Avraam Demetris, Hadjichrysanthou Christoforos
Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom.
Department of Mathematics, University of Sussex, Brighton, United Kingdom; Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United Kingdom.
J Theor Biol. 2025 Feb 21;599:112010. doi: 10.1016/j.jtbi.2024.112010. Epub 2024 Dec 5.
An individual-based stochastic model was developed to simulate the spread of an infectious disease in an SEIR-type system on all possible contact-networks of size between six and nine nodes. We assessed systematically the impact of the change in the population contact structure on four important epidemiological quantities: i) the epidemic duration, ii) the maximum number of infected individuals at a time point during the epidemic, iii) the time at which the maximum number of infected individuals is reached, and iv) the total number of individuals that have been infected during the epidemic. We considered the potential relationship of these quantities as the network changes and identified the networks that maximise and minimise each of these in the case of an epidemic outbreak. Chain-like networks minimise the peak and final epidemic size, but the disease spread is slow on such contact structures which leads to the maximisation of the epidemic duration. Star-like networks maximise the time to the peak whereas highly connected networks lead to faster disease transmission, and higher peak and final epidemic size. While the pairwise relationship of most of the quantities becomes almost linear, or inverse linear, as the network connectivity increases and approaches the complete network, the relationships are non-linear towards networks of low connectivity. In particular, the pairwise relationship between the final epidemic size and other quantities is changed in a 'bow-shaped' manner. There is a strong inverse linear relationship between epidemic duration and peak epidemic size with increasing network connectivity. The (inverse) linear relationships between quantities are more pronounced in cases of high disease transmissibility. All the values of the quantities change in a non-linear way with the increase of network connectivity and are characterised by high variability between networks of the same degree. The variability decreases as network connectivity increases.
我们开发了一个基于个体的随机模型,用于模拟传染病在一个SEIR型系统中,在节点数为6至9的所有可能接触网络上的传播情况。我们系统地评估了人群接触结构变化对四个重要流行病学指标的影响:i)疫情持续时间;ii)疫情期间某一时刻感染个体的最大数量;iii)达到感染个体最大数量的时间;iv)疫情期间已感染个体的总数。我们将这些指标的潜在关系视为网络变化,并确定了在疫情爆发情况下使每个指标最大化和最小化的网络。链状网络使疫情峰值和最终规模最小化,但在这种接触结构上疾病传播缓慢,这导致疫情持续时间最大化。星状网络使达到峰值的时间最大化,而高度连通的网络导致疾病传播更快,峰值和最终疫情规模更大。虽然随着网络连通性增加并接近完全网络,大多数指标的成对关系几乎变为线性或反线性,但对于低连通性网络,这些关系是非线性的。特别是,最终疫情规模与其他指标之间的成对关系以“弓形”方式变化。随着网络连通性增加,疫情持续时间与疫情峰值规模之间存在很强的反线性关系。在高疾病传播性情况下,指标之间的(反)线性关系更为明显。所有指标的值都随着网络连通性的增加而非线性变化,并且在相同度数的网络之间具有高度变异性。随着网络连通性增加,变异性降低。