A1 Refereed original research article in a scientific journal

A note on variable susceptibility, the herd-immunity threshold and modeling of infectious diseases




AuthorsCarlsson Marcus, Wittsten Jens, Söderberg-Nauclér Cecilia

PublisherPublic Library of Science

Publication year2023

JournalPLoS ONE

Journal name in sourcePLoS ONE

Article numbere0279454

Volume18

Issue2

eISSN1932-6203

DOIhttps://doi.org/10.1371/journal.pone.0279454(external)

Web address https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0279454(external)

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/179086476(external)


Abstract

The unfolding of the COVID-19 pandemic has been very difficult to predict using mathematical models for infectious diseases. While it has been demonstrated that variations in susceptibility have a damping effect on key quantities such as the incidence peak, the herdimmunity threshold and the final size of the pandemic, this complex phenomenon is almost impossible to measure or quantify, and it remains unclear how to incorporate it for modeling and prediction. In this work we show that, from a modeling perspective, variability in susceptibility on an individual level is equivalent with a fraction θ of the population having an “artificial” sterilizing immunity. We also derive novel formulas for the herd-immunity threshold and the final size of the pandemic, and show that these values are substantially lower than predicted by the classical formulas, in the presence of variable susceptibility. In the particular case of SARS-CoV-2, there is by now undoubtedly variable susceptibility due to waning immunity from both vaccines and previous infections, and our findings may be used to greatly simplify models. If such variations were also present prior to the first wave, as indicated by a number of studies, these findings can help explain why the magnitude of the initial waves of SARS-CoV-2 was relatively low, compared to what one may have expected based on standard models.


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Last updated on 2025-27-03 at 21:55