An agent-based nested model integrating within-host and between-host mechanisms to predict an epidemic

PLoS One. 2023 Dec 15;18(12):e0295954. doi: 10.1371/journal.pone.0295954. eCollection 2023.

Abstract

The COVID-19 pandemic has remarkably heightened concerns regarding the prediction of communicable disease spread. This study introduces an innovative agent-based modeling approach. In this model, the quantification of human-to-human transmission aligns with the dynamic variations in the viral load within an individual, termed "within-host" and adheres to the susceptible-infected-recovered (SIR) process, referred to as "between-host." Variations in the viral load over time affect the infectivity between individual agents. This model diverges from the traditional SIR model, which employs a constant transmission probability, by incorporating a dynamic, time-dependent transmission probability influenced by the viral load in a host agent. The proposed model retains the time-integrated transmission probability characteristic of the conventional SIR model. As observed in this model, the overall epidemic size remains consistent with the predictions of the standard SIR model. Nonetheless, compared to predictions based on the classical SIR process, notable differences existed in the peak number of the infected individuals and the timing of this peak. These nontrivial differences are induced by the direct correlation between the time-evolving transmission probability and the viral load within a host agent. The developed model can inform targeted intervention strategies and public health policies by providing detailed insights into disease spread dynamics, crucial for effectively managing epidemics.

MeSH terms

  • COVID-19* / epidemiology
  • Communicable Diseases* / epidemiology
  • Epidemics*
  • Humans
  • Pandemics
  • Probability

Grants and funding

This study was partially supported by Grant-in-Aid for Scientific Research from Japan Society for the Promotion of Science (JSPS), Japan, KAKENHI (Grant No. JP 19KK0262, JP 20H02314 and JP 20K21062) awarded to Professor Tanimoto. We would like to express our gratitude to them. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.