Immune history shapes recurrent epidemics of antigenically related variants

Abstract

Population immunity carried over from past epidemics of an antigenically variable pathogen influences the epidemic of new variants based on their antigenic similarity to the previous ones. We develop a recurrent SIR model where a population faces sequential, antigenically related variants. The model yields a recurrence map for the population susceptibility to successive variants under the assumption of status-based population immunity. The model reveals that stable, equal-sized recurrent epidemics occur across broad parameter ranges, but can be destabilized when transmission is strong and antigenic escape is limited, leading to period-2 or more, or even more complex epidemic dynamics. Epidemic size is maximized at an intermediate basic reproduction number: higher transmissibility boosts immediate infection but also enhances cross-immunity, reducing future susceptibility of the population. Our results clarify how immune history shapes recurrent epidemics and why success in one wave does not ensure larger future epidemics.