00:01
Let's talk now about two very
important indicators parameters
called C and R.
00:06
These are of a contact rate
and the recovery rate.
00:11
So, we talked about
S as a function of t, S of t,
because the number of people
in the susceptible compartment
changes over time.
00:21
But the differential equation
describing the flow of individuals
out of that compartment
is given by
minus c, multiplied by I,
multiplied by S.
00:32
It doesn't matter what that means,
except to say
that there is a constant
at play there,
that helps define
the rate of flow of people
from the susceptible compartment
into the infectious compartment.
00:45
And that constant is c.
00:50
The rate of flow
of infectious people
out of the infection compartment
is given by a more
complicated expression.
00:58
c multiplied by IS minus r
multiplied by I and R
is this other constant
we're going to talk about,
called the recovery rate.
01:07
From the people who recover include
those newly infected minus
those who have been removed.
01:14
That's why this expression
is kind of important,
because depending upon
which expression is bigger,
that tells us if the disease
is waning, or waxing.
01:27
And lastly, of course,
the rate of flow of people
into the recovery compartment
is given by this constant called
r multiplied by number of people, I.
01:39
So, this constant
c and r,
their call, as I mentioned,
the contact rate,
or sometimes the transmission rate,
and the recovery rate.
01:46
Sometimes that's given as h,
which is the healing rate
because it's the rate of people
who get better, who heal.
01:53
And unlike the other aspects
of this model,
which are computed or imagined,
c and r are often
empirically measured.
02:04
They are characteristics
of the infection
as observed in the population.
02:09
The number of people that
have given contact is contacting,
and the number of people who are
getting better in the hospital.
02:17
These are things that can be
observed and therefore estimated.
02:22
As noted, c is how quickly
people become infected.
02:25
It's the contact rate.
02:28
And r is how quickly people
become healed or recovered.
02:33
These are important because
they also open up the opportunity
to talk about levers of
public health intervention.
02:41
Because we can control how
quickly people become infected.
02:45
We can control
this contact rate.
02:48
c is much easier to control
than r.
02:51
Because you can do things like
introduce personal
protective equipment
for healthcare workers,
masks for everybody else,
that reduces the contact rate.
03:00
You're going to have people
stand further apart
if we're dealing here
with an infection
that is spread by droplets
exhale through the mouth.
03:09
Or we can implement
quarantine measures
to keep infected people from
interacting with uninfected people.
03:15
We can slow the rate of susceptible
people becoming infectious people.
03:21
And we do that by changing c,
contact rate.
03:26
r in the other hand,
is quite difficult to change.
03:30
because it is the rate of people
who get better.
03:33
If we knew how to make
people better,
that would solve
so much of the problem.
03:38
But making people better
is a function of clinical power,
clinical expertise,
medical technologies,
whether or not we have treatments,
and cures available. Right?
Also as a function
of healthcare system
responsiveness and effectiveness.
03:55
So, a better healthcare system
will have a higher rate of recovery.
04:00
More clinical expertise give you
a higher rate of recovery.
04:05
A less overwhelmed system
gives you a higher rate of recovery.
04:12
So again, the change of S
over time
is given by an expression
related to the contact rate.
04:22
And the change of I over time
is given to a more by more
complicated expression.
04:27
And the change of r over time
is given by an expression
gated by their recovery rate.
04:32
Let's look at the middle one.
04:34
This complicated expression for
the rate of flow of infected people.
04:40
c multiplied by IS
minus r multiplied by I.
04:44
Clearly, if that expression
is greater than zero,
then the pandemic
is worsening.
04:53
It means more people are entering
that infectious compartment.
04:58
We would like that number
to come down, not go up.
05:03
So, will not surprise
you to know then
that C and R are important
for allowing us to compute
their reproduction number.
05:11
The recall that the
reproduction number
is the average number of new cases
produced by an existing case.
05:17
And reproduction number
allows us to estimate
the seriousness of an epidemic.
05:23
The basic reproduction number
is actually given by
c divided by r.
05:28
Contact rate, or how quickly
people become infected
via by the recovery rate,
or how quickly they become healed?
So again, here is our graph
of a population of 500 people
experiencing the SIR model.
05:46
And this green curve,
the infection curve,
and the one that we
care most about
is actually affected by
the reproduction number.
05:58
So, the height and width
of that curve will change
as the value of the
reproduction number changes.
06:03
And remember,
the reproduction number
is dependent on these constants
C and R,
which we can change
through interventions
like mask wearing and quarantine,
and healthcare system improvements.
06:15
So, we can change the shape
of this green curve
by doing those interventions.