During the COVID-19 pandemic, the behavioral response to reported case numbers changed drastically over time. While a few dozen cases were enough to trigger government-induced and voluntary contact reduction in early 2020, less than a year later much higher case numbers were required to induce behavioral change. Little attention has been paid to understand and mathematically model this effect of decreasing risk perception over longer time-scales. Here, first we show that weighing the number of cases with a time-varying factor of the form t**a, a<0 explains real-world mobility patterns from several European countries during 2020 when introduced into a very simple behavior model. Subsequently, we couple our behavior model with an SIR epidemic model. Remarkably, decreasing risk perception can produce complex dynamics, including multiple waves of infection. We find two regimes for the total number of infected individuals that are explained by the interplay of initial attention and the rate of attention decrease. Our results show that including adaption into non-equilibrium models is necessary to understand behavior change over long time scales and the emergence of non-trivial infection dynamics..

The constituents of many complex systems are characterized by non-trivial connectivity patterns and dynamical processes that are well captured by network models. However, most systems are coupled with each other through interdependencies, characterized by relationships among heterogeneous units, or multiplexity, characterized by the coexistence of different kinds of relationships among homogeneous units. Multilayer networks provide the framework to capture the complexity typical of systems of systems, enabling the analysis of biophysical, social and human-made networks from an integrated perspective. Here I review the most important theoretical developments in the past decade, showing how the layered structure of multilayer networks is responsible for phenomena that cannot be observed from the analysis of subsystems in isolation or from their aggregation, including enhanced diffusion, emergent mesoscale organization and phase transitions. I discuss applications spanning multiple spatial scales, from the cell to the human brain and to ecological and social systems, and offer perspectives and challenges on future research directions.

The information implicitly represented in the state of physical systems allows for their analysis using analytical techniques from statistical mechanics and information theory. This approach has been successfully applied to complex networks, including biophysical systems such as virus-host protein-protein interactions and whole-brain models in health and disease, drawing inspiration from quantum statistical physics. Here we propose a general mathematical framework for modeling information dynamics on complex networks, where the internal node states are vector valued, allowing each node to carry multiple types of information. This setup is relevant for various biophysical and sociotechnological models of complex systems, ranging from viral dynamics on networks to models of opinion dynamics and social contagion. Instead of focusing on node-node interactions, we shift our attention to the flow of information between network configurations. We uncover fundamental differences between widely used spin models on networks, such as voter and kinetic dynamics, which cannot be detected through classical node-based analysis. We illustrate the mathematical framework further through an exemplary application to epidemic spreading on a low-dimensional network. Our model provides an opportunity to adapt powerful analytical methods from quantum many-body systems to study the interplay between structure and dynamics in interconnected systems.

Long COVID is a post-COVID-19 condition characterized by persistent symptoms that can develop after SARS-CoV-2 infection. Estimating and comparing its prevalence across countries is difficult, hindering the quantitative assessment of massive vaccination campaigns as a preventive measure. By integrating epidemiological, demographic and vaccination data, we first reconcile the estimates of long COVID prevalence in the U.K. and the U.S., and estimate a 7-fold yearly increase in the global median prevalence between 2020 and 2022. Second, we estimate that vaccines against COVID-19 decrease the prevalence of long COVID among U.S. adults by 20.9% (95% CI: -32.0%, -9.9%) and, from the analysis of 158 countries, by -15.7% (95% CI: -18.0%, -13.4%) among all who had COVID-19. Our population-level analysis complements the current knowledge from patients data and highlights how aggregated data from fully operational epidemic surveillance and monitoring can inform about the potential impact of long COVID on national and global public health in the next future.

As the coronavirus disease 2019 (COVID-19) spread globally, emerging variants such as B.1.1.529 quickly became dominant worldwide. Sustained community transmission favors the proliferation of mutated sub-lineages with pandemic potential, due to cross-national mobility flows, which are responsible for consecutive cases surge worldwide. We show that, in the early stages of an emerging variant, integrating data from national genomic surveillance and global human mobility with large-scale epidemic modeling allows to quantify its pandemic potential, providing quantifiable indicators for pro-active policy interventions. We validate our framework on worldwide spreading variants and gain insights about the pandemic potential of BA.5 and BA.2.75 sub-lineages. Country-level epidemic intelligence is not enough to contrast the pandemic of respiratory pathogens such as SARS-CoV-2 and a scalable integrated approach, i.e. pandemic intelligence, is required to enhance global preparedness.

The description of complex human mobility patterns is at the core of many important applications ranging from urbanism and transportation to epidemics containment. Data about collective human movements, once scarce, has become widely available thanks to new sources such as Phone CDR, GPS devices, or Smartphone apps. Nevertheless, it is still common to rely on a single dataset by implicitly assuming that it is a valid instance of universal dynamics, regardless of factors such as data gathering and processing techniques. Here, we test such an overarching assumption on an unprecedented scale by comparing human mobility datasets obtained from 7 different data-sources, tracing over 500 millions individuals in 145 countries. We report wide quantifiable differences in the resulting mobility networks and, in particular, in the displacement distribution previously thought to be universal. These variations -- that do not necessarily imply that the human mobility is not universal -- also impact processes taking place on these networks, as we show for the specific case of epidemic spreading. Our results point to the crucial need for disclosing the data processing and, overall, to follow good practices to ensure the robustness and the reproducibility of the results.

The dynamics of a spreading disease and individual behavioral changes are entangled processes that have to be addressed together in order to effectively manage an outbreak. Here, we relate individual risk perception to the adoption of a specific set of control measures, as obtained from an extensive large-scale survey performed via Facebook—involving more than 500,000 respondents from 64 countries—showing that there is a “one-to-one” relationship between perceived epidemic risk and compliance with a set of mitigation rules. We then develop a mathematical model for the spreading of a disease—sharing epidemiological features with COVID-19—that explicitly takes into account non-compliant individual behaviors and evaluates the impact of a population fraction of infectious risk-deniers on the epidemic dynamics. Our modeling study grounds on a wide set of structures, including both synthetic and more than 180 real-world contact patterns, to evaluate, in realistic scenarios, how network features typical of human interaction patterns impact the spread of a disease. In both synthetic and real contact patterns we find that epidemic spreading is hindered for decreasing population fractions of risk-denier individuals. From empirical contact patterns we demonstrate that connectivity heterogeneity and group structure significantly affect the peak of hospitalized population: higher modularity and heterogeneity of social contacts are linked to lower peaks at a fixed fraction of risk-denier individuals while, at the same time, such features increase the relative impact on hospitalizations with respect to the case where everyone correctly perceive the risks.

An infodemic—an outpouring of information, including misleading and also fake news—is accompanying the current pandemic caused by SARS-CoV-2. In the absence of valid therapeutic approaches, behavioral responses may seriously affect the social dynamics of contagion, so the infodemic may cause confusion and disorientation in the public, leading to possible individually and socially harmful choices. This new phenomenon requires specific modeling efforts to better understand the complex intertwining of the epidemic and infodemic components of a pandemic crisis, with a view to building an integrative public health approach. We propose three models, from epidemiology to game theory, as potential candidates for the onset of the infodemics and statistically assess their accuracy in reproducing real infodemic waves observed in a data set of 390 million tweets collected worldwide. Our results show that evolutionary game-theory models are the most suitable ones to reproduce the observed infodemic modulations around the onset of the local epidemic wave. Furthermore, we find that the number of confirmed COVID-19 reported cases in each country and worldwide are driving the modeling dynamics with opposite effects.

The spread of an infectious disease is well approximated by metapopulation networks connected by human mobility flow and upon which an epidemiological model is defined. In order to account for travel restrictions or cancellation we introduce a model with a parameter that explicitly indicates the ratio between the time scales of the intervening processes. We study the critical properties of the epidemic process and its dependence on such a parameter. We find that the critical threshold separating the absorbing state from the active state depends on the scale parameter and exhibits a critical behavior itself: a metacritical point – a critical value in the curve of critical points – reflected in the behavior of the attack rate measured for a wide range of empirical metapopulation systems. Our results have potential policy implications, since they establish a non-trivial critical behavior between temporal scales of reaction (epidemic spread) and diffusion (human mobility) processes.

Percolation is an emblematic model to assess the robustness of interconnected systems when some of their components are corrupted. It is usually investigated in simple scenarios, such as the removal of the system’s units in random order, or sequentially ordered by specific topological descriptors. However, in the vast majority of empirical applications, it is required to dismantle the network following more sophisticated protocols, for instance, by combining topological properties and non-topological node metadata. We propose a novel mathematical framework to fill this gap: networks are enriched with features and their nodes are removed according to the importance in the feature space. We consider features of different nature, from ones related to the network construction to ones related to dynamical processes such as epidemic spreading. Our framework not only provides a natural generalization of percolation but, more importantly, offers an accurate way to test the robustness of networks in realistic scenarios.

Political and environmental factors—e.g., regional conflicts and global warming—increase large-scale migrations, posing extraordinary societal challenges to policymakers of destination countries. A common concern is that such a massive arrival of people—often from a country with a disrupted healthcare system—can increase the risk of vaccine-preventable disease outbreaks like measles. We analyze human flows of 3.5 million (M) Syrian refugees in Turkey inferred from massive mobile-phone data to verify this concern. We use multilayer modeling of interdependent social and epidemic dynamics to demonstrate that the risk of disease reemergence in Turkey, the main host country, can be dramatically reduced by 75 to 90% when the mixing of Turkish and Syrian populations is high. Our results suggest that maximizing the dispersal of refugees in the recipient population contributes to impede the spread of sustained measles epidemics, rather than favoring it. Targeted vaccination campaigns and policies enhancing social integration of refugees are the most effective strategies to reduce epidemic risks for all citizens.

During COVID-19, governments and the public are fighting not only a pandemic but also a co-evolving infodemic—the rapid and far-reaching spread of information of questionable quality. We analysed more than 100 million Twitter messages posted worldwide during the early stages of epidemic spread across countries (from 22 January to 10 March 2020) and classified the reliability of the news being circulated. We developed an Infodemic Risk Index to capture the magnitude of exposure to unreliable news across countries. We found that measurable waves of potentially unreliable information preceded the rise of COVID-19 infections, exposing entire countries to falsehoods that pose a serious threat to public health. As infections started to rise, reliable information quickly became more dominant, and Twitter content shifted towards more credible informational sources. Infodemic early-warning signals provide important cues for misinformation mitigation by means of adequate communication strategies.

Understanding how people move within a geographic area, e.g. a city, a country or the whole world, is fundamental in several applications, from predicting the spatio-temporal evolution of an epidemics to inferring migration patterns. Mobile phone records provide an excellent proxy of human mobility, showing that movements exhibit a high level of memory. However, the precise role of memory in widely adopted proxies of mobility, as mobile phone records, is unknown. Here we use 560 millions of call detail records from Senegal to show that standard Markovian approaches, including higher-order ones, fail in capturing real mobility patterns and introduce spurious movements never observed in reality. We introduce an adaptive memory-driven approach to overcome such issues. At variance with Markovian models, it is able to realistically model conditional waiting times, i.e. the probability to stay in a specific area depending on individual's historical movements. Our results demonstrate that in standard mobility models the individuals tend to diffuse faster than what observed in reality, whereas the predictions of the adaptive memory approach significantly agree with observations. We show that, as a consequence, the incidence and the geographic spread of a disease could be inadequately estimated when standard approaches are used, with crucial implications on resources deployment and policy making during an epidemic outbreak.

Human mobility and social structure are at the basis of disease spreading. Disease containment strategies are usually devised from coarse-grained assumptions about human mobility. Cellular networks data, however, provides finer-grained information, not only about how people move, but also about how they communicate.
In this paper, using cellular network data, we analyze the behavior of a large number of individuals in Ivory Coast. We model mobility and communication between individual by means of an interconnected multiplex structure where each node represents the population in a geographic area (i.e. a \textit{sous-pr\'efecture}, a third-level administrative region). We present a model that describes how diseases circulate around the country as people move between regions. We extend the model with a concurrent process of relevant information spreading. This process corresponds to people disseminating disease prevention information, e.g. hygiene practises, vaccination campaign notices and other, within their social network. Thus, this process interferes with the epidemic. We then evaluate how restricting the mobility or using an adverse information spreading process affects the epidemic. We find that restricting mobility does not delay the occurrence of an endemic state and that an information campaign might be an effective countermeasure.

The announcement of the discovery of a Higgs boson-like particle at CERN will be remembered as one of the milestones of the scientific endeavor of the 21st century. In this paper we present a study of information spreading processes on Twitter before, during and after the announcement of the discovery of a new particle with the features of the elusive Higgs boson on 4th July 2012. We report evidence for non-trivial spatio-temporal patterns in user activities at individual and global level, such as tweeting, re-tweeting and replying to existing tweets. We provide a possible explanation for the observed time-varying dynamics of user activities during the spreading of this scientific "rumor". We model the information spreading in the corresponding network of individuals who posted a tweet related to the Higgs boson discovery. Finally, we show that we are able to reproduce the global behavior of about 500,000 individuals with remarkable accuracy.

Human mobility is one of the key factors at the basis of the spreading of diseases in a population. Containment strategies are usually devised on movement scenarios based on coarse-grained assumptions. Mobility phone data provide a unique opportunity for building models and defining strategies based on very precise information about the movement of people in a region or in a country. Another very important aspect is the underlying social structure of a population, which might play a fundamental role in devising information campaigns to promote vaccination and preventive measures, especially in countries with a strong family (or tribal) structure. In this paper we analyze a large-scale dataset describing the mobility and the call patterns of a large number of individuals in Ivory Coast. We present a model that describes how diseases spread across the country by exploiting mobility patterns of people extracted from the available data. Then, we simulate several epidemics scenarios and we evaluate mechanisms to contain the epidemic spreading of diseases, based on the information about people mobility and social ties, also gathered from the phone call data. More specifically, we find that restricting mobility does not delay the occurrence of an endemic state and that an information campaign based on one-to-one phone conversations among members of social groups might be an effective countermeasure.