On SIR-type epidemiological models and population heterogeneity eects Silke Klemm12and Lucrezia Ravera34

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On SIR-type epidemiological models and population
heterogeneity effects
Silke Klemm1,2and Lucrezia Ravera3,4
1Dipartimento di Fisica, Universit`a di Milano, Via Celoria 16, 20133 Milano, Italy
2INFN, Sezione di Milano, Via Celoria 16, 20133 Milano, Italy
3DISAT, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino, Italy
4INFN, Sezione di Torino, Via P. Giuria 1, 10125 Torino, Italy
October 21, 2022
Abstract
In this paper we elaborate on homogeneous and heterogeneous SIR-type epidemiological
models. We find an unexpected correspondence between the epidemic trajectory of a transmis-
sible disease in a homogeneous SIR-type model and radial null geodesics in the Schwarzschild
spacetime. We also discuss modeling of population heterogeneity effects by considering both a
one- and two-parameter gamma-distributed function for the initial susceptibility distribution,
and deriving the associated herd immunity threshold. We furthermore describe how mitigation
measures can be taken into account by model fitting.
silke.klemm@mi.infn.it
lucrezia.ravera@polito.it
arXiv:2210.11342v1 [q-bio.PE] 20 Oct 2022
Contents
1 Introduction 1
2 Homogeneous SIR-type models 2
2.1 Epidemic trajectory as radial null geodesics in Schwarzschild spacetime . . . . . . . 5
3 Modeling population heterogeneity effects 6
3.1 HIT for the case of a one-parameter gamma distribution . . . . . . . . . . . . . . . . 7
3.1.1 A possible way to take into account mitigation measures in model fitting . . 10
3.2 HIT for the case of a two-parameter gamma distribution . . . . . . . . . . . . . . . . 10
4 Final remarks 13
1 Introduction
The SARS-CoV-2 pandemic led, in many countries, to lockdown measures aiming to control
and limit the spreading of the virus. A key role when facing global events of this type is played
by mathematical modeling of infectious diseases, which allows direct validation with real data.
This consequently permits to evaluate the effectiveness of control and prevention strategies, giving
support to public health.
In this context, Susceptible-Infected-Removed (SIR) models of epidemics (see e.g. [1,2]) capture
key features of a spreading epidemic as a mean field theory based on pair-wise interactions between
infected and susceptible individuals, without aiming to describe specific details. In particular, in the
presence of Iinfected individuals in a population of Nindividuals, the infection can be transmitted
to susceptible individuals S. They stay infectious during an average time γ1, after which they
no longer contribute to infections. The fraction of immune individuals in the population beyond
which the epidemic can no longer grow defines the herd immunity threshold (HIT).
Simple SIR models commonly assume the population to be homogeneous; each individual has
the same probability of being infected by the disease. However, in order to take into account that
the infection probability actually depends on age, sex, connections with other individuals, etc., SIR
models for heterogeneous populations have been considered [3,57]. In these models, a parameter,
usually denoted by α, is commonly introduced to describe population heterogeneity and, hence,
variation in susceptibility of individuals.
Studying the transmission of the virus SARS-CoV-2, in [3] it was shown that the percentage of
a homogeneous population to be immune given some value for R0(which is the basic reproduction
number, namely the average number of new infected generated by an infected individual at the early
epidemic stage) noticeably drops if the population is considered to be highly heterogeneous. More
specifically, while herd immunity is expected to require 60-75 percent of a homogeneous population
to be immune given an R0(that is the basic reproduction number) between 2.5 and 4, these per-
centages drop to the 10-20 percent range for the coefficients of variation in susceptibility considered
in [3] between 2 and 4. In particular, it was shown that individual variation in susceptibility or
exposure (connectivity) accelerates the acquisition of immunity in populations due to selection by
the force of infection. More susceptible and more connected individuals have a higher propensity
1
to be infected and thus are likely to become immune earlier. Due to this selective immunization,
heterogeneous populations require less infections to cross their HITs than homogeneous (or not
sufficiently heterogeneous) models would suggest. In [3] the initial susceptibility was considered to
be gamma-distributed, with a one-parameter gamma distribution. Besides, the case of a lognormal
distribution was treated numerically. The gamma distribution was also considered in [4] to model
the first-wave COVID-19 daily cases, and it was proven, in this context, to provide better results
than the Gaussian, Weibull (and Gumbel) distributions.
Taking into account heterogeneity effects has proven to be relevant also in the spread of smallpox
(cf. [7]), where homogeneous models are not capable to explain the data, as well as for tuberculosis
and malaria (see, e.g., [3] and references therein).
In this work we discuss modeling of population heterogeneity effects by considering both a
one-parameter gamma-distributed function and a two-parameter one for the initial susceptibility
distribution, deriving the associated HIT. The latter is computed analytically in both cases. We
also describe a possible way to take into account mitigation measures when performing model fitting
in the case of the one-parameter initial gamma distribution, while the two-parameter initial gamma
distribution appears to automatically accommodate this external action on diseases spread. On
the other hand, regarding homogeneous SIR models, we present an intriguing feature of a simple
model of this type, which paves the way to future analytically tractable studies of epidemiological
models.
The remainder of this paper is structured as follows: In Section 2, we review homogeneous SIR-
type models of epidemics and, in Section 2.1, we present a correspondence between the epidemic
trajectory in a homogeneous SIR model and radial null geodesics in the Schwarzschild spacetime.
Subsequently, in Section 3, we discuss modeling of population heterogeneity effects to capture the
fact that the probability of being infected is not the same for all individuals. Section 4is devoted
to final remarks and possible future developments of our analysis.
2 Homogeneous SIR-type models
In an SIR-type model [1], the population is divided into susceptible, infected and recovered
individuals, whose numbers are denoted respectively by S,I, and R. Their dynamics is governed
by the equations ˙
S=f(I, S),˙
I=f(I, S)g(I),˙
R=g(I).(1)
Here f(I, S) denotes the infection force, i.e., the rate at which susceptible persons acquire the
infectious disease, while g(I) is some function to be specified below. The upper dot symbol denotes
the time derivative. From (1) one obtains the conservation law
˙
S+˙
I+˙
R= 0 S+I+R= const. = N , (2)
with Nthe total number of individuals in the population. A common choice is f(I, S) = βIS,
g(I) = γI, where βis the transmission (or infection) rate (per capita),1and γdenotes the rate of
1The infection rate βcan in general depend on time t; this time dependence could correspond to seasonal changes
or mitigation measures [810].
2
recovery. It is related to the average recovery time Dby D= 1. We have thus2
˙
S=βIS , ˙
I=βIS γI , ˙
R=γI . (3)
This implies dI
dS =1 + γ
βS ,(4)
which can be integrated to give the epidemic trajectory
II0=S0S+γ
βln S
S0
,(5)
with I0=I(t= 0) and S0=S(t= 0). In order to obtain the early growth of the epidemic, one
linearizes (3) around S=S0Nand I0, i.e., sets
S=NδS , I =δI , δS, δI N . (6)
This leads to the exponential law
δI =I0eγ(R01)t,(7)
where
R0=Nβ
γ(8)
is the basic reproduction number. It denotes the average number of new infections generated by
an infected individual (at the early epidemic stage).
The function I(S) has a maximum at S=Smax =γ. At this peak, a fraction Smax/N = 1/R0
of individuals remains susceptible. The cumulative number of infections C=NSat the maximum
of Ithus obeys Cmax
N= 1 1
R0
.(9)
This is the well-known formula for the herd immunity level (or herd immunity threshold, HIT),
i.e., the fraction of immune individuals in the population beyond which the epidemic can no longer
grow. Here we are not considering mitigation measures, nor reinfections. Hence, in particular, the
threshold to reach herd immunity is estimated by considering natural infections without restrictions
(lockdown, social distancing, etc.) and without taking into account possible vaccinations. The plot
in Figure 1displays the herd immunity level (9) as a function of R0.
When the epidemic stops we have I= 0. Using (5), it is easy to show that the number of
susceptible individuals left over at the end of an epidemic is given by
S=S0
Re
W0Reexp Re1 + I0
S0,(10)
where
Re=S0β=S0R0/N (11)
2In this work, we multiply the quantity βwith the constant factor Nwith respect to the one defined, e.g., in [7],
that is βNβ.
3
摘要:

OnSIR-typeepidemiologicalmodelsandpopulationheterogeneitye ectsSilkeKlemm1;2*andLucreziaRavera3;4„1DipartimentodiFisica,UniversitadiMilano,ViaCeloria16,20133Milano,Italy2INFN,SezionediMilano,ViaCeloria16,20133Milano,Italy3DISAT,PolitecnicodiTorino,CorsoDucadegliAbruzzi24,10129Torino,Italy4INFN,Sezi...

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