Virus spread versus contact tracing: two competing contagion processes

After the blockade that many nations have faced to stop the growth of the incidence curve of COVID-19, it is time to resume social and economic activity. The rapid airborne transmissibility of SARS-CoV-2, and the absence of a vaccine, call for active containment measures to avoid the propagation of transmission chains. The best strategy to date is to isolate diagnosed cases of infection, thus preventing further transmission. This technique consists on test the population for diagnosis, track the contacts of infected, and treat by quarantine all these cases, namely Test-Track-Treat (TTT). The dynamical process that better describes the combined action of the former mechanisms is that of a contagion process that competes with the spread of the pathogen, cutting off potential contagion pathways. Here we propose a compartmental model that couples the dynamics of the infection with the contact tracing and isolation of cases. We develop an analytical expression for the effective case reproduction number ${\cal R}_c(t)$ that reveals the role of contact tracing in the mitigation and suppression of the epidemics. We show that there is a trade-off between the infection propagation and the isolation of cases. If the isolation is limited to symptomatic individuals only, the incidence curve can be flattened but not bent. However, when contact tracing is applied, the strategy bends the curve leading to a fast suppression of the epidemic outbreak. We illustrate this qualitative difference between the two strategies and identify the factors that explain the effectiveness of contact tracing in sharply reversing the upward trend of the original epidemic curve, causing its bending.