Modelling SARS Transmission Dynamics
A Small-World Network Approach

Dr Michael Small and Prof. C.K. Michael Tse

Applied Nonlinear Circuits and Systems Research Group
Dept. of Electronic & Information Engineering, Hong Kong Polytechnic University
http://chaos.eie.polyu.edu.hk

 

Journal Papers:

  1. M. Small, P. Shi and C.K. Tse, "Plausible models for propagation of the SARS virus," Special Section on Nonlinear Theory and Its Applications, IEICE Transactions on Fundamentals of Electronics, Communications and Computer Sciences, Japan, E87-A, pp. 2379-2386, September 2004. [PDF File]
  2. M. Small and C.K. Tse. "Clustering model for transmission of the SARS virus: Application to epidemic control and risk assesment," Physica A, vol. 351, pp. 499-511, March 2005. [PDF File]
  3. M. Small and C.K. Tse, "Small world and scale free network model of transmission of SARS," International Journal of Bifurcation and Chaos, vol. 15, no. 5, pp. 1745-1756, May 2005. [PDF File]
  4. M. Small, C.K. Tse and D.M. Walker, "Super-spreaders and the rate of transmission of the SARS virus," Physica D, to appear.
Conference Presentations:
  1. M. Small, C.K. Tse and P. Shi, "Novel Complex Network Model of SARS Transmission Dynamics," Hong Kong SARS Forum and Hospital Authority Convention, Hong Kong, p. 124, May 2004.
  2. M. Small and C.K. Tse, "Modeling the SARS outbreak in Hong Kong with Small World or Scale Free Networks," International Symposium on Nonlinear Theory and Its Applications, (NOLTA'2004), Fukuoka, Japan, pp. 581-584, November-December 2004.

In the Spring of 2003, SARS* affected thousands of people worldwide and claimed over 900 lives. In Hong Kong, between March and May, the SARS epidemic affected 1755 including 299 deaths.**

  • Can SARS propagation be predicted?
  • Can the spreading pattern be modelled?
  • What are the parameters that affect the SARS propagation?
  • Can outbreaks be controlled or prevented?

* SARS: Severe Acute Respiratory Syndrome having symptoms similar to atypical pneumonia.
**For an official report on the SARS outbreak in Hong Kong, see http://www.info.gov.hk/info/sars/eindex.htm

 

About this project

In this project we attempt to model the propagation behaviour of the SARS virus by an appropriate network topology and propagation dynamics. Specifically, we have developed a mathematical model for simulating the behaviour of the SARS epidemic that appeared in Hong Kong last Spring. Based on this model, a simulation software can be developed to help health professionals to predict the possibility and extent of community outbreaks. The model allows crucial parameters (e.g., probability of infecting a neighbour, probability of infecting a remote party, incubation period, probability of not infecting others due to treatment/recovery/quarantine, etc.) to be specified and hence provides a tunable platform for simulating the SARS epidemic.

 

Technical summary

We considered a complex small-world network (SWN)*** model and showed that such a structure can be applied to reliably produce simulations quantitatively similar to the true data. The small-world network model not only captures the apparently random fluctuation in the reported data, but also reproduces mini-outbreaks such as those caused by so-called "super-spreaders", as appeared in the Hong Kong housing estate Amoy Gardens and the Prince of Wales Hospital.

***D. Watts and S. Strogatz, Collective dynamics of small-world networks, Nature, 393, pp. 440-442, 1998.

 

A glimpse at the model

For simplicity, we use a simple grid network structure for illustration. Specifically, we assume that the network consists of N nodes and each node is connected to n1 immediate neighbours forming a rectangular grid. The behaviour of the epidemic is described in terms of four possible states of each node:

  • S: state of being susceptible to the disease (normal person)
  • P: state of being infected but not infecting (incubated)
  • I: state of being infected and infecting
  • R: state of being removed (recovered, quarantined, dead)

The crucial part of the model is the small-world network connectivity, in which each node is only connected to its n1 immediate neighbours and some randomly selected remote acquaintances. The remote acquaintances of any given node are selected according to an exponential distribution function. This network connectivity gives rise to the essential phenomenon of "super-spreading". The dynamics of the epidemic is modelled as follows:

  1. Each node of state I has a probability of p1 of infecting an immediate neighbour of state S on a given day. After being infected, a node changes its state to P.
  2. Each node of state S also has a random number of long-range (remote) acquaintances, the distribution of which follows an exponential distribution function with an expected value of n2. Each node of state I will infect a long-range acquantance with a probability of p2 on a given day. After being infected, a node changes its state to P.
  3. Each node of state P has an incubation period during which it is unable to infect others. This period follows a certain distribution with an expected value of nin. For a binomial distribution of nin, the situation can be modelled by a probability r0 in a given day for a node of state P to become I.
  4. Each node of state P or I has a probability of r1 of being "removed" on a given day. By removal, we mean a state of being unable to infect others, due to recovery, quarantine, etc.
  5. State R is terminal. Nodes of state R will remain in R forever.

Simulation begins with a particular initial condition (number of infections in some randomly selected nodes), and an iterative process continues with a chosen set of parameters.

 

Illustrative animations

The following Flash animations (requires browsers with Flash plugin) illustrate several possible outcomes corresponding to different choices of parameter values:

  1. Animation 1: Click here to see a typical simulation of propagation dynamics
  2. Animation 2: Click here to see an outbreak leading to total infection of the population
  3. Animation 3: Click here to see a controlled epidemic

 

Results: fitting the Hong Kong data

The figure below shows several simulation runs, with the following sets of parameters. The time-varying parameters emulate government interventions such as introduction of quarantine measure, public education, etc.

From a large number of simulation runs, we can also generate a probability density function for the number of reported cases, as shown in the following diagram (the black solid curve is the actual HK data):

frequency (shown in different colors)

 

Usefulness of the model

The above model can lead to closed form expressions for the probability of an outbreak to occur and for the bounds of the probability of a containment, etc. These results can be found in a paper published in the International Journal of Bifurcation and Chaos.

Furthermore, using the model, one can develop user-friendly simulation software to help reproduce the quantitative behaviour of the epidemic. Parameters can be adjusted to suit different epidemic behaviour. Using this software, the likelihood of a particular outcome, such as outbreak or eventual containment, can be predicted.


For inquiry please contact Dr Michael Small.

Applied Nonlinear Circuits and Systems Research Group
Department of Electronic & Information Engineering, Hong Kong Polytechnic University
Homepage of the Research Group: http://chaos.eie.polyu.edu.hk