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PreprintCC BY-NC-ND 4.0arXiv

Jointly estimating transmissibility and prior immunity from epidemic time series

Abstract

Infectious disease time series are often used to estimate a pathogen's basic reproduction number, R0. However, fits of epidemic models to time series conflate pathogen transmissibility with pre-existing population immunity, so only the *effective* reproduction number, Reff, can be inferred. This composite parameter is the product of the underlying R0 and the pre-epidemic susceptible fraction, x-. We show that a conservation law associated with epidemic momentum---prevalence weighted by potential to infect---makes it possible to disentangle transmissibility from prior immunity and to infer R0 and x- separately from a single epidemic time series. We test the methodology using stochastic epidemic simulations, and illustrate the approach with a reappraisal of influenza transmissibility during the 1918 pandemic, estimating rather than assuming the degree of prior population immunity. For the autumn wave in Philadelphia, USA, we find R0≈2.7 and x-≈0.8, implying that about 20% of the population was already immune before that wave, plausibly as a result of infection during the spring 1918 herald wave.

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BibTeX
@misc{earn2026jointly,
  title = {{Jointly estimating transmissibility and prior immunity from epidemic time series}},
  author = {David J. D. Earn and Todd L. Parsons},
  howpublished = {arXiv},
  year = {2026},
  month = sep,
  doi = {10.48550/arxiv.2607.21657},
  eprint = {2607.21657},
  archivePrefix = {arXiv},
  url = {https://arxiv.org/abs/2607.21657},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - UNPB
TI  - Jointly estimating transmissibility and prior immunity from epidemic time series
AU  - David J. D. Earn
AU  - Todd L. Parsons
PY  - 2026
DA  - 2026/09/07
PB  - arXiv
DO  - 10.48550/arxiv.2607.21657
UR  - https://arxiv.org/abs/2607.21657
AB  - Infectious disease time series are often used to estimate a pathogen's basic reproduction number, R_0. However, fits of epidemic models to time series conflate pathogen transmissibility with pre-existing population immunity, so only the *effective* reproduction number, R_eff, can be inferred. This composite parameter is the product of the underlying R_0 and the pre-epidemic susceptible fraction, x^-. We show that a conservation law associated with epidemic momentum---prevalence weighted by potential to infect---makes it possible to disentangle transmissibility from prior immunity and to infer R_0 and x^- separately from a single epidemic time series. We test the methodology using stochastic epidemic simulations, and illustrate the approach with a reappraisal of influenza transmissibility during the 1918 pandemic, estimating rather than assuming the degree of prior population immunity. For the autumn wave in Philadelphia, USA, we find R_0≈2.7 and x^-≈0.8, implying that about 20% of the population was already immune before that wave, plausibly as a result of infection during the spring 1918 herald wave.
ER  -