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Decelerating Spread of West Nile Virus by Percolation in a Heterogeneous Urban Landscape

机译:通过渗透在异质城市景观中减缓西尼罗河病毒的传播

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摘要

Vector-borne diseases are emerging and re-emerging in urban environments throughout the world, presenting an increasing challenge to human health and a major obstacle to development. Currently, more than half of the global population is concentrated in urban environments, which are highly heterogeneous in the extent, degree, and distribution of environmental modifications. Because the prevalence of vector-borne pathogens is so closely coupled to the ecologies of vector and host species, this heterogeneity has the potential to significantly alter the dynamical systems through which pathogens propagate, and also thereby affect the epidemiological patterns of disease at multiple spatial scales. One such pattern is the speed of spread. Whereas standard models hold that pathogens spread as waves with constant or increasing speed, we hypothesized that heterogeneity in urban environments would cause decelerating travelling waves in incipient epidemics. To test this hypothesis, we analysed data on the spread of West Nile virus (WNV) in New York City (NYC), the 1999 epicentre of the North American pandemic, during annual epizootics from 2000–2008. These data show evidence of deceleration in all years studied, consistent with our hypothesis. To further explain these patterns, we developed a spatial model for vector-borne disease transmission in a heterogeneous environment. An emergent property of this model is that deceleration occurs only in the vicinity of a critical point. Geostatistical analysis suggests that NYC may be on the edge of this criticality. Together, these analyses provide the first evidence for the endogenous generation of decelerating travelling waves in an emerging infectious disease. Since the reported deceleration results from the heterogeneity of the environment through which the pathogen percolates, our findings suggest that targeting control at key sites could efficiently prevent pathogen spread to remote susceptible areas or even halt epidemics.
机译:媒介传播疾病在世界各地的城市环境中正在出现和重新出现,这对人类健康构成了日益严峻的挑战,也是发展的主要障碍。当前,全球一半以上的人口集中在城市环境中,而城市环境在环境改造的程度,程度和分布方面高度不同。由于媒介传播的病原体的流行与媒介和宿主物种的生态密切相关,因此这种异质性可能会极大地改变病原体传播的动力系统,从而在多个空间尺度上影响疾病的流行病学模式。一种这样的模式是传播速度。标准模型认为病原体会以恒定或递增的速度传播,但我们假设城市环境中的异质性会导致流行初期行进波的减速。为了验证该假设,我们分析了2000-2008年年度流行期间纽约尼罗河(Nic)的西尼罗河病毒(WNV)的传播数据,该病毒是1999年北美大流行的震中。这些数据显示了在所有研究年份中减速的证据,与我们的假设一致。为了进一步解释这些模式,我们开发了一种在异构环境中传播媒介传播疾病的空间模型。该模型的一个紧急特性是,减速仅在临界点附近发生。地统计分析表明,纽约市可能处于这种临界状态。总之,这些分析为新兴传染病中内源性减速行波的产生提供了第一个证据。由于报告的减速是由病原体渗入的环境的异质性导致的,因此我们的发现表明,将目标控制在关键部位可以有效地防止病原体扩散到偏远的易感地区甚至阻止流行病。

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