Search for: All records

Risk-driven behaviour provides a feedback mechanism through which individuals both shape and are collectively affected by an epidemic. We introduce a general and flexible compartmental model to study the effect of heterogeneity in the population with regard to risk tolerance. The interplay between behaviour and epidemiology leads to a rich set of possible epidemic dynamics. Depending on the behavioural composition of the population, we find that increasing heterogeneity in risk tolerance can either increase or decrease the epidemic size. We find that multiple waves of infection can arise due to the interplay between transmission and behaviour, even without the replenishment of susceptibles. We find that increasing protective mechanisms such as the effectiveness of interventions, the fraction of risk-averse people in the population and the duration of intervention usage reduce the epidemic overshoot. When the protection is pushed past a critical threshold, the epidemic dynamics enter an underdamped regime where the epidemic size exactly equals the herd immunity threshold and overshoot is eliminated. Finally, we can find regimes where epidemic size does not monotonically decrease with a population that becomes increasingly risk-averse. 

We derive an exact upper bound on the epidemic overshoot for the Kermack–McKendrick SIR model. This maximal overshoot value of 0.2984 · · · occurs at $R_0^{\ast }=2.151\cdots$. In considering the utility of the notion of overshoot, a rudimentary analysis of data from the first wave of the COVID-19 pandemic in Manaus, Brazil highlights the public health hazard posed by overshoot for epidemics withR₀near 2. Using the general analysis framework presented within, we then consider more complex SIR models that incorporate vaccination. 

The human immune system develops a memory of pathogens that it encounters over its lifetime, allowing it to respond quickly to future infections. It does this partly through T cells, white blood cells that can recognize different pathogens. During an infection, the T cells that recognize the specific pathogen attacking the body will divide until a large number of clones of these T cells is available to help in the fight. After the infection clears, the immune system ‘keeps’ some of these cells so it can recognize the pathogen in the future, and respond quicker to an infection. Over the course of their lives, people will be infected by many different pathogens, leading to a wide variety of T cells that each respond to one of these pathogens. However, it is not well understood how various infections throughout the human lifespan shape the overall population of different T cells. Gaimann et al. used mathematical modelling to study how the composition of the immune system changes in people of different ages. Different populations of T cells – each specialized against a specific antigen – had been previously identified through genetic sequencing. Gaimann et al. analyzed their dynamics to show that many of the largest populations originate around birth, during the formation of the immune system. These findings suggest a potential mechanism for how exposure to pathogens in infancy can influence the immune system much later in life. The results may also explain variations in how people respond to infections and in their risk of developing autoimmune conditions. This understanding could help develop new treatments or interventions to guide the immune system as it develops.