Department of Physics, Shahid Beheshti University, 1983969411 Tehran, Iran.
Department of Computational Medicine and Department of Mathematics, UCLA, Los Angeles, California 90095, USA.
Chaos. 2023 Mar;33(3):033145. doi: 10.1063/5.0139844.
Outbreaks are complex multi-scale processes that are impacted not only by cellular dynamics and the ability of pathogens to effectively reproduce and spread, but also by population-level dynamics and the effectiveness of mitigation measures. A timely exchange of information related to the spread of novel pathogens, stay-at-home orders, and other measures can be effective at containing an infectious disease, particularly during the early stages when testing infrastructure, vaccines, and other medical interventions may not be available at scale. Using a multiplex epidemic model that consists of an information layer (modeling information exchange between individuals) and a spatially embedded epidemic layer (representing a human contact network), we study how random and targeted disruptions in the information layer (e.g., errors and intentional attacks on communication infrastructure) impact the total proportion of infections, peak prevalence (i.e., the maximum proportion of infections), and the time to reach peak prevalence. We calibrate our model to the early outbreak stages of the SARS-CoV-2 pandemic in 2020. Mitigation campaigns can still be effective under random disruptions, such as failure of information channels between a few individuals. However, targeted disruptions or sabotage of hub nodes that exchange information with a large number of individuals can abruptly change outbreak characteristics, such as the time to reach the peak of infection. Our results emphasize the importance of the availability of a robust communication infrastructure during an outbreak that can withstand both random and targeted disruptions.
疫情爆发是复杂的多尺度过程,不仅受到细胞动力学和病原体有效繁殖和传播能力的影响,还受到人群水平动态和缓解措施有效性的影响。及时交流有关新型病原体传播、居家令和其他措施的信息,可以有效地控制传染病,特别是在测试基础设施、疫苗和其他医疗干预措施可能无法大规模应用的早期阶段。我们使用包含信息层(个体之间的信息交换建模)和空间嵌入的传染病层(代表人类接触网络)的多重传染病模型,研究信息层的随机和有针对性的中断(例如,通信基础设施的错误和故意攻击)如何影响总感染比例、峰值流行率(即最大感染比例)和达到峰值流行率的时间。我们根据 2020 年 SARS-CoV-2 大流行的早期爆发阶段对模型进行了校准。在随机中断的情况下,缓解措施仍然可以有效,例如少数个体之间的信息渠道出现故障。然而,针对与大量个体进行信息交换的枢纽节点的有针对性的中断或破坏,可能会突然改变疫情爆发的特征,例如感染达到高峰的时间。我们的研究结果强调了在疫情爆发期间保持稳健的通信基础设施可用性的重要性,该基础设施能够承受随机和有针对性的中断。