ASU Scholarship Showcase

Theory suggests that human behavior has implications for disease spread. We examine the hypothesis that individuals engage in voluntary defensive behavior during an epidemic. We estimate the number of passengers missing previously purchased flights as a function of concern for swine flu or A/H1N1 influenza using 1.7 million detailed flight records, Google Trends, and the World Health Organization's FluNet data. We estimate that concern over “swine flu,” as measured by Google Trends, accounted for 0.34% of missed flights during the epidemic. The Google Trends data correlates strongly with media attention, but poorly (at times negatively) with reported cases in FluNet. Passengers show no response to reported cases. Passengers skipping their purchased trips forwent at least $50 M in travel related benefits. Responding to actual cases would have cut this estimate in half. Thus, people appear to respond to an epidemic by voluntarily engaging in self-protection behavior, but this behavior may not be responsive to objective measures of risk. Clearer risk communication could substantially reduce epidemic costs. People undertaking costly risk reduction behavior, for example, forgoing nonrefundable flights, suggests they may also make less costly behavior adjustments to avoid infection. Accounting for defensive behaviors may be important for forecasting epidemics, but linking behavior with epidemics likely requires consideration of risk communication.

Background: Highly refined surveillance data on the 2009 A/H1N1 influenza pandemic are crucial to quantify the spatial and temporal characteristics of the pandemic. There is little information about the spatial-temporal dynamics of pandemic influenza in South America. Here we provide a quantitative description of the age-specific morbidity pandemic patterns across administrative areas of Peru.

Methods: We used daily cases of influenza-like-illness, tests for A/H1N1 influenza virus infections, and laboratory-confirmed A/H1N1 influenza cases reported to the epidemiological surveillance system of Peru's Ministry of Health from May 1 to December 31, 2009. We analyzed the geographic spread of the pandemic waves and their association with the winter school vacation period, demographic factors, and absolute humidity. We also estimated the reproduction number and quantified the association between the winter school vacation period and the age distribution of cases.

Results: The national pandemic curve revealed a bimodal winter pandemic wave, with the first peak limited to school age children in the Lima metropolitan area, and the second peak more geographically widespread. The reproduction number was estimated at 1.6–2.2 for the Lima metropolitan area and 1.3–1.5 in the rest of Peru. We found a significant association between the timing of the school vacation period and changes in the age distribution of cases, while earlier pandemic onset was correlated with large population size. By contrast there was no association between pandemic dynamics and absolute humidity.

Conclusions: Our results indicate substantial spatial variation in pandemic patterns across Peru, with two pandemic waves of varying timing and impact by age and region. Moreover, the Peru data suggest a hierarchical transmission pattern of pandemic influenza A/H1N1 driven by large population centers. The higher reproduction number of the first pandemic wave could be explained by high contact rates among school-age children, the age group most affected during this early wave.

Background: Hemorrhagic fever with renal syndrome (HFRS), a rodent-borne infectious disease, is one of the most serious public health threats in China. Increasing our understanding of the spatial and temporal patterns of HFRS infections could guide local prevention and control strategies.

Methodology/Principal Findings: We employed statistical models to analyze HFRS case data together with environmental data from the Dongting Lake district during 2005–2010. Specifically, time-specific ecologic niche models (ENMs) were used to quantify and identify risk factors associated with HFRS transmission as well as forecast seasonal variation in risk across geographic areas. Results showed that the Maximum Entropy model provided the best predictive ability (AUC = 0.755). Time-specific Maximum Entropy models showed that the potential risk areas of HFRS significantly varied across seasons. High-risk areas were mainly found in the southeastern and southwestern areas of the Dongting Lake district. Our findings based on models focused on the spring and winter seasons showed particularly good performance. The potential risk areas were smaller in March, May and August compared with those identified for June, July and October to December. Both normalized difference vegetation index (NDVI) and land use types were found to be the dominant risk factors.

Conclusions/Significance: Our findings indicate that time-specific ENMs provide a useful tool to forecast the spatial and temporal risk of HFRS.

The United State generates the most waste among OECD countries, and there are adverse effects of the waste generation. One of the most serious adverse effects is greenhouse gas, especially CH4, which causes global warming. However, the amount of waste generation is not decreasing, and the United State recycling rate, which could reduce waste generation, is only 26%, which is lower than other OECD countries. Thus, waste generation and greenhouse gas emission should decrease, and in order for that to happen, identifying the causes should be made a priority. The research objective is to verify whether the Environmental Kuznets Curve relationship is supported for waste generation and GDP across the U.S. Moreover, it also confirmed that total waste generation and recycling waste influences carbon dioxide emissions from the waste sector. The annual-based U.S. data from 1990 to 2012 were used. The data were collected from various data sources, and the Granger causality test was applied for identifying the causal relationships. The results showed that there is no causality between GDP and waste generation, but total waste and recycling generation significantly cause positive and negative greenhouse gas emissions from the waste sector, respectively. This implies that the waste generation will not decrease even if GDP increases. And, if waste generation decreases or recycling rate increases, the greenhouse gas emission will decrease. Based on these results, it is expected that the waste generation and carbon dioxide emission from the waste sector can decrease more efficiently.

Construction waste management has become extremely important due to stricter disposal and landfill regulations, and a lesser number of available landfills. There are extensive works done on waste treatment and management of the construction industry. Concepts like deconstruction, recyclability, and Design for Disassembly (DfD) are examples of better construction waste management methods. Although some authors and organizations have published rich guides addressing the DfD's principles, there are only a few buildings already developed in this area. This study aims to find the challenges in the current practice of deconstruction activities and the gaps between its theory and implementation. Furthermore, it aims to provide insights about how DfD can create opportunities to turn these concepts into strategies that can be largely adopted by the construction industry stakeholders in the near future.

Previous studies in building energy assessment clearly state that to meet sustainable energy goals, existing buildings, as well as new buildings, will need to improve their energy efficiency. Thus, meeting energy goals relies on retrofitting existing buildings. Most building energy models are bottom-up engineering models, meaning these models calculate energy demand of individual buildings through their physical properties and energy use for specific end uses (e.g., lighting, appliances, and water heating). Researchers then scale up these model results to represent the building stock of the region studied.

Studies reveal that there is a lack of information about the building stock and associated modeling tools and this lack of knowledge affects the assessment of building energy efficiency strategies. Literature suggests that the level of complexity of energy models needs to be limited. Accuracy of these energy models can be elevated by reducing the input parameters, alleviating the need for users to make many assumptions about building construction and occupancy, among other factors. To mitigate the need for assumptions and the resulting model inaccuracies, the authors argue buildings should be described in a regional stock model with a restricted number of input parameters. One commonly-accepted method of identifying critical input parameters is sensitivity analysis, which requires a large number of runs that are both time consuming and may require high processing capacity.

This paper utilizes the Energy, Carbon and Cost Assessment for Buildings Stocks (ECCABS) model, which calculates the net energy demand of buildings and presents aggregated and individual- building-level, demand for specific end uses, e.g., heating, cooling, lighting, hot water and appliances. The model has already been validated using the Swedish, Spanish, and UK building stock data. This paper discusses potential improvements to this model by assessing the feasibility of using stepwise regression to identify the most important input parameters using the data from UK residential sector. The paper presents results of stepwise regression and compares these to sensitivity analysis; finally, the paper documents the advantages and challenges associated with each method.

As the construction continue to be a leading industry in the number of injuries and fatalities annually, several organizations and agencies are working avidly to ensure the number of injuries and fatalities is minimized. The Occupational Safety and Health Administration (OSHA) is one such effort to assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance. Given the large databases of OSHA historical events and reports, a manual analysis of the fatality and catastrophe investigations content is a time consuming and expensive process. This paper aims to evaluate the strength of unsupervised machine learning and Natural Language Processing (NLP) in supporting safety inspections and reorganizing accidents database on a state level. After collecting construction accident reports from the OSHA Arizona office, the methodology consists of preprocessing the accident reports and weighting terms in order to apply a data-driven unsupervised K-Means-based clustering approach. The proposed method classifies the collected reports in four clusters, each reporting a type of accident. The results show the construction accidents in the state of Arizona to be caused by falls (42.9%), struck by objects (34.3%), electrocutions (12.5%), and trenches collapse (10.3%). The findings of this research empower state and local agencies with a customized presentation of the accidents fitting their regulations and weather conditions. What is applicable to one climate might not be suitable for another; therefore, such rearrangement of the accidents database on a state based level is a necessary prerequisite to enhance the local safety applications and standards.

Community associated methicillin-resistant Staphylococcus aureus (CA-MRSA) has become a major cause of skin and soft tissue infections (SSTIs) in the US. We developed an age-structured compartmental model to study the spread of CA-MRSA at the population level and assess the effect of control intervention strategies. We used Monte-Carlo Markov Chain (MCMC) techniques to parameterize our model using monthly time series data on SSTIs incidence in children (≤19 years) during January 2004 -December 2006 in Maricopa County, Arizona. Our model-based forecast for the period January 2007–December 2008 also provided a good fit to data. We also carried out an uncertainty and sensitivity analysis on the control reproduction number, R_c which we estimated at 1.3 (95% CI [1.2,1.4]) based on the model fit to data. Using our calibrated model, we evaluated the effect of typical intervention strategies namely reducing the contact rate of infected individuals owing to awareness of infection and decolonization strategies targeting symptomatic infected individuals on both and the long-term disease dynamics. We also evaluated the impact of hypothetical decolonization strategies targeting asymptomatic colonized individuals. We found that strategies focused on infected individuals were not capable of achieving disease control when implemented alone or in combination. In contrast, our results suggest that decolonization strategies targeting the pediatric population colonized with CA-MRSA have the potential of achieving disease elimination.

Background:
Pandemic influenza is said to 'shift mortality' to younger age groups; but also to spare a subpopulation of the elderly population. Does one of these effects dominate? Might this have important ramifications?

Methods: We estimated age-specific excess mortality rates for all-years for which data were available in the 20th century for Australia, Canada, France, Japan, the UK, and the USA for people older than 44 years of age. We modeled variation with age, and standardized estimates to allow direct comparison across age groups and countries. Attack rate data for four pandemics were assembled.

Results: For nearly all seasons, an exponential model characterized mortality data extremely well. For seasons of emergence and a variable number of seasons following, however, a subpopulation above a threshold age invariably enjoyed reduced mortality. 'Immune escape', a stepwise increase in mortality among the oldest elderly, was observed a number of seasons after both the A(H2N2) and A(H3N2) pandemics. The number of seasons from emergence to escape varied by country. For the latter pandemic, mortality rates in four countries increased for younger age groups but only in the season following that of emergence. Adaptation to both emergent viruses was apparent as a progressive decrease in mortality rates, which, with two exceptions, was seen only in younger age groups. Pandemic attack rate variation with age was estimated to be similar across four pandemics with very different mortality impact.

Conclusions: In all influenza pandemics of the 20th century, emergent viruses resembled those that had circulated previously within the lifespan of then-living people. Such individuals were relatively immune to the emergent strain, but this immunity waned with mutation of the emergent virus. An immune subpopulation complicates and may invalidate vaccine trials. Pandemic influenza does not 'shift' mortality to younger age groups; rather, the mortality level is reset by the virulence of the emerging virus and is moderated by immunity of past experience. In this study, we found that after immune escape, older age groups showed no further mortality reduction, despite their being the principal target of conventional influenza vaccines. Vaccines incorporating variants of pandemic viruses seem to provide little benefit to those previously immune. If attack rates truly are similar across pandemics, it must be the case that immunity to the pandemic virus does not prevent infection, but only mitigates the consequences.