Asymptomatic individuals can increase the final epidemic size under adaptive human behavior

Abstract

Infections produced by non-symptomatic (pre-symptomatic and asymptomatic) individuals have been identified as major drivers of COVID-19 transmission. Non-symptomatic individuals, unaware of the infection risk they pose to others, may perceive themselves—and be perceived by others—as not presenting a risk of infection. Yet, many epidemiological models currently in use do not include a behavioral component, and do not address the potential consequences of risk misperception. To study the impact of behavioral adaptations to the perceived infection risk, we use a mathematical model that incorporates the behavioral decisions of individuals, based on a projection of the system’s future state over a finite planning horizon. We found that individuals’ risk misperception in the presence of non-symptomatic individuals may increase or reduce the final epidemic size. Moreover, under behavioral response the impact of non-symptomatic infections is modulated by symptomatic individuals’ behavior. Finally, we found that there is an optimal planning horizon that minimizes the final epidemic size.

Document Details

Document Type
Pub Defense Publication
Publication Date
Oct 05, 2021
Source ID
10.1038/s41598-021-98999-2

Entities

People

  • Baltazar Espinoza
  • Madhav Marathe
  • Mugdha Thakur
  • Samarth Swarup

Organizations

  • Centers for Disease Control and Prevention
  • Defense Threat Reduction Agency
  • National Institutes of Health
  • National Science Foundation
  • University of Virginia

Tags

Readers

  • Aviation Safety Risk Assessment.
  • Computational Modeling and Simulation
  • Infectious Disease/Epidemiology