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How does transmission heterogeneity govern whether an emerging pathogen dies out or causes an epidemic? In negative binomial branching processes at reproduction number 2.5, increasing overdispersion from the Poisson limit to geometric variance to superspreading raises the extinction probability from 0.107355 to 0.4 to 0.860685. Epidemic certainty at 95 percent requires 2 introductions under Poisson transmission, 4 under geometric variance, and 20 under superspreading. Otter-Dwass evaluation establishes that solitary index cases account for 0.721943 extinction probability, or 83.88 percent of extinctions. Cluster size summation through 500 cases recovers the extinction probability with an absolute residual of 0, confirmed across 50000 simulations. Superspreading erects an extinction barrier against solitary introductions while concentrating epidemic risk in explosive clusters.
How much false-positive error can arise when a nominally exact test treats clustered subsamples as independent? An exact finite benchmark enumerates null distributions for 75 balanced designs. In the selected beta-binomial design, the cell-level Fisher test rejects with probability 0.21567065919813758, compared with 0.0436374106894531 for a test using the known clustered null. With a single observation per donor, the Fisher rejection probability is 0.021484375. These are exact probabilities conditional on the specified toy model. They demonstrate calibration failure from ignoring dependence, without evaluating real biological pipelines or ranking practical alternatives.