We consider a stochastic SIR (susceptible → infective → removed) epidemic model with several types of individuals. Infectious individuals can make infectious contacts on two levels, within their own ‘household’ and with their neighbours in a random graph representing additional social contacts. This random graph is an extension of the well-known configuration model to allow for several types of individuals. We give a strong approximation theorem which leads to a threshold theorem for the epidemic model and a method for calculating the probability of a major outbreak given few initial infectives. A multitype analogue of a theorem of Ball, Sirl and Trapman (2009) heuristically motivates a method for calculating the expected size of such a major outbreak. We also consider vaccination and give some short numerical illustrations of our results.

In this paper we consider a stochastic SIR (susceptible→infective→removed) epidemic model in which individuals may make infectious contacts in two ways, both within ‘households’ (which for ease of exposition are assumed to have equal size) and along the edges of a random graph describing additional social contacts. Heuristically motivated branching process approximations are described, which lead to a threshold parameter for the model and methods for calculating the probability of a major outbreak, given few initial infectives, and the expected proportion of the population who are ultimately infected by such a major outbreak. These approximate results are shown to be exact as the number of households tends to infinity by proving associated limit theorems. Moreover, simulation studies indicate that these asymptotic results provide good approximations for modestly sized finite populations. The extension to unequal-sized households is discussed briefly.

We consider a stochastic model for the spread of an SEIR (susceptible → exposed → infective → removed) epidemic among a population of individuals partitioned into households. The model incorporates both vaccination and isolation in response to the detection of cases. When the infectious period is exponential, we derive an explicit formula for a threshold parameter, and analytic results that enable computation of the probability of the epidemic taking off. These quantities are found to be independent of the exposure period distribution. An approximation for the expected final size of an epidemic that takes off is obtained, evaluated numerically, and found to be reasonably accurate in large populations. When the infectious period is not exponential, but has an increasing hazard rate, we obtain stochastic comparison results in the case where the exposure period is fixed. Our main result shows that as the exposure period increases, both the severity of the epidemic in a single household and the threshold parameter decrease, under certain assumptions concerning isolation. Corresponding results for infectious periods with decreasing hazard rates are also derived.

We consider a stochastic model for the spread of an SIR (susceptible → infective → removed) epidemic among a closed, finite population that contains several types of individuals and is partitioned into households. The infection rate between two individuals depends on the types of the transmitting and receiving individuals and also on whether the infection is local (i.e., within a household) or global (i.e., between households). The exact distribution of the final outcome of the epidemic is outlined. A branching process approximation for the early stages of the epidemic is described and made fully rigorous, by considering a sequence of epidemics in which the number of households tends to infinity and using a coupling argument. This leads to a threshold theorem for the epidemic model. A central limit theorem for the final outcome of epidemics which take off is derived, by exploiting an embedding representation.