A measure model for the spread of viral infections with mutations
Abstract.
Genetic variations in the COVID-19 virus are one of the main causes of the COVID-19 pandemic outbreak in 2020 and 2021. In this article, we aim to introduce a new type of model, a system coupled with ordinary differential equations (ODEs) and measure differential equation (MDE), stemming from the classical SIR model for the variants distribution. Specifically, we model the evolution of susceptible and removed populations by ODEs and the infected population by a MDE comprised of a probability vector field (PVF) and a source term. In addition, the ODEs for and contains terms that are related to the measure . We establish analytically the well-posedness of the coupled ODE-MDE system by using generalized Wasserstein distance. We give two examples to show that the proposed ODE-MDE model coincides with the classical SIR model in case of constant or time-dependent parameters as special cases.
Key words and phrases:
measure differential equation, generalized Wasserstein distance, SIR model, viral infections, mutations.1991 Mathematics Subject Classification:
Primary: 58F15, 58F17; Secondary: 53C35.Xiaoqian Gong
School of Mathematical and Statistical Science
Arizona State University
Tempe, AZ, 85281, USA
Benedetto Piccoli∗
Department of Mathematical Sciences and Center for Computational and Integrative Biology
Rutgers University
Camden, NJ, 08102, USA
1. Introduction
The 2020 COVID-19 pandemic generated renewed interests in epidemiological models for infectious diseases. Researchers and modelers from different areas including applied math, physics, public health, engineering and others, developed many different approaches depending on the final aim, which included nowcasting and possible scenarios, prediction of the pandemic evolution, evaluation of lock down and social distancing measures as well as economic impact.
The reasons for the pandemic outbreak included difficulty in detection of the virus for asymptomatic, fast spread due to globalization and emergence of different variants usually associated with a specific country where they were first observed. The latter include: B.1.1.7 initially detected in UK, B.1.351 detected in South Africa, P.1 detected in Japan for travelers from Brazil, and B.1.427 and B.1.429 identified in California. The name variant is a convenient way to represent a family of mutations grouped by genetic similarities. The total number of detected mutations so far exceeds the two millions, see [12].
Our interest is in introducing a new type of models stemming from the classical SIR model introduced in the pioneering work of Kormack and McKendrick [11], coupled with a new type of differential equations for measures, called Measure Differential Equations (briefly MDE) introduced in [15] for the variants distribution among infected, which is connected to the concept of Probability Vector Field (briefly PVF).
Let us first recall that the SIR model was generalized in number of recent papers and in various directions, such as: 1) using time-dependent parameters as infectivity rates [5, 19]; 2) adding population compartments for different stages of the disease [8]; 3) increasing complexity with age-structure and spatial models [4, 6, 7, 9, 23, 22]; 4) using multiscale approaches and infinite dimensional systems [1, 2, 10]. The different type of models can be used for some of the scopes discussed above [13, 20], but the difficulty in tuning with data and use for prediction is known since long time [14].
Let us go back to our model to include virus variants in the SIR model. The evolution of susceptible and removed populations will still be detected by an Ordinary Differential Equation (briefly ODE). On the other side, there are more than two million SARS-COV2 genetic variations, see the figures on pages 844/845 in [12]. Branching out Each dot represents a virus isolated from a COVID-19 patient in this family tree of SARS-COV2, which shows a tiny subset of the more than 2 million viruses sequenced so far. The World Health Organization currently recognizes four variants of concern and four variants of interest. We assume that the virus variants are captured by a continuous variable and the infected population is represented by a Radon measure on with finite mass. In simple words the value , , represents the number of infected people having a virus variant corresponding to parameters . The dynamics of will be captured by an MDE with two components: a finite-diffusion term, which represents the emergence of variants in infected people, and a source term, which represents the inflow of susceptible getting infected and the outflow of infected to removed. On the other side, the ODE for and will contain terms which depend on the measure corresponding to the inflow and outflow term of the MDE. More precisely, the original SIR dynamics is modified since the classical infection rate is function of the parameter identifying the virus variant, and the same occur for the recovery rate . Therefore, the resulting dynamics is a systems of fully coupled ODE-MDE.
To deal with the introduced model, we resort to recent results on MDEs [15] and MDE with sources [18]. We first recall some basic tools for measures, including the Wasserstein distance and the generalized Wasserstein distance (since we deal with measures with variable mass). Then we provide a definition of solution and Lipschitz semigroup of solutions for the coupled ODE-MDE system, where the MDE is comprised of a PVF and a source term. The main result of the paper is the existence of a Lipschitz semigroup under suitable assumption. To state the assumptions we have to deal with a space , where indicates the space of Radon measures with finite mass and compact support endowed with the generalized Wasserstein distance. The conditions for the existence of the Lipschitz semigroup are the natural generalization of the conditions for ODE and MDE and include: sub-linear growth of supports for the MDE, Lipschitz continuity of the vector field of the ODE and the PVF of the MDE, and, finally, uniform boundedness and Lipschitz continuity of the source of the MDE. Notice that the uniform boundedness of the source is chosen to simplify some proofs, but can be relaxed by sub-linear growth conditions. A Lipschitz semigroup can then be selected, to achieve uniqueness, by prescribing small-time evolution of finite sums of Dirac masses. The ODE-MDE system representing the SIR model with virus variants is then shown to satisfy the assumption for the existence of a Lipschitz semigroup of solutions.
The paper is organized as follows: We first recall basic definitions and results on generalized Wasserstein distance and measure differential equations in Section . Then we provide existence and uniqueness results for a system of coupled ODE-MDE in Section . In the last Section, we introduce a measure model for viral infections with mutations consisting of one MDE for infected coupled with a system of two differential equations for susceptible and removed. Two examples show how the model coincides with the original SIR model in case of constant parameters (not depending on mutation) and includes SIR model with time-dependent parameters as a special case.
2. Basic definition and results
We use the symbol to indicate the Euclidean norm, and for every , for the ball of radius centered at the origin. The symbol indicates the tangent bundle of , is the base-projection and is given by . For every , indicates the characteristic function of the set and the space of compactly supported smooth functions on .
Given Polish space (complete separable metric space) we indicate by the set of positive Borel measures with finite mass and compact support, by the set of probability measures and by the set of probability measures with compact support on . For we denote by the total mass and by its support. Given , Polish spaces, , measurable and Borel set , we set by . Consider a measure , a family of measures , with , and a function such that for -almost every and . Then we define . For , , we denote by the set of transference plans from to , i.e. the set of probability measures on with marginals equal to and respectively. The cost of a transference plan is defined as and the Monge-Kantorovich or optimal transport problem amounts to find a cost minimizer. The value of the attained minimum is called the Wasserstein distance between and :
In general, a Wasserstein distance can be defined for by setting . We indicate by the set of optimal transference plans from to .
We will consider measures with time-varying total mass, thus we will consider the generalized Wasserstein distance:
Definition 2.1 (The generalized Wasserstein distance).
Let be two measures. We define the functional
(1) |
The generalized Wasserstein distance is thus obtained combining an or total variation cost for removing/adding mass and transportation cost for the rest of the mass. Various properties of the generalized Wasserstein distance can be found in [16, 17].
Lipschitz-type conditions for evolution of measures with time-varying mass will be defined in terms of the following operator.
Definition 2.2 (The operator ).
Consider and satisfying . Let and be the projections on the base space. We define the following non-negative operator
(2) | ||||
2.1. Measure differential equations
In this section we recall the basic definitions for the theory of MDEs introduced in [15]. The original results were provided for probability measures but they hold for measures with constant finite mass with obvious modifications.
These type of equations are based on a generalization of the concept of vector field to measures as follows.
Definition 2.3.
A Probability Vector Field (briefly PVF) on is a map such that .
A Measure Differential Equation (MDE) corresponding to a PVF is defined by:
(3) |
The mass of over a set is dispersed
along the velocites of the support of restricted
to .
Given an MDE and we define the Cauchy problem:
(4) |
A solution to (4) is defined using weak solutions as follows.
Definition 2.4.
A solution to (4) is a map such that , is constant and the following holds. For every , the integral is defined for almost every , the map belongs to , and the map is absolutely continuous and for almost every it satisfies:
(5) |
The existence of solutions to (4) holds true under the following assumptions:
-
(H:bound)
is support sublinear, i.e. there exists such that for every it holds:
-
(H:cont)
the map is continuous (for the topology given by the Wasserstein metrics and .)
The existence of solutions is achieved via approximate solutions called Lattice Approximate Solutions (briefly LAS). To define in details LAS, we need some additional notation.
For let be the time step size, the velocity step size and the space step size. The discretization in position and velocity are given by the points of and of . Every can be approximated by Dirac deltas using the operator:
(6) |
with amd . The PVF can also be approximated using the operator:
(7) |
where , and .
The two operators are good approximations for the Wasserstein distances in the following sense:
Lemma 2.5.
Given , for sufficiently big the following holds:
The definition of LAS is as follows.
Definition 2.6.
Consider satisfying (H:bound), (4), and . The LAS is defined by recursion. First and then:
(8) |
Notice that is contained in the set , thus for some . We can define LAS for all times by interpolation:
(9) |
It is easy to prove uniform bounds for LAS ([15]):
Lemma 2.7.
Given a PVF satisfying (H:bound), with and such that , the following holds true:
(10) |
where and .
2.2. Finite speed diffusion via MDEs
MDEs can be used to model finite speed diffusion. Let us first illustrate a simple example of mass splitting, which is also related to the Wasserstein gradient flow with interaction energy , see [3].
Example 2.8.
Given we denote by the barycenter of (i.e. ) and set , with:
(11) |
where .
We have the following:
Proposition 2.9.
Notice that from Proposition 2.9 we deduce that for the initial datum the solution split mass in half, i.e. .
Example 2.8 can be generalized as follows.
Example 2.10.
Consider an increasing map and define , where
where
, the cumulative distribution of ,
and the Lebesgue measure. In simple words
moves the ordered masses with speed prescribed by .
If is a diffeomorphism, the solution from
is given by with
For we get . In general gives rise to any , which is solution to the equation .
3. General theory for coupled ODE-MDE
In this section we provide existence and uniqueness results for systems consisting of a MDE coupled with an ODE.
Definition 3.1.
A coupled ODE-MDE system is a system written as:
(12) |
where , is a PVF on and .
Definition 3.2.
A solution to (12) with given initial datum is a couple , with and such that for each the following holds:
-
i)
The map is absolutely continuous and satisfies for almost every .
-
ii)
;
-
iii)
There exists such that ;
-
iv)
The integral is defined for almost every ;
-
v)
The map belongs to ;
-
vi)
The map is absolutely continuous and for almost every it satisfies:
(13)
Definition 3.3.
A Lipschitz semigroup for (12) is a map such that for every and the following holds:
-
i)
and ;
- ii)
-
iii)
Denote by , , the components of , so that with and . For every there exists such that if and then we have for every :
(14) (15) (16) (17)
We first state our assumptions on (12) for existence of a semigroup of solutions.
Theorem 3.4 (Existence of Lipschitz semigroup of solutions to (12)).
Consider the ODE-MDE system (12) and assume the following. The PVF satisfies the assumption (H:bound) and:
- (OM:Lip-g):
-
for each there exists such that if and then:
(18) - (OM:Lip-V):
-
for each there exists such that if then:
(19) - (OM:bound-s):
-
there exists such that for all and it holds and .
- (OM:Lip-s):
-
there exists such that for all and it holds
(20)
Then, there exists a Lipschitz semigroup of solutions to (12).
To prove Theorem 3.4, we define an Euler-LAS scheme to construct approximate solutions. The idea is to use the standard Euler explicit scheme for the ODE and the LAS for the MDE. The details are as follows.
Definition 3.5.
An Euler-LAS approximate solution to (12) is obtained as follows. For fixed , set and perform the following steps.
-
Step 1
Initial step: Define and ;
-
Step 2
Inductive Step: Define
-
Step 3
Interpolated measure: For the intermediate times ,
(21) (22)
Lemma 3.6 (Uniform boundedness).
Proof.
First fix a time and initial conditions for the system (12). Choose in (OM:bound-s) being an upper bound of the maximal support and the total mass of for all and . One can also enlarging such that . Let be the sequence of Euler-LAS approximate solutions defined in Definition 3.5, .
First notice that implies that . In addition, for all , implies that .
Furthermore, from (H:bound) we get: for each term in equation (21) it holds that implies that . Therefore,
Note that and by induction one can derive that is uniformly bounded by
Now observe that:
(23) |
(24) | ||||
and
(25) | ||||
Lemma 3.7 (Existence of weak solution to system (12)).
Proof.
By Lemma 3.6, we have that is pre-compact in and is pre-compact in . By a diagonal argument, we can define a limit curve defined on . We claim that the limit curve is a weak solution to system (12) as defined Definition 3.2.
First observe that as . Thus . By the definition of , it is clear that . By the definition of and the fact that and as , we have, for a.e. .
For fixed , and with , define the operator as follows:
Definition 3.5 implies that for ,
Define . Then . In addition, one can bound from above by
(26) | ||||
for a suitable constant . For more details, please see [18].
For a general pair with , assume that is sufficiently large such that
for some . Consider the convergent subsequence , and define
The second identity follows from the continuity of both and with respect to weak convergence of measures. We claim that . In fact, we have
(27) |
Combining equations (26) and (27), we get
∎
Now we are ready to prove Theorem 3.4.
Proof.
We only need to verify equations (16) and (17) in Definition 3.3. Choose two different sets of initial datum and in , and build Euler-LAS approximate solutions and to (12) according to Definition 3.5.
Thanks to the uniform boundedness of the supports of , , , and the fact that , we can assume that is sufficiently large such that for all with the followings are true:
Let and . By definitions of , , the generalized Wasserstein distance and the operator , one can estimate recursively as
(28) |
Furthermore, we can compare with as
(29) |
For more details, please see [18].
Now combine equations (28) and (29), and use the hypothesis (OM:Lip-V) and Lemma 3.6, we have, there exists , such that
(30) |
By induction and Lemma 2.5, equation (30) implies that
(31) |
Now we pass to the limit by using a density argument. Let
Choose , define the corresponding sequences and according to Definition 3.5 such that there exist subsequences and converges to solutions and to system (12). Repeat this diagonal argument for initial data in and pass to the limit in inequality (31) for , we have
Since the set is countable and dense in , the Lipschitz continuity with respect to the initial condition can be extended to . Finally, using hypothesis (OM:Lip-g), we obtain (16).
Next we will provide the uniqueness result for solutions to system (12). Due to the weak concept of solution, uniqueness can be achieved only at the level of semigroup by prescribing small-time evolution of finite sums of Dirac masses as in [15]. First of all, we recall the definitions of Dirac germs compatible with a given PVF and semigroup compatible with a given Dirac germ.
Definition 3.8 (Dirac germ compatible with a PVF).
Definition 3.9 (Compatibility of a semigroup for system (12)).
The following lemma plays an essential rule to prove the uniqueness of solutions to system (12). The proof is entirely similar to that provided in [15], thus we skip it.
Lemma 3.10.
We are now ready to prove the uniqueness of a semigroup to system (12) conmpatible with a Dirac germ.
Theorem 3.11 (Uniqueness of Lipschitz semigroup of solutions to (12)).
Proof.
Fix initial datum and . Assume that there exist two semigroups for system (12) that are compatible with the given germ . By equation (15), there exists , such that for all . By Lemma 3.10, we have,
(33) |
Fix and let . Observe that is dense in with respect to the topology induced by . Thus for every , there exists such that . Applying equation (32) to both and , we have, there exists a constant such that
Therefore
Note that since both and were chosen arbitrarily, for each it holds
(34) |
Combining equations (3) and (34), for every it holds
(35) |
Furthermore, for a.e. ,
and
Thus by assumption (OM:Lip-g) and equation (35), we conclude that for every , . ∎
4. Model for viral infections with mutations
In this section we introduce a model for viral infections, where mutations are occurring as viral dynamics in the infected population.
We assume that the population of infected is represented by a measure over a space of virus mutations. For simplicity we start assuming that the virus mutations can be parameterized by one parameter thus . On the other side, the population of susceptible can be identified, as usual by a single parameter, thus . The dynamics of infections is captured by and ODE:
where is the total population containing the population of susceptible , the population of infected and the population of recovered , is the infectivity rate, which depends on the virus mutation identified by the parameter .
We now define a generalization of Example 2.10 to be applied to the measure with time-varying mass . First set , which is the normalized cumulative distribution, so that and . Fix an increasing map and define , where
(36) |
The dynamics for is given by the MDE:
where is the recovery rate, also dependent on the virus mutation. Finally a second ODE described the dynamics of the population of recovered, , by:
The overall dynamics consists of coupled ODEs and MDE:
(37) |
Proposition 4.1.
Proof.
We first show that assumptions in the statement of Theorem 3.4 are satisfied. The bounds on , and implies that all solutions to a Cauchy problem is uniformly bounded in time. Therefore the assumptions of Theorem 3.4 can be verified on bounded sets of (the space of ) for the metric given by the Euclidean norm on and on . Indeed we show that all assumptions are valid on the whole space except (OM:Lip-V) and (OM:Lip-s).
Since is increasing, it is uniformly bounded by , thus (H:bound) is verified for .
From the Lipschitz continuity and boundedness of and we get:
where is the Lipschitz constant of and a uniform bound. Moreover, the same estimate holds for . Since the other terms of the ODEs are Lipschitz, we conclude that (OM:Lip-g) is satisfied.
Now, consider and fix and realizing . Choose such that (see Theorem 2.18 and Remark 2.19 of [21]). Since , by definition of we get:
(38) |
Define such that and is minimum among the such that . Similarly define . In simple words we select the minimum speeds. Now choose such that . Notice that .
By definition:
indeed and realizes .
Now choose any
such that , the transference plan
corresponding to the identity map .
The existence of such
comes from the fact that .
We choose similarly
such that .
Notice that , thus
we can write:
From (38) it holds . Moreover we have:
(39) |
Now we notice that, since is Lipschitz continuous, we have:
where is a Lipschitz constant for , thus:
(40) |
The same estimate holds for and . Using (39) and (4), we get that and are bounded by for some positive bounded over bounded sets. Moreover, . Therefore (OM:Lip-V) holds on bounded sets.
The boundedness of and imply (OM:bound-s).
Notice that the source term is given by , thus:
Therefore (OM:Lip-s) is verified on bounded subsets of . This concludes the proof of the first statement.
Now notice that all Euler-LAS approximations give rise to a Cauchy sequence in for the metric given by the Euclidean norm on and on . Therefore, we conclude by completeness of the same metric. ∎
Lemma 4.2.
Proof.
It is sufficient to notice that the total mass of the positive source for in (4) coincides with the absolute value of the right-hand side for . Similarly the total mass of the negative source for in coincides with the right-hand side for . ∎
Example 4.3.
Consider the model (4) and assume that , are constant, i.e. independent of . Then we have:
Since does not change the total mass of , defining , we get:
thus the triplet satisfy the classical SIR model.
Acknowledgements
The authors would like to acknowledge the support of the NSF CMMI project # 2033580 “Managing pandemic by managing mobility” in collaboration with Cornell University and Vanderbilt University, and the support of the Joseph and Loretta Lopez Chair endowment.
References
- [1] S. Anita and V. Capasso, Reaction-diffusion systems in epidemiology, 2017.
- [2] (MR4144366) [10.1142/S0218202520500323] N. Bellomo, R. Bingham, M. A. J. Chaplain, G. Dosi, G. Forni, D. A. Knopoff, J. Lowengrub, R. Twarock and M. E. Virgillito, \doititleA multi-scale model of virus pandemic: Heterogeneous interactive entities in a globally connected world, Math. Models Methods Appl. Sci., 30 (2020), 1591–1651, \arXiv2006.03915.
- [3] (MR3348406) [10.1051/cocv/2014032] G. A. Bonaschi, J. A. Carrillo, M. Di Francesco and M. A. Peletier, \doititleEquivalence of gradient flows and entropy solutions for singular nonlocal interaction equations in 1D, ESAIM Control Optim. Calc. Var., 21 (2015), 414–441.
- [4] (MR4269269) [10.1126/science.abc6810] T. Britton, F. Ball and P. Trapman, \doititleA mathematical model reveals the influence of population heterogeneity on herd immunity to SARS-CoV-2, Science, 369 (2020), 846–849.
- [5] (MR4205631) [10.1109/TNSE.2020.3024723] Y.-C. Chen, P.-E. Lu and C.-S. Chang, \doititleA time-dependent SIR model for COVID-19, IEEE Trans. Network Sci. Eng., 7 (2020), 3279–3294, \arXiv2003.00122.
- [6] (MR4283943) [10.1007/s00245-020-09660-9] R. M. Colombo and M. Garavello, \doititleWell posedness and control in a nonlocal SIR model, Appl. Math. Optim., 84 (2021), 737–771.
- [7] (MR4139038) [10.1186/s13362-020-00090-4] R. M. Colombo, M. Garavello, F. Marcellini and E. Rossi, \doititleAn age and space structured SIR model describing the COVID-19 pandemic, Journal of Mathematics in Industry, 10 (2020), Paper No. 22, 20 pp.
- [8] [10.1038/s41591-020-0883-7] G. Giordano, F. Blanchini, R. Bruno, P. Colaneri, A. Di Filippo, A. Di Matteo and M. Colaneri, \doititleModelling the COVID-19 epidemic and implementation of population-wide interventions in Italy, Nature Medicine, 26 (2020), 855–860.
- [9] V. Kala, K. Guo, E. Swantek, A. Tong, M.. Chyba, Y. Mileyko, C. Gray, T. Lee and A. E. Koniges, Pandemics in Hawai’i: 1918 Influenza and COVID-19, The Ninth International Conference on Global Health Challenges GLOBAL HEALTH 2020, IARIA, 2020.
- [10] A. Keimer and L. Pflug, Modeling infectious diseases using integro-differential equations: Optimal control strategies for policy decisions and applications in covid-19, 2020.
- [11] [10.1098/rspa.1932.0171] W. O. Kermack and A. G. McKendrick, \doititleContributions to the mathematical theory of epidemics. II.-the problem of endemicity, Proceedings of the Royal Society of London. Series A, containing papers of a mathematical and physical character, 138 (1932), 55–83.
- [12] [10.1126/science.373.6557.844] K. Kupferschmidt, \doititleEvolving threat, Science, 373 (2021), 844–849.
- [13] (MR4269258) [10.1126/science.abd1668] C. J. E. Metcalf, D. H. Morris and S. W. Park, \doititleMathematical models to guide pandemic response, Science, 369 (2020), 368–369.
- [14] [10.1093/infdis/jiw375] K. R. Moran, G. Fairchild, N. Generous, K. Hickmann, D. Osthus, R. Priedhorsky, J. Hyman and S. Y. Del Valle, \doititleEpidemic forecasting is messier than weather forecasting: The role of human behavior and internet data streams in epidemic forecast, The Journal of Infectious Diseases, 214 (2016), S404–S408.
- [15] (MR3961299) [10.1007/s00205-019-01379-4] B. Piccoli, \doititleMeasure differential equations, Archive for Rational Mechanics and Analysis, 233 (2019), 1289–1317.
- [16] (MR3182483) [10.1007/s00205-013-0669-x] B. Piccoli and F. Rossi, \doititleGeneralized Wasserstein distance and its application to transport equations with source, Archive for Rational Mechanics and Analysis, 211 (2014), 335–358.
- [17] (MR3544329) [10.1007/s00205-016-1026-7] B. Piccoli and F. Rossi, \doititleOn properties of the generalized Wasserstein distance, Archive for Rational Mechanics and Analysis, 222 (2016), 1339–1365.
- [18] (MR4026977) [10.3934/dcds.2019270] B. Piccoli and F. Rossi, \doititleMeasure dynamics with probability vector fields and sources, Discrete Contin. Dyn. Syst., 39 (2019), 6207–6230.
- [19] [10.1126/science.abc5096] N. W. Ruktanonchai, J. R. Floyd, S. Lai, C. W. Ruktanonchai, A. Sadilek, P. Rente-Lourenco, X. Ben, A. Carioli, J. Gwinn, J. E. Steele, et al., \doititleAssessing the impact of coordinated COVID-19 exit strategies across europe, Science, 369 (2020), 1465–1470.
- [20] A. Vespignani, H. Tian, C. Dye, J. O. Lloyd-Smith, R. M. Eggo, M. Shrestha, S. V. Scarpino, B. Gutierrez, M. U. G. Kraemer, J. Wu, et al., Modelling covid-19, Nature Reviews Physics, 2 (2020), 279–281.
- [21] (MR1964483) [10.1090/gsm/058] C. Villani, Topics in Optimal Transportation, Graduate Studies in Mathematics, 58. American Mathematical Society, Providence, RI, 2003.
- [22] [10.1126/science.abb8001] J. Zhang, M. Litvinova, Y. Liang, Y. Wang, W. Wang, S. Zhao, Q. Wu, S. Merler, C. Viboud, A. Vespignani, et al., \doititleChanges in contact patterns shape the dynamics of the COVID-19 outbreak in China, Science, 368 (2020), 1481–1486.
- [23] [10.1016/S1473-3099(20)30230-9] J. Zhang, M. Litvinova, W. Wang, Y. Wang, X. Deng, X. Chen, M. Li, W. Zheng, L. Yi, X. Chen, et al., \doititleEvolving epidemiology and transmission dynamics of coronavirus disease 2019 outside Hubei province, China: A descriptive and modelling study, The Lancet Infectious Diseases, 20 (2020), 793–802.
Received May 2021; revised September 2021; early access March 2022.