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Untangling the Interplay between Epidemic Spread and Transmission Network Dynamics

机译:不包含疫情传播与传输网络动态的相互作用

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The epidemic spread of infectious diseases is ubiquitous and often has a considerable impact on public health and economic wealth. The large variability in the spatio-temporal patterns of epidemics prohibits simple interventions and requires a detailed analysis of each epidemic with respect to its infectious agent and the corresponding routes of transmission. To facilitate this analysis, we introduce a mathematical framework which links epidemic patterns to the topology and dynamics of the underlying transmission network. The evolution, both in disease prevalence and transmission network topology, is derived from a closed set of partial differential equations for infections without allowing for recovery. The predictions are in excellent agreement with complementarily conducted agent-based simulations. The capacity of this new method is demonstrated in several case studies on HIV epidemics in synthetic populations: it allows us to monitor the evolution of contact behavior among healthy and infected individuals and the contributions of different disease stages to the spreading of the epidemic. This gives both direction to and a test bed for targeted intervention strategies for epidemic control. In conclusion, this mathematical framework provides a capable toolbox for the analysis of epidemics from first principles. This allows for fast, in silico modeling - and manipulation - of epidemics and is especially powerful if complemented with adequate empirical data for parameterization.
机译:传染病的疫情传播是普遍存在的,往往对公共卫生和经济财富产生了相当大的影响。流行病的时空模式的大变异禁止简单的干预措施,并且需要对其传染性剂和相应的传播路线进行详细分析。为了促进这种分析,我们介绍了一种数学框架,将流行模式链接到底层传输网络的拓扑和动态。疾病患病率和传输网络拓扑中的进化均来自封闭的部分微分方程,用于感染而不允许恢复。预测与基于代理的模拟的互补化的模拟很好。这种新方法的能力在综合人群中的几个案例研究中证明了艾滋病毒流行病的研究:它允许我们监测健康和受感染的个体的接触行为的演变,以及不同疾病阶段对流行病的蔓延的贡献。这为目标干预策略提供了方向和试验台,用于疫情控制。总之,该数学框架提供了一种能够从第一个原则分析流行病的工具箱。这允许快速,在Silico建模 - 和操纵 - 流行病中,如果辅以参数化的适当经验数据,则尤其强大。

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