We consider a stochastic SIR (susceptible → infective → removed) epidemic on a random graph with specified degree distribution, constructed using the configuration model, and investigate the ‘acquaintance vaccination’ method for targeting individuals of high degree for vaccination. Branching process approximations are developed which yield a post-vaccination threshold parameter, and the asymptotic (large population) probability and final size of a major outbreak. We find that introducing an imperfect vaccine response into the present model for acquaintance vaccination leads to sibling dependence in the approximating branching processes, which may then require infinite type spaces for their analysis and are generally not amenable to numerical calculation. Thus, we propose and analyse an alternative model for acquaintance vaccination, which avoids these difficulties. The theory is illustrated by a brief numerical study, which suggests that the two models for acquaintance vaccination yield quantitatively very similar disease properties.

A stochastic epidemic model is defined in which infected individuals have different severities of disease (e.g. mildly and severely infected) and the severity of an infected individual depends on the severity of the individual he or she was infected by; typically, severe or mild infectives have an increased tendency to infect others severely or, respectively, mildly. Large-population properties of the model are derived, using branching process approximations for the initial stages of an outbreak and density-dependent population processes when a major outbreak occurs. The effects of vaccination are considered, using two distinct models for vaccine action. The consequences of launching a vaccination program are studied in terms of the effect it has on reducing the final size in the event of a major outbreak as a function of the vaccination coverage, and also by determining the critical vaccination coverage above which only small outbreaks can occur.

We consider the spread of a general epidemic amongst a population consisting of invididuals with differing susceptibilities to the disease. Deterministic and stochastic versions of the basic model are described and analysed. For both versions of the model we show that assuming a uniform susceptible population, with average susceptibility, leads to an increased spread of infection. We also show how our results can be extended to the carrier-borne epidemic model of Weiss (1965).