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The Importance of Different Social Networks

for Infectious Diseases

Fredrik Liljeros

Stockholm University

Karolinska institutet

Supported by the Swedish Institute for Public Health

and

The Swedish Emergency Management Agency S-GEM

Stockholm Group for Epidemic Modelling, S-GEM

Johan Giesecke SMI/KI Åkes Svensson SMI/SU Fredrik Liljeros SU/KI

S-GEM

Why model epidemics?

• Will there be an outbreak?

• How many will be infected?

• The speed of the outbreak?

• How can we best limit the effects of an outbreak

• How many must be vaccinated?

• Who should be vaccinated?

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Outline

• Traditional Models

• Networks

• Empirical Network Studies

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Key Concepts

• Variation in number of contacts• Assortative interaction• Clustering/Transitivity• Small World Network

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Epidemic models

Deterministic models

Stochastic models

Agent-based models (Micro simulation models)

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A model should be as simple as possibly (But not to simple)

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Deterministic Models

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)(Ifdt

dI

I of functionf(I)

infectedI

A very simplified example

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Suceptible

Infected

A simple differential equation-model

Ikdt

dI

50 100 1500

20

40

6060

0

Infected

Model

1701 TimeS-GEM

Global saturation

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Our model is to simple capture global saturation

100 200 300 400 5000

50

100100

0

Infected

Model

5001 Time

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100 200 300 400 5000

50

100100

0

Infected

Model

5001 Time

We have to ad the number of susceptible into the model (K-I)

IKIkdt

dI

constantk

Infected I

population the of SizeK

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It is possible to study important properties of deterministic models

analytically

IKIk 0

100 200 300 400 5000

50

100100

0

Infected

Model

5001 Time

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The Basic reproduction rate, R0

IKIkdt

dI

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The SIS-model

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The SIS-model

IbIKIkdt

dI

100 200 300 400 5000

50

100100

0

Infected

Model

5001 TimeS-GEM

It is possible to let a deterministic model capture

many relevant properties

• Individuals may become immune• Individuals may die• New individuals may be borned• Individuals may belong to different

groups with different type of behavior

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What are the implicit ”network” assumptions in deterministic models

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Erdös-Rényi network (1960)

Pál ErdösPál Erdös (1913-1996)

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Clustering/transitivity

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Clustering/transitivity

5 10 15 200

50

100100

0

Infected

Model

201 Time

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Clustering/transitivity

Suceptible

Infectious

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Variation in number of contacts

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What do variation in number of contacts have

on R0?

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Assortative Interaction

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Struktural effects

Variation in contacts

Clustring

assortativity

Lower epidemic treshold

Smaller outbreaks

Slower outbreaks

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Why care about social networks?

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What do we know about structural properties of social

networks?

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Collecting network data

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We can not use random samples

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Milgrams Study

Nebraska

Kansas

Massachusetts

Pamela

Five persons

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But we know that social networks are clustred

Should not the distance between randomly selected

individuals be long?

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?

The Small-world effect

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Ongoing Reserch and Verbal preliminary results

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Swedish Smallpox Model

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Take Home messages

• Variation in number of contacts• Assortative interaction• Clustering/Transitivity• Small World Network

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