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1.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-20218784

RESUMO

Epidemics are regularly associated with reports of superspreading: single individuals infecting many others. How do we determine if such events are due to people inherently being biological superspreaders or simply due to random chance? We present an analytically solvable model for airborne diseases which reveal the spreading statistics of epidemics in socio-spatial heterogeneous spaces and provide a baseline to which data may be compared. In contrast to classical SIR models, we explicitly model social events where airborne pathogen transmission allows a single individual to infect many simultaneously, a key feature that generates distinctive output statistics. We find that diseases that have a short duration of high infectiousness can give extreme statistics such as 20 % infecting more than 80 %, depending on the socio-spatial heterogeneity. Quantifying this by a distribution over sizes of social gatherings, tracking data of social proximity for university students suggest that this can be a approximated by a power law. Finally, we study mitigation efforts applied to our model. We find that the effect of banning large gatherings works equally well for diseases with any duration of infectiousness, but depends strongly on socio-spatial heterogeneity.

2.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-20123141

RESUMO

Contact tracing is suggested as an effective strategy for controlling an epidemic without severely limiting personal mobility. Here, we explore how social structure affects contact tracing of COVID-19. Using smartphone proximity data, we simulate the spread of COVID-19 and find that heterogeneity in the social network and activity levels of individuals decreases the severity of an epidemic and improves the effectiveness of contact tracing. As a mitigation strategy, contact tracing depends strongly on social structure and can be remarkably effective, even if only frequent contacts are traced. In perspective, this highlights the necessity of incorporating social heterogeneity into models of mitigation strategies. O_TEXTBOXSignificance StatementThe COVID-19 epidemic has put severe limitations on individual mobility in the form of lockdowns and closed national borders. Mitigation strategies permitting individual mobility while limiting disease spreading are needed, and contact tracing is a potentially effective example of such a strategy. We use smartphone proximity data to monitor contacts between people, and find that contact tracing is highly dependent on social structure, being very effective on real contact networks. This shows that mitigation of COVID-19 may be possible with contact tracing, and that epidemiological models must incorporate social network structure. C_TEXTBOX

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