Positive feedback loops exacerbate the influence of superspreaders in disease transmission



Wanelik, Klara M, Begon, Mike ORCID: 0000-0003-1715-5327, Fenton, Andy ORCID: 0000-0002-7676-917X, Norman, Rachel A and Beldomenico, Pablo M
(2023) Positive feedback loops exacerbate the influence of superspreaders in disease transmission. iScience, 26 (5). p. 106618.

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Abstract

Superspreaders are recognized as being important drivers of disease spread. However, models to date have assumed random occurrence of superspreaders, irrespective of whom they were infected by. Evidence suggests though that those individuals infected by superspreaders may be more likely to become superspreaders themselves. Here, we begin to explore, theoretically, the effects of such a positive feedback loop on (1) the final epidemic size, (2) the herd immunity threshold, (3) the basic reproduction number, <i>R</i><sub><i>0</i></sub>, and (4) the peak prevalence of superspreaders, using a generic model for a hypothetical acute viral infection and illustrative parameter values. We show that positive feedback loops can have a profound effect on our chosen epidemic outcomes, even when the transmission advantage of superspreaders is moderate, and despite peak prevalence of superspreaders remaining low. We argue that positive superspreader feedback loops in different infectious diseases, including SARS-CoV-2, should be investigated further, both theoretically and empirically.

Item Type: Article
Uncontrolled Keywords: Health sciences, Medicine, Virology
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 25 May 2023 09:35
Last Modified: 12 Jul 2023 19:12
DOI: 10.1016/j.isci.2023.106618
Open Access URL: https://doi.org/10.1016/j.isci.2023.106618
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3170652