Abstract

Malaysia is multi-ethnic and diverse country. Heterogeneity, in terms of population interactions, is ingrained in the foundation of the country. Malaysian policies and social distancing measures are based on daily infections and R0 (average number of infections per infected person), estimated from the data. Models of the Malaysian COVID-19 spread are mostly based on the established SIR compartmental model and its variants. These models usually assume homogeneity and symmetrical full mixing in the population; thus, they are unable to capture super-spreading events which naturally occur due to heterogeneity. Moreover, studies have shown that when heterogeneity is present, R0 may be very different and even possibly misleading. The underlying spreading network is a crucial element, as it introduces heterogeneity for a more representative and realistic model of the spread through specific populations. Heterogeneity introduces more complexities in the modelling due to its asymmetrical nature of infection compared to the relatively symmetrical SIR compartmental model. This leads to a different way of calculating R0 and defining super-spreaders. Quantifying a super-spreader individual is related to the idea of importance in a network. The definition of a super-spreading individual depends on how super-spreading is defined. Even when the spreading is defined, it may not be clear that a single centrality always correlates with super-spreading, since centralities are network dependent. We proposed using a measure of super-spreading directly related to R0 and that will give a measure of ‘spreading’ regardless of the underlying network. We captured the vulnerability for varying degrees of heterogeneity and initial conditions by defining a measure to quantify the chances of epidemic spread in the simulations. We simulated the SIR spread on a real Malaysian network to illustrate the effects of this measure and heterogeneity on the number of infections. We also simulated super-spreading events (based on our definition) within the bounds of heterogeneity to demonstrate the effectiveness of the newly defined measure. We found that heterogeneity serves as a natural curve-flattening mechanism; therefore, the number of infections and R0 may be lower than expected. This may lead to a false sense of security, especially since heterogeneity makes the population vulnerable to super-spreading events.

Highlights

  • The varying infection rates resulted in SIRWNBCH having a lower I (t), R0(t) and αS compared to SIRNBCH, but it led to SIRWNBCL having a higher I (t), R0(t) and αS compared to SIRNBCL

  • The SIR has more than 16 times the edges of SIRN, and the higher I (t) and R0(t) in Figure 3 is expected; even under these vastly different connectivity circumstances, we have shown that αS of the SIRN and SIRWN may be larger than the SIR when a strategically positioned seed is chosen, as demonstrated through

  • We highlighted that quantifying heterogeneity and super-spreaders is very important to predict a more realistic epidemic spread

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Summary

Introduction

A network representing human contact is usually heterogeneous and asymmetrical in nature, since relationships and contact of individuals vary This breaking of symmetry makes the calculation of transition probabilities and effective infection rates more complicated, compared to the compartmental SIR model. The spreading capacity can be measured by how much deleting a vertex would reduce the expected outbreak size, as we previously investigated [10], in relation to sentinel surveillance [9] and strategizing to minimize infections These capacities may be captured by measures such as degree and centralities, depending on the structure of the underlying network. The effect of heterogeneity was quantified using three main measures: (1) the fraction of infected individuals in the population, (2) R0 (average number of infections per infected person) and (3) the chances of epidemic spread, αS (fraction of cases where R0 grows larger than 1). To conclude we will discuss the implications of our findings for the literature of the quantification of super-spreading in general and, to the modelling of the Malaysian epidemic spread

The Spread of COVID-19
The Spread of COVID-19 in Malaysia
Modelling the Malaysian COVID-19 Spread
On the Estimation of Malaysian β and γ
Heterogeneity and R0
Contact Networks
Malaysian Heterogeneity in University Friendship Networks
SIR-like Simulations with Random Seed
Infections and R0
SIR-like Simulations with Fixed Seed
Betweenness Centrality
The Measuring of Super Spreading Events with αS
Findings
Discussion
Conclusions
Full Text
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