interest of simplicity the population of this area is as-
sumed constant. When an infection starts within this
geographical area it is desirable, first of all, that the
contagion is contained within the area. The second is-
sue which is primarily of concern to our present study
involves understanding how the disease can spread to
healthy people within this geographical area. In other
words, we would like to determine when the outbreak
of the disease is under control, and also to be able to
detect an uncontrollable explosion - which are the re-
spective classes in our PR problem. Once we are able
to detect these scenarios, it will be the task of the pol-
icy makers to propose strategies by which quarantine
decisions are made. This present study and the pro-
posed results, hopefully, submit a small step in this
direction. To present the problem in the right perspec-
tive, we submit a brief explanation of the disease out-
break problem and the epidemiological model used.
1.1 The Disease Outbreak Problem
A disease outbreak is commonly defined as the occur-
rence of an illness in a community or region, where
the number of cases of the illness occur with a fre-
quency clearly in excess of normal expectancy. The
number of cases indicating the presence of an out-
break will vary according to the infectious agent, size
and type of the population exposed, previous experi-
ence or lack of exposure to the disease, and the time
and place of the occurrence(s). Thus, the status of
an outbreak is relative to the usual frequency of the
disease in the same area, among the same population,
and at the same season of the year (Chin, 2000).
In outbreak situations, one often must introduce
preventive interventionsto control pathogen transmis-
sion and adverse outcomes. Control measures that
have proven effective in similar outbreaks in the past
can thus be immediately implemented.
Confirming an outbreak begins with the calcula-
tion of the background rate of infection (or adverse
event) and then comparing the outbreak period rate
with the background rate. Such a comparison can be
performed using the rate ratio (R
r
):
R
r
=
Attack rate during epidemic period
Attack rate during background period
(1)
An outbreak become uncontrollablewhen the pro-
posed control measures are not able to keep the rate
ratio constant or, to decrease it.
The models are used by policymakers, public
health workers, and other researchers who want to an-
alyze and compare the outcomes to better understand
how an outbreak occurs, and how a disease spreads.
They are also useful for understandinghowto respond
to emerging infectious diseases. If a disease outbreak
occurs, simulations can be done by tuning specific
models to aid public officials in their decision-making
processes.
Our method is an alternative approach to the fol-
lowing two classical methods, namely, a Sensitiv-
ity Analysis and Monte Carlo Investigations, respec-
tively.
Sensitivity analysis estimates what the true effect
measure (e.g., the rate ratio) would be in the light of
the observed data and a hypothetical level of bias. It
produces one or more hypothetically adjusted point
estimates for the specific measure of interest (Green-
land, 1998).
Monte Carlo investigations, (i.e., at least in the
present context), involve the simulation of real phe-
nomena, or their idealized models, involving a ran-
dom or probabilistic element in their structure, by the
deliberate use of random numbers. These methods
have already played an important role in many appli-
cations of stochastic models and processes, both by
way of background material (in understanding quali-
tatively some of the properties of such models), and
more quantitatively, in the study of particular prob-
lems that are not amenable to complete mathematical
solution (Robert and Casella, 2005).
We propose a new methodology to investigatehow
an outbreak occurs, which possesses an advantage of
less computational effort compared with the above-
mentioned approaches.
1.2 Principles of Contagion
Epidemiology is the study of the spread of any dis-
ease, with regard to space and time. Its objective is to
trace the factors and parameters that are responsible
for, or contribute to, their occurrence (Diekmann and
Heesterbeek, 2000).
In the process of studying the spread of a disease,
the spatial structure of a population, its density and
the geographical area involved can have a major con-
tribution. As opposed to this, the non-spatial mathe-
matical models can provideonly a simple image about
the dynamics of the transmission. Consequently, this
requires, in many situations, more realistic models
that include the description of the space and the spa-
tial contact between individuals. The basic idea of
studying the dynamics of spreading a disease is to
distinguish individuals from one another according to
their features, their interaction with the environment,
and involves discovering the variation in time of these
features. In the case of an infectious disease, the prin-
cipal characteristic is the computation of the “force”
of infection of a given agent that modifies the state of
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