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The size of a Markovian SIR epidemic given only removal data

Published online by Cambridge University Press:  21 March 2023

Frank Ball*
Affiliation:
University of Nottingham
Peter Neal*
Affiliation:
University of Nottingham
*
*Postal address: School of Mathematical Sciences, University of Nottingham, NG7 2RD, United Kingdom.
*Postal address: School of Mathematical Sciences, University of Nottingham, NG7 2RD, United Kingdom.
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Abstract

During an epidemic outbreak, typically only partial information about the outbreak is known. A common scenario is that the infection times of individuals are unknown, but individuals, on displaying symptoms, are identified as infectious and removed from the population. We study the distribution of the number of infectives given only the times of removals in a Markovian susceptible–infectious–removed (SIR) epidemic. Primary interest is in the initial stages of the epidemic process, where a branching (birth–death) process approximation is applicable. We show that the number of individuals alive in a time-inhomogeneous birth–death process at time $t \geq 0$, given only death times up to and including time t, is a mixture of negative binomial distributions, with the number of mixing components depending on the total number of deaths, and the mixing weights depending upon the inter-arrival times of the deaths. We further consider the extension to the case where some deaths are unobserved. We also discuss the application of the results to control measures and statistical inference.

Information

Type
Original Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Applied Probability Trust
Figure 0

Figure 1. Number of individuals alive (solid line) and median of $Y(t) |\textbf{t}_{2:k_t}$ (dashed line) up to the 200th death, with $\beta_t =1.5$ and $\gamma_t =1.0$. The shaded area represents the probability mass between the 10% and 90% quantiles of Y(t). Top: $d=1$. Bottom: $d=0.25$.

Figure 1

Figure 2. Number of individuals alive (solid line) and $\mathbb{E} [Y(t) | \textbf{t}_{2:k_t}]$ (dashed line) for a population with control measures and $\gamma =1$. Parameters: $\alpha_N =1.5$ (no control measures), $\alpha_C = 0.5$ (control measures), $\vartheta_U =4$ (control measures introduced), $\vartheta_L = 1$ (control measures lifted). Shaded area denotes control measures in place.

Figure 2

Figure 3. Plot of $\pi_t$ against time for the population with control measures in Figure 2. Parameters: $\alpha_N =1.5$ (no control measures), $\alpha_C = 0.5$ (control measures), $\gamma =1$ (death rate), $\vartheta_U =4$ (control measures introduced), $\vartheta_L = 1$ (control measures lifted). Horizontal dashed lines at $q_C = 1/(1+\alpha_C) =2/3$ (upper) and $q_N = 1/(1+\alpha_N) =2/5$ (lower) correspond to the probability that an event is a death under a constant regime of control measures (upper) and no control measures (lower).

Figure 3

Figure 4. Plot of the number of infectives at removal times against time (black dots) for an epidemic of final size 829 in a population of size $N=2000$, generated with $\beta_t (=\alpha) =1.25$ and $\gamma_t (=\mu) =1$. The mean number of infectives estimated using only removal times is given using the general stochastic epidemic model (red line), time-homogeneous birth–death process (green, dotted line), and time-inhomogeneous birth–death process with non-susceptibles accounted for (blue, dashed line).