Vittoria Offeddu | Searcharxiv

arXiv2026

A systematic review of COVID-19 epidemic models with endogenous human behaviour. What's next?

Human behaviour and epidemic dynamics are intertwined, yet accounting for this feedback remains one of the key challenges of epidemiological modelling. The COVID-19 pandemic was an opportunity to overcome the traditional limitations of the field, raising expectations that data-informed endogenous approaches to behaviour modelling would advance substantially. To quantify the progresses made, we conducted a systematic review of SARS-CoV-2 transmission models endogenously including human behaviour in response to epidemic dynamics. The COVID-19 pandemic saw great strides in terms of the expanded use of empirical data in epi-behavioural modelling. However, it also showed shortcomings with respect to limited use of behavioural empirical data, lack of innovation in model structure, and limited engagement with other disciplines and decision-makers. Overall, our results suggest that identifying priorities in model design and behavioural data, building an adequate data collection infrastructure, leveraging on AI advancements, and fostering interdisciplinarity are strategies of utmost importance for pandemic preparedness.

physics.soc-ph↗

arXiv2024

Post-pandemic social contacts in Italy: implications for social distancing measures on in-person school and work attendance

The collection of updated data on social contact patterns following the COVID-19 pandemic disruptions is crucial for future epidemiological assessments and evaluating non-pharmaceutical interventions (NPIs) based on physical distancing. We conducted two waves of an online survey in March 2022 and March 2023 in Italy, gathering data from a representative population sample on direct (verbal/physical interactions) and indirect (prolonged co-location in indoor spaces) contacts. Using a generalized linear mixed model, we examined determinants of individuals' total social contacts and evaluated the potential impact of work-from-home and distance learning on the transmissibility of respiratory pathogens. In-person attendance at work or school emerged as a primary driver of social contacts. Adults attending in person reported a mean of 1.69 (95% CI: 1.56-1.84) times the contacts of those staying home; among children and adolescents, this ratio increased to 2.38 (95% CI: 1.98-2.87). We estimated that suspending all non-essential work alone would marginally reduce transmissibility. However, combining distance learning for all education levels with work-from-home policies could decrease transmissibility by up to 23.7% (95% CI: 18.2%-29.0%). Extending these measures to early childcare services would yield only minimal additional benefits. These results provide useful data for modelling the transmission of respiratory pathogens in Italy after the end of the COVID-19 emergency. They also provide insights into the potential epidemiological effectiveness of social distancing interventions targeting work and school attendance, supporting considerations on the balance between the expected benefits and their heavy societal costs.

physics.soc-ph↗