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. Author manuscript; available in PMC: 2025 Jul 30.
Published in final edited form as: Epidemics. 2025 Jan 13;50:100812. doi: 10.1016/j.epidem.2024.100812

Table 1. Parameters and variables for modelling viral load, test sensitivity, and expected transmissions.

Model Component Description
V (t; V0, Vp, τp, τr) Viral load at time t since infection. Dependence on other param- eters is described in Equation 1 and shown in Figure 1A.
V 0 Viral load at the time of infection: V0 = 3 · 10−3 based on one
viral particle within ≈ 300ml of respiratory fluid [26].
Vp Peak viral load. Adjusted to attain a specified value of R0.
τp Time from infection to peak viral load: 1.5 to 12 days.
τr Time from Vp to V0. Symmetry assumption (τr = τp) can be
relaxed in the app.
S(v; Smax, k, LOD50) Test sensitivity (probability that a positive sample is detected
as positive) as a function of viral load, v. Dependence on other parameters described in Equation 2 and shown in Figure 1B.
Smax Maximum test sensitivity: 99.5% for PCR, 90% for antigen tests.
k Controls width of intermediate test sensitivity region: k = 6 for
PCR and k = 1.3 for antigen tests.
LOD 50 Viral load at which test sensitivity reaches Smax/2: 102 copies/ml
for PCR and 105.4 for antigen tests.
T (v; NC, h, Km, θ) Expected transmissions per day as a function of viral load, v. Dependence on other parameters described by Equation 3 and
shown in Figure 1C.
NC Average number of close contacts per day: NC = 13 based on [28]. Appendix C explores time-dependent reduction in contacts
caused by symptoms.
h Controls width of sigmoid for transmission risk vs. viral load:
h = 0.51 based on [29].
Km Midpoint of infectiousness: Km = 8.9 · 106 copies/ml based on [29].
θ Increased from 0.2 in Ke et al. [29] to 0.3, corresponding to a
maximum per-contact transmission probability of 26%.
σ(δ, ρ) The fraction of transmissions that would be prevented (relative to
R0) if the entire population tested every ρ days and received test results after δ delay.
δ Time delay before receiving a test result. 0 for antigen tests and
2+ hours for PCR.
ρ Time between tests.
γ Fraction of the population that adheres to regular testing.
β Fraction reduction in transmissions after a person who tests regularly learns they are positive.
R 0 Expected transmissions per infected person with no population
immunity or disease-control measures.
Re Expected transmissions per infected person given interventions,
with no population immunity.