Small amplitude, long period outbreaks in seasonally driven epidemics (original) (raw)

Seasonal dynamics of recurrent epidemics

Nature, 2007

Seasonality is a driving force that has a major effect on the spatiotemporal dynamics of natural systems and their populations 1-5 . This is especially true for the transmission of common infectious diseases (such as influenza, measles, chickenpox and pertussis), and is of great relevance for host-parasite relationships in general 1-23 . Here we gain further insights into the nonlinear dynamics of recurrent diseases through the analysis of the classical seasonally forced SIR (susceptible, infectious or recovered) epidemic model 6,7 . Our analysis differs from other modelling studies in that the focus is more on post-epidemic dynamics than the outbreak itself. Despite the mathematical intractability of the forced SIR model, we identify a new threshold effect and give clear analytical conditions for predicting the occurrence of either a future epidemic outbreak, or a 'skip'-a year in which an epidemic fails to initiate. The threshold is determined by the population's susceptibility measured after the last outbreak and the rate at which new susceptible individuals are recruited into the population. Moreover, the time of occurrence (that is, the phase) of an outbreak proves to be a useful parameter that carries important epidemiological information. In forced systems, seasonal changes can prevent late-peaking diseases (that is, those having high phase) from spreading widely, thereby increasing population susceptibility, and controlling the triggering and intensity of future epidemics. These principles yield forecasting tools that should have relevance for the study of newly emerging and re-emerging diseases controlled by seasonal vectors.

Multiple stable recurrent outbreaks and predictability in seasonally forced nonlinear epidemic models

Journal of Mathematical Biology, 1985

A seasonally forced nonlinear SEIR epidemic model is used to simulate small and large amplitude periodic outbreaks. The model is shown to exhibit bistable behavior for a fixed set of parameters. Basins of attraction for each recurrent outbreak are computed, and it is shown that the basins of two coexisting stable outbreaks are intertwined in a complicated manner. The effect of such a basin structure is shown to result in an obstruction in predicting asymptotically the type of outbreak given an uncertainty in the initial population of susceptibles and infectives.

Modelling Cyclic Fluctuations of SEIR Epidemic Diseases

Zenodo (CERN European Organization for Nuclear Research), 2022

Seasonality of infectious disease is an important factor in disease incidence, outbreaks, control and prevention. Many mathematical models that incorporate seasonality in the transmission were formulated and analyzed. In this essay a qualitative analysis is given in terms of the effective reproduction number R0, the existence and stability of the disease-free equilibrium and endemic equilibrium of both the SEIR model and seasonal SEIR model. We perform numerical simulations to validate the model formulation.

First Principles Modeling of Nonlinear Incidence Rates in Seasonal Epidemics

PLoS Computational Biology, 2011

In this paper we used a general stochastic processes framework to derive from first principles the incidence rate function that characterizes epidemic models. We investigate a particular case, the Liu-Hethcote-van den Driessche's (LHD) incidence rate function, which results from modeling the number of successful transmission encounters as a pure birth process. This derivation also takes into account heterogeneity in the population with regard to the per individual transmission probability. We adjusted a deterministic SIRS model with both the classical and the LHD incidence rate functions to time series of the number of children infected with syncytial respiratory virus in Banjul, Gambia and Turku, Finland. We also adjusted a deterministic SEIR model with both incidence rate functions to the famous measles data sets from the UK cities of London and Birmingham. Two lines of evidence supported our conclusion that the model with the LHD incidence rate may very well be a better description of the seasonal epidemic processes studied here. First, our model was repeatedly selected as best according to two different information criteria and two different likelihood formulations. The second line of evidence is qualitative in nature: contrary to what the SIRS model with classical incidence rate predicts, the solution of the deterministic SIRS model with LHD incidence rate will reach either the disease free equilibrium or the endemic equilibrium depending on the initial conditions. These findings along with computer intensive simulations of the models' Poincaré map with environmental stochasticity contributed to attain a clear separation of the roles of the environmental forcing and the mechanics of the disease transmission in shaping seasonal epidemics dynamics.

Realistic Distributions of Infectious Periods in Epidemic Models: Changing Patterns of Persistence and Dynamics

Theoretical Population Biology, 2001

Most mathematical models used to study the epidemiology of childhood viral diseases, such as measles, describe the period of infectiousness by an exponential distribution. The effects of including more realistic descriptions of the infectious period within SIR (susceptible infec-tious recovered) models are studied. Less dispersed distributions are seen to have two important epidemiological consequences. First, less stable behaviour is seen within the model: incidence patterns become more complex. Second, disease persistence is diminished: in models with a finite population, the minimum population size needed to allow disease persistence increases. The assumption made concerning the infectious period distribution is of a kind routinely made in the formulation of mathematical models in population biology. Since it has a major effect on the central issues of population persistence and dynamics, the results of this study have broad implications for mathematical modellers of a wide range of biological systems.

Seasonality and period-doubling bifurcations in an epidemic model

Journal of Theoretical Biology, 1984

The annual incidence rates of some endemic infectious diseases are steady while others fluctuate dramatically, often in a regular cycle. In order to investigate the role of seasonality in driving cycles of recurrent epidemics, we analyze numerically the susceptible/exposed/infective/recovered (SEIR) epidemic model with seasonal transmission. We show that smallamplitude periodic solutions exhibit a sequence of period-doubling bifurcations as the amplitude of seasonal variation increases, predicting a transition to chaos of the kind studied in other biological contexts. The epidemiological implication is that the seasonal mechanism generating biennial epidemics may not be able to account for small-amplitude recurrent epidemics of arbitrary periodicity.

Unpredictability in seasonal infectious diseases spread

arXiv (Cornell University), 2022

In this work, we study the unpredictability of seasonal infectious diseases considering a SEIRS model with seasonal forcing. To investigate the dynamical behaviour, we compute bifurcation diagrams type hysteresis and their respective Lyapunov exponents. Our results from bifurcations and the largest Lyapunov exponent show bistable dynamics for all the parameters of the model. Choosing the inverse of latent period as control parameter, over 70% of the interval comprises the coexistence of periodic and chaotic attractors, bistable dynamics. Despite the competition between these attractors, the chaotic ones are preferred. The bistability occurs in two wide regions.

Discrete-Time SIS EpidemicModel in a Seasonal Environment

SIAM Journal on Applied Mathematics, 2006

We study the combined effects of seasonal trends and diseases on the extinction and persistence of discretely reproducing populations. We introduce the epidemic threshold parameter, R 0 , for predicting disease dynamics in periodic environments. Typically, in periodic environments, R 0 > 1 implies disease persistence on a cyclic attractor, while R 0 < 1 implies disease extinction. We also explore the relationship between the demographic equation and the epidemic process. In particular, we show that in periodic environments, it is possible for the infective population to be on a chaotic attractor while the demographic dynamics is nonchaotic.

Seasonal dynamics in an SIR epidemic system

Journal of Mathematical Biology, 2013

We consider a seasonally forced SIR epidemic model where periodicity occurs in the contact rate. This periodical forcing represents successions of school terms and holidays. The epidemic dynamics are described by a switched system. Numerical studies in such a model have shown the existence of periodic solutions. First, we analytically prove the existence of an invariant domain D containing all periodic (harmonic and subharmonic) orbits. Then, using different scales in time and variables, we rewrite the SIR model as a slow-fast dynamical system and we establish the existence of a macroscopic attractor domain K , included in D, for the switched dynamics. The existence of a unique harmonic solution is also proved for any value of the magnitude of the seasonal forcing term which can be interpreted as an annual infection. Subharmonic solutions can be seen as epidemic outbreaks. Our theoretical results allow us to exhibit quantitative characteristics about epidemics, such as the maximal period between major outbreaks and maximal prevalence.

Seasonal dynamics and thresholds governing recurrent epidemics

Journal of Mathematical Biology, 2008

Driven by seasonality, many common recurrent infectious diseases are characterized by strong annual, biennial and sometimes irregular oscillations in the absence of vaccination programs. Using the seasonally forced SIR epidemic model, we are able to provide new insights into the dynamics of recurrent diseases and, in some cases, specific predictions about individual outbreaks. The analysis reveals a new threshold effect that gives clear conditions for the triggering of future disease outbreaks or their absence. The threshold depends critically on the susceptibility S 0 of the population after an outbreak. We show that in the presence of seasonality, forecasts based on the susceptibility S 0 are more reliable than those based on the classical reproductive number R 0 from the conventional theory.