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The turning point and end of an expanding epidemic cannot be precisely forecast

Epidemic spread is characterized by exponentially growing dynamics, which are intrinsically unpredictable. The time at which the growth in the number of infected individuals halts and starts decreasing cannot be calculated with certainty before the turning point is actually attained; neither can the...

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Autores principales: Castro, Mario, Ares, Saúl, Cuesta, José A., Manrubia, Susanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: National Academy of Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585017/
https://www.ncbi.nlm.nih.gov/pubmed/33004629
http://dx.doi.org/10.1073/pnas.2007868117
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author Castro, Mario
Ares, Saúl
Cuesta, José A.
Manrubia, Susanna
author_facet Castro, Mario
Ares, Saúl
Cuesta, José A.
Manrubia, Susanna
author_sort Castro, Mario
collection PubMed
description Epidemic spread is characterized by exponentially growing dynamics, which are intrinsically unpredictable. The time at which the growth in the number of infected individuals halts and starts decreasing cannot be calculated with certainty before the turning point is actually attained; neither can the end of the epidemic after the turning point. A susceptible–infected–removed (SIR) model with confinement (SCIR) illustrates how lockdown measures inhibit infection spread only above a threshold that we calculate. The existence of that threshold has major effects in predictability: A Bayesian fit to the COVID-19 pandemic in Spain shows that a slowdown in the number of newly infected individuals during the expansion phase allows one to infer neither the precise position of the maximum nor whether the measures taken will bring the propagation to the inhibition regime. There is a short horizon for reliable prediction, followed by a dispersion of the possible trajectories that grows extremely fast. The impossibility to predict in the midterm is not due to wrong or incomplete data, since it persists in error-free, synthetically produced datasets and does not necessarily improve by using larger datasets. Our study warns against precise forecasts of the evolution of epidemics based on mean-field, effective, or phenomenological models and supports that only probabilities of different outcomes can be confidently given.
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spelling pubmed-75850172020-10-30 The turning point and end of an expanding epidemic cannot be precisely forecast Castro, Mario Ares, Saúl Cuesta, José A. Manrubia, Susanna Proc Natl Acad Sci U S A Biological Sciences Epidemic spread is characterized by exponentially growing dynamics, which are intrinsically unpredictable. The time at which the growth in the number of infected individuals halts and starts decreasing cannot be calculated with certainty before the turning point is actually attained; neither can the end of the epidemic after the turning point. A susceptible–infected–removed (SIR) model with confinement (SCIR) illustrates how lockdown measures inhibit infection spread only above a threshold that we calculate. The existence of that threshold has major effects in predictability: A Bayesian fit to the COVID-19 pandemic in Spain shows that a slowdown in the number of newly infected individuals during the expansion phase allows one to infer neither the precise position of the maximum nor whether the measures taken will bring the propagation to the inhibition regime. There is a short horizon for reliable prediction, followed by a dispersion of the possible trajectories that grows extremely fast. The impossibility to predict in the midterm is not due to wrong or incomplete data, since it persists in error-free, synthetically produced datasets and does not necessarily improve by using larger datasets. Our study warns against precise forecasts of the evolution of epidemics based on mean-field, effective, or phenomenological models and supports that only probabilities of different outcomes can be confidently given. National Academy of Sciences 2020-10-20 2020-10-01 /pmc/articles/PMC7585017/ /pubmed/33004629 http://dx.doi.org/10.1073/pnas.2007868117 Text en Copyright © 2020 the Author(s). Published by PNAS. https://creativecommons.org/licenses/by-nc-nd/4.0/ https://creativecommons.org/licenses/by-nc-nd/4.0/This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Biological Sciences
Castro, Mario
Ares, Saúl
Cuesta, José A.
Manrubia, Susanna
The turning point and end of an expanding epidemic cannot be precisely forecast
title The turning point and end of an expanding epidemic cannot be precisely forecast
title_full The turning point and end of an expanding epidemic cannot be precisely forecast
title_fullStr The turning point and end of an expanding epidemic cannot be precisely forecast
title_full_unstemmed The turning point and end of an expanding epidemic cannot be precisely forecast
title_short The turning point and end of an expanding epidemic cannot be precisely forecast
title_sort turning point and end of an expanding epidemic cannot be precisely forecast
topic Biological Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585017/
https://www.ncbi.nlm.nih.gov/pubmed/33004629
http://dx.doi.org/10.1073/pnas.2007868117
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