Epidemiological Modeling Study Notes
Introduction
Epidemiological modeling is the mathematical and computational study of how diseases spread, persist, and can be controlled within populations. Models help predict outbreaks, inform public health interventions, and guide policy decisions. These models can simulate infectious diseases, non-communicable diseases, and even the spread of beneficial traits like antibiotic resistance.
Historical Foundations
Early Concepts
- 18th Century: Daniel Bernoulli used mathematical models to analyze smallpox inoculation, demonstrating the potential to reduce mortality.
- 19th Century: William Farr developed statistical approaches to study cholera outbreaks in London, laying groundwork for quantitative epidemiology.
- Early 20th Century: Ronald Ross created the first mathematical model for malaria transmission, introducing the concept of the “basic reproduction number” (R₀).
Key Experiments
- John Snow’s Cholera Mapping (1854): Used spatial analysis to link cholera cases to contaminated water sources, demonstrating the power of data-driven epidemiology.
- Kermack-McKendrick Model (1927): Developed the SIR (Susceptible-Infectious-Recovered) model, which remains foundational in infectious disease modeling.
Core Epidemiological Models
Compartmental Models
- SIR Model: Divides population into Susceptible, Infectious, and Recovered compartments. Describes transitions between states using differential equations.
- SEIR Model: Adds an Exposed compartment for diseases with incubation periods.
- SIS Model: Used for diseases where immunity is not lifelong (e.g., common cold).
Agent-Based Models
- Simulate individual agents (people, animals) and their interactions.
- Capture heterogeneity in behavior, movement, and susceptibility.
Network Models
- Represent populations as nodes connected by edges (contacts).
- Useful for modeling transmission in social networks, workplaces, and schools.
Modern Applications
Pandemic Response
- COVID-19: Models predicted case surges, evaluated the impact of lockdowns, and guided vaccine allocation.
- Influenza: Annual models estimate the burden and guide vaccine strain selection.
Non-Communicable Diseases
- Modeling of obesity, diabetes, and cardiovascular disease spread through social networks and environmental factors.
Antimicrobial Resistance
- Models track the emergence and spread of resistant bacteria, informing stewardship programs.
Zoonotic Diseases
- Simulate spillover events from animals to humans (e.g., Ebola, avian influenza).
Recent Breakthroughs
Data-Driven Modeling
- Integration of real-time data from mobile phones, social media, and wearable devices.
- Machine learning enhances prediction accuracy and identifies hidden transmission patterns.
Genomic Epidemiology
- Use of pathogen genome sequencing to track mutation, transmission chains, and outbreak sources.
Environmental Modeling
- Models now incorporate environmental variables (temperature, humidity, pollution) to predict disease emergence and persistence.
Cited Study:
Chang, S., Pierson, E., Koh, P.W., et al. (2021). Mobility network models of COVID-19 explain inequities and inform reopening. Nature, 589, 82–87.
This study used detailed mobility data to model COVID-19 spread and highlighted disparities in infection risk across communities.
Extreme Environments & Microbial Survival
- Some bacteria, such as Deinococcus radiodurans and Thermococcus gammatolerans, survive in deep-sea vents, radioactive waste, and other harsh environments.
- Epidemiological models now consider these extremophiles in bioremediation, astrobiology, and the spread of antibiotic resistance genes in non-traditional habitats.
Project Idea
Title: Modeling the Spread of Antibiotic Resistance Genes in Wastewater Treatment Plants
Objective:
Simulate how resistance genes are transferred among bacteria in wastewater, considering environmental factors and human activity.
Approach:
- Build an agent-based model of bacterial populations.
- Integrate data on antibiotic concentrations, temperature, and flow rates.
- Predict hotspots for resistance gene emergence and guide mitigation strategies.
Most Surprising Aspect
The most surprising aspect of epidemiological modeling is its ability to reveal hidden drivers of disease spread, such as how human mobility patterns, social inequality, and environmental changes can dramatically alter transmission dynamics. Recent models show that even small changes in behavior or environment can lead to disproportionate effects on outbreak size and duration.
Summary
Epidemiological modeling has evolved from simple mathematical equations to complex, data-driven simulations that guide global health decisions. Its history is marked by innovative experiments and foundational models, while modern applications span pandemics, chronic diseases, and environmental health. Recent breakthroughs in real-time data integration, genomics, and environmental modeling have expanded its scope and accuracy. The survival of bacteria in extreme environments adds new dimensions to understanding disease ecology and resistance spread. Epidemiological modeling remains a vital tool for predicting, preventing, and controlling health threats in an ever-changing world.