A note on variable susceptibility, the herd-immunity threshold and modeling of infectious diseases
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, article id e0279454Article in journal (Refereed) Published
Abstract [en]
The unfolding of the COVID-19 pandemic has been very difficult to predict using mathematical models for infectious diseases. While it has been demonstrated that variations in susceptibility have a damping effect on key quantities such as the incidence peak, the herd-immunity threshold and the final size of the pandemic, this complex phenomenon is almost impossible to measure or quantify, and it remains unclear how to incorporate it for modeling and prediction. In this work we show that, from a modeling perspective, variability in susceptibility on an individual level is equivalent with a fraction θ of the population having an “artificial” sterilizing immunity. We also derive novel formulas for the herd-immunity threshold and the final size of the pandemic, and show that these values are substantially lower than predicted by the classical formulas, in the presence of variable susceptibility. In the particular case of SARS-CoV-2, there is by now undoubtedly variable susceptibility due to waning immunity from both vaccines and previous infections, and our findings may be used to greatly simplify models. If such variations were also present prior to the first wave, as indicated by a number of studies, these findings can help explain why the magnitude of the initial waves of SARS-CoV-2 was relatively low, compared to what one may have expected based on standard models.
Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023. Vol. 18, article id e0279454
Keywords [en]
Communicable Diseases, COVID-19, Humans, Immunity, Herd, Pandemics, SARS-CoV-2, Vaccines, SARS-CoV-2 vaccine, vaccine, Article, coronavirus disease 2019, cross reaction, disease model, herd immunity, human, infection sensitivity, innate immunity, intensive care unit, mathematical analysis, nonhuman, pandemic, Severe acute respiratory syndrome coronavirus 2, communicable disease
National Category
Infectious Medicine Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hb:diva-30271DOI: 10.1371/journal.pone.0279454ISI: 001056479600019Scopus ID: 2-s2.0-85148250631OAI: oai:DiVA.org:hb-30271DiVA, id: diva2:1787838
2023-08-152023-08-152023-09-18Bibliographically approved