期刊名称：Proceedings of the National Academy of Sciences
印刷版ISSN：0027-8424
电子版ISSN：1091-6490
出版年度：2020
卷号：117
期号：37
页码：22684-22689
DOI：10.1073/pnas.2010398117
出版社：The National Academy of Sciences of the United States of America
摘要：Many countries have passed their first COVID-19 epidemic peak. Traditional epidemiological models describe this as a result of nonpharmaceutical interventions pushing the growth rate below the recovery rate. In this phase of the pandemic many countries showed an almost linear growth of confirmed cases for extended time periods. This new containment regime is hard to explain by traditional models where either infection numbers grow explosively until herd immunity is reached or the epidemic is completely suppressed. Here we offer an explanation of this puzzling observation based on the structure of contact networks. We show that for any given transmission rate there exists a critical number of social contacts, D c , below which linear growth and low infection prevalence must occur. Above D c traditional epidemiological dynamics take place, e.g., as in susceptible–infected–recovered (SIR) models. When calibrating our model to empirical estimates of the transmission rate and the number of days being contagious, we find D c ∼ 7.2 . Assuming realistic contact networks with a degree of about 5, and assuming that lockdown measures would reduce that to household size (about 2.5), we reproduce actual infection curves with remarkable precision, without fitting or fine-tuning of parameters. In particular, we compare the United States and Austria, as examples for one country that initially did not impose measures and one that responded with a severe lockdown early on. Our findings question the applicability of standard compartmental models to describe the COVID-19 containment phase. The probability to observe linear growth in these is practically zero.
关键词：compartmental epidemiological model ; mean-field (well mixed) approximation ; social contact networks ; network theory ; COVID-19
