Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach

Traditional compartmental models of epidemic transmission often predict an initial phase of exponential growth, assuming uniform susceptibility and interaction within the population. However, empirical outbreak data frequently show early stages of sub-exponential growth in case incidences, challengi...

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Main Authors: Ping Yan, Gerardo Chowell
Format: Article
Language:English
Published: AIMS Press 2024-10-01
Series:Mathematical Biosciences and Engineering
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Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2024321
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author Ping Yan
Gerardo Chowell
author_facet Ping Yan
Gerardo Chowell
author_sort Ping Yan
collection DOAJ
description Traditional compartmental models of epidemic transmission often predict an initial phase of exponential growth, assuming uniform susceptibility and interaction within the population. However, empirical outbreak data frequently show early stages of sub-exponential growth in case incidences, challenging these assumptions and indicating that traditional models may not fully encompass the complexity of epidemic dynamics. This discrepancy has been addressed through models that incorporate early behavioral changes or spatial constraints within contact networks. In this paper, we propose the concept of 'frailty', which represents the variability in individual susceptibility and transmission, as a more accurate approach to understanding epidemic growth. This concept shifts our understanding from a purely exponential model to a more nuanced, generalized model, depending on the level of heterogeneity captured by the frailty parameter. By incorporating this type of heterogeneity, often overlooked in traditional models, we present a novel mathematical framework. This framework enhances our understanding of how individual differences affect key epidemic metrics, including reproduction numbers, epidemic size, likelihood of stochastic extinction, impact of public health interventions, and accuracy of disease forecasts. By accounting for individual heterogeneity, our approach suggests that a more complex and detailed understanding of disease spread is necessary to accurately predict and manage outbreaks.
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spelling doaj-art-596234d8cf4843d29b58cc27f62b88462025-01-23T07:48:00ZengAIMS PressMathematical Biosciences and Engineering1551-00182024-10-0121107278729610.3934/mbe.2024321Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approachPing Yan0Gerardo Chowell1Department of Statistics and Actuarial Science, University of Waterloo, Ontario, CanadaSchool of Public Health, Georgia State University, Atlanta, Georgia, USATraditional compartmental models of epidemic transmission often predict an initial phase of exponential growth, assuming uniform susceptibility and interaction within the population. However, empirical outbreak data frequently show early stages of sub-exponential growth in case incidences, challenging these assumptions and indicating that traditional models may not fully encompass the complexity of epidemic dynamics. This discrepancy has been addressed through models that incorporate early behavioral changes or spatial constraints within contact networks. In this paper, we propose the concept of 'frailty', which represents the variability in individual susceptibility and transmission, as a more accurate approach to understanding epidemic growth. This concept shifts our understanding from a purely exponential model to a more nuanced, generalized model, depending on the level of heterogeneity captured by the frailty parameter. By incorporating this type of heterogeneity, often overlooked in traditional models, we present a novel mathematical framework. This framework enhances our understanding of how individual differences affect key epidemic metrics, including reproduction numbers, epidemic size, likelihood of stochastic extinction, impact of public health interventions, and accuracy of disease forecasts. By accounting for individual heterogeneity, our approach suggests that a more complex and detailed understanding of disease spread is necessary to accurately predict and manage outbreaks.https://www.aimspress.com/article/doi/10.3934/mbe.2024321epidemic modelingsub-exponential growthfrailty modelparameter identifiabilityheterogeneitytransmission dynamicsgeneralized growth modelinfectious diseasesstochastic modelingforecasting
spellingShingle Ping Yan
Gerardo Chowell
Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
Mathematical Biosciences and Engineering
epidemic modeling
sub-exponential growth
frailty model
parameter identifiability
heterogeneity
transmission dynamics
generalized growth model
infectious diseases
stochastic modeling
forecasting
title Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
title_full Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
title_fullStr Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
title_full_unstemmed Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
title_short Modeling sub-exponential epidemic growth dynamics through unobserved individual heterogeneity: a frailty model approach
title_sort modeling sub exponential epidemic growth dynamics through unobserved individual heterogeneity a frailty model approach
topic epidemic modeling
sub-exponential growth
frailty model
parameter identifiability
heterogeneity
transmission dynamics
generalized growth model
infectious diseases
stochastic modeling
forecasting
url https://www.aimspress.com/article/doi/10.3934/mbe.2024321
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AT gerardochowell modelingsubexponentialepidemicgrowthdynamicsthroughunobservedindividualheterogeneityafrailtymodelapproach