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Schematic representation of the metapopulation model with two pathogens. (a) Scheme of the metapopulation structure in patches and links representing mobility. (b) Compartmental model of the two-strain infection. A detailed description of the infection dynamics is reported in the Methods section.

Schematic representation of the metapopulation model with two pathogens. (a) Scheme of the metapopulation structure in patches and links representing mobility. (b) Compartmental model of the two-strain infection. A detailed description of the infection dynamics is reported in the Methods section.

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Different pathogens spreading in the same host population often generate complex co-circulation dynamics because of the many possible interactions between the pathogens and the host immune system, the host life cycle, and the space structure of the population. Here we focus on the competition between two acute infections and we address the role of...

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Context 1
... assume individuals to mix homogeneously within the local communities (also called subpopulations, patches or nodes of the metapopulation network), whereas at the global level the coupling is defined by a network of hosts' mobility fluxes. Here we adopt this scheme considering two pathogens circulating on the metapopulation network ( Figure 1a). ...
Context 2
... et al. [18] that assumes an individual recovered from one infection to have a susceptibility to the other circulating pathogen reduced by a factor σ -a schematic representa- tion of the compartmental model is reported in Figure 1b. The parameter σ quantifies the level of cross-immunity, with σ = 0 corresponding to complete cross-immunity and σ = 1 correspond- ing to no interaction. ...
Context 3
... higher values of p, instead, both cross-immunity and the rela- tive ratio of the reproductive numbers of the two pathogens determine the resulting competition outcome. We report these results in the Supplementary Figure S1. ...

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... Contagion processes can coexist and influence each other. Several instances can be found in disease spreading, whereby the presence of a certain pathogen may favor or hinder the diffusion of another one [137,138]. However, interaction between spreading processes is not limited to infectious disease, but can also be observed in social contagion, a striking example being the coupling between the COVID-19 epidemic and the adoption of safe behaviors [139]. ...
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... Girvan et al. showed that four epidemiological dynamics such as periodic epidemic outbreaks were observed during the mutation of pathogens [38]. The study of Poletto et al. addressed the role of host mobility as well as cross-immunity in shaping possible dominance regimes [39]. Previous mathematical models, however, are not applicable to the current stage of pandemic transmission due to some special characteristics of SARS-CoV-2 competing variants, such as super immune escape ability and unbalanced cross-immunity levels. ...
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... Epidemic spread of infectious diseases is a topic that has received much attention among computational modelers, see, e.g., Ma and Xia (2009), Diekmann et al. (2012), Siettos and Russo (2013), Heesterbeek et al. (2015), Cobey (2020). One important aspect of this process is the rise and spread of mutant variants of the pathogen (Feng et al. 2006;Day et al. 2011;Poletto et al. 2013Poletto et al. , 2015Griette et al. 2015;Gandon et al. 2016). For example, in a spatially expanding epidemic, it was shown that less virulent strains will dominate the periphery while more virulent strains will prevail at the core (Osnas et al. 2015). ...
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... For example, it is well known that HIV increases susceptibility to other sexually transmitted diseases [9]. Several research lines have extended modelling efforts in this direction to include both cooperation [10][11][12] and competition [13][14][15] between diseases. However, to date the systematic investigation of models of interacting contagion processes has been developed under two main assumptions: (i) they consider simple contagions, and (ii) they assume the interaction between processes to be symmetric, that is, bi-directional and of equal strength. ...
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... Studies have demonstrated that the faster pathogen is more likely to dominate the network 14-17 . When different cross-immunity levels are considered, this is not necessarily the case 18 . However, these studies did not consider the temporal ordering of events and the time-respecting paths. ...
... Mann et al. 16 showed that in this setting, clustering increases the spread of the second wave. Poletto et al. 18 considered, like us, the competition under different levels of cross-immunity, however, in a mix-homogeneous aggregated network. They found that variations in the crossimmunity level induce a transition between the presence and absence of competition. ...
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... Studies have demonstrated that the faster pathogen is more likely to dominate the network [14][15][16][17]. When different cross-immunity levels are considered, this is not necessarily the case [18]. However, these studies did not consider the temporal ordering of events and the time-respecting paths. ...
... Poletto et.al. [18] considered, like us, the competition under different levels of cross-immunity, however, in a mix-homogeneous aggregated network. They found that variations in the cross-immunity level induce a transition between the presence and absence of competition. ...
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... To show how individual infection histories for multiple parasite strains can inform us about the underlying transmission contact network, we conduct a simulation study, which requires alleviating two obstacles. First, we need to simulate multiple infections on a network, a task few studies have attempted [12,[37][38][39][40][41][42]. For this, we take advantage of recent developments in stochastic epidemiological modelling and implement a non-Markovian version of the well-known Gillespie algorithm [43]. ...
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Interactions within a population shape the spread of infectious diseases but contact patterns between individuals are difficult to access. We hypothesised that key properties of these patterns can be inferred from multiple infection data in longitudinal follow-ups. We developed a simulator for epidemics with multiple infections on networks and analysed the resulting individual infection time series by introducing similarity metrics between hosts based on their multiple infection histories. We find that, depending on infection multiplicity and network sampling, multiple infection summary statistics can recover network properties such as degree distribution. Furthermore, we show that by mining simulation outputs for multiple infection patterns, one can detect immunological interference between pathogens (i.e. the fact that past infections in a host condition future probability of infection). The combination of individual-based simulations and analysis of multiple infection histories opens promising perspectives to infer and validate transmission networks and immunological interference for infectious diseases from longitudinal cohort data.
... [1,2,3,4,5]. One important aspect of this process is the rise and spread of mutant variants of the pathogen [6,7,8,9,10,11]. For example, in a spatially expanding epidemic, it was shown that less virulent strains will dominate the periphery while more virulent strains will prevail at the core [12]. ...
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It is well known in the literature that human behavior can change as a reaction to disease observed in others, and that such behavioral changes can be an important factor in the spread of an epidemic. It has been noted that human behavioral traits in disease avoidance are under selection in the presence of infectious diseases. Here we explore a complimentary trend: the pathogen itself might experience a force of selection to become less "visible", or less "symptomatic", in the presence of such human behavioral trends. Using a stochastic SIR agent-based model, we investigated the co-evolution of two viral strains with cross-immunity, where the resident strain is symptomatic while the mutant strain is asymptomatic. We assumed that individuals exercised self-regulated social distancing (SD) behavior if one of their neighbors was infected with a symptomatic strain. We observed that the proportion of asymptomatic carriers increased over time with a stronger effect corresponding to higher levels of self-regulated SD. Adding mandated SD made the effect more significant, while the existence of a time-delay between the onset of infection and the change of behavior reduced the advantage of the asymptomatic strain. These results were consistent under random geometric networks, scale-free networks, and a synthetic network that represented the social behavior of the residents of New Orleans.