Matching Items (3)
Description
In this dissertation the potential impact of some social, cultural and economic factors on
Ebola Virus Disease (EVD) dynamics and control are studied. In Chapter two, the inability
to detect and isolate a large fraction of EVD-infected individuals before symptoms onset is
addressed. A mathematical model, calibrated with data from the 2014 West African outbreak,
is used to show the dynamics of EVD control under various quarantine and isolation
effectiveness regimes. It is shown that in order to make a difference it must reach a high
proportion of the infected population. The effect of EVD-dead bodies has been incorporated
in the quarantine effectiveness. In Chapter four, the potential impact of differential
risk is assessed. A two-patch model without explicitly incorporate quarantine is used to
assess the impact of mobility on communities at risk of EVD. It is shown that the
overall EVD burden may lessen when mobility in this artificial high-low risk society is allowed.
The cost that individuals in the low-risk patch must pay, as measured by secondary
cases is highlighted. In Chapter five a model explicitly incorporating patch-specific quarantine
levels is used to show that quarantine a large enough proportion of the population
under effective isolation leads to a measurable reduction of secondary cases in the presence
of mobility. It is shown that sharing limited resources can improve the effectiveness of
EVD effective control in the two-patch high-low risk system. Identifying the conditions
under which the low-risk community would be willing to accept the increases in EVD risk,
needed to reduce the total number of secondary cases in a community composed of two
patches with highly differentiated risks has not been addressed. In summary, this dissertation
looks at EVD dynamics within an idealized highly polarized world where resources
are primarily in the hands of a low-risk community – a community of lower density, higher
levels of education and reasonable health services – that shares a “border” with a high-risk
community that lacks minimal resources to survive an EVD outbreak.
Ebola Virus Disease (EVD) dynamics and control are studied. In Chapter two, the inability
to detect and isolate a large fraction of EVD-infected individuals before symptoms onset is
addressed. A mathematical model, calibrated with data from the 2014 West African outbreak,
is used to show the dynamics of EVD control under various quarantine and isolation
effectiveness regimes. It is shown that in order to make a difference it must reach a high
proportion of the infected population. The effect of EVD-dead bodies has been incorporated
in the quarantine effectiveness. In Chapter four, the potential impact of differential
risk is assessed. A two-patch model without explicitly incorporate quarantine is used to
assess the impact of mobility on communities at risk of EVD. It is shown that the
overall EVD burden may lessen when mobility in this artificial high-low risk society is allowed.
The cost that individuals in the low-risk patch must pay, as measured by secondary
cases is highlighted. In Chapter five a model explicitly incorporating patch-specific quarantine
levels is used to show that quarantine a large enough proportion of the population
under effective isolation leads to a measurable reduction of secondary cases in the presence
of mobility. It is shown that sharing limited resources can improve the effectiveness of
EVD effective control in the two-patch high-low risk system. Identifying the conditions
under which the low-risk community would be willing to accept the increases in EVD risk,
needed to reduce the total number of secondary cases in a community composed of two
patches with highly differentiated risks has not been addressed. In summary, this dissertation
looks at EVD dynamics within an idealized highly polarized world where resources
are primarily in the hands of a low-risk community – a community of lower density, higher
levels of education and reasonable health services – that shares a “border” with a high-risk
community that lacks minimal resources to survive an EVD outbreak.
ContributorsEspinoza Cortes, Baltazar (Author) / Castillo-Chavez, Carlos (Thesis advisor) / Kang, Yun (Committee member) / Safan, Muntaser (Committee member) / Arizona State University (Publisher)
Created2018
Description
The Visceral Leishmaniasis (VL) is primarily endemic in five countries, with India and Sudan having the highest burden. The risk factors associated with VL are either unknown in some regions or vary drastically among empirical studies. Here, a dynamical model, motivated and informed by field data from the literature, is analyzed and employed to identify and quantify the impact of region dependent risks on the VL transmission dynamics. Parameter estimation procedures were developed using model-derived quantities and empirical data from multiple resources. The dynamics of VL depend on the estimates of the control reproductive number, RC, interpreted as the average number of secondary infections generated by a single infectious individual during the infectious period. The distribution of RC was estimated for both India (with mean 2.1 ± 1.1) and Sudan (with mean 1.45 ± 0.57). This suggests that VL can be established in naive regions of India more easily than in naive regions of Sudan. The parameter sensitivity analysis on RC suggests that the average biting rate and transmission probabilities between host and vector are among the most sensitive parameters for both countries. The comparative assessment of VL transmission dynamics in both India and Sudan was carried out by parameter sensitivity analysis on VL-related prevalences (such as prevalences of asymptomatic hosts, symptomatic hosts, and infected vectors). The results identify that the treatment and symptoms’ developmental rates are parameters that are highly sensitive to VL symptomatic and asymptomatic host prevalence, respectively, for both countries. It is found that the estimates of transmission probability are significantly different between India (from human to sandflies with mean of 0.39 ± 0.12; from sandflies to human with mean 0.0005 ± 0.0002) and Sudan (from human to sandflies with mean 0.26 ± 0.07; from sandflies to human with mean 0.0002 ± 0.0001). The results have significant implications for elimination. An increasing focus on elimination requires a review of priorities within the VL control agenda. The development of systematic implementation of control programs based on identified risk factors (such as monitoring of asymptomatically infected individuals) has a high transmission-blocking potential.
ContributorsBarley, Kamal K (Author) / Castillo-Chavez, Carlos (Thesis advisor) / Mubayi, Anuj (Thesis advisor) / Safan, Muntaser (Committee member) / Arizona State University (Publisher)
Created2016
Description
Background
The transmission dynamics of Tuberculosis (TB) involve complex epidemiological and socio-economical interactions between individuals living in highly distinct regional conditions. The level of exogenous reinfection and first time infection rates within high-incidence settings may influence the impact of control programs on TB prevalence. The impact that effective population size and the distribution of individuals’ residence times in different patches have on TB transmission and control are studied using selected scenarios where risk is defined by the estimated or perceive first time infection and/or exogenous re-infection rates.
Methods
This study aims at enhancing the understanding of TB dynamics, within simplified, two patch, risk-defined environments, in the presence of short term mobility and variations in reinfection and infection rates via a mathematical model. The modeling framework captures the role of individuals’ ‘daily’ dynamics within and between places of residency, work or business via the average proportion of time spent in residence and as visitors to TB-risk environments (patches). As a result, the effective population size of Patch i (home of i-residents) at time t must account for visitors and residents of Patch i, at time t.
Results
The study identifies critical social behaviors mechanisms that can facilitate or eliminate TB infection in vulnerable populations. The results suggest that short-term mobility between heterogeneous patches contributes to significant overall increases in TB prevalence when risk is considered only in terms of direct new infection transmission, compared to the effect of exogenous reinfection. Although, the role of exogenous reinfection increases the risk that come from large movement of individuals, due to catastrophes or conflict, to TB-free areas.
Conclusions
The study highlights that allowing infected individuals to move from high to low TB prevalence areas (for example via the sharing of treatment and isolation facilities) may lead to a reduction in the total TB prevalence in the overall population. The higher the population size heterogeneity between distinct risk patches, the larger the benefit (low overall prevalence) under the same “traveling” patterns. Policies need to account for population specific factors (such as risks that are inherent with high levels of migration, local and regional mobility patterns, and first time infection rates) in order to be long lasting, effective and results in low number of drug resistant cases.
The transmission dynamics of Tuberculosis (TB) involve complex epidemiological and socio-economical interactions between individuals living in highly distinct regional conditions. The level of exogenous reinfection and first time infection rates within high-incidence settings may influence the impact of control programs on TB prevalence. The impact that effective population size and the distribution of individuals’ residence times in different patches have on TB transmission and control are studied using selected scenarios where risk is defined by the estimated or perceive first time infection and/or exogenous re-infection rates.
Methods
This study aims at enhancing the understanding of TB dynamics, within simplified, two patch, risk-defined environments, in the presence of short term mobility and variations in reinfection and infection rates via a mathematical model. The modeling framework captures the role of individuals’ ‘daily’ dynamics within and between places of residency, work or business via the average proportion of time spent in residence and as visitors to TB-risk environments (patches). As a result, the effective population size of Patch i (home of i-residents) at time t must account for visitors and residents of Patch i, at time t.
Results
The study identifies critical social behaviors mechanisms that can facilitate or eliminate TB infection in vulnerable populations. The results suggest that short-term mobility between heterogeneous patches contributes to significant overall increases in TB prevalence when risk is considered only in terms of direct new infection transmission, compared to the effect of exogenous reinfection. Although, the role of exogenous reinfection increases the risk that come from large movement of individuals, due to catastrophes or conflict, to TB-free areas.
Conclusions
The study highlights that allowing infected individuals to move from high to low TB prevalence areas (for example via the sharing of treatment and isolation facilities) may lead to a reduction in the total TB prevalence in the overall population. The higher the population size heterogeneity between distinct risk patches, the larger the benefit (low overall prevalence) under the same “traveling” patterns. Policies need to account for population specific factors (such as risks that are inherent with high levels of migration, local and regional mobility patterns, and first time infection rates) in order to be long lasting, effective and results in low number of drug resistant cases.
ContributorsMoreno Martinez, Victor (Author) / Espinoza Cortes, Baltazar (Author) / Barley, Kamal (Author) / Paredes Gutierrez, Marlio (Author) / Bichara, Derdei (Author) / Mubayi, Anuj (Author) / Castillo-Chavez, Carlos (Author) / Simon M. Levin Mathematical, Computational and Modeling Sciences Center (Contributor) / College of Liberal Arts and Sciences (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2017-01-11