How many outbreaks before an epidemic?
Fabio Rapallo, Enrico Scalas, Pietro Terna
TL;DR
This paper analyzes the finite-population behavior of the Reed-Frost epidemic model, showing that the final-size distribution can be bimodal with distinct small- and large-outbreak regimes. Using the exact final-size formula where stable and Monte Carlo simulations otherwise, the authors quantify the probability of small outbreaks and identify a critical threshold where bimodality emerges. They corroborate the analytic findings with an agent-based SIsaR model of COVID-19 diffusion and show that Reed-Frost provides a good approximation in finite populations. The work also links the outbreak dynamics to bond-percolation and discusses the impact of containment on outbreak probabilities, with broader implications for diffusion phenomena beyond epidemiology.
Abstract
In this work, we study the finite-population behaviour of the Reed-Frost epidemic model. Our analysis relies on the exact expression for the final epidemic size, replaced by Monte Carlo simulations in cases where the exact formula becomes numerically unstable. When the initial reproduction number is greater than a critical threshold, the distribution of the final size becomes bimodal. We therefore define the probabilities of small and large outbreaks, providing an intuitive answer to the question posed in the title through simple arguments based on the geometric distribution. Finally, an agent-based simulation confirms that the Reed-Frost model offers a good approximation in the case of the COVID-19 outbreak.
