First-order phase transitions in outbreaks of co-infectious diseases and the extended general epidemic process
Hans-Karl Janssen, Olaf Stenull

TL;DR
This paper analyzes phase transitions in co-infectious disease outbreaks, showing that observed discontinuities are spinodal transitions rather than true first-order transitions, and explores conditions for phase-coexistence with spatial inhomogeneities.
Contribution
It demonstrates that the mean-field model for co-infections aligns with the extended general epidemic process and clarifies the nature of observed phase transitions.
Findings
Discontinuous transition is a spinodal transition, not a first-order phase transition.
Conditions for spinodal transition are derived analytically.
Spatial inhomogeneities can lead to true first-order transitions with phase-coexistence.
Abstract
In co-infections, positive feedback between multiple diseases can accelerate outbreaks. In a recent letter Chen, Ghanbarnejad, Cai, and Grassberger (CGCG) introduced a spatially homogeneous mean-field model system for such co-infections, and studied this system numerically with focus on the possible existence of discontinuous phase transitions. We show that their model coincides in mean-field theory with the homogenous limit of the extended general epidemic process (EGEP). Studying the latter analytically, we argue that the discontinuous transition observed by CGCG is basically a spinodal phase transition and not a first-order transition with phase-coexistence. We derive the conditions for this spinodal transition along with predictions for important quantities such as the magnitude of the discontinuity. We also shed light on a true first-order transition with phase-coexistence by…
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