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1.
Proc Natl Acad Sci U S A ; 118(41)2021 10 12.
Artículo en Inglés | MEDLINE | ID: mdl-34620714

RESUMEN

It is a fundamental question in disease modeling how the initial seeding of an epidemic, spreading over a network, determines its final outcome. One important goal has been to find the seed configuration, which infects the most individuals. Although the identified optimal configurations give insight into how the initial state affects the outcome of an epidemic, they are unlikely to occur in real life. In this paper we identify two important seeding scenarios, both motivated by historical data, that reveal a complex phenomenon. In one scenario, the seeds are concentrated on the central nodes of a network, while in the second one, they are spread uniformly in the population. Comparing the final size of the epidemic started from these two initial conditions through data-driven and synthetic simulations on real and modeled geometric metapopulation networks, we find evidence for a switchover phenomenon: When the basic reproduction number [Formula: see text] is close to its critical value, more individuals become infected in the first seeding scenario, but for larger values of [Formula: see text], the second scenario is more dangerous. We find that the switchover phenomenon is amplified by the geometric nature of the underlying network and confirm our results via mathematically rigorous proofs, by mapping the network epidemic processes to bond percolation. Our results expand on the previous finding that, in the case of a single seed, the first scenario is always more dangerous and further our understanding of why the sizes of consecutive waves of a pandemic can differ even if their epidemic characters are similar.


Asunto(s)
Número Básico de Reproducción , COVID-19/transmisión , Enfermedades Transmisibles/epidemiología , Enfermedades Transmisibles/transmisión , Epidemias/estadística & datos numéricos , Humanos , Hungría/epidemiología , SARS-CoV-2/patogenicidad
2.
PLoS One ; 16(5): e0250435, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34010333

RESUMEN

We study the effects of two mechanisms which increase the efficacy of contact-tracing applications (CTAs) such as the mobile phone contact-tracing applications that have been used during the COVID-19 epidemic. The first mechanism is the introduction of user referrals. We compare four scenarios for the uptake of CTAs-(1) the p% of individuals that use the CTA are chosen randomly, (2) a smaller initial set of randomly-chosen users each refer a contact to use the CTA, achieving p% in total, (3) a small initial set of randomly-chosen users each refer around half of their contacts to use the CTA, achieving p% in total, and (4) for comparison, an idealised scenario in which the p% of the population that uses the CTA is the p% with the most contacts. Using agent-based epidemiological models incorporating a geometric space, we find that, even when the uptake percentage p% is small, CTAs are an effective tool for mitigating the spread of the epidemic in all scenarios. Moreover, user referrals significantly improve efficacy. In addition, it turns out that user referrals reduce the quarantine load. The second mechanism for increasing the efficacy of CTAs is tuning the severity of quarantine measures. Our modelling shows that using CTAs with mild quarantine measures is effective in reducing the maximum hospital load and the number of people who become ill, but leads to a relatively high quarantine load, which may cause economic disruption. Fortunately, under stricter quarantine measures, the advantages are maintained but the quarantine load is reduced. Our models incorporate geometric inhomogeneous random graphs to study the effects of the presence of super-spreaders and of the absence of long-distant contacts (e.g., through travel restrictions) on our conclusions.


Asunto(s)
COVID-19/epidemiología , Trazado de Contacto/métodos , SARS-CoV-2/efectos de la radiación , COVID-19/psicología , COVID-19/transmisión , Trazado de Contacto/tendencias , Métodos Epidemiológicos , Humanos , Aplicaciones Móviles , Modelos Estadísticos , Pandemias , Cuarentena/psicología , Derivación y Consulta , SARS-CoV-2/aislamiento & purificación
3.
Chaos Solitons Fractals ; 139: 109965, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32863609

RESUMEN

In this paper we conduct a simulation study of the spread of an epidemic like COVID-19 with temporary immunity on finite spatial and non-spatial network models. In particular, we assume that an epidemic spreads stochastically on a scale-free network and that each infected individual in the network gains a temporary immunity after its infectious period is over. After the temporary immunity period is over, the individual becomes susceptible to the virus again. When the underlying contact network is embedded in Euclidean geometry, we model three different intervention strategies that aim to control the spread of the epidemic: social distancing, restrictions on travel, and restrictions on maximal number of social contacts per node. Our first finding is that on a finite network, a long enough average immunity period leads to extinction of the pandemic after the first peak, analogous to the concept of "herd immunity". For each model, there is a critical average immunity duration Lc above which this happens. Our second finding is that all three interventions manage to flatten the first peak (the travel restrictions most efficiently), as well as decrease the critical immunity duration Lc , but elongate the epidemic. However, when the average immunity duration L is shorter than Lc , the price for the flattened first peak is often a high second peak: for limiting the maximal number of contacts, the second peak can be as high as 1/3 of the first peak, and twice as high as it would be without intervention. Thirdly, interventions introduce oscillations into the system and the time to reach equilibrium is, for almost all scenarios, much longer. We conclude that network-based epidemic models can show a variety of behaviors that are not captured by the continuous compartmental models.

4.
J Stat Phys ; 173(3): 1082-1109, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30930482

RESUMEN

In this paper we study first-passage percolation in the configuration model with empirical degree distribution that follows a power-law with exponent τ ∈ ( 2 , 3 ) . We assign independent and identically distributed (i.i.d.) weights to the edges of the graph. We investigate the weighted distance (the length of the shortest weighted path) between two uniformly chosen vertices, called typical distances. When the underlying age-dependent branching process approximating the local neighborhoods of vertices is found to produce infinitely many individuals in finite time-called explosive branching process-Baroni, Hofstad and the second author showed in Baroni et al. (J Appl Probab 54(1):146-164, 2017) that typical distances converge in distribution to a bounded random variable. The order of magnitude of typical distances remained open for the τ ∈ ( 2 , 3 ) case when the underlying branching process is not explosive. We close this gap by determining the first order of magnitude of typical distances in this regime for arbitrary, not necessary continuous edge-weight distributions that produce a non-explosive age-dependent branching process with infinite mean power-law offspring distributions. This sequence tends to infinity with the amount of vertices, and, by choosing an appropriate weight distribution, can be tuned to be any growing function that is O ( log log n ) , where n is the number of vertices in the graph. We show that the result remains valid for the the erased configuration model as well, where we delete loops and any second and further edges between two vertices.

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