“…Projections are made under the assumption of gamma-distributed generation times (with an average of 5.2 days and a standard deviation of 1.7 days) and a total duration of the infection of 11.7 days, inclusive of the latent phase (corresponding to the parameterization for the ancestral strain of SARS-CoV-2; see Table 1). (Cori et al, 2013;Liu et al, 2018;Gostic et al, 2020;Zhang et al, 2020;Cereda et al, 2021;Trevisin et al, 2023), we adopt a susceptible-infected-removed model with age-of-infection structure (Kermack and McKendrick, 1927;Cao et al, 2019) and discretize it in time and age of infection (Allen and van den Driessche, 2008), thereby obtaining an epidemiological projection matrix that can be used to simulate the transmission process. The projection matrix can be made time-or policy-dependent by substituting the basic RN with the effective or control RNs (Materials and Methods).…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, preventing pathogens from even temporarily spreading within a population gains importance because case imports are often unavoidable, as testified, for example, by MERS-CoV outbreaks in the Middle East (Gardner and MacIntyre, 2014) or measles in the US that occur despite control efforts (Blumberg et al, 2015). The issue of recurrent epidemics has been explored via deterministic and stochastic models, which have highlighted their various features, often concentrating on seasonal dynamics (Johansen, 1996; Finkenstädt et al, 2002; Stone et al, 2007; Begon et al, 2009; Zheng et al, 2015; Cao et al, 2019; Saad-Roy et al, 2020).…”
Current practice in the design and evaluation of epidemic control measures, including vaccination, is largely based on reproduction numbers (RNs), which represent prognostic indexes of long-term disease transmission, both in naive populations (basic RN) and in the presence of prior exposure or interventions (effective RN). A standard control objective is to establish herd immunity, e.g., by immunizing enough susceptible individuals to achieve RN<1. However, attaining this goal is not sufficient to avoid transient outbreaks that, in the short term, might revamp epidemics by coalescence of subthreshold flare-ups. Using reactivity analysis applied to a discrete SIR model with age-of-infection structure, we determine sufficient conditions to prevent transient epidemic dynamics and recurrent, non-periodic outbreaks due to imported cases. These conditions are based on fundamental infection characteristics, namely the average infectiousness clearance rate, the generation time distribution, and the RN. We show that preventing subthreshold epidemicity requires stricter RN thresholds than simply maintaining RN<1. Taking into account a wide spectrum of respiratory viral infections, epidemicity-curbing RN thresholds vary between 0.10 (rubella) and 0.51 (MERS), with a median of 0.26 close to the estimate of 0.24 for the ancestral SARS-CoV-2 virus. The portion of the population that needs to be included in containment efforts to avoid short-term outbreaks is considerably higher than herd immunity thresholds (HITs) based solely on the basic RN (e.g., 93% vs. 72% for ancestral SARS-CoV-2). We also find that subthreshold epidemicity is harder to prevent for pathogens with a longer mean generation time, smaller standard deviation of the generation time distribution, longer duration of infection, and higher RN. Determining sufficient RN thresholds to prevent transient outbreaks is a key challenge in disease ecology, with practical consequences for the design of control measures, as the weaker RN reductions and HITs associated with customary control targets may prove ineffective in preventing potentially recurrent flare-ups. Due to its modest data requirements, our modeling framework may also have important implications for human and non-human diseases caused by emerging pathogens.
“…Projections are made under the assumption of gamma-distributed generation times (with an average of 5.2 days and a standard deviation of 1.7 days) and a total duration of the infection of 11.7 days, inclusive of the latent phase (corresponding to the parameterization for the ancestral strain of SARS-CoV-2; see Table 1). (Cori et al, 2013;Liu et al, 2018;Gostic et al, 2020;Zhang et al, 2020;Cereda et al, 2021;Trevisin et al, 2023), we adopt a susceptible-infected-removed model with age-of-infection structure (Kermack and McKendrick, 1927;Cao et al, 2019) and discretize it in time and age of infection (Allen and van den Driessche, 2008), thereby obtaining an epidemiological projection matrix that can be used to simulate the transmission process. The projection matrix can be made time-or policy-dependent by substituting the basic RN with the effective or control RNs (Materials and Methods).…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, preventing pathogens from even temporarily spreading within a population gains importance because case imports are often unavoidable, as testified, for example, by MERS-CoV outbreaks in the Middle East (Gardner and MacIntyre, 2014) or measles in the US that occur despite control efforts (Blumberg et al, 2015). The issue of recurrent epidemics has been explored via deterministic and stochastic models, which have highlighted their various features, often concentrating on seasonal dynamics (Johansen, 1996; Finkenstädt et al, 2002; Stone et al, 2007; Begon et al, 2009; Zheng et al, 2015; Cao et al, 2019; Saad-Roy et al, 2020).…”
Current practice in the design and evaluation of epidemic control measures, including vaccination, is largely based on reproduction numbers (RNs), which represent prognostic indexes of long-term disease transmission, both in naive populations (basic RN) and in the presence of prior exposure or interventions (effective RN). A standard control objective is to establish herd immunity, e.g., by immunizing enough susceptible individuals to achieve RN<1. However, attaining this goal is not sufficient to avoid transient outbreaks that, in the short term, might revamp epidemics by coalescence of subthreshold flare-ups. Using reactivity analysis applied to a discrete SIR model with age-of-infection structure, we determine sufficient conditions to prevent transient epidemic dynamics and recurrent, non-periodic outbreaks due to imported cases. These conditions are based on fundamental infection characteristics, namely the average infectiousness clearance rate, the generation time distribution, and the RN. We show that preventing subthreshold epidemicity requires stricter RN thresholds than simply maintaining RN<1. Taking into account a wide spectrum of respiratory viral infections, epidemicity-curbing RN thresholds vary between 0.10 (rubella) and 0.51 (MERS), with a median of 0.26 close to the estimate of 0.24 for the ancestral SARS-CoV-2 virus. The portion of the population that needs to be included in containment efforts to avoid short-term outbreaks is considerably higher than herd immunity thresholds (HITs) based solely on the basic RN (e.g., 93% vs. 72% for ancestral SARS-CoV-2). We also find that subthreshold epidemicity is harder to prevent for pathogens with a longer mean generation time, smaller standard deviation of the generation time distribution, longer duration of infection, and higher RN. Determining sufficient RN thresholds to prevent transient outbreaks is a key challenge in disease ecology, with practical consequences for the design of control measures, as the weaker RN reductions and HITs associated with customary control targets may prove ineffective in preventing potentially recurrent flare-ups. Due to its modest data requirements, our modeling framework may also have important implications for human and non-human diseases caused by emerging pathogens.
“…1,[7][8][9][10][11] In addition to global stability, the destabilization of age-dependent positive steady state has attracted great attention recently, which may result in bifurcation behaviors. [12][13][14][15][16][17][18][19] To conduct analysis, the age-structured model can be rewritten as abstract Cauchy problem with a Lipschitz perturbation of a closed linear operator that is non-densely defined but satisfies the estimates of Hille-Yosida theorem. Due to the age-dependent parameters or infectious delay, Hopf bifurcation occurs in the population dynamics.…”
Section: Introductionmentioning
confidence: 99%
“…Due to the age-dependent parameters or infectious delay, Hopf bifurcation occurs in the population dynamics. In other studies, 15,18,19 epidemic models with age structure were proposed for recurrent diseases by incorporating temporary immunity, allowing the transition between periodic and non-periodic behaviors of the disease. In consideration of differential infectivity with age of infection in infectious class, compartmental models for pest-pathogen, predator-prey, and virus infections were studied in other studies, [12][13][14]17 and bifurcation results were established when the disease is being persistent.…”
Section: Introductionmentioning
confidence: 99%
“…Denoting a 0 = 𝜏, here 𝜏 is the critical infection age that when the acute period exceeds 𝜏, then the chronic stage begins, which is different from the infectious delay in other studies. 15,18,19 The susceptible population is assumed to experience logistic growth with b and K being intrinsic growth rate and carrying capacity. 𝜇, 𝛼(a), and 𝜖 represent natural death rate, disease-induced death rate, and the rate of transfer from acute to chronic infection, respectively.…”
In this paper, we develop an age‐structured model with two infectious stages to study the effect of infection age on dynamic properties. By reformulating the model as a non‐densely defined Cauchy problem and applying theorem related with Hille–Yosida operator, the threshold dynamics are investigated. Theoretical analysis shows that destabilization of the age‐dependent endemic equilibrium can occur due to the perturbation of critical infection age that separates the two infectious stages. Furthermore, numerical simulations are conducted to illustrate the dynamical behaviors of stability switching.
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