Balancing Quarantine and Self-Distancing Measures in Adaptive Epidemic Networks

Limited efficacy of forward contact tracing in epidemics

Infectious diseases that spread silently through asymptomatic or pre-symptomatic infections represent a challenge for policy makers. A traditional way of achieving isolation of silent infectors from the community is through forward contact tracing, aimed at identifying individuals that might have been infected by a known infected person. In this work we investigate how efficient this measure is in preventing a disease from becoming endemic. We introduce an SIS-based compartmental model where symptomatic individuals may self-isolate and trigger a contact tracing process aimed at quarantining asymptomatic infected individuals. Imperfect adherence and delays affect both measures. We derive the epidemic threshold analytically and find that contact tracing alone can only lead to a very limited increase of the threshold. We quantify the effect of imperfect adherence and the impact of incentivizing asymptomatic and symptomatic populations to adhere to isolation. Our analytical results are confirmed by simulations on complex networks and by the numerical analysis of a much more complex model incorporating more realistic in-host disease progression.

Self-adapting infectious dynamics on random networks

Self-adaptive dynamics occurs in many fields of research, such as socio-economics, neuroscience, or biophysics. We consider a self-adaptive modeling approach, where adaptation takes place within a set of strategies based on the history of the state of the system. This leads to piecewise deterministic Markovian dynamics coupled to a non-Markovian adaptive mechanism. We apply this framework to basic epidemic models (SIS, SIR) on random networks. We consider a co-evolutionary dynamical network where node-states change through the epidemics and network topology changes through the creation and deletion of edges. For a simple threshold base application of lockdown measures, we observe large regions in parameter space with oscillatory behavior, thereby exhibiting one of the most reduced mechanisms leading to oscillations. For the SIS epidemic model, we derive analytic expressions for the oscillation period from a pairwise closed model, which is validated with numerical simulations for random uniform networks. Furthermore, the basic reproduction number fluctuates around one indicating a connection to self-organized criticality.

Perspectives on adaptive dynamical systems

Adaptivity is a dynamical feature that is omnipresent in nature, socio-economics, and technology. For example, adaptive couplings appear in various real-world systems, such as the power grid, social, and neural networks, and they form the backbone of closed-loop control strategies and machine learning algorithms. In this article, we provide an interdisciplinary perspective on adaptive systems. We reflect on the notion and terminology of adaptivity in different disciplines and discuss which role adaptivity plays for various fields. We highlight common open challenges and give perspectives on future research directions, looking to inspire interdisciplinary approaches.

The impact of spatial and social structure on an SIR epidemic on a weighted multilayer network

A key factor in the transmission of infectious diseases is the structure of disease transmitting contacts. In the context of the current COVID-19 pandemic and with some data based on the Hungarian population we develop a theoretical epidemic model (susceptible-infected-removed, SIR) on a multilayer network. The layers include the Hungarian household structure, with population divided into children, adults and elderly, as well as schools and workplaces, some spatial embedding and community transmission due to sharing communal spaces, service and public spaces. We investigate the sensitivity of the model (via the time evolution and final size of the epidemic) to the different contact layers and we map out the relation between peak prevalence and final epidemic size. When compared to the classic compartmental model and for the same final epidemic size, we find that epidemics on multilayer network lead to higher peak prevalence meaning that the risk of overwhelming the health care system is higher. Based on our model we found that keeping cliques/bubbles in school as isolated as possible has a major effect while closing workplaces had a mild effect as long as workplaces are of relatively small size.