4.3. Small outbreaks in large populations#
We now study the statitistics of final sizes of outbreaks for both SIS and SIR models.
We quickly define
Definition 4.3 (Final size)
The final size of an outbreak is the total number of individual infections that occur.
We first use some numerical simulations to illustrate the total number infected. We use the same Gillespie simulation algorithms as in the previous section (These are provided in the AMSI_2026_PGF_tools provided with this github repository). We are focused only on the total number infected, so we run many simulations and then plot the observed distribution of final sizes.
4.3.1. SIR simulations#
For the SIR case, we plot the probability distribution of the total number of infections to occur \(R(\infty)\). We show how these depend on the total population size \(N\).
We see that small outbreaks appear to have the same distribution regardless of \(N\).
Epidemics however seem to affect the same proportion of the population for different \(N\). The distribution of the proportion infected grows tighter around the average as \(N\) increases.
4.3.2. SIS Simulations#
Now we look at SIS.
4.3.2.1. Distribution of number infected \(I(t)\) at large time#
We do not plot the total number of infections because at large time, the epidemics do not die out, so the number of infections continually grows.
Instead, we plot the value of \(I(t)\) at the stopping time (\(t=20\)). We use the same parameters as in the SIR case. Small outbreaks have (almost invariably) gone extinct by this time, so either the number of infections is \(0\) or it is close to the endemic equilibrium.
We see that about \(2/3\) of the outbreaks die out and have no infections remaining by \(t=20\). The other \(1/3\) appear to be infecting close to \(1/3\) of the population.
4.3.2.2. Total size distribution of small SIS outbreaks#
Now let’s look at the distribution of cumulative sizes of the small outbreaks. We add a flag to the SIS simulation to return the cumulative number of infections, and we focus on outbreaks that end with fewer than \(100\) total infections.
4.3.3. Size distribution of small outbreaks#
Looking at both SIS and SIR and both \(N=1000\) and \(N=10,000\), it should be clear that the total number of infections occuring in small outbreaks has the same distribution in all cases.
Theorem 4.1 (Small outbreak size distribution (\(N \to \infty\)))
In the limit \(N \to \infty\), \(I(t)\) for small outbreaks of continuous-time SIS and SIR diseases is indistinguishable from \(X(t)\) in continuous-time Galton-Watson processes with \(r_0 = \gamma\) and \(r_2 = \beta\).
Proof. In the \(N \to \infty\) limit, the probability that a transmission goes to an individual who is not susceptible goes to \(0\). As small outbreaks have a finite number of transmissions, we can assume that all transmissions go to susceptible individuals.
Then the transmission and recovery processes are identical.
Note that this theorem means that SIS and SIR are indistinguishable from each other for small outbreaks.
Our goal in the next section is to find this size distribution.
4.3.4. Self-test#
Look at the distribution of final sizes for SIR epidemics for different \(N\). You should see that the distribution of the proportion infected appears to get tighter as \(N\) increases (in fact the width is roughly proportional to \(1/\sqrt{N}\) as \(N\) increases). However, if we look at the number infected, we should see that it is getting wider. Explain.