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Mathematical Modelling - Diseases Hello mathematician, What you are about to read is classified information. As you are aware Ebola has been spreading rapidly throughout the world. What has not been made public is that Ebola has been around since 1976 in Western Africa. Since then there has been three separate epidemics with the current one being the largest. So far there has been 13,268 cases reported resulting in 4960 deaths. However a new and potentially dangerous infectious disease has broken out in the UK. As you are a mathematician the government are urgently seeking your help and we are asking you to forecast how the disease will spread. We have been carefully monitoring those people already infected and their friends and families. Their data show that an infected person typically goes on to infect either one or two others. We need you to carry out some experiments and report back to us your findings. A simulation of the infection using coin tosses. The number of infected people in each generation of the infection. Instructions: You decide to simulate the spread of the infection using a coin. You assume that there was one infected person to start with. You then flip the coin: if tails comes up, then the infected person goes on to infect one other person, if heads comes up, they go on to infect two other people. You repeat this process for every newly infected person. Do this for at least five "generations" of the infection, keeping track of the new number of infected people at each generation, for example by plotting the number of infected people against the generation of the infection. For example, the first generation consists of the one infected person you started with. If you get tails in the first round, then two new people are infected, so the second generation contains a total of three infected people, the initial one and two new ones. Flip the coin again for each of the new people. If you get one heads and one tails, then three new people are infected, so the third generation contains a total of six infected people, and so on. TASK 1: Carry out the experiment at least five times, drawing a diagram for each experiment. Work out the total number of infected people at the end of each experiment. Using the information from one of the experiments draw a graph (see above) of ‘the number of infected people’ against ‘generation’ How many infected people do you have at the end? Repeat the simulation several times. In general, do you think that the infection will go on spreading, or will it die out of its own accord? STRETCH AND CHALLENGE - What is the average number of sick people at the end of the experiment? What is the average number of sick people each person effects (Epidemiologists call the average number an infected person infects the basic reproduction ratio of the disease)? Which average did you use and why? What do you think would happen if you continued repeating this process over a longer period of time? Can you prove this? Instructions: The government is thinking about introducing measures to reduce the rate at which infected people go on to infect others, for example, by putting infected people into quarantine, or giving them anti-viral drugs which reduce the length of time they're ill. To find out what effect such measures might have, you decide to see what happens to your simulation if the number of people an infectious person infects is reduced by one in each case. So if tails comes up, the person goes on to infect nobody at all, and if heads comes up they go on to infect only one person. The experiment starts after two generations when one person has infected two people. What is the likely course of the infection now? TASK 2: Carry out the experiment at least five times, drawing a diagram for each experiment. Work out the total number of infected people at the end of each experiment. Using the information from one of the experiments draw a graph (see above) of ‘the number of infected people’ against ‘generation’ How many infected people do you have at the end? Repeat the simulation several times. In general, do you think that the infection will go on spreading, or will it die out of its own accord? STRETCH AND CHALLENGE - What is the average number of sick people at the end of the experiment? What is the average number of sick people each person effects (Epidemiologists call the average number an infected person infects the basic reproduction ratio of the disease)? Which average did you use and why? What do you think would happen if you continued repeating this process over a longer period of time? Can you prove this? SUPER STRETCH AND CHALLENGE 1 Epidemiologists say that an infection will eventually die out if the basic reproduction ratio is less than 1, and keep on spreading if it is greater than 1. Can you see why? In the light of this, what should any intervention, like putting people into quarantine, giving them anti-viral drugs, or vaccinating them, aim to do? SUPER STRETCH AND CHALLENGE 2 The simulations in Tasks 1 and 2 are simple models of the spread of the infection. Are they realistic? How could you improve them? PLENARY Write a short paragraph reporting you findings back to the government. How can YOU help the battle against Ebola? So far £98 million has been raised to fight Ebola and help care for those with the disease. This is only a fraction of the amount needed. If you would like to donate (with parents/carers permission) then you can go to one of the following websites http://www.redcross.org.uk/en/Donate-Now www.oxfam.org.uk/ebola_crisis_appeal www.unicef.org.uk/Donate-Ebola General Lesson Plan Firstly there are many activities/questions following on from the experiments. Please tailor this to your group to ensure stretch and challenge. Also, some of the teacher led parts will not be needed so again please tailor this to your group. Set the scene that they have been approached by the government to carry out an experiment etc. Go through an example of how to model an outbreak explaining what is meant by ‘generation’. Explain the task and let them model it. Show students how to graph one of their experiments. Let students do this. Explain the second task – do an example if needed. Allow time in the lesson to go through the explanations to the additional questions Plenary – write a summary of their findings to the government. Allow a couple of students to read out their responses. End the lesson with how students can donate for Ebola highlighting that they need parental permission!!!