RESUMO
Effective strategies of vaccine prioritization are essential to mitigate the impacts of severe infectious diseases. We investigate the role of infection fatality ratio (IFR) and social contact matrices on vaccination prioritization using a compartmental epidemic model fueled by real-world data of different diseases and countries. Our study confirms that massive and early vaccination is extremely effective to reduce the disease fatality if the contagion is mitigated, but the effectiveness is increasingly reduced as vaccination beginning delays in an uncontrolled epidemiological scenario. The optimal and least effective prioritization strategies depend non-linearly on epidemiological variables. Regions of the epidemiological parameter space, in which prioritizing the most vulnerable population is more effective than the most contagious individuals, depend strongly on the IFR age profile being, for example, substantially broader for COVID-19 in comparison with seasonal influenza. Demographics and social contact matrices deform the phase diagrams but do not alter their qualitative shapes.
Assuntos
COVID-19 , Epidemias , Vacinas contra Influenza , Influenza Humana , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Influenza Humana/epidemiologia , Influenza Humana/prevenção & controle , VacinaçãoRESUMO
A simple model to study cooperation is the two-species symbiotic contact process (2SCP), in which two different species spread on a graph and interact by a reduced death rate if both occupy the same vertex, representing a symbiotic interaction. The 2SCP is known to exhibit a complex behavior with a rich phase diagram, including continuous and discontinuous transitions between the active phase and extinction. In this work, we advance the understanding of the phase transition of the 2SCP on uncorrelated networks by developing a heterogeneous mean-field (HMF) theory, in which the heterogeneity of contacts is explicitly reckoned. The HMF theory for networks with power-law degree distribution shows that the region of bistability (active and inactive phases) in the phase diagram shrinks as the heterogeneity level is increased by reducing the degree exponent. Finite-size analysis reveals a complex behavior where a pseudodiscontinuous transition at a finite size can be converted into a continuous one in the thermodynamic limit, depending on degree exponent and symbiotic coupling. The theoretical results are supported by extensive numerical simulations.
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Nowcasting and forecasting of epidemic spreading rely on incidence series of reported cases to derive the fundamental epidemiological parameters for a given pathogen. Two relevant drawbacks for predictions are the unknown fractions of undocumented cases and levels of nonpharmacological interventions, which span highly heterogeneously across different places and times. We describe a simple data-driven approach using a compartmental model including asymptomatic and pre-symptomatic contagions that allows to estimate both the level of undocumented infections and the value of effective reproductive number R t from time series of reported cases, deaths, and epidemiological parameters. The method was applied to epidemic series for COVID-19 across different municipalities in Brazil allowing to estimate the heterogeneity level of under-reporting across different places. The reproductive number derived within the current framework is little sensitive to both diagnosis and infection rates during the asymptomatic states. The methods described here can be extended to more general cases if data is available and adapted to other epidemiological approaches and surveillance data.
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Optimal strategies for epidemic containment are focused on dismantling the contact network through effective immunization with minimal costs. However, network fragmentation is seldom accessible in practice and may present extreme side effects. In this work, we investigate the epidemic containment immunizing population fractions far below the percolation threshold. We report that moderate and weakly supervised immunizations can lead to finite epidemic thresholds of the susceptible-infected-susceptible model on scale-free networks by changing the nature of the transition from a specific motif to a collectively driven process. Both pruning of efficient spreaders and increasing of their mutual separation are necessary for a collective activation. Fractions of immunized vertices needed to eradicate the epidemics which are much smaller than the percolation thresholds were observed for a broad spectrum of real networks considering targeted or acquaintance immunization strategies. Our work contributes for the construction of optimal containment, preserving network functionality through nonmassive and viable immunization strategies.
Assuntos
Epidemias/prevenção & controle , Imunização , Surtos de Doenças , Suscetibilidade a Doenças , Modelos Estatísticos , ProbabilidadeRESUMO
A major hurdle in the simulation of the steady state of epidemic processes is that the system will unavoidably visit an absorbing, disease-free state at sufficiently long times due to the finite size of the networks where epidemics evolves. In the present work, we compare different quasistationary (QS) simulation methods where the absorbing states are suitably handled and the thermodynamical limit of the original dynamics can be achieved. We analyze the standard QS (SQS) method, where the sampling is constrained to active configurations, the reflecting boundary condition (RBC), where the dynamics returns to the pre-absorbing configuration, and hub reactivation (HR), where the most connected vertex of the network is reactivated after a visit to an absorbing state. We apply the methods to the contact process (CP) and susceptible-infected-susceptible (SIS) models on regular and scale free networks. The investigated methods yield the same epidemic threshold for both models. For CP, that undergoes a standard collective phase transition, the methods are equivalent. For SIS, whose phase transition is ruled by the hub mutual reactivation, the SQS and HR methods are able to capture localized epidemic phases while RBC is not. We also apply the autocorrelation time as a tool to characterize the phase transition and observe that this analysis provides the same finite-size scaling exponents for the critical relaxation time for the investigated methods. Finally, we verify the equivalence between RBC method and a weak external field for epidemics on networks.