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Extraordinary medical advances have led to significant reductions in the burden of infectious diseases in humans. However, infectious diseases still account for more than 13 million annual deaths. This large burden is partly due to some pathogens having found suitable conditions to emerge and spread in denser and more connected

Extraordinary medical advances have led to significant reductions in the burden of infectious diseases in humans. However, infectious diseases still account for more than 13 million annual deaths. This large burden is partly due to some pathogens having found suitable conditions to emerge and spread in denser and more connected host populations, and others having evolved to escape the pressures imposed by the rampant use of antimicrobials. It is then critical to improve our understanding of how diseases spread in these modern landscapes, characterized by new host population structures and socio-economic environments, as well as containment measures such as the deployment of drugs. Thus, the motivation of this dissertation is two-fold. First, we study, using both data-driven and modeling approaches, the the spread of infectious diseases in urban areas. As a case study, we use confirmed-cases data on sexually transmitted diseases (STDs) in the United States to assess the conduciveness of population size of urban areas and their socio-economic characteristics as predictors of STD incidence. We find that the scaling of STD incidence in cities is superlinear, and that the percent of African-Americans residing in cities largely determines these statistical patterns. Since disparities in access to health care are often exacerbated in urban areas, within this project we also develop two modeling frameworks to study the effect of health care disparities on epidemic outcomes. Discrepant results between the two approaches indicate that knowledge of the shape of the recovery period distribution, not just its mean and variance, is key for assessing the epidemiological impact of inequalities. The second project proposes to study, from a modeling perspective, the spread of drug resistance in human populations featuring vital dynamics, stochasticity and contact structure. We derive effective treatment regimes that minimize both the overall disease burden and the spread of resistance. Additionally, targeted treatment in structured host populations may lead to higher levels of drug resistance, and if drug-resistant strains are compensated, they can spread widely even when the wild-type strain is below its epidemic threshold.
ContributorsPatterson-Lomba, Oscar (Author) / Castillo-Chavez, Carlos (Thesis advisor) / Towers, Sherry (Thesis advisor) / Chowell-Puente, Gerardo (Committee member) / Arizona State University (Publisher)
Created2014
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Description
Public mass shootings occur at a rate in the U.S. that is higher than any other developed country. These event initiate wide spread media attention. The media attention these events achieve have shown to impact the public behavior (e.g., increased firearm sales). However, the impact public mass shootings have on

Public mass shootings occur at a rate in the U.S. that is higher than any other developed country. These event initiate wide spread media attention. The media attention these events achieve have shown to impact the public behavior (e.g., increased firearm sales). However, the impact public mass shootings have on firearm storage and carry habits of the public is not well understood. Using data collected from the Transportation Security Administration, this study examines how mass shootings have led to moral panics occurring within the U.S. through the examination of the firearm carrying habits among the population immediately following mass shootings. The results indicate that loaded firearms with rounds in the chamber detected by the TSA have significantly increased since 2012. Further, firearms detected immediately following a public mass shooting had a higher proportion of firearms loaded with a round in the chamber relative to 7 days prior to the shooting. Moreover, the increase in proportions of firearms found loaded with a round in the chamber exponentially decays as days past the initial shooting, these events occur at a higher rate than the decay rate can normalize these occurrences. I conclude that in the wake of these shootings a moral panic ensues that is partially responsible for the change in the general public’s arming configuration habits. Further research is needed in to determine the impact on crime, and public health related issues due to this change in the public’s firearm carrying habits.
ContributorsCordova, Richard Donald (Author) / Reisig, Michael (Thesis advisor) / Towers, Sherry (Committee member) / Wang, Xia (Committee member) / Holtfreter, Kristy (Committee member) / Arizona State University (Publisher)
Created2018
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This study looks to answer whether or not citizens have reason to believe the publicity statements from state government officials when speaking about gun-control laws during the time surrounding mass shootings. Citizens in America see the same, consistent pattern that politicians use mass shootings for, known as "The Shooting Cycle."

This study looks to answer whether or not citizens have reason to believe the publicity statements from state government officials when speaking about gun-control laws during the time surrounding mass shootings. Citizens in America see the same, consistent pattern that politicians use mass shootings for, known as "The Shooting Cycle." Here, we will research whether or not these politicians are continuing to keep the same voting pattern that they have had in the past, in terms of gun control. This case study uses quantitative research to discover that almost all state representative and senators have consistent voting patterns when it comes to gun control legislation, regardless of time distances around mass shootings. We will then seek out seek out public statements and relevant periodicals and media clips in order to determine whether or not these voting patterns align with the public's perception of a politician's stance on gun control. It also uses qualitative research to discover that publicity from senators and representatives that support gun rights have more consistency in their public statements than those who are either inconsistent or consistently vote for gun control legislation. This study creates opportunities for new research in voting patterns and political transparency on state officials and the significant effects of mass shootings on public opinions and public statements from state officials.
ContributorsMoore, Travis David (Author) / Wu, Xu (Thesis director) / Wells, David (Committee member) / Barrett, The Honors College (Contributor) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / School of Politics and Global Studies (Contributor)
Created2015-05
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The 2009-10 influenza and the 2014-15 Ebola pandemics brought once again urgency to an old question: What are the limits on prediction and what can be proposed that is useful in the face of an epidemic outbreak?

This thesis looks first at the impact that limited access to vaccine

The 2009-10 influenza and the 2014-15 Ebola pandemics brought once again urgency to an old question: What are the limits on prediction and what can be proposed that is useful in the face of an epidemic outbreak?

This thesis looks first at the impact that limited access to vaccine stockpiles may have on a single influenza outbreak. The purpose is to highlight the challenges faced by populations embedded in inadequate health systems and to identify and assess ways of ameliorating the impact of resource limitations on public health policy.

Age-specific per capita constraint rates play an important role on the dynamics of communicable diseases and, influenza is, of course, no exception. Yet the challenges associated with estimating age-specific contact rates have not been decisively met. And so, this thesis attempts to connect contact theory with age-specific contact data in the context of influenza outbreaks in practical ways. In mathematical epidemiology, proportionate mixing is used as the preferred theoretical mixing structure and so, the frame of discussion of this dissertation follows this specific theoretical framework. The questions that drive this dissertation, in the context of influenza dynamics, proportionate mixing, and control, are:

I. What is the role of age-aggregation on the dynamics of a single outbreak? Or simply speaking, does the number and length of the age-classes used to model a population make a significant difference on quantitative predictions?

II. What would the age-specific optimal influenza vaccination policies be? Or, what are the age-specific vaccination policies needed to control an outbreak in the presence of limited or unlimited vaccine stockpiles?

Intertwined with the above questions are issues of resilience and uncertainty including, whether or not data collected on mixing (by social scientists) can be used effectively to address both questions in the context of influenza and proportionate mixing. The objective is to provide answers to these questions by assessing the role of aggregation (number and length of age classes) and model robustness (does the aggregation scheme selected makes a difference on influenza dynamics and control) via comparisons between purely data-driven model and proportionate mixing models.
ContributorsMorales, Romarie (Author) / Castillo-Chavez, Carlos (Thesis advisor) / Mubayi, Anuj (Thesis advisor) / Towers, Sherry (Committee member) / Arizona State University (Publisher)
Created2016