Disease propagation between countries strongly depends on their effective distance, a measure derived from the world air transportation network (WAN). It reduces the complex spreading patterns of a pandemic to a wave-like propagation from the outbreak country, establishing a linear relationship to the arrival time of the unmitigated spread of a disease. However, in the early stages of an outbreak, what concerns decision-makers in countries is understanding the relative risk of active cases arriving in their country-essentially, the likelihood that an active case boarding an airplane at the outbreak location will reach them. While there are data-fitted models available to estimate these risks, accurate mechanistic, parameter-free models are still lacking. Therefore, we introduce the 'import risk' model in this study, which defines import probabilities using the effective-distance framework. The model assumes that airline passengers are distributed along the shortest path tree that starts at the outbreak's origin. In combination with a random walk, we account for all possible paths, thus inferring predominant connecting flights. Our model outperforms other mobility models, such as the radiation and gravity model with varying distance types, and it improves further if additional geographic information is included. The import risk model's precision increases for countries with stronger connections within the WAN, and it reveals a geographic distance dependence that implies a pull- rather than a push-dynamic in the distribution process.

In November 2021, the first infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant of concern (VOC) B.1.1.529 ('Omicron') was reported in Germany, alongside global reports of reduced vaccine efficacy (VE) against infections with this variant. The potential threat posed by its rapid spread in Germany was, at the time, difficult to predict. We developed a variant-dependent population-averaged susceptible-exposed-infected-recovered infectious-disease model that included information about variant-specific and waning VEs based on empirical data available at the time. Compared to other approaches, our method aimed for minimal structural and computational complexity and therefore enabled us to respond to changes in the situation in a more agile manner while still being able to analyze the potential influence of (non-)pharmaceutical interventions (NPIs) on the emerging crisis. Thus, the model allowed us to estimate potential courses of upcoming infection waves in Germany, focusing on the corresponding burden on intensive care units (ICUs), the efficacy of contact reduction strategies, and the success of the booster vaccine rollout campaign. We expected a large cumulative number of infections with the VOC Omicron in Germany with ICU occupancy likely remaining below capacity, nevertheless, even without additional NPIs. The projected figures were in line with the actual Omicron waves that were subsequently observed in Germany with respective peaks occurring in mid-February and mid-March. Most surprisingly, our model showed that early, strict, and short contact reductions could have led to a strong 'rebound' effect with high incidences after the end of the respective NPIs, despite a potentially successful booster campaign. The results presented here informed legislation in Germany. The methodology developed in this study might be used to estimate the impact of future waves of COVID-19 or other infectious diseases.

BackgroundDuring the initial COVID-19 response, Germany's Federal Government implemented several nonpharmaceutical interventions (NPIs) that were instrumental in suppressing early exponential spread of SARS-CoV-2. NPI effect on the transmission of other respiratory viruses has not been examined at the national level thus far.MethodsUpper respiratory tract specimens from 3580 patients with acute respiratory infection (ARI), collected within the nationwide German ARI Sentinel, underwent RT-PCR diagnostics for multiple respiratory viruses. The observation period (weeks 1-38 of 2020) included the time before, during and after a far-reaching contact ban. Detection rates for different viruses were compared to 2017-2019 sentinel data (15350 samples; week 1-38, 11823 samples).FindingsThe March 2020 contact ban, which was followed by a mask mandate, was associated with an unprecedented and sustained decline of multiple respiratory viruses. Among these, rhinovirus was the single agent that resurged to levels equalling those of previous years. Rhinovirus rebound was first observed in children, after schools and daycares had reopened. By contrast, other nonenveloped viruses (i.e. gastroenteritis viruses reported at the national level) suppressed after the shutdown did not rebound.InterpretationContact restrictions with a subsequent mask mandate in spring may substantially reduce respiratory virus circulation. This reduction appears sustained for most viruses, indicating that the activity of influenza and other respiratory viruses during the subsequent winter season might be low,whereas rhinovirus resurgence, potentially driven by transmission in educational institutions in a setting of waning population immunity, might signal predominance of rhinovirus-related ARIs.FundingRobert Koch-Institute and German Ministry of Health.

Large-scale human mobility data is a key resource in data-driven policy making and across many scientific fields. Most recently, mobility data was extensively used during the COVID-19 pandemic to study the effects of governmental policies and to inform epidemic models. Large-scale mobility is often measured using digital tools such as mobile phones. However, it remains an open question how truthfully these digital proxies represent the actual travel behavior of the general population. Here, we examine mobility datasets from multiple countries and identify two fundamentally different types of bias caused by unequal access to, and unequal usage of mobile phones. We introduce the concept of data generation bias, a previously overlooked type of bias, which is present when the amount of data that an individual produces influences their representation in the dataset. We find evidence for data generation bias in all examined datasets in that high-wealth individuals are overrepresented, with the richest 20% contributing over 50% of all recorded trips, substantially skewing the datasets. This inequality is consequential, as we find mobility patterns of different wealth groups to be structurally different, where the mobility networks of high-wealth users are denser and contain more long-range connections. To mitigate the skew, we present a framework to debias data and show how simple techniques can be used to increase representativeness. Using our approach we show how biases can severely impact outcomes of dynamic processes such as epidemic simulations, where biased data incorrectly estimates the severity and speed of disease transmission. Overall, we show that a failure to account for biases can have detrimental effects on the results of studies and urge researchers and practitioners to account for data-fairness in all future studies of human mobility.

Analysing patterns of engagement among citizen science participants can provide important insights into the organisation and practice of individual citizen science projects. In particular, methods from statistics and network science can be used to understand different types of user behaviour and user interactions to help the further implementation and organization of community efforts. Using publicly available data from the iNaturalist community and their yearly City Nature Challenges (CNC) from 2017-2020 as an example; we showcase computational methods to explore the spatio-temporal evolution of this citizen science community that typically interacts in a hybrid offline-online way. In particular, we investigate the user types present in the community along with their interactions, finding significant differences in usage-behavior on both the level of engagement and the types of community tasks/roles and how they interact with the network of contributors. We expect that these computational analysis strategies will be useful to gain further understanding of other citizen science communities and projects.

Vaccination against COVID-19 with the recently approved mRNA vaccines BNT162b2 (BioNTech/Pfizer) and mRNA-1273 (Moderna) is currently underway in a large number of countries. However, high incidence rates and rapidly spreading SARS-CoV-2 variants are concerning. In combination with acute supply deficits in Europe in early 2021, the question arises of whether stretching the vaccine, for instance by delaying the second dose, can make a significant contribution to preventing deaths, despite associated risks such as lower vaccine efficacy, the potential emergence of escape mutants, enhancement, waning immunity, reduced social acceptance of off-label vaccination, and liability shifts. A quantitative epidemiological assessment of risks and benefits of non-standard vaccination protocols remains elusive. To clarify the situation and to provide a quantitative epidemiological foundation we develop a stochastic epidemiological model that integrates specific vaccine rollout protocols into a risk-group structured infectious disease dynamical model. Using the situation and conditions in Germany as a reference system, we show that delaying the second vaccine dose is expected to prevent deaths in the four to five digit range, should the incidence resurge. We show that this considerable public health benefit relies on the fact that both mRNA vaccines provide substantial protection against severe COVID-19 and death beginning 12 to 14 days after the first dose. The benefits of protocol change are attenuated should vaccine compliance decrease substantially. To quantify the impact of protocol change on vaccination adherence we performed a large-scale online survey. We find that, in Germany, changing vaccination protocols may lead to small reductions in vaccination intention. In sum, we therefore expect the benefits of a strategy change to remain substantial and stable.

In the wake of the COVID-19 pandemic many countries implemented containment measures to reduce disease transmission. Studies using digital data sources show that the mobility of individuals was effectively reduced in multiple countries. However, it remains unclear whether these reductions caused deeper structural changes in mobility networks and how such changes may affect dynamic processes on the network. Here we use movement data of mobile phone users to show that mobility in Germany has not only been reduced considerably: Lockdown measures caused substantial and long-lasting structural changes in the mobility network. We find that long-distance travel was reduced disproportionately strongly. The trimming of long-range network connectivity leads to a more local, clustered network and a moderation of the "small-world" effect. We demonstrate that these structural changes have a considerable effect on epidemic spreading processes by "flattening" the epidemic curve and delaying the spread to geographically distant regions.

Die Entwicklung der aushäusigen Aktivitätendauern für Berlin und Köln sind in den beiden folgenden Abbildungen dargestellt (Abb. 1). Im Vergleich lassen sich in beiden Regionen ähnliche Entwicklungen erkennen. Die durchschnittlichen aushäusigen Aktivitätendauern sind seit dem Ende der Herbstferien Mitte Oktober 2021 relativ gleichmäßig und kontinuierlich gesunken. Während der Weihnachtsferien bzw. über den Jahreswechsel ist eine deutliche Reduzierung der Dauern in beiden Regionen erkennbar. Anfang Januar sind die Dauern wieder angestiegen, wobei die aushäusigen Aktivitätendauern etwas geringer sind als vor Weihnachten. In Köln ist dabei insgesamt ein höheres Niveau zu erkennen als in Berlin. Auswertungen für alle Landkreise und Bundesländer sind auf unserer Webseite https://covid-sim.info/mobility-counties/ abrufbar.

In the wake of the COVID-19 pandemic many countries implemented containment measures to reduce disease transmission. Studies using digital data sources show that the mobility of individuals was effectively reduced in multiple countries. However, it remains unclear whether these reductions caused deeper structural changes in mobility networks, and how such changes may affect dynamic processes on the network. Here we use movement data of mobile phone users to show that mobility in Germany has not only been reduced considerably: Lockdown measures caused substantial and lasting structural changes in the mobility network. We find that long-distance travel was reduced disproportionately strongly. The trimming of long-range network connectivity leads to a more local, clustered network and a moderation of the "small-world" effect. We demonstrate that these structural changes have a considerable effect on epidemic spreading processes by "flattening" the epidemic curve and delaying the spread to geographically distant regions.