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Register a new userWho and When to Screen: Multi-Round Active Screening for Recurrent Infectious Diseases Under Uncertainty
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Controlling recurrent infectious diseases is a vital yet complicated problem. In this paper, we propose a novel active screening model (ACTS) and algorithms to facilitate active screening for recurrent diseases (no permanent immunity) under infection uncertainty. Our contributions are: (1) A new approach to modeling multi-round network-based screening/contact tracing under uncertainty, which is a common real-life practice in a variety of diseases; (2) Two novel algorithms, Full- and Fast-REMEDY. Full-REMEDY considers the effect of future actions and finds a policy that provides high solution quality, where Fast-REMEDY scales linearly in the size of the network; (3) We evaluate Full- and Fast-REMEDY on several real-world datasets which emulate human contact and find that they control diseases better than the baselines. To the best of our knowledge, this is the first work on multi-round active screening with uncertainty for diseases with no permanent immunity.
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We develop a mathematical framework to study the economic impact of infectious diseases by integrating epidemiological dynamics with a kinetic model of wealth exchange. The multi-agent description leads to study the evolution over time of a system of kinetic equations for the wealth densities of susceptible, infectious and recovered individuals, whose proportions are driven by a classical compartmental model in epidemiology. Explicit calculations show that the spread of the disease seriously affects the distribution of wealth, which, unlike the situation in the absence of epidemics, can converge towards a stationary state with a bimodal form. Furthermore, simulations confirm the ability of the model to describe different phenomena characteristics of economic trends in situations compromised by the rapid spread of an epidemic, such as the unequal impact on the various wealth classes and the risk of a shrinking middle class.
School environments are thought to play an important role in the community spread of airborne infections (e.g., influenza) because of the high mixing rates of school children. The closure of schools has therefore been proposed as efficient mitigation strategy, with however high social and economic costs: alternative, less disruptive interventions are highly desirable. The recent availability of high-resolution contact networks in school environments provides an opportunity to design micro-interventions and compare the outcomes of alternative mitigation measures. We consider mitigation measures that involve the targeted closure of school classes or grades based on readily available information such as the number of symptomatic infectious children in a class. We focus on the case of a primary school for which we have high-resolution data on the close-range interactions of children and teachers. We simulate the spread of an influenza-like illness in this population by using an SEIR model with asymptomatics and compare the outcomes of different mitigation strategies. We find that targeted class closure affords strong mitigation effects: closing a class for a fixed period of time -equal to the sum of the average infectious and latent durations- whenever two infectious individuals are detected in that class decreases the attack rate by almost 70% and strongly decreases the probability of a severe outbreak. The closure of all classes of the same grade mitigates the spread almost as much as closing the whole school. Targeted class closure strategies based on readily available information on symptomatic subjects and on limited information on mixing patterns, such as the grade structure of the school, can be almost as effective as whole-school closure, at a much lower cost. This may inform public health policies for the management and mitigation of influenza-like outbreaks in the community.
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 distribution, verify it numerically and analyze its regime of validity in various examples. We show that it is possible for an outbreak not to occur in the high variance regime even when the basic reproduction number $R_0$ is larger than one and discuss the implications of our results for COVID-19 and other pandemics.
In the face of serious infectious diseases, governments endeavour to implement containment measures such as public vaccination at a macroscopic level. Meanwhile, individuals tend to protect themselves by avoiding contacts with infections at a microscopic level. However, a comprehensive understanding of how such combined strategy influences epidemic dynamics is still lacking. We study a susceptible-infected-susceptible epidemic model with imperfect vaccination on dynamic contact networks, where the macroscopic intervention is represented by random vaccination of the population and the microscopic protection is characterised by susceptible individuals rewiring contacts from infective neighbours. In particular, the model is formulated both in populations without and then with demographic effects. Using the pairwise approximation and the probability generating function approach, we investigate both dynamics of the epidemic and the underlying network. For populations without demography, the emerging degree correlations, bistable states, and oscillations demonstrate the combined effects of the public vaccination program and individual protective behavior. Compared to either strategy in isolation, the combination of public vaccination and individual protection is more effective in preventing and controlling the spread of infectious diseases by increasing both the invasion threshold and the persistence threshold. For populations with additional demographic factors, the integration between vaccination intervention and individual rewiring may promote epidemic spreading due to the birth effect. Moreover, the degree distributions of both networks in the steady state is closely related to the degree distribution of newborns, which leads to uncorrelated connectivity. All the results demonstrate the importance of both local protection and global intervention, as well as the demographic effects.
Infectious diseases are caused by pathogenic microorganisms and can spread through different ways. Mathematical models and computational simulation have been used extensively to investigate the transmission and spread of infectious diseases. In other words, mathematical model simulation can be used to analyse the dynamics of infectious diseases, aiming to understand the effects and how to control the spread. In general, these models are based on compartments, where each compartment contains individuals with the same characteristics, such as susceptible, exposed, infected, and recovered. In this paper, we cast further light on some classical epidemic models, reporting possible outcomes from numerical simulation. Furthermore, we provide routines in a repository for simulations.
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