Year: 2026
Type: preprint
Abstract: Mass gathering events (MGEs) can create intense, short-lived transmission hotspots whose effects propagate through urban populations. Quantifying these effects requires linking fine-scale interactions during gatherings with epidemic transmission across metropolitan mobility networks. We developed a hybrid multiscale simulation framework coupling empirically derived individual-based contact networks for MGEs with a stochastic metapopulation susceptible-exposed-infected-recovered (SEIR) model. Using population and commuting data from Madrid, Spain, we investigated how event-related transmission affects epidemic dynamics and district-level invasion. Across the scenarios examined, MGEs increased epidemic peak incidence and accelerated epidemic progression, although the magnitude of these effects depended on event-specific contact patterns and background transmissibility. Dense contact patterns produced greater epidemic amplification, whereas measures reducing close-contact interactions weakened these effects. MGEs also advanced epidemic invasion across districts and increased the temporal synchronization of arrival times, producing a more synchronized metropolitan epidemic wave. The association between MGEs and earlier district-level invasion was partly explained by the size of the event-generated epidemic seed. The main patterns persisted across the epidemiological parameter ranges examined. The framework provides a multiscale approach for investigating how mass gathering management may influence metropolitan epidemic dynamics.
Source: arXiv (Cornell University)
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7214772517