Evidence map›Paper›PMID 33833080›Full record

ReviewProceedings of the National Academy of Sciences of the United States of America2021

Time-dependent heterogeneity leads to transient suppression of the COVID-19 epidemic, not herd immunity.

Alexei V Tkachenko, Sergei Maslov, Ahmed Elbanna, George N Wong, Zachary J Weiner, Nigel Goldenfeld

Abstract readReview
In one paragraph

Review in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. High seroprevalence for SARS-CoV-2 infection in South America, but still not enough for herd immunity!International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Pooled it
  3. Mechanics of pandemics.EClinicalMedicine · 2026
    Review
  4. Review
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  11. Emergence of the reproduction matrix in epidemic forecasting.Journal of the Royal Society, Interface · 2024
    Article
  12. Article
  13. Heterogeneous risk tolerance, in-groups, and epidemic waves.Frontiers in applied mathematics and statistics · 2024
    Article
  14. Article
  15. Article
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  18. Reproductive variance can drive behavioral dynamics.Proceedings of the National Academy of Sciences of the United States of America · 2023
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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

6 authors.

Alexei V TkachenkoCenter for Functional Nanomaterials, Brookhaven National Laboratory, Upton, NY 11973; oleksiyt@bnl.gov maslov@illinois.edu.ORCID 0000-0003-1291-243X
Sergei MaslovDepartment of Physics, University of Illinois at Urbana-Champaign, Urbana, IL 61801; oleksiyt@bnl.gov maslov@illinois.edu.ORCID 0000-0002-3701-492X
Ahmed ElbannaDepartment of Civil Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801.ORCID 0000-0003-4079-2607
George N WongDepartment of Physics, University of Illinois at Urbana-Champaign, Urbana, IL 61801.ORCID 0000-0001-6952-2147
Zachary J WeinerDepartment of Physics, University of Illinois at Urbana-Champaign, Urbana, IL 61801.ORCID 0000-0003-1755-2277
Nigel GoldenfeldDepartment of Physics, University of Illinois at Urbana-Champaign, Urbana, IL 61801.ORCID 0000-0002-6322-0903

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemics generally spread through a succession of waves that reflect factors on multiple timescales. On short timescales, superspreading events lead to burstiness and overdispersion, whereas long-term persistent heterogeneity in susceptibility is expected to lead to a reduction in both the infection peak and the herd immunity threshold (HIT). Here, we develop a general approach to encompass both timescales, including time variations in individual social activity, and demonstrate how to incorporate them phenomenologically into a wide class of epidemiological models through reparameterization. We derive a nonlinear dependence of the effective reproduction number [Formula: see text] on the susceptible population fraction S. We show that a state of transient collective immunity (TCI) emerges well below the HIT during early, high-paced stages of the epidemic. However, this is a fragile state that wanes over time due to changing levels of social activity, and so the infection peak is not an indication of long-lasting herd immunity: Subsequent waves may emerge due to behavioral changes in the population, driven by, for example, seasonal factors. Transient and long-term levels of heterogeneity are estimated using empirical data from the COVID-19 epidemic and from real-life face-to-face contact networks. These results suggest that the hardest hit areas, such as New York City, have achieved TCI following the first wave of the epidemic, but likely remain below the long-term HIT. Thus, in contrast to some previous claims, these regions can still experience subsequent waves.

Indexed as

COVID-19EpidemicsImmunity, HerdModels, ImmunologicalHumansSARS-CoV-2United StatesCOVID-19epidemic theoryheterogeneityoverdispersion

Identifiers

PMID33833080
PMCPMC8092384

What OpenQuestion holds

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Registered trials

None linked

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.