, for the countries affected by Covid-…
Modelling the interaction between ethnicity and infectious disease transmission dynamics in Aotearoa New Zealand during the first Omicron wave of the COVID-19 pandemic
According to the current perception, symptomatic, presymptomatic, and asymptomatic infectious persons can infect the healthy population susceptible to the SARS-Cov-2. More importantly, various reports indicate that the number of asymptomatic cases can be several-fold higher than the reported symptomatic cases. In this article, we take the reported cases in India and various states within the country till September 1, as the specimen to understand the progression of the COVID-19. Employing a modified SEIRD model, we predict the spread of COVID-19 by the symptomatic as well as asymptomatic infec…
Pandemics, like the 1918 Spanish Influenza and COVID-19, spread through regions of the World in subsequent waves. There is, however, no consensus on the origin of this pattern, which may originate from human behaviour rather than from the virus diffusion itself. Time-honoured models of the SIR type or others based on complex networks describe well the exponential spread of the disease, but cannot naturally accommodate the wave pattern. Nevertheless, understanding this time-structure is of paramount importance in designing effective prevention measures. Here we propose a consistent picture of t…
We analytically study the SEIR (Susceptible Exposed Infectious Removed) epidemic model. The aim is to provide simple analytical expressions for the peak and asymptotic values and their characteristic times of the populations affected by the COVID-19 pandemic.
Infectious diseases are a significant threat to human society which was over sighted before the incidence of COVID-19, although according to the report of the World Health Organisation (WHO) about 4.2 million people die annually due to infectious disease. Due to recent COVID-19 pandemic, more than 2 million people died during 2020 and 96.2 million people got affected by this devastating disease. Recent research shows that applying individual interactions and movements data could help managing the pandemic though modelling the spread of infectious diseases on social contact networks. Infectious…
A well-known characteristic of pandemics such as COVID-19 is the high level of transmission heterogeneity in the infection spread: not all infected individuals spread the disease at the same rate and some individuals (superspreaders) are responsible for most of the infections. To quantify this phenomenon requires the analysis of the effect of the variance and higher moments of the infection distribution. Working in the framework of stochastic branching processes, we derive an approximate analytical formula for the probability of an outbreak in the high variance regime of the infection distribu…
We extend the classical SIR model of infectious disease spread to account for time dependence in the parameters, which also include diffusivities. The temporal dependence accounts for the changing characteristics of testing, quarantine and treatment protocols, while diffusivity incorporates a mobile population. This model has been applied to data on the evolution of the COVID-19 pandemic in the US state of Michigan. For system inference, we use recent advances; specifically our framework for Variational System Identification (Wang et al., Comp. Meth. App. Mech. Eng., 356, 44-74, 2019; arXiv:20…
In the past few decades, the frequency of pandemics has been increased due to the growth of urbanization and mobility among countries. Since a disease spreading in one country could become a pandemic with a potential worldwide humanitarian and economic impact, it is important to develop models to estimate the probability of a worldwide pandemic. In this paper, we propose a model of disease spreading in a structural modular complex network (having communities) and study how the number of bridge nodes $n$ that connect communities affects disease spread. We find that our model can be described at…
COVID-19 has devastated the entire global community. Vaccines present an opportunity to mitigate the pandemic; however, the effect of vaccination coupled with the behavioral response of the population is not well understood. We propose a model that incorporates two important dynamically varying population behaviors: level of caution and sense of safety. Level of caution increases with the number of infectious cases, while an increasing sense of safety with increased vaccination lowers precautionary behaviors. To the best of our knowledge, this is the first model that can effectively reproduce …
Household size can explain 40% of the variance in cumulative COVID-19 incidence across Europe
Max Planck Institute for Dynamics and Self-Organization（马克斯·普朗克动力学与自组织研究所）；Wroclaw University of Science and Technology（弗罗茨瓦夫科技大学）；Institute of Sociology, University of Wroclaw（弗罗茨瓦夫大学社会学研究所）；Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw（华沙大学跨学科数学与计算建模中心）；University of Göttingen（哥廷根大学）；Trier University（特里尔大学）
First Few X (FFX) studies collect household-stratified data in the early stages of a pandemic, in order to infer severity and transmissibility of an emerging disease. We present a Bayesian method to approximately infer population-level transmissibility for the first time from such data; previous studies have only inferred household-level transmissibility. To do this we perform the inference at two levels, assuming one transmission rate parameter for within-household infection, and another transmission rate parameter for infection between different households. We use a simplifying assumption: t…
For nearly a century, the initial reproduction number (R0) has been used as a one number summary to compare outbreaks of infectious disease, yet there is no `standard' estimator for R0. Difficulties in estimating R0 arise both from how a disease transmits through a population as well as from differences in statistical estimation method. We describe eight methods used to estimate R0 and provide a thorough simulation study of how these estimates change in the presence of different disease parameters. As motivation, we analyze the 2009 outbreak of the H1N1 pandemic influenza in the USA and compar…
Spatial spread of infectious diseases among populations via the mobility of humans is highly stochastic and heterogeneous. Accurate forecast/mining of the spread process is often hard to be achieved by using statistical or mechanical models. Here we propose a new reverse problem, which aims to identify the stochastically spatial spread process itself from observable information regarding the arrival history of infectious cases in each subpopulation. We solved the problem by developing an efficient optimization algorithm based on dynamical programming, which comprises three procedures: i, anato…
The surprisingly mercurial Covid-19 pandemic has highlighted the need to not only accelerate research on infectious disease, but to also study them using novel techniques and perspectives. A major contributor to the difficulty of containing the current pandemic is due to the highly asymptomatic nature of the disease. In this investigation, we develop a modeling framework to study the spatio-temporal evolution of diseases with high rates of asymptomatic transmission, and we apply this framework to a hypothetical country with mathematically tractable geography; namely, square counties uniformly …
The SIR pandemic model suffers from an unrealistic assumption: The rate of removal from the infectious class of individuals is assumed to be proportional to the number of infectious individuals. This means that a change in the rate of infection is simultaneous with an equal change in the rate of removal. A more realistic assumption is that an individual is removed at a certain time interval after having been infected. A simple modified SIR model is proposed which implements this delay, resulting in a single delay differential equation which comprises the model. A solution to this equation whic…
This paper considers a stochastic SIR (susceptible$\to$infective$\to$removed) epidemic model in which individuals may make infectious contacts in two ways, both within `households' (which for ease of exposition are assumed to have equal size) and along the edges of a random graph describing additional social contacts. Heuristically-motivated branching process approximations are described, which lead to a threshold parameter for the model and methods for calculating the probability of a major outbreak, given few initial infectives, and the expected proportion of the population who are ultimatel…
In the present article a mathematical model is proposed to research the current coronavirus outbreak (SARS-CoV-2) in Paraguay, describing the multiple transmission paths in the infection dynamics, following the susceptible, exposed, infectious, hospitalized, with lost immunity and recovered individuals, as well as the role of the virus in the environment and deaths from COVID-19 or other reasons. In order to reflect the impact of the control measures adopted by the government and the population, the model employs variable transmission rates that change with the epidemiological status and envir…
COVID-19--a viral infectious disease--has quickly emerged as a global pandemic infecting millions of people with a significant number of deaths across the globe. The symptoms of this disease vary widely. Depending on the symptoms an infected person is broadly classified into two categories namely, asymptomatic and symptomatic. Asymptomatic individuals display mild or no symptoms but continue to transmit the infection to otherwise healthy individuals. This particular aspect of asymptomatic infection poses a major obstacle in managing and controlling the transmission of the infectious disease. I…
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…
We study an SEIQR (Susceptible-Exposed-Infectious-Quarantined-Recovered) model for an infectious disease, with time delays for latency and an asymptomatic phase. For fast pandemics where nobody has prior immunity and everyone has immunity after recovery, the SEIQR model decouples into two nonlinear delay differential equations (DDEs) with five parameters. One parameter is set to unity by scaling time. The subcase of perfect quarantining and zero self-recovery before quarantine, with two free parameters, is examined first. The method of multiple scales yields a hyperbolic tangent solution; and …
In this work, the SIR epidemiological model is reformulated so to highlight the important {\em effective reproduction number}, as well as to account for the {\em generation time}, inverse of the {\em incidence rate}, and the {\em infectious period} (or {\em removal period}), inverse of the {\em removal rate}. The aim is to check whether the relationships the model poses among the various observables are actually found in the data. The study case of the second through the third wave of the Covid-19 pandemic in Italy is taken. Given its scale invariance, initially the model is tested with refere…
This paper is concerned with SIR (susceptible $\to$ infected $\to$ removed) household epidemic models in which the infection response may be either mild or severe, with the type of response also affecting the infectiousness of an individual. Two different models are analysed. In the first model, the infection status of an individual is predetermined, perhaps due to partial immunity, and in the second, the infection status of an individual depends on the infection status of its infector and on whether the individual was infected by a within- or between-household contact. The first scenario may …
The global public health landscape is perpetually challenged by the looming threat of infectious diseases. Central to addressing this concern is the imperative to prevent and manage disease transmission during pandemics, particularly in unique settings. This study addresses the transmission dynamics of infectious diseases within conference venues, presenting a computational model designed to simulate transmission processes within a condensed timeframe (one day), beginning with sporadic cases. Our model intricately captures the activities of individual attendees within the conference venue, enc…
As many emerging and re-emerging infectious diseases are associated with food animals, the relationship between available healthy food sources and population health and social stability has become evident. A recent example of the importance of this relationship was observed during the current flu pandemic. This recent pandemic brought attention to novel target groups of susceptible people at the interface of the animal and human populations. Veterinarians, producers and processors are uniquely exposed to emerging zoonoses. Therefore these individuals may serve as key sentinels and allow effici…
The SARS-CoV-2 infectious outbreak has rapidly spread across the globe and precipitated varying policies to effectuate physical distancing to ameliorate its impact. In this study, we propose a new hybrid machine learning model, SIRNet, for forecasting the spread of the COVID-19 pandemic that couples with the epidemiological models. We use categorized spatiotemporally explicit cellphone mobility data as surrogate markers for physical distancing, along with population weighted density and other local data points. We demonstrate at varying geographical granularity that the spectrum of physical di…
In the absence of any available vaccines or drugs, prevention of the spread of Coronavirus Disease 2019 (COVID-19) pandemic is being achieved by putting many mitigation measures in place. It is indispensable to have robust and reliable ways of evaluating the effectiveness of these measures. In this work, we assume that, at a very coarse-grained level of description, the overall effect of all the mitigation measures is that we can still describe the spread of the pandemic using the most basic Susceptible-Exposed-Infectious-Removed ($SEIR$) model but with an "effective contact rate" ($β$) which …
Understanding the dynamics of the COVID-19 pandemic is crucial for improved control and social distancing strategies. To that effect, we have employed the susceptible-exposed-infectious-recovered model, refined by contact tracing and hospitalization data from Indian provinces Kerala, Delhi, Maharashtra, and West Bengal, as well as from overall India. We have performed a sensitivity analysis to identify the most crucial input parameters, and we have calibrated the model to describe the data as best as possible. Short-term predictions reveal an increasing and worrying trend of COVID-19 cases for…
The COVID-19 pandemic is the most significant global crisis since World War II that affected almost all the countries of our planet. To control the COVID-19 pandemic outbreak, it is necessary to understand how the virus is transmitted to a susceptible individual and eventually spread in the community. The primary transmission pathway of COVID-19 is human-to-human transmission through infectious droplets. However, a recent study by Greenhalgh et al. (Lancet: 397:1603-1605, 2021) demonstrates 10 scientific reasons behind the airborne transmission of SARS-COV-2. In the present study, we introduce…
The coronavirus pandemic has rapidly evolved into an unprecedented crisis. The susceptible-infectious-removed (SIR) model and its variants have been used for modeling the pandemic. However, time-independent parameters in the classical models may not capture the dynamic transmission and removal processes, governed by virus containment strategies taken at various phases of the epidemic. Moreover, very few models account for possible inaccuracies of the reported cases. We propose a Poisson model with time-dependent transmission and removal rates to account for possible random errors in reporting …
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…
In the article a virus transmission model is constructed on a simplified social network. The social network consists of more than 2 million nodes, each representing an inhabitant of Slovenia. The nodes are organised and interconnected according to the real household and elderly-care center distribution, while their connections outside these clusters are semi-randomly distributed and fully-linked. The virus spread model is coupled to the disease progression model. The ensemble approach with the perturbed transmission and disease parameters is used to quantify the ensemble spread, a proxy for th…
Disease outbreaks, such as those of Severe Acute Respiratory Syndrome in 2003 and the 2009 pandemic A(H1N1) influenza, have highlighted the potential for airborne transmission in indoor environments. Respirable pathogen-carrying droplets provide a vector for the spatial spread of infection with droplet transport determined by diffusive and convective processes. An epidemiological model describing the spatial dynamics of disease transmission is presented. The effects of an ambient airflow, as an infection control, are incorporated leading to a delay equation, with droplet density dependent on t…
The coronavirus disease (COVID-19) pandemic has changed our lives and still poses a challenge to science. Numerous studies have contributed to a better understanding of the pandemic. In particular, inhalation of aerosolised pathogens has been identified as essential for transmission. This information is crucial to slow the spread, but the individual likelihood of becoming infected in everyday situations remains uncertain. Mathematical models help estimate such risks. In this study, we propose how to model airborne transmission of SARS-CoV-2 at a local scale. In this regard, we combine microsco…
COVID-19 is an infectious respiratory disease that the World Health Organization has declared a pandemic. Although a global phenomenon, there is the need to react locally with swift and informed actions, as some of the essential plans are highly dependent on factors such as culture, geography, laws, and customs. This paper presents our approach to mapping the geospatial spread of COVID-19 in Mexico at the state and municipal level, the highest allowed possible resolution in the publicly available dataset provided by the Health Ministry. To visualize the magnitude of the infection, we offer a m…
The ongoing SARS-CoV-2 pandemic has been holding the world hostage for more than a year now. Mobility is key to viral spreading and its restriction is the main non-pharmaceutical interventions to fight the virus expansion. Previous works have shown a connection between the structural organization of cities and the movement patterns of their residents. This puts urban centers in the focus of epidemic surveillance and interventions. Here we show that the organization of urban flows has a tremendous impact on disease spreading and on the amenability of different mitigation strategies. By studying…
Face mask use by the general public for limiting the spread of the COVID-19 pandemic is controversial, though increasingly recommended, and the potential of this intervention is not well understood. We develop a compartmental model for assessing the community-wide impact of mask use by the general, asymptomatic public, a portion of which may be asymptomatically infectious. Model simulations, using data relevant to COVID-19 dynamics in the US states of New York and Washington, suggest that broad adoption of even relatively ineffective face masks may meaningfully reduce community transmission of…
The world evolution of the Severe acute respiratory syndrome coronavirus 2 (SARS-Cov2 or simply COVID-19) led the World Health Organization to declare it a pandemic. The disease appeared in China in December 2019, and it has spread fast around the world, specially in european countries like Italy and Spain. The first reported case in Brazil was recorded in February 26, and after that the number of cases growed fast. In order to slow down the initial growth of the disease through the country, confirmed positive cases were isolated to not transmit the disease. To better understand the early evol…
Compartmental models are a tool commonly used in epidemiology for the mathematical modelling of the spread of infectious diseases, with their most popular representative being the Susceptible-Infected-Removed (SIR) model and its derivatives. However, current SIR models are bounded in their capabilities to model government policies in the form of non-pharmaceutical interventions (NPIs) and weather effects and offer limited predictive power. More capable alternatives such as agent based models (ABMs) are computationally expensive and require specialized hardware. We introduce a neural network au…
We introduce a system of differential equations to assess the impact of (self-)quarantine of symptomatic infectious individuals on disease dynamics. To this end we depart from using the classic bilinear infection process, but remain still within the framework of the mass-action assumption. From the mathematical point of view our model is interesting due to the lack of continuous differentiability at disease free steady states, which implies also that the basic reproductive number cannot be computed following established approaches for certain parameter values. However, we parametrise our mathe…
For the last few years there has been a resurgence in the use of phenomenological growth models for predicting the early dynamics of infectious diseases. These models assume that time is a continuous variable whereas in the present contribution, the discrete versions of Gompertz and Generalized Logistic models are used for early monitoring and short-term forecasting of the spread of an epidemic in a region. The time-continuous models are represented mathematically by first-order differential equations while their discrete versions are represented by first-order difference equations that involv…
During the first months, the Covid-19 pandemic has required most countries to implement complex sequences of non-pharmaceutical interventions, with the aim of controlling the transmission of the virus in the population. To be able to take rapid decisions, a detailed understanding of the current situation is necessary. Estimates of time-varying, instantaneous reproduction numbers represent a way to quantify the viral transmission in real time. They are often defined through a mathematical compartmental model of the epidemic, like a stochastic SEIR model, whose parameters must be estimated from …
