Active and inactive quarantine in epidemic spreading on adaptive activity-driven networks

Evaluating the dynamic interplay of social distancing policies regarding airborne pathogens through a temporal interaction-driven model that uses real-world and synthetic data

OBJECTIVE

The recent SARS-CoV-2 pandemic has exhibited diverse patterns of spread across countries and communities, emphasizing the need to consider the underlying population dynamics in modeling its progression and the importance of evaluating the effectiveness of non-pharmaceutical intervention strategies in combating viral transmission within human communities. Such an understanding requires accurate modeling of the interplay between the community dynamics and the disease propagation dynamics within the community.

METHODS

We build on an interaction-driven model of an airborne disease over contact networks that we have defined. Using the model, we evaluate the effectiveness of temporal, spatial, and spatiotemporal social distancing policies. Temporal social distancing involves a pure dilation of the timeline while preserving individual activity potential and thus prolonging the period of interaction; spatial distancing corresponds to social distancing pods; and spatiotemporal distancing pertains to the situation in which fixed subgroups of the overall group meet at alternate times. We evaluate these social distancing policies over real-world interactions' data and over history-preserving synthetic temporal random networks. Furthermore, we evaluate the policies for the disease's with different number of initial patients, corresponding to either the phase in the progression of the infection through a community or the number of patients infected together at the initial infection event. We expand our model to consider the exposure to viral load, which we correlate with the meetings' duration.

RESULTS

Our results demonstrate the superiority of decreasing social interactions (i.e., time dilation) within the community over partial isolation strategies, such as the spatial distancing pods and the spatiotemporal distancing strategy. In addition, we found that slow-spreading pathogens (i.e., pathogens that require a longer exposure to infect) spread roughly at the same rate as fast-spreading ones in highly active communities. This result is surprising since the pathogens may follow different paths. However, we demonstrate that the dilation of the timeline considerably slows the spread of the slower pathogens.

CONCLUSIONS

Our results demonstrate that the temporal dynamics of a community have a more significant effect on the spread of the disease than the characteristics of the spreading processes.

A coupled awareness-epidemic model on a multi-layer time-varying network

Social interactions have become more complicated and changeable under the influence of information technology revolution. We, thereby, propose a multi-layer activity-driven network with attractiveness considering the heterogeneity of activated individual edge numbers, which aims to explore the role of heterogeneous behaviors in the time-varying network. Specifically, three types of individual behaviors are introduced: (i) self-quarantine of infected individuals, (ii) safe social distancing between infected and susceptible individuals, and (iii) information spreading of aware individuals. Epidemic threshold is theoretically derived in terms of the microscopic Markov chain approach and the mean-field approach. The results demonstrate that performing self-quarantine and maintaining safe social distance can effectively raise the epidemic threshold and suppress the spread of diseases. Interestingly, individuals' activity and individuals' attractiveness have an equivalent effect on epidemic threshold under the same condition. In addition, a similar result can be obtained regardless of the activated individual edge numbers. The epidemic outbreak earlier in a situation of the stronger heterogeneity of activated individual edge numbers.

Epidemic spreading under mutually independent intra- and inter-host pathogen evolution

The dynamics of epidemic spreading is often reduced to the single control parameter R0 (reproduction-rate), whose value, above or below unity, determines the state of the contagion. If, however, the pathogen evolves as it spreads, R0 may change over time, potentially leading to a mutation-driven spread, in which an initially sub-pandemic pathogen undergoes a breakthrough mutation. To predict the boundaries of this pandemic phase, we introduce here a modeling framework to couple the inter-host network spreading patterns with the intra-host evolutionary dynamics. We find that even in the extreme case when these two process are driven by mutually independent selection forces, mutations can still fundamentally alter the pandemic phase-diagram. The pandemic transitions, we show, are now shaped, not just by R0, but also by the balance between the epidemic and the evolutionary timescales. If mutations are too slow, the pathogen prevalence decays prior to the appearance of a critical mutation. On the other hand, if mutations are too rapid, the pathogen evolution becomes volatile and, once again, it fails to spread. Between these two extremes, however, we identify a broad range of conditions in which an initially sub-pandemic pathogen can breakthrough to gain widespread prevalence.

Adaptive group testing in a compartmental model of COVID-19. MATHEMATICAL BIOSCIENCES AND ENGINEERING : MBE 2022;19:11018-11033. [PMID: 36124578 DOI: 10.3934/mbe.2022513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0]

Various measures have been implemented around the world to prevent the spread of SARS-CoV-2. A potential tool to reduce disease transmission is regular mass testing of a high percentage of the population, possibly with pooling (testing a compound of several samples with one single test). We develop a compartmental model to study the applicability of this method and compare different pooling strategies: regular and Dorfman pooling. The model includes isolated compartments as well, from where individuals rejoin the active population after some time delay. We develop a method to optimize Dorfman pooling depending on disease prevalence and establish an adaptive strategy to select variable pool sizes during the course of the epidemic. It is shown that optimizing the pool size can avert a significant number of infections. The adaptive strategy is much more efficient, and may prevent an epidemic outbreak even in situations when a fixed pool size strategy can not.

Sideward contact tracing and the control of epidemics in large gatherings

Effective contact tracing is crucial to containing epidemic spreading without disrupting societal activities, especially during a pandemic. 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 in addition to forward tracing, which reconstructs to whom the disease spreads, and backward tracing, which searches from whom the disease spreads, a third 'sideward' tracing is always present, when tracing gatherings. This is an indirect tracing that detects infected asymptomatic individuals, even if they have been neither directly infected by nor directly transmitted the infection to the index case. We analyse this effect in a model of epidemic spreading for SARS-CoV-2, within the framework of simplicial activity-driven temporal networks. We determine the contribution of the three tracing mechanisms to the suppression of epidemic spreading, showing that sideward tracing induces a non-monotonic behaviour in the tracing efficiency, as a function of the size of the gatherings. Based on our results, we suggest an optimal choice for the sizes of the gatherings to be traced and we test the strategy on an empirical dataset of gatherings on a university campus.

Simple model of epidemic dynamics with memory effects

We introduce a compartment model with memory for the dynamics of epidemic spreading in a constant population of individuals. Each individual is in one of the states S=susceptible, I=infected, or R=recovered (SIR model). In state R an individual is assumed to stay immune within a finite-time interval. In the first part, we introduce a random lifetime or duration of immunity which is drawn from a certain probability density function. Once the time of immunity is elapsed an individual makes an instantaneous transition to the susceptible state. By introducing a random duration of immunity a memory effect is introduced into the process which crucially determines the epidemic dynamics. In the second part, we investigate the influence of the memory effect on the space-time dynamics of the epidemic spreading by implementing this approach into computer simulations and employ a multiple random walker's model. If a susceptible walker meets an infectious one on the same site, then the susceptible one gets infected with a certain probability. The computer experiments allow us to identify relevant parameters for spread or extinction of an epidemic. In both parts, the finite duration of immunity causes persistent oscillations in the number of infected individuals with ongoing epidemic activity preventing the system from relaxation to a steady state solution. Such oscillatory behavior is supported by real-life observations and not captured by the classical standard SIR model.

Impact of individual behavioral changes on epidemic spreading in time-varying networks

Changes in individual behavior often entangle with the dynamic interaction of individuals, which complicates the epidemic process and brings great challenges for the understanding and control of the epidemic. In this work, we consider three kinds of typical behavioral changes in epidemic process, that is, self-quarantine of infected individuals, self-protection of susceptible individuals, and social distancing between them. We connect the behavioral changes with individual's social attributes by the activity-driven network with attractiveness. A mean-field theory is established to derive an analytical estimate of epidemic threshold for susceptible-infected-susceptible models with individual behavioral changes, which depends on the correlations between activity, attractiveness, and the number of generative links in the susceptible and infected states. We find that individual behaviors play different roles in suppressing the epidemic. Although all the behavioral changes could delay the epidemic by increasing the epidemic threshold, self-quarantine and social distancing of infected individuals could effectively decrease the epidemic outbreak size. In addition, simultaneous changes in these behaviors and the timing of implement of them also play a key role in suppressing the epidemic. These results provide helpful significance for understanding the interaction of individual behaviors in the epidemic process.

Effect of delayed awareness and fatigue on the efficacy of self-isolation in epidemic control

The isolation of infectious individuals is a key measure of public health for the control of communicable diseases. However, involving a strong perturbation of daily life, it often causes psychosocial distress, and severe financial and social costs. These may act as mechanisms limiting the adoption of the measure in the first place or the adherence throughout its full duration. In addition, difficulty of recognizing mild symptoms or lack of symptoms may impact awareness of the infection and further limit adoption. Here we study an epidemic model on a network of contacts accounting for limited adherence and delayed awareness to self-isolation, along with fatigue causing overhasty termination. The model allows us to estimate the role of each ingredient and analyze the tradeoff between adherence and duration of self-isolation. We find that the epidemic threshold is very sensitive to an effective compliance that combines the effects of imperfect adherence, delayed awareness and fatigue. If adherence improves for shorter quarantine periods, there exists an optimal duration of isolation, shorter than the infectious period. However, heterogeneities in the connectivity pattern, coupled to a reduced compliance for highly active individuals, may almost completely offset the effectiveness of self-isolation measures on the control of the epidemic.

Self-initiated behavioral change and disease resurgence on activity-driven networks

We consider a population that experienced a first wave of infections, interrupted by strong, top-down, governmental restrictions and did not develop a significant immunity to prevent a second wave (i.e., resurgence). As restrictions are lifted, individuals adapt their social behavior to minimize the risk of infection. We explore two scenarios. In the first, individuals reduce their overall social activity towards the rest of the population. In the second scenario, they maintain normal social activity within a small community of peers (i.e., social bubble) while reducing social interactions with the rest of the population. In both cases, we investigate possible correlations between social activity and behavior change, reflecting, for example, the social dimension of certain occupations. We model these scenarios considering a susceptible-infected-recovered epidemic model unfolding on activity-driven networks. Extensive analytical and numerical results show that (i) a minority of very active individuals not changing behavior may nullify the efforts of the large majority of the population and (ii) imperfect social bubbles of normal social activity may be less effective than an overall reduction of social interactions.

Heterogeneity matters: Contact structure and individual variation shape epidemic dynamics

In the recent COVID-19 pandemic, mathematical modeling constitutes an important tool to evaluate the prospective effectiveness of non-pharmaceutical interventions (NPIs) and to guide policy-making. Most research is, however, centered around characterizing the epidemic based on point estimates like the average infectiousness or the average number of contacts. In this work, we use stochastic simulations to investigate the consequences of a population's heterogeneity regarding connectivity and individual viral load levels. Therefore, we translate a COVID-19 ODE model to a stochastic multi-agent system. We use contact networks to model complex interaction structures and a probabilistic infection rate to model individual viral load variation. We observe a large dependency of the dispersion and dynamical evolution on the population's heterogeneity that is not adequately captured by point estimates, for instance, used in ODE models. In particular, models that assume the same clinical and transmission parameters may lead to different conclusions, depending on different types of heterogeneity in the population. For instance, the existence of hubs in the contact network leads to an initial increase of dispersion and the effective reproduction number, but to a lower herd immunity threshold (HIT) compared to homogeneous populations or a population where the heterogeneity stems solely from individual infectivity variations.

Understanding small Chinese cities as COVID-19 hotspots with an urban epidemic hazard index

Multiple small- to middle-scale cities, mostly located in northern China, became epidemic hotspots during the second wave of the spread of COVID-19 in early 2021. Despite qualitative discussions of potential social-economic causes, it remains unclear how this unordinary pattern could be substantiated with quantitative explanations. Through the development of an urban epidemic hazard index (EpiRank) for Chinese prefectural districts, we came up with a mathematical explanation for this phenomenon. The index is constructed via epidemic simulations on a multi-layer transportation network interconnecting local SEIR transmission dynamics, which characterizes intra- and inter-city population flow with a granular mathematical description. Essentially, we argue that these highlighted small towns possess greater epidemic hazards due to the combined effect of large local population and small inter-city transportation. The ratio of total population to population outflow could serve as an alternative city-specific indicator of such hazards, but its effectiveness is not as good as EpiRank, where contributions from other cities in determining a specific city's epidemic hazard are captured via the network approach. Population alone and city GDP are not valid signals for this indication. The proposed index is applicable to different epidemic settings and can be useful for the risk assessment and response planning of urban epidemic hazards in China. The model framework is modularized and the analysis can be extended to other nations.

Dynamical SPQEIR model assesses the effectiveness of non-pharmaceutical interventions against COVID-19 epidemic outbreaks

Against the current COVID-19 pandemic, governments worldwide have devised a variety of non-pharmaceutical interventions to mitigate it. However, it is generally difficult to estimate the joint impact of different control strategies. In this paper, we tackle this question with an extended epidemic SEIR model, informed by a socio-political classification of different interventions. First, we inquire the conceptual effect of mitigation parameters on the infection curve. Then, we illustrate the potential of our model to reproduce and explain empirical data from a number of countries, to perform cross-country comparisons. This gives information on the best synergies of interventions to control epidemic outbreaks while minimising impact on socio-economic needs. For instance, our results suggest that, while rapid and strong lockdown is an effective pandemic mitigation measure, a combination of social distancing and early contact tracing can achieve similar mitigation synergistically, while keeping lower isolation rates. This quantitative understanding can support the establishment of mid- and long-term interventions, to prepare containment strategies against further outbreaks. This paper also provides an online tool that allows researchers and decision makers to interactively simulate diverse scenarios with our model.

Dynamic hidden-variable network models

Models of complex networks often incorporate node-intrinsic properties abstracted as hidden variables. The probability of connections in the network is then a function of these variables. Real-world networks evolve over time and many exhibit dynamics of node characteristics as well as of linking structure. Here we introduce and study natural temporal extensions of static hidden-variable network models with stochastic dynamics of hidden variables and links. The dynamics is controlled by two parameters: one that tunes the rate of change of hidden variables and another that tunes the rate at which node pairs reevaluate their connections given the current values of hidden variables. Snapshots of networks in the dynamic models are equivalent to networks generated by the static models only if the link reevaluation rate is sufficiently larger than the rate of hidden-variable dynamics or if an additional mechanism is added whereby links actively respond to changes in hidden variables. Otherwise, links are out of equilibrium with respect to hidden variables and network snapshots exhibit structural deviations from the static models. We examine the level of structural persistence in the considered models and quantify deviations from staticlike behavior. We explore temporal versions of popular static models with community structure, latent geometry, and degree heterogeneity. While we do not attempt to directly model real networks, we comment on interesting qualitative resemblances to real systems. In particular, we speculate that links in some real networks are out of equilibrium with respect to hidden variables, partially explaining the presence of long-ranged links in geometrically embedded systems and intergroup connectivity in modular systems. We also discuss possible extensions, generalizations, and applications of the introduced class of dynamic network models.

How adherence to public health measures shapes epidemic spreading: A temporal network model

The COVID-19 pandemic has laid bare the importance of non-pharmaceutical interventions in the containment of airborne infectious diseases. Social distancing and mask-wearing have been found to contain COVID-19 spreading across a number of observational studies, but a precise understanding of their combined effectiveness is lacking. An underdeveloped area of research entails the quantification of the specific role of each of these measures when they are differentially adopted by the population. Pursuing this research allows for answering several pressing questions like: how many people should follow public health measures for them to be effective for everybody? Is it sufficient to practice social distancing only or just wear a mask? Here, we make a first step in this direction, by establishing a susceptible-exposed-infected-removed epidemic model on a temporal network, evolving according to the activity-driven paradigm. Through analytical and numerical efforts, we study epidemic spreading as a function of the proportion of the population following public health measures, the extent of social distancing, and the efficacy of masks in protecting the wearer and others. Our model demonstrates that social distancing and mask-wearing can be effective in preventing COVID-19 outbreaks if adherence to both measures involves a substantial fraction of the population.

Stochastic sampling effects favor manual over digital contact tracing

Isolation of symptomatic individuals, tracing and testing of their nonsymptomatic contacts are fundamental strategies for mitigating the current COVID-19 pandemic. The breaking of contagion chains relies on two complementary strategies: manual reconstruction of contacts based on interviews and a digital (app-based) privacy-preserving contact tracing. We compare their effectiveness using model parameters tailored to describe SARS-CoV-2 diffusion within the activity-driven model, a general empirically validated framework for network dynamics. We show that, even for equal probability of tracing a contact, manual tracing robustly performs better than the digital protocol, also taking into account the intrinsic delay and limited scalability of the manual procedure. This result is explained in terms of the stochastic sampling occurring during the case-by-case manual reconstruction of contacts, contrasted with the intrinsically prearranged nature of digital tracing, determined by the decision to adopt the app or not by each individual. The better performance of manual tracing is enhanced by heterogeneity in agent behavior: superspreaders not adopting the app are completely invisible to digital contact tracing, while they can be easily traced manually, due to their multiple contacts. We show that this intrinsic difference makes the manual procedure dominant in realistic hybrid protocols.