St. Lawrence University

                           Mathematics, Computer Science & Statistics
Katherine A. Livingstone
                  " Modeling Disease:  Mathematics in Epidemiology and Applications to the SARS Virus"
Advisor: Patti Frazer Lock
Honor Theses Fall 2003


Abstract

    Epidemiology is a field of science that has made many significant advances in studies of the spread of disease.  Studies of epidemics and disease spread have vast mathematical components.  Epidemiological models are based on differential equations that provide the foundations for modeling change over time.  These are useful in modeling rates of infection, rates of recovery, contact rates, birth and death rates, etc.  Such models can predict the impact of a disease on a population and can suggest valuable strategies for its control.

     This paper will first introduce the most basic epidemiological model and examine the common uses and implications of certain features.  In the following chapters, we will look at several more complex models and learn how to modify a disease model according to the characteristics of a disease.  Lastly, we will examine how researchers have modeled SARS, one of the most recent disease outbreaks.  Our basic knowledge of disease models will provide the necessary background for such analysis.  We will study three published articles and use this information to further understand some applications of epidemiological models.

Contents

Introduction

1

1   What is Epidemiology?

3

2   A Simple Model: SIR

6

     2.1 Law of Mass Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

     2.2 Introduction to SIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

     2.3 Threshold Quantity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

10

     2.4 A Second Method for Estimating R0  . . . . . . . . . . . . . . . . . .

15

     2.5 Sensitivity of Parameter Estimates . . . . . . . . . . . . . . . . . . . .

16

     2.6 Maximum Number of Infectives . . . . . . . . . . . . . . . . . . . . . .

17

     2.7 Immunization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

     2.8 Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

3   Alternative Approach to Simple Model

21

     3.1 Alternative Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21

     3.2 Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

4   Diseases with no Immunity: SIS

23

     4.1 Introduction to SIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

     4.2 Example . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . .

24

5   Demographic Effects

25

     5.1 Birth Rate and Death Rate . . . . . . . . . . . . . . . . . . . . . . . . . . .

25

     5.2 Model with Demographic Effects . . . . . . . . . . . . . . . . . . . . .

25

     5.3 Herd Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28

     5.4 Age at Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29

6   SARS

32

     6.1 Introduction to SARS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

32

     6.2 Modeling SARS: Detailed Analysis and Case Studies . . . . .

34

     6.3 Evaluating the Impact of Public Health Measures: SEIR Model .

47

     6.4 Dealing with Superspread Events: SEIR Model . . . . . . . . . . . . .

51

     6.5 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

54

7   Conclusion

56

References

58

 
Created:  February 5, 2004