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Abstract The recurrence of epidemic waves has been a hallmark of infectious disease outbreaks. Repeated surges in infections pose significant challenges to public health systems, yet the mechanisms that drive these waves remain insufficiently understood. Most prior models attribute epidemic waves to exogenous factors, such as transmission seasonality, viral mutations, or implementation of public health interventions. We show that epidemic waves can emerge autonomously from the feedback loop between infection dynamics and human behavior. Our results are based on a behavioral framework in which individuals continuously adjust their level of risk mitigation subject to their perceived risk of infection, which depends on information availability and disease severity. We show that delayed behavioral responses alone can lead to the emergence of multiple epidemic waves. The magnitude and frequency of these waves depend on the interplay between behavioral factors (delay, severity, and sensitivity of responses) and disease factors (transmission and recovery rates). Notably, if the response is either too prompt or excessively delayed, multiple waves cannot emerge. Our results further align with previous observations that adaptive human behavior can produce nonmonotonic final epidemic sizes, shaped by the trade-offs between various biological and behavioral factors—namely, risk sensitivity, response stringency, and disease generation time. Interestingly, we found that the minimal final epidemic size occurs on regimes that exhibit a few damped oscillations. Altogether, our results emphasize the importance of integrating social and operational factors into infectious disease models, in order to capture the joint evolution of adaptive behavioral responses and epidemic dynamics.
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This content will become publicly available on February 1, 2026
A simultaneous simulation of human behavior dynamics and epidemic spread: A multi-country study amidst the COVID-19 pandemic
The transmission dynamics of infectious diseases and human responses are intertwined, forming complex feedback loops. However, many epidemic models fail to endogenously represent human behavior change. In this study, we introduce a novel behavioral epidemic model that incorporates various behavioral phenomena into SEIR models, including risk-response dynamics, shifts in containment policies, adherence fatigue, and societal learning, alongside disease transmission dynamics. By testing our model against data from 8 countries, where extensive behavioral data were available, we simultaneously replicate death rates, mobility trends, fatigue levels, and policy changes, both in-sample and out-of-sample. Our model offers a comprehensive depiction of changes in multiple behavioral measures along with the spread of the disease. We assess the explanatory power of each model mechanism in capturing data variability. Our findings demonstrate that the comprehensive model that includes all mechanisms provides the most insightful perspective for understanding the influence of human behavior during pandemics.
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- Award ID(s):
- 2229819
- PAR ID:
- 10560782
- Publisher / Repository:
- Mathematical Biosciences
- Date Published:
- Journal Name:
- Mathematical Biosciences
- Volume:
- 380
- Issue:
- C
- ISSN:
- 0025-5564
- Page Range / eLocation ID:
- 109368
- Subject(s) / Keyword(s):
- COVID-19 Epidemic modeling System dynamics Model validation Human behavior
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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