Epidemic extinction and control in heterogeneous networks

We consider epidemic extinction in finite networks with broad variation in local connectivity. Generalizing the theory of large fluctuations to random networks with a given degree distribution, we are able to predict the most probable, or optimal, paths to extinction in various configurations, including truncated power-laws. We find that paths for heterogeneous networks follow a limiting form in which infection first decreases in low-degree nodes, which triggers a rapid extinction in high- degree nodes, and finishes with a residual low-degree extinction. The usefulness of the approach is further demonstrated through optimal control strategies that leverage finite-size fluctuations. Interestingly, we find that the optimal control is a mix of treating both high and low-degree nodes based on large-fluctuation theoretical predictions.