Evidence map›Paper›PMID 19919678›Full record

ArticleTheoretical biology & medical modelling2009

A mechanistic model of infection: why duration and intensity of contacts should be included in models of disease spread.

Timo Smieszek

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Article in Theoretical biology & medical modelling, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

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58citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. REPLAY: a GPU-accelerated tool for temporal contact network epidemiology.BMC medical informatics and decision making · 2025
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  10. Estimated reproduction ratios in the SIR model.The Canadian journal of statistics = Revue canadienne de statistique · 2021
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  20. Modeling epidemic spreading through public transit using time-varying encounter network.Transportation research. Part C, Emerging technologies · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Timo SmieszekInstitute for Environmental Decisions, Natural and Social Science Interface, ETH Zurich, Universitaetsstrasse 22, 8092 Zurich, Switzerland. timo.smieszek@env.ethz.ch

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMathematical models and simulations of disease spread often assume a constant per-contact transmission probability. This assumption ignores the heterogeneity in transmission probabilities, e.g. due to the varying intensity and duration of potentially contagious contacts. Ignoring such heterogeneities might lead to erroneous conclusions from simulation results. In this paper, we show how a mechanistic model of disease transmission differs from this commonly used assumption of a constant per-contact transmission probability.

methodsWe present an exposure-based, mechanistic model of disease transmission that reflects heterogeneities in contact duration and intensity. Based on empirical contact data, we calculate the expected number of secondary cases induced by an infector (i) for the mechanistic model and (ii) under the classical assumption of a constant per-contact transmission probability. The results of both approaches are compared for different basic reproduction numbers R0.

resultsThe outcomes of the mechanistic model differ significantly from those of the assumption of a constant per-contact transmission probability. In particular, cases with many different contacts have much lower expected numbers of secondary cases when using the mechanistic model instead of the common assumption. This is due to the fact that the proportion of long, intensive contacts decreases in the contact dataset with an increasing total number of contacts.

conclusionThe importance of highly connected individuals, so-called super-spreaders, for disease spread seems to be overestimated when a constant per-contact transmission probability is assumed. This holds particularly for diseases with low basic reproduction numbers. Simulations of disease spread should weight contacts by duration and intensity.

Indexed as

Disease Transmission, InfectiousComputer SimulationContact TracingDisease OutbreaksHumansInfectionsModels, StatisticalModels, TheoreticalTime FactorsTreatment Outcome

Identifiers

PMID19919678
PMCPMC2780993

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.