Collapse transition in epidemic spreading subject to detection with limited resources.

Compartmental models are the most widely used framework for modeling infectious diseases. These models have been continuously refined to incorporate all the realistic mechanisms that can shape the course of an epidemic outbreak. Building on a compartmental model that accounts for early detection and isolation of infectious individuals through testing, in this article we focus on the viability of detection processes under limited availability of testing resources, and we study how the latter impacts on the detection rate. Our results show that, in addition to the well-known epidemic transition at R_{0}=1, a second transition occurs at R_{0}^{★}>1 pinpointing the collapse of the detection system and, as a consequence, the switch from a regime of mitigation to a regime in which the pathogen spreads freely. We characterize the epidemic phase diagram of the model as a function of the relevant control parameters: the basic reproduction number, the maximum detection capacity of the system, and the fraction of individuals in shelter. Our analysis thus provides a valuable tool for estimating the detection resources and the level of confinement needed to face epidemic outbreaks.

The interconnection between independent reactive control policies drives the stringency of local containment.

The lack of medical treatments and vaccines upon the arrival of the SARS-CoV-2 virus has made non-pharmaceutical interventions the best allies in safeguarding human lives in the face of the COVID-19 pandemic. Here we propose a self-organized epidemic model with multi-scale control policies that are relaxed or strengthened depending on the extent of the epidemic outbreak. We show that optimizing the balance between the effects of epidemic control and the associated socio-economic cost is strongly linked to the stringency of control measures. We also show that non-pharmaceutical interventions acting at different spatial scales, from creating social bubbles at the household level to constraining mobility between different cities, are strongly interrelated. We find that policy functionality changes for better or worse depending on network connectivity, meaning that some populations may allow for less restrictive measures than others if both have the same resources to respond to the evolving epidemic.