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							Epidemic Modeling: SIRS Models


      Regina Dolgoarshinnykh
       Columbia University

         Steven P. Lalley
       University of Chicago
Epidemic Models: SIR, SIRS




                             2
          SIRS models

St = # susceptible at time t
It = # infected at time t
Rt = # recovered (immune) at time t


N ≡ St + It + Rt = population size

        st = St/N, it = It/N
       rt = Rt/N = 1 − st − it

            γt = (st, it)T




                                     3
              SIRS Model




 MCs indexed by N with transition rates:


       ρ (s → i) = S · θI/N = N θsi
       ρ (i → r) = ρI = N ρi
       ρ (r → s) = R = N r


Questions:


• Establishment: Will the infection spread?


• Spread: How does it develop with time?


• Persistance: When does it disappear?

                                      4
              Overview




• Limiting ODEs


• Fluctuations about (s∞, i∞)


• Exit path LDP


• Time until infection “dies out”

                                    5
                       N=100                                                            N=100

     1.0                                                                 1.0


     0.8                                                                 0.8




                                                  population fractions
     0.6                                                                 0.6
i




     0.4                                                                 0.4


     0.2                                                                 0.2


     0.0                                                                 0.0
          0.0   0.2   0.4       0.6   0.8   1.0                                0   10   20          30   40       50


                            s                                                                time


                       N=400                                                            N=400

    1.0                                                                  1.0


    0.8                                                                  0.8
                                                  population fractions




    0.6                                                                  0.6
i




    0.4                                                                  0.4


    0.2                                                                  0.2


    0.0                                                                  0.0
                                                                               0   10   20          30   40       50
          0.0   0.2   0.4       0.6   0.8   1.0

                            s                                                                time


                      N=2500                                                            N=2500

    1.0                                                                  1.0


    0.8                                                                  0.8
                                                  population fractions




    0.6                                                                  0.6
i




    0.4                                                                  0.4


    0.2                                                                  0.2


    0.0                                                                  0.0
                                                                               0   10   20          30   40       50
          0.0   0.2   0.4       0.6   0.8   1.0

                            s                                                                time




                                                                                                              6
Deterministic Approximation
               Fix N , h > 0

   Et(st+h) = st + rth − θitsth + o(h)
   Et(it+h) = it + θitsth − ρith + o(h)


Get “mean field approximation” as h → 0

     
      dst
     
     
            = rt − θitst
         dt
                               := F (γt)
     
        dit
     
            = θitst − ρit
         dt




                                           7
      Deterministic Approximation
                                Mean field: theta=3,rho=1
     1


    0.9


    0.8


    0.7


    0.6


    0.5
i




    0.4


    0.3


    0.2


    0.1


     0
          0   0.1   0.2   0.3    0.4      0.5       0.6     0.7   0.8   0.9   1
                                           s




                                                                        8
  Deterministic Approximation


    γ
   (¯t)t≥0 - solution of mean path ODE,
                    ˙
               i.e. γ = F (γ)

    N
   γt         - random path
        t≥0




               N   γ
Theorem 1. If γ0 → ¯0 as N → ∞ then for
any T > 0
                   N   γ
         lim sup |γt − ¯t| = 0   a.s.
        N →∞ t≤T




                                        9
 Fluctuations around (s∞, i∞)

                  √
                1 = N (sN − s )
              xt       t    ∞
       N
      Xt :=
               2  √
               xt = N (iN − i∞)
                        t


                 so that


          
           N
                    x1
          st = s∞ + √ t
          
          
                           N
          
           N       x2
          
          i = i∞ + √ t
           t
                           N



                  N
Theorem 2. If X0 →D X0 as N → ∞, then
X N ⇒ X in DR2 [0, ∞).


                                  10
Fluctuations around (s∞, i∞)
          X is generated by G

      2
               ∂    1 2           ∂2
 G=     µi(x)     +         σij
    i=1       ∂xi   2 i,j=1     ∂xi∂xj


                  where

                                
                  1+θ
                − 1+ρ     −(1+ρ)
    µ1(x)                       x1
          =                     
    µ2(x)                      
                  θ−ρ              x2
                  1+ρ       0

                                      
                   2ρ(θ−ρ)      ρ(θ−ρ)
                              − θ(1+ρ)
  σ11 σ12         θ(1+ρ)              
             =                        .
  σ12 σ22                             
                     ρ(θ−ρ)   2ρ(θ−ρ)
                   − θ(1+ρ)    θ(1+ρ)


                                         11
      Fluctuations around (s∞, i∞)
     100


      80


      60


      40


      20
x2




       0


     −20


     −40


     −60


     −80


     −100
       −80   −60   −40   −20    0   20   40    60   80
                               x1




                                              12
       Time to Extinction
For all N , infection dies out with prob.1.

      How long until this happens?




• If Y ∼ Geometric(q) then E(Y ) = 1
                                   q


• Connection to “most likely” path


• Large Deviations for exit paths (LDP).

                                        13
    Large Deviations Principle

 Def. Family µN satisfy LDP on X with rate
                  function I if
                       1
− inf ◦ I(x) ≤ limN →∞ log µN (F )
  x∈F                 N
                       1
             ≤ limN →∞ log µN (F ) ≤ − inf I(x)
                      N               x∈F¯
for F ⊂ X .




 Yt = Poisson processes rate m
 N
yt = N −1YN t satisfy LDP with rate function

                T      ˙
                       yt
       I(y) =   ˙
                yt log      ˙
                          − yt + m dt
              0        m
                T
           :=          ˙
                    f (yt, m) dt
                0


                                         14
    Time Changed Poisson
         Processes


    Y1(t), Y2(t), Y3(t) are rate 1 PPs
          N
yk (t) = yk (t) = N −1Yk (N t) for k = 1, 2, 3



                t                   t
st = s0 − y1        θsuiu du + y3       ru du
               0                    0
                t                   t
it = i0 + y1        θsuiu du − y2       ρiu du .
               0                    0




                                                15
         Exit Path LDP

• Why standard methods don’t work

  – Contraction Principle

     Cont. f : X → Y & LDP for µN on X
          ⇒ LDP for µN ◦ f −1 on Y.

  – Wentzell and Freidlin


• Dangers of diffusion approximations




                                       16
   Exit path LDP




Fix γ = (st, it)t≥0 ∈ AC[0, T ]

     Let λ, µ, ν ≥ 0 s.t.
       
        dst
       
       
        dt = νt − λt
       

        di
        t
       
       
           = λt − µt
          dt



                                  17
               Exit path LDP

                     For γ ∈ AC[0, T ]
               T
I(γ) = inf         f (λt, θstit) + f (µt, ρit) + f (νt, rt)dt,
       λ,µ,ν
               0
                           where
                          x
   f (x, m) = x log         − x + m,         x, m ≥ 0.
                          m


Theorem 3. SIRS processes γ N satisfy LDP
with good rate function I(γ),

i.e.
                                      γ
         PN (||γ − ˜||T < δ ) ≈ e−N I(˜).
                   γ


                                                     18
    Exit path LDP
        Lower Bound


Define measure Q ∼ λt, µt, νt

PN (||γ − ˜||T < δ ) =
          γ
                             dP
   EN
    Q            γ
         I{||γ − ˜||T < δ} ·
                             dQ


        Upper Bound

Exponential Approximations

   Markov-type Inequality

     Boundary Problem


                                  19
       Time until extinction

  τ N = inf{t : it = 0} = time to extinction



  ¯
  I = inf γ Iτ (γ) = “minimal cost” of exit




In fact,for any     >0


               ¯                 ¯
    lim PN eN (I − ) ≤ τ N ≤ eN (I + ) = 1.
   N →∞



Conjecture.

                 1
              lim  log E τ N = I .
                               ¯
            N →∞ N

                                          20
Extensions / Future Directions

• Time to extinction


• Similar models - spatial component


• Start with small number of infected




                                        21

						
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