title: Modelling the different smallpox epidemics in England.
abstract: Time series analysis has revealed two different patterns of smallpox epidemics in Britain in the seventeenth and eighteenth centuries: in large conurbations (exemplified by London) the disease was endemic whereas medium-sized rural towns (exemplified by Penrith, Cumbria) suffered from 5 year epidemics with no cases of smallpox in the inter-epidemic years. The oscillations (epidemics) persisted for over 150 years and it is suggested that both systems were pumped up by regular fluctuations in susceptibility (delta beta). Modelling suggests that: (i) the natural frequency of oscillations in large cities is two years and the system is pumped up by a 1 year, seasonal input; (ii) it takes five years to build up a pool of susceptibles in medium-sized towns by new births and epidemics are then triggered by a 5 year input. The equations represent a system that has two components, a basic linear element with the remainder of the system being nonlinear; modelling a progressive increase in delta beta in London illustrates theoretically how a predominantly linear response changes to a nonlinear response and ultimately to chaos. A variation in susceptibility is a theoretical condition for inducing chaos; the undriven system cannot become chaotic. Modelling populations of progressively increasing size/density and applying a 1 year or 5 year sinusoidal oscillation in delta beta illustrates the fundamental distinction in the response of medium-sized rural towns and large cities.
authors.affiliation: Department of Electrical Engineering and Electronics, UMIST, Manchester, U.K.
authors.forename: S R
authors.initials: SR
authors.lastname: Duncan
authors.forename: S
authors.initials: S
authors.lastname: Scott
authors.forename: C J
authors.initials: CJ
authors.lastname: Duncan
mesh_terms: D002648:Child; D004196:Disease Outbreaks / Q000266:history* / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D049670:History, 17th Century; D049671:History, 18th Century; D006801:Humans; D008954:Models, Biological; D012424:Rural Population / Q000266:history / Q000706:statistics & numerical data; D012899:Smallpox / Q000453:epidemiology / Q000266:history*; D014505:Urban Population / Q000266:history / Q000706:statistics & numerical data