Before revision:  We demonstrate how to incorporate this heterogeneity into a wide class of epidemiological models , and derive a non-linear dependence of the effective reproduction number Re on the susceptible population fraction S. Persistent heterogeneity has three important consequences compared to the effects of short-term overdispersion: (1) It results in a major modification of the early epidemic dynamics; (2) It significantly suppresses the herd immunity threshold; (3) It also significantly reduces the final size of the epidemic.
After revision:  We demonstrate how to incorporate this heterogeneity into a wide class of epidemiological models , and derive a non-linear dependence of the effective reproduction number Re on the susceptible population fraction S. We show that a state of transient collective immunity (TCI) emerges well below the HIT during early, high-paced stages of the epidemic.