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      <Title language="en">Effects of the latent period on the spread of infectious diseases for the case of increased weekend contacts</Title>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
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        <Address>D&#252;sseldorf</Address>
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      <SubjectheadingDDB>610</SubjectheadingDDB>
      <Keyword language="en">weekend</Keyword>
      <Keyword language="en">superspreading</Keyword>
      <Keyword language="en">GEMS</Keyword>
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      <DatePublished>20251103</DatePublished>
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      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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        <MeetingId>M0631</MeetingId>
        <MeetingSequence>050</MeetingSequence>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Medizinische Informatik, Biometrie und Epidemiologie</MeetingCorporation>
        <MeetingName>70. Jahrestagung der Deutschen Gesellschaft f&#252;r Medizinische Informatik, Biometrie und Epidemiologie e. V. (GMDS)</MeetingName>
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        <MeetingSession>V: Infectious disease and health care epidemiology</MeetingSession>
        <MeetingCity>Jena</MeetingCity>
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          <DateFrom>20250907</DateFrom>
          <DateTo>20250911</DateTo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Introduction:</Mark1> So-called <Mark2>superspreaders</Mark2> and <Mark2>superspreading events </Mark2>were among the key drivers of the recent pandemic <TextLink reference="1"></TextLink>, <TextLink reference="2"></TextLink>. Generally, we can identify two possible sources of superspreading: a high probability of transmission during contact due to specific pathogen characteristics <TextLink reference="3"></TextLink>, and a high level of individual variability in contact rates <TextLink reference="4"></TextLink>. We focused on the latter in our analysis by inducing a weekend increase in contact rates while keeping the average weekly rate fixed. Moreover, since real-world contact patterns modulate the pace of epidemic spread as a function of the latent period <TextLink reference="5"></TextLink>, we studied the combined effect by varying the duration of the latent period.</Pgraph><Pgraph><Mark1>Methods:</Mark1> We used the German Epidemic Micro-Simulation System (GEMS) <TextLink reference="6"></TextLink> for our simulations. GEMS is an individual-based framework developed within the OptimAgent project. In GEMS, contacts are modeled across several settings: household, workplace, school class, and a global setting representing other potential interaction locations.</Pgraph><Pgraph>We considered a synthetic population of 5,000,000 individuals, with an average household size of 2, an average workplace size of 10, and an average school class size of 20. All distributions were approximately Poisson-distributed. Initially, 0.1&#37; of the population was infected with wild-type COVID-19 pathogen. However, the latent period was treated as a variable.</Pgraph><Pgraph>After infection, each individual progresses through the SEIR compartments: susceptible, exposed, infectious, and recovered.</Pgraph><Pgraph><Mark1>Results:</Mark1> We compared two scenarios: one in which contacts between individuals were distributed uniformly throughout the week, and another where there was an increase in contacts within the global setting during the weekend. The total weekly mean number of contacts in each setting was kept the same in both scenarios. We also varied the latent period to analyze its coupling effect with the temporal structure of contacts.</Pgraph><Pgraph>In the baseline scenario, we found that a longer latent period decreases the outbreak size, which is consistent with predictions from the classical equation-based SEIR model (see <TextLink reference="7"></TextLink>). However, in the alternative scenario, varying the latent period resulted in the largest outbreak for a 6-day latent period and the smallest for a 2-day latent period.</Pgraph><Pgraph><Mark1>Conclusion:</Mark1> The latent period exhibits a coupling effect with the distribution of daily contact rates, leading to positive or negative resonance patterns in the spread of infection. This effect can be crucial in determining whether the epidemic remains subcritical (i.e., the effective reproduction number <Mark2>R</Mark2><Subscript>0</Subscript> &#60; 1) or becomes supercritical (<Mark2>R</Mark2><Subscript>0</Subscript> &#62; 1).</Pgraph><Pgraph>The authors declare that they have no competing interests.</Pgraph><Pgraph>The authors declare that an ethics committee vote is not required.</Pgraph></TextBlock>
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