Abstract

The modeling of the spreading of communicable diseases has experienced significant advances in the last two decades or so. This has been possible due to the proliferation of data and the development of new methods to gather, mine and analyze it. A key role has also been played by the latest advances in new disciplines like network science. Nonetheless, current models still lack a faithful representation of all possible heterogeneities and features that can be extracted from data. Here, we bridge a current gap in the mathematical modeling of infectious diseases and develop a framework that allows to account simultaneously for both the connectivity of individuals and the age-structure of the population. We compare different scenarios, namely, i) the homogeneous mixing setting, ii) one in which only the social mixing is taken into account, iii) a setting that considers the connectivity of individuals alone, and finally, iv) a multilayer representation in which both the social mixing and the number of contacts are included in the model. We analytically show that the thresholds obtained for these four scenarios are different. In addition, we conduct extensive numerical simulations and conclude that heterogeneities in the contact network are important for a proper determination of the epidemic threshold, whereas the age-structure plays a bigger role beyond the onset of the outbreak. Altogether, when it comes to evaluate interventions such as vaccination, both sources of individual heterogeneity are important and should be concurrently considered. Our results also provide an indication of the errors incurred in situations in which one cannot access all needed information in terms of connectivity and age of the population.

Highlights

  • One of the most fundamental concepts in epidemic dynamics is the heterogeneity in the ability of hosts to transmit the disease

  • Even though a homogeneous mixing component was still present inside each group, because all individuals within a group were indistinguishable, this approach demonstrated that a core group of 20% of the individuals in the host population could lead to 80% of the transmissions, which called for a complete redefinition of disease control programs [8]

  • Models can range from simple homogeneous mixing models to high-resolution approaches

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Summary

Introduction

One of the most fundamental concepts in epidemic dynamics is the heterogeneity in the ability of hosts to transmit the disease. This heterogeneity can be described as a function of three components: an individual’s infectiousness, the rate at which she contacts susceptible individuals, and the duration of the infection [1]. Of these three components, the second one is probably the hardest to correctly estimate since it depends on several factors not related to the pathogen itself, such as the demographic structure of the population or its contact patterns. Even though a homogeneous mixing component was still present inside each group, because all individuals within a group were indistinguishable, this approach demonstrated that a core group of 20% of the individuals in the host population could lead to 80% of the transmissions, which called for a complete redefinition of disease control programs [8]

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