Epidemics with general generation interval distributions

We study the spread of susceptible-infected-recovered (SIR) infectious diseases where an individual's infectiousness and probability of recovery depend on his/her “age” of infection. We focus first on early outbreak stages when stochastic effects dominate and show that epidemics tend to happen faster than deterministic calculations predict. If an outbreak is sufficiently large, stochastic effects are negligible and we modify the standard ordinary differential equation (ODE) model to accommodate age-of-infection effects. We avoid the use of partial differential equations which typically appear in related models. We introduce a “memoryless” ODE system which approximates the true solutions. Finally, we analyze the transition from the stochastic to the deterministic phase.     

Stochastic models of some endemic infections

Stochastic models are established and studied for several endemic infections with demography. Approximations of quasi-stationary distributions and of times to extinction are derived for stochastic versions of SI, SIS, SIR, and SIRS models. The approximations are valid for sufficiently large population sizes. Conditions for validity of the approximations are given for each of the models. These are also conditions for validity of the corresponding deterministic model. It is noted that some deterministic models are unacceptable approximations of the stochastic models for a large range of realistic parameter values.     

Optimal time-profiles of public health intervention to shape voluntary vaccination for childhood diseases

Journal of Mathematical Biology - In order to seek the optimal time-profiles of public health systems (PHS) Intervention to favor vaccine propensity, we apply optimal control (OC) to a SIR model...     

Sustained oscillations via coherence resonance in SIR

Sustained oscillations in a stochastic SIR model are studied using a new multiple scale analysis. It captures the interaction of the deterministic and stochastic elements together with the separation of time scales inherent in the appearance of these dynamics. The nearly regular fluctuations in the infected and susceptible populations are described via an explicit construction of a stochastic amplitude equation. The agreement between the power spectral densities of the full model and the approximation verifies that coherence resonance is driving the behavior. The validity criteria for this asymptotic approximation give explicit expressions for the parameter ranges in which one expects to observe this phenomenon.     

Network-based analysis of stochastic SIR epidemic models with random and proportionate mixing

In this paper, we outline the theory of epidemic percolation networks and their use in the analysis of stochastic susceptible-infectious-removed (SIR) epidemic models on undirected contact networks. We then show how the same theory can be used to analyze stochastic SIR models with random and proportionate mixing. The epidemic percolation networks for these models are purely directed because undirected edges disappear in the limit of a large population. In a series of simulations, we show that epidemic percolation networks accurately predict the mean outbreak size and probability and final size of an epidemic for a variety of epidemic models in homogeneous and heterogeneous populations. Finally, we show that epidemic percolation networks can be used to re-derive classical results from several different areas of infectious disease epidemiology. In an Appendix, we show that an epidemic percolation network can be defined for any time-homogeneous stochastic SIR model in a closed population and prove that the distribution of outbreak sizes given the infection of any given node in the SIR model is identical to the distribution of its out-component sizes in the corresponding probability space of epidemic percolation networks. We conclude that the theory of percolation on semi-directed networks provides a very general framework for the analysis of stochastic SIR models in closed populations.     

The critical vaccination fraction for heterogeneous epidemic models

Given a population with m heterogeneous subgroups, a method is developed for determining minimal vaccine allocations to prevent an epidemic by setting the reproduction number to 1. The framework is sufficiently general to apply to several epidemic situations, such as SIR, SEIR and SIS models with vital dynamics. The reproduction number is the largest eigenvalue of the linearized system round the local point of equilibrium of the model. Using the Perron-Frobenius theorem, an exact method for generating solutions is given and the threshold surface of critical vaccine allocations is shown to be a compact, connected subset of a regular (m-1)-dimensional manifold. Populations with two subgroups are examined in full. The threshold curves are either hyperbolas or straight lines. Explicit conditions are given as to when threshold elimination is achievable by vaccinating just one or two groups in a multi-group population and expressions for the critical coverage are derived. Specific reference is made to an influenza A model. Separable or proportionate mixing is also treated. Conditions are conjectured for convexity of the threshold surface and the problem of minimizing the amount of vaccine used while remaining on the threshold surface is discussed.     

Stochastic multitype epidemics in a community of households: estimation and form of optimal vaccination schemes

This paper treats a stochastic model for an SIR (susceptible-->infective-->removed) multitype household epidemic. The community is assumed to be closed, individuals are of different types and each individual belongs to a household. Previously obtained probabilistic and inferential results for the model are used to derive the optimal vaccination scheme. By this is meant the scheme that vaccinates the fewest among all vaccination schemes that reduce the threshold parameter below 1. This is done for the situation where all model parameters are known and also for the case where parameters are estimated from an outbreak in the community prior to vaccination. It is shown that the algorithm which chooses vaccines sequentially, at each step selecting the individual which reduces the threshold parameter the most, is not in general an optimal scheme. As a consequence, explicit characterisation of the optimal scheme is only possible in certain special cases. Two different types of vaccine responses, leaky and all-or-nothing, are considered and compared for the problems mentioned above. The methods are illustrated with some numerical examples.     

Stochastic amplification in an epidemic model with seasonal forcing

We study the stochastic susceptible-infected-recovered (SIR) model with time-dependent forcing using analytic techniques which allow us to disentangle the interaction of stochasticity and external forcing. The model is formulated as a continuous time Markov process, which is decomposed into a deterministic dynamics together with stochastic corrections, by using an expansion in inverse system size. The forcing induces a limit cycle in the deterministic dynamics, and a complete analysis of the fluctuations about this time-dependent solution is given. This analysis is applied when the limit cycle is annual, and after a period doubling when it is biennial. The comprehensive nature of our approach allows us to give a coherent picture of the dynamics which unifies past work, but which also provides a systematic method for predicting the periods of oscillations seen in whooping cough and measles epidemics.     

Inferring Epidemiological Dynamics with Bayesian Coalescent Inference: The Merits of Deterministic and Stochastic Models

Estimation of epidemiological and population parameters from molecular sequence data has become central to the understanding of infectious disease dynamics. Various models have been proposed to infer details of the dynamics that describe epidemic progression. These include inference approaches derived from Kingman’s coalescent theory. Here, we use recently described coalescent theory for epidemic dynamics to develop stochastic and deterministic coalescent susceptible–infected–removed (SIR) tree priors. We implement these in a Bayesian phylogenetic inference framework to permit joint estimation of SIR epidemic parameters and the sample genealogy. We assess the performance of the two coalescent models and also juxtapose results obtained with a recently published birth–death-sampling model for epidemic inference. Comparisons are made by analyzing sets of genealogies simulated under precisely known epidemiological parameters. Additionally, we analyze influenza A (H1N1) sequence data sampled in the Canterbury region of New Zealand and HIV-1 sequence data obtained from known United Kingdom infection clusters. We show that both coalescent SIR models are effective at estimating epidemiological parameters from data with large fundamental reproductive number R₀ and large population size S₀. Furthermore, we find that the stochastic variant generally outperforms its deterministic counterpart in terms of error, bias, and highest posterior density coverage, particularly for smaller R₀ and S₀. However, each of these inference models is shown to have undesirable properties in certain circumstances, especially for epidemic outbreaks with R₀ close to one or with small effective susceptible populations.     

The effect of waning immunity on long-term behaviour of stochastic models for the spread of infection

In stochastic modelling of infectious spread, it is often assumed that infection confers permanent immunity, a susceptible-infective-removed (SIR) model. We show how results concerning long-term (endemic) behaviour may be extended to a susceptible-infective-removed-susceptible (SIRS) model, in which immunity is temporary. Since the full SIRS model with demography is rather intractable, we also consider two simpler models: the susceptible-infective-susceptible (SIS) model with demography, in which there is no immunity; and the SIRS model in a closed population. For each model, we first analyse a deterministic model, then approximate the quasi-stationary distribution (equilibrium distribution conditional upon non-extinction of infection) using a moment closure technique. We look in particular at the effect of the immune period upon infection prevalence and upon time to fade-out of infection. Our main findings are that a shorter average immune period leads to higher infection prevalence in quasi-stationarity, and to longer persistence of infection in the population.     

The Probability of Extinction of Infectious Salmon Anemia Virus in One and Two Patches

Single-type and multitype branching processes have been used to study the dynamics of a variety of stochastic birth–death type phenomena in biology and physics. Their use in epidemiology goes back to Whittle’s study of a susceptible–infected–recovered (SIR) model in the 1950s. In the case of an SIR model, the presence of only one infectious class allows for the use of single-type branching processes. Multitype branching processes allow for multiple infectious classes and have latterly been used to study metapopulation models of disease. In this article, we develop a continuous time Markov chain (CTMC) model of infectious salmon anemia virus in two patches, two CTMC models in one patch and companion multitype branching process (MTBP) models. The CTMC models are related to deterministic models which inform the choice of parameters. The probability of extinction is computed for the CTMC via numerical methods and approximated by the MTBP in the supercritical regime. The stochastic models are treated as toy models, and the parameter choices are made to highlight regions of the parameter space where CTMC and MTBP agree or disagree, without regard to biological significance. Partial extinction events are defined and their relevance discussed. A case is made for calculating the probability of such events, noting that MTBPs are not suitable for making these calculations.     

Recurrent epidemics in small world networks

The effect of spatial correlations on the spread of infectious diseases was investigated using a stochastic susceptible-infective-recovered (SIR) model on complex networks. It was found that in addition to the reduction of the effective transmission rate, through the screening of infectives, spatial correlations have another major effect through the enhancement of stochastic fluctuations, which may become considerably larger than in the homogeneously mixed stochastic model. As a consequence, in finite spatially structured populations significant differences from the solutions of deterministic models are to be expected, since sizes even larger than those found for homogeneously mixed stochastic models are required for the effects of fluctuations to be negligible. Furthermore, time series of the (unforced) model provide patterns of recurrent epidemics with slightly irregular periods and realistic amplitudes, suggesting that stochastic models together with complex networks of contacts may be sufficient to describe the long-term dynamics of some diseases. The spatial effects were analysed quantitatively by modelling measles and pertussis, using a susceptible-exposed-infective-recovered (SEIR) model. Both the period and the spatial coherence of the epidemic peaks of pertussis are well described by the unforced model for realistic values of the parameters.     

Comparison of deterministic and stochastic SIS and SIR models in discrete time

The dynamics of deterministic and stochastic discrete-time epidemic models are analyzed and compared. The discrete-time stochastic models are Markov chains, approximations to the continuous-time models. Models of SIS and SIR type with constant population size and general force of infection are analyzed, then a more general SIS model with variable population size is analyzed. In the deterministic models, the value of the basic reproductive number R0 determines persistence or extinction of the disease. If R0 < 1, the disease is eliminated, whereas if R0 > 1, the disease persists in the population. Since all stochastic models considered in this paper have finite state spaces with at least one absorbing state, ultimate disease extinction is certain regardless of the value of R0. However, in some cases, the time until disease extinction may be very long. In these cases, if the probability distribution is conditioned on non-extinction, then when R0 > 1, there exists a quasi-stationary probability distribution whose mean agrees with deterministic endemic equilibrium. The expected duration of the epidemic is investigated numerically.     

Deterministic epidemiological models at the individual level

In many fields of science including population dynamics, the vast state spaces inhabited by all but the very simplest of systems can preclude a deterministic analysis. Here, a class of approximate deterministic models is introduced into the field of epidemiology that reduces this state space to one that is numerically feasible. However, these reduced state space master equations do not in general form a closed set. To resolve this, the equations are approximated using closure approximations. This process results in a method for constructing deterministic differential equation models with a potentially large scope of application including dynamic directed contact networks and heterogeneous systems using time dependent parameters. The method is exemplified in the case of an SIR (susceptible-infectious-removed) epidemiological model and is numerically evaluated on a range of networks from spatially local to random. In the context of epidemics propagated on contact networks, this work assists in clarifying the link between stochastic simulation and traditional population level deterministic models.     

Finding optimal vaccination strategies for pandemic influenza using genetic algorithms

In the event of pandemic influenza, only limited supplies of vaccine may be available. We use stochastic epidemic simulations, genetic algorithms (GA), and random mutation hill climbing (RMHC) to find optimal vaccine distributions to minimize the number of illnesses or deaths in the population, given limited quantities of vaccine. Due to the non-linearity, complexity and stochasticity of the epidemic process, it is not possible to solve for optimal vaccine distributions mathematically. However, we use GA and RMHC to find near optimal vaccine distributions. We model an influenza pandemic that has age-specific illness attack rates similar to the Asian pandemic in 1957-1958 caused by influenza A(H2N2), as well as a distribution similar to the Hong Kong pandemic in 1968-1969 caused by influenza A(H3N2). We find the optimal vaccine distributions given that the number of doses is limited over the range of 10-90% of the population. While GA and RMHC work well in finding optimal vaccine distributions, GA is significantly more efficient than RMHC. We show that the optimal vaccine distribution found by GA and RMHC is up to 84% more effective than random mass vaccination in the mid range of vaccine availability. GA is generalizable to the optimization of stochastic model parameters for other infectious diseases and population structures.     

一类生物种群投资的最优采收控制

在原有的Gauss白噪声刻画环境噪声项的基础上,考虑环境不可预知的跳跃性变化,运用Lévy白噪声建立了有界环境中的随机生物种群模型.并且,引入随机奇异控制来描述投资者的最优采收策略.进一步地,构造一族有着不同起点的控制问题,利用动态规划的思想,给出了最优采收控制问题解的充分条件,进而,将随机控制问题的求解转化为确定型偏微分方程的求解.     

Optimal foraging in patches: A case for stochasticity

Like much mathematical modeling in biology, most optimal foraging theory is developed from deterministic analogs of basically stochastic processes. Unlike other models, however, it cannot depend on laws of large numbers to justify this simplification; ignoring stochasticity can lead to wrong answers. This is demonstrated for a predator searching spatially separated patches of prey; it is shown that the choice of an optimal procedure for deciding when to leave a patch must be based on a stochastic model—a predator whose procedure is based on a deterministic model can do arbitrarily badly by comparison with the stochastic optimizer. A general solution is given, and its complexity suggests some objections to standard optimality arguments, and some possible alternatives.     

A Stochastic Tick-Borne Disease Model: Exploring the Probability of Pathogen Persistence

We formulate and analyse a stochastic epidemic model for the transmission dynamics of a tick-borne disease in a single population using a continuous-time Markov chain approach. The stochastic model is based on an existing deterministic metapopulation tick-borne disease model. We compare the disease dynamics of the deterministic and stochastic models in order to determine the effect of randomness in tick-borne disease dynamics. The probability of disease extinction and that of a major outbreak are computed and approximated using the multitype Galton–Watson branching process and numerical simulations, respectively. Analytical and numerical results show some significant differences in model predictions between the stochastic and deterministic models. In particular, we find that a disease outbreak is more likely if the disease is introduced by infected deer as opposed to infected ticks. These insights demonstrate the importance of host movement in the expansion of tick-borne diseases into new geographic areas.     

The role of childrens’ vaccination for COVID-19—Pareto-optimal allocations of vaccines

COVID-19 vaccines have been approved for children of age five and older in many countries. However, there is an ongoing debate as to whether children should be vaccinated and at what priority. In this work, we use mathematical modeling and optimization to study how vaccine allocations to different age groups effect epidemic outcomes. In particular, we consider the effect of extending vaccination campaigns to include the vaccination of children. When vaccine availability is limited, we consider Pareto-optimal allocations with respect to competing measures of the number of infections and mortality and systematically study the trade-offs among them. In the scenarios considered, when some weight is given to the number of infections, we find that it is optimal to allocate vaccines to adolescents in the age group 10-19, even when they are assumed to be less susceptible than adults. We further find that age group 0-9 is included in the optimal allocation for sufficiently high values of the basic reproduction number.