/* * C++ microsimulation model example. * * Compilation instructions using gcc (tested on Linux using gcc version * 11.3): * * Debug version: g++ -Wall -g model_example.cc -o model_example * * Optimized version: g++ -Wall -O3 model_example.cc -o model_example * * If you are using clang, simply replace g++ with clang++. * * If you are using a slightly older gcc or clang compiler you might need to * use the -std=c++17 flag. * * This is an example of how to implement an agent-based or micro model. I * have kept it simple but not too simple. It needs to be complicated enough * to show how a micro model can be much more flexible than a macro one, and * able to account for heterogeneous characteristics across a * population. For a more complicated model, see * https://github.com/nathangeffen/ABM_CTI/blob/master/abm_hetgen.cc. This * is free software published under the GNU General Public License version * 3. */ /* * A few notes on style: * * I have tried to find a balance between keeping the code readable and * using C++'s newer very convenient features. I have tried to avoid using * constructors and destructors. I have used printf instead of cout because * the latter is often way too verbose. I have also used struct instead of * class because having to deal with private variables and getters and * setters is unnecessary for the pedagogical purposes of this * code. Moreover, in my experience, most models are implemented by one or * two people. The software engineering benefits of using private variables * (and several other C++ features) may be immense for large teams, but they * simply get in the way of small one/two/three people projects. * * There are a lot of features and improvements intentionally omitted. The * aim of this code is to be an example that modellers can extend. Bells and * whistles that make the code more difficult to comprehend have therefore * been left out. * * Also, I am not an expert on C++. If there are some things I could do * better, without making the program more difficult to read, please let me * know. */ #include <algorithm> #include <any> #include <chrono> #include <cmath> #include <functional> #include <iostream> #include <map> #include <random> #include <unordered_map> #include <vector> // Our time step is one day, and We're going to increment agents' age every // time step so we'll need this. #define YEAR 365.25 #define DAY (1.0 / YEAR) // These are our random number generators. They are thread_local. What this // means is every thread gets its own random number generator with its own // seed so that we don't duplicate sequences across threads. The current // version isn't multithreaded, so this is simply a future-proof // mechanism. You can safely remove thread_local in the current version. thread_local std::random_device rd{}; thread_local std::default_random_engine gen(rd()); // Every agent will have a sex because the death rates between males and // females will be different. Vaccine uptake will also differ. enum Sex { MALE = 0, FEMALE }; // These are the states an agent can be in. In macro models, we'd call these // compartments. enum State { SUSCEPTIBLE = 0, EXPOSED, INFECTIOUS, RECOVERED, VACCINATED, DEAD, COUNT }; // An array (std::vector actually) of instances of the following Agent struct is // kept in the Model struct. struct Agent { int id; Sex sex; double age; State state; }; // We have to notify the compiler of the existence of Model here so that it // can compile the following typedef statement. struct Model; // Every event is implemented as a void function that takes a reference to // the Model as its parameter. typedef std::function<void(Model &)> EventFunc; // The model engine will loop through arrays of events, executing each one. typedef std::vector<EventFunc> EventArray; // Our parameters are implemented in a hash table (unordered_map), each // having a name and an associated value. typedef std::unordered_map<std::string, std::any> Parameters; // This is the struct at the heart of our microsimulation. struct Model { // To avoid using a constructor, the model variables that need to be // initialized are kept at the top of the struct, and we simply use an // initializer list to set the class members. But if you intend to make // this code more complicated, rather implement a constructor. Parameters parameters; EventArray before_events; EventArray during_events; EventArray after_events; std::vector<Agent> agents; // We'll need to keep track of time steps for when we print out stats int current_time_step = 0; // This is used to track how many agents are in each state. It is updated // by the function event_tally_states. std::array<int, State::COUNT> state_counter; // Track the number of births that have to be given on a particular // time_step double birth_tracker = 0.0; // Track the number of deaths while infectious. int deaths_while_infectious = 0; // This is the method that runs our model. It steps through the before, // during and after events respectively, passing this model as a parameter // to each event function, so that the event function can update the // model. void run() { for (auto &event : before_events) event(*this); int time_steps = std::any_cast<int>(parameters["time_steps"]); for (int i = 0; i < time_steps; i++) { ++current_time_step; for (auto &event : during_events) event(*this); } for (auto &event : after_events) event(*this); }; }; // This event creates and initializes the agents. void event_initialize_agents(Model &model) { // This determines the number of susceptible agents at the beginning of // the simulation. int num_susceptible = std::any_cast<int>(model.parameters["num_susceptible"]); // This determines the number of exposed agents at the beginning of the // simulation. int num_exposed = std::any_cast<int>(model.parameters["num_exposed"]); // Used to determine the sex of agents. std::uniform_int_distribution<int> sex_dist(0, 1); // The proportion of males and females for each age up to 90 are drawn // from the following distribution. The data is from the Thembisa model. // An improved version of this program would read this in from a file. std::discrete_distribution<int> age_dist[2]{ {556199, 550200, 554289, 554555, 552631, 550195, 547156, 560931, 563200, 563224, 559176, 553679, 546729, 543589, 549932, 546043, 531869, 516847, 502187, 469603, 457234, 458782, 458195, 466585, 466894, 478880, 499952, 494485, 499192, 503553, 509185, 514547, 518779, 522765, 524642, 525344, 524028, 521013, 504604, 490965, 470985, 446012, 418694, 392725, 370384, 353289, 340052, 328700, 316930, 304013, 289265, 273724, 258566, 245052, 233457, 224203, 216432, 208929, 200901, 192589, 183617, 174159, 164848, 155780, 146472, 136949, 127381, 117876, 108654, 99880, 91671, 83926, 76578, 69446, 62413, 55426, 48685, 42274, 36528, 31740, 27981, 24914, 22216, 19608, 16967, 14268, 11689, 9404, 7509, 5910, 17220}, {546583, 540070, 542761, 543436, 541679, 539135, 536397, 550108, 552589, 552977, 549468, 544628, 538484, 536059, 542961, 539811, 526372, 511457, 497112, 465517, 453715, 454499, 454057, 462111, 462002, 473948, 495224, 490080, 496446, 501890, 507712, 512689, 516280, 519075, 519740, 520070, 519042, 514800, 498903, 485707, 466135, 441880, 416150, 392858, 374232, 361659, 353606, 347796, 341605, 333841, 323561, 311601, 299187, 288039, 278985, 272570, 267692, 262837, 256621, 248861, 239132, 228056, 216780, 205881, 195007, 184279, 173677, 163111, 152615, 142337, 132336, 122614, 113283, 104226, 95242, 86302, 77627, 69138, 61368, 54957, 50070, 46156, 42632, 38899, 34836, 30361, 25828, 21628, 17972, 14930, 51609}}; // The above sets the age in years as an integer value. To get the // fraction of the year, we add on a uniform random number between 0 // and 1. std::uniform_real_distribution<double> year_dist(0.0, 1.0); // Now we loop through the number of susceptible and exposed, creating an // agent, appropriately initialized, on each iteration. for (int i = 0; i < num_susceptible + num_exposed; i++) { Sex sex = sex_dist(gen) ? FEMALE : MALE; State state = i < num_susceptible ? SUSCEPTIBLE : EXPOSED; double age = year_dist(gen) + age_dist[sex](gen); // Because don't use constructors, the agent's characteristics are set // in the order they've been declared above in the Agent struct. They // are id, sex, age and state. model.agents.push_back({i, sex, age, state}); } } // We'll need to randomize the order of the agents at the beginning of each // time step to avoid bias. void event_shuffle_agents(Model &model) { shuffle(model.agents.begin(), model.agents.end(), gen); } // This event increments the living agents' ages by a day. void event_increment_age(Model &model) { for (auto &agent : model.agents) if (agent.state != DEAD) agent.age += DAY; } /* This is our event infection algorithm. It works like this: Each * susceptible agent, A, is randomly placed in contact with n other * contacts, where n is a randomly drawn integer from a normal distribution * with mean num_contacts_avg and standard deviation num_contacs_stdev. Then * each infectious agent, B, that A comes into contact with, will infect A * with probability risk_exposure_per_contact. */ void event_infect(Model &model) { const double num_contacts = std::any_cast<double>(model.parameters["num_contacts_avg"]); const double stdev = std::any_cast<double>(model.parameters["num_contacts_stdev"]); const double risk_exposure = std::any_cast<double>(model.parameters["risk_exposure_per_contact"]); std::normal_distribution<> num_contacts_dist(num_contacts, stdev); // We need the indices of all the living agents. They are the potential // contacts. std::vector<int> alive_indices; for (size_t i = 0; i < model.agents.size(); i++) if (model.agents[i].state != DEAD) alive_indices.push_back(i); // We'll need this to randomly find contacts for each susceptible agent. std::uniform_int_distribution<size_t> contact_dist( 0, alive_indices.size() - 1); std::uniform_real_distribution<> exposure_dist(0, 1); // We only going to iterate over living agents for (auto i : alive_indices) { if (model.agents[i].state == SUSCEPTIBLE) { // This seemingly complicated line of code chooses a random number of // contacts and makes sure that it's a least 0 and at most the number // of elements in the alive_indices array. int num_contacts = std::max((size_t)0, (std::min(alive_indices.size(), (size_t)std::round(num_contacts_dist(gen))))); // Susceptible agents are potentially exposed to num_contact agents. // To keep things simple, the algorithm can select the same agent more // than once as a contact and the agent itself might be its own // contact. But for our purposes this shortcoming isn't important; it // only reduces the number of actual contacts. for (int j = 0; j < num_contacts; j++) { size_t contact_index = contact_dist(gen); if (model.agents[alive_indices[contact_index]].state == INFECTIOUS) { if (exposure_dist(gen) < risk_exposure) { model.agents[i].state = EXPOSED; break; } } } } } } // This is used by events that transition an agent from one state to another // with given probability. void change_agent_states(Model &model, State from_state, State to_state, const char *parameter) { std::uniform_real_distribution<> dist(0, 1); double risk; try { risk = std::any_cast<double>(model.parameters[parameter]); } catch (const std::exception &ex) { fprintf(stderr, "Exception at line %d with parameter %s\n", __LINE__, parameter); exit(1); } for (auto &agent : model.agents) if (agent.state == from_state) if (dist(gen) < risk) agent.state = to_state; } // This moves agents in the exposed state to the infectious state with // probabilty risk_exposed_infectious. void event_exposed_to_infectious(Model &model) { change_agent_states(model, EXPOSED, INFECTIOUS, "risk_exposed_infectious"); } // This moves agents in the infectious state to the recovered state with // probabilty risk_infectious_exposed. void event_infectious_to_recovered(Model &model) { change_agent_states(model, INFECTIOUS, RECOVERED, "risk_infectious_recovered"); } // This moves agents in the recovered state to the susceptible state with // probabilty risk_recovered_infectious. void event_recovered_to_susceptible(Model &model) { change_agent_states(model, RECOVERED, SUSCEPTIBLE, "risk_recovered_susceptible"); } // This moves agents in the susceptible state to the vaccinated state with // probabilty risk_susceptible_vaccinated. void event_susceptible_to_vaccinated(Model &model) { change_agent_states(model, SUSCEPTIBLE, VACCINATED, "risk_susceptible_vaccinated"); } // This moves agents in the vaccinated state to the susceptible state with // probabilty risk_vaccinated_susceptible. void event_vaccinated_to_susceptible(Model &model) { change_agent_states(model, VACCINATED, SUSCEPTIBLE, "risk_vaccinated_susceptible"); } /* This event adds new agents with age 0 to the population based on given * birth_rate. If the default time_step is small, say a day, and the * population is also small, the number of births per day may be less than * zero but this is a discrete model and in that case there will never be * births. So on each time step we accumulate the number of births until * greater than one (and then add one or more agents to the population), * then subtract the number of births given from the accumulated number (so * that a fraction between 0 and 1 remains). */ void event_births(Model &model) { std::uniform_int_distribution<int> sex_dist(0, 1); int id = (int)model.agents.size(); double birth_rate = std::any_cast<double>(model.parameters["birth_rate"]); model.birth_tracker += birth_rate * (model.agents.size() - model.state_counter[DEAD]); for (int i = 0; i < (int)model.birth_tracker; i++) { model.agents.push_back( {id, sex_dist(gen) ? FEMALE : MALE, 0.0, SUSCEPTIBLE}); ++id; } if (model.birth_tracker > 0) model.birth_tracker -= std::floor(model.birth_tracker); } /* * This event moves agents into the death stage, after which they should not * be updated by any other events. An alternative way of doing this would be * to have a second vector that stores dead agents. This would have the * advantage the other events not continuously traversing over dead agents. * Then you could efficiently move a dead agent out of the vector of living * agents by swapping the dead agent with the living agent at the end of the * vector, then copying it into the vector of dead agents, then reducing the * size of the vector of living agents by one. But we've gone for a simpler * solution here, which for our purposes is efficient enough. */ void event_death(Model &model) { // These death rates per sex and age (up to 90) are taken from the // Thembisa model. An improvement would be to read this in from a file. static const std::vector<std::vector<double>> death_risk{ // Males {0.000076520889, 0.000017192652, 0.000007240219, 0.000005732737, 0.000004441361, 0.000003385837, 0.000002569825, 0.000001990536, 0.000001632355, 0.000001482819, 0.000001580916, 0.000001897548, 0.000002208913, 0.000002665925, 0.000003273968, 0.000003996761, 0.000004820406, 0.000005777845, 0.000006868745, 0.000008052928, 0.000009304271, 0.000010546779, 0.000011701298, 0.000012734227, 0.000013650988, 0.000014490752, 0.000015306001, 0.000016174900, 0.000017115953, 0.000018095632, 0.000019070014, 0.000019976372, 0.000020767143, 0.000021415938, 0.000021956049, 0.000022480765, 0.000023107817, 0.000023928708, 0.000024999344, 0.000026292152, 0.000027738385, 0.000029284192, 0.000030868925, 0.000032474390, 0.000034122993, 0.000035866000, 0.000037772632, 0.000039906771, 0.000042305628, 0.000044983861, 0.000047950067, 0.000051204119, 0.000054734790, 0.000058521982, 0.000062525288, 0.000066680159, 0.000070914398, 0.000075190600, 0.000079522922, 0.000083954371, 0.000088526342, 0.000093290522, 0.000098309032, 0.000103656921, 0.000109436436, 0.000115770302, 0.000122776669, 0.000130516418, 0.000138964572, 0.000148092754, 0.000157955894, 0.000168657991, 0.000180337069}, // Females { 0.000084085544, 0.000019234231, 0.000008680390, 0.000006692589, 0.000005033958, 0.000003712643, 0.000002730538, 0.000002065006, 0.000001679530, 0.000001535762, 0.000001592729, 0.000001838024, 0.000002061974, 0.000002351475, 0.000002705738, 0.000003106961, 0.000003547194, 0.000004091870, 0.000004790889, 0.000005609952, 0.000006501563, 0.000007371587, 0.000008127697, 0.000008734919, 0.000009208877, 0.000009592531, 0.000009941267, 0.000010321245, 0.000010761386, 0.000011251573, 0.000011774332, 0.000012300970, 0.000012807805, 0.000013283732, 0.000013750722, 0.000014257017, 0.000014854579, 0.000015589684, 0.000016487504, 0.000017539826, 0.000018716045, 0.000019980015, 0.000021295672, 0.000022643855, 0.000024027336, 0.000025468550, 0.000027002242, 0.000028667599, 0.000030499362, 0.000032510646, 0.000034683482, 0.000036983990, 0.000039380543, 0.000041858866, 0.000044438940, 0.000047186143, 0.000050185995, 0.000053508553, 0.000057185355, 0.000061208012, 0.000065538377, 0.000070127481, 0.000074960964, 0.000080083792, 0.000085535735, 0.000091291510, 0.000097296074, 0.000103503214, 0.000109895484, 0.000116577835, 0.000123831829, 0.000132015621, 0.000141420706, }}; std::uniform_real_distribution<double> death_dist(0, 1); for (auto &agent : model.agents) { if (agent.state != DEAD) { int age_index = (int)agent.age; // For agents who are older than the maximum age catered for in our // mortality risk array, we simply use the last entry in the array. if (age_index >= (int)death_risk[agent.sex].size()) age_index = death_risk[agent.sex].size() - 1; double risk = death_risk[agent.sex][age_index]; // If an agent is in the infectious stage we multiply their mortality // by infectious_mortality_factor. A more sophisticated algorithm // might have a separate set of mortality risks for infectious agents. if (agent.state == INFECTIOUS) risk *= std::any_cast<double>( model.parameters["infectious_mortality_factor"]); if (death_dist(gen) < risk) { // Keep track of deaths of agents who are infected so that the // differing mortality rates of infected and uninfected agents can // be analsysed. if (agent.state == INFECTIOUS) ++model.deaths_while_infectious; agent.state = DEAD; } } } } // Sorts the agents back into order by id. This is simply so that when we // print out the agents at the end, they are all in order instead of // shuffled. Not essential, because we could do this easily in our // environment in which we analyse the data (R, Python, a spreadsheet) but // since this is only executed once, it is quick. void event_sort_agents(Model &model) { std::sort(model.agents.begin(), model.agents.end(), [](Agent &a, Agent &b) { return a.id < b.id; }); } // Event to count the number of agents in each state. void event_tally_states(Model &model) { model.state_counter.fill(0); for (auto &agent : model.agents) ++model.state_counter[agent.state]; } // Event to print a CSV file header. In this simple implementation the // agents and demographic outputs are all printed to standard output. An // improvement would have them print to their own file. void event_print_stats_header(Model &_) { printf("#,S,E,I,R,V,D,D_i\n"); } // Event to print the number of agents in each state as well as some other // useful demographic data, such as the number of infectious agents who // died. void event_print_stats(Model &model) { // The output_frequency parameter determines how frequently this event is // run. If we want it to run on every time step set to 1, but this is // likely unnecessary and will slow down execution. if (model.current_time_step % std::any_cast<int>(model.parameters["output_frequency"]) == 0) { printf("%d,", model.current_time_step); for (int i = 0; i < State::COUNT; i++) printf("%d,", model.state_counter[i]); printf("%d\n", model.deaths_while_infectious); } } // Event to print all the agents. We typically only execute this once before // and after the model has run. But for debugging or other purposes it may // be useful to do so in the middle of a simulation. void event_print_agents(Model &model) { for (auto &agent : model.agents) { printf("Agent: %d. Sex: %s. Age %.2f. State: %d.\n", agent.id, (agent.sex == MALE) ? "male" : "female", agent.age, agent.state); } } int main() { Model model{ // Parameters. An improvement would be to allow the user to specify // these at the command line or in a configuration file. {// Run for 20 years {"time_steps", (int)(20 * 365.25)}, // Population will be 10,000 with 10 initially exposed agents. {"num_susceptible", 9990}, {"num_exposed", 10}, // Mean number of contacts per agent per day. You could create even // more heterogeneity by making this specific to each agent. {"num_contacts_avg", 20.0}, // Standard deviation of number of contacts per agent per day. {"num_contacts_stdev", 10.0}, // Risk of moving from susceptible to exposure state per contact. {"risk_exposure_per_contact", 0.005}, // Increased risk of an infected agent dying. {"infectious_mortality_factor", 8.0}, // Risks of moving from one state to another per time step (which is // one // day). {"risk_exposed_infectious", 0.1}, {"risk_infectious_recovered", 0.005}, {"risk_recovered_susceptible", 0.0001}, {"risk_susceptible_vaccinated", 0.0003}, {"risk_vaccinated_susceptible", 0.0001}, // Number of new agents added to the model daily. {"birth_rate", 0.000055}, // How often, in time steps, to print the demographic outputs. {"output_frequency", 20}}, // Before events {event_initialize_agents, event_print_agents, event_tally_states, event_print_stats_header, event_print_stats}, // During events {event_shuffle_agents, event_increment_age, event_infect, event_exposed_to_infectious, event_infectious_to_recovered, event_recovered_to_susceptible, event_susceptible_to_vaccinated, event_vaccinated_to_susceptible, event_births, event_death, event_tally_states, event_print_stats}, // After events {event_tally_states, event_print_stats, event_sort_agents, event_print_agents}}; model.run(); return 0; }