Dengue diversity across spatial and temporal scales: local structure and the impact of host population size
Autor: | Butsaya Thaisomboonsuk, Robert V. Gibbons, Chonticha Klungthong, Areerat Sangarsang, Henrik Salje, Derek A. T. Cummings, Richard G. Jarman, Ananda Nisalak, Atchareeya A-nuegoonpipat, Justin Lessler, In-Kyu Yoon, Siripen Kalayanarooj, Timothy P. Endy, Sumalee Chanama, Louis R. Macareo, Irina Maljkovic Berry, Somchai Sangkijporn, Sopon Iamsirithaworn, Melanie C. Melendrez |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
media_common.quotation_subject 030231 tropical medicine Mosquito Vectors Biology Article Dengue fever law.invention Dengue 03 medical and health sciences 0302 clinical medicine Spatio-Temporal Analysis law medicine Cluster Analysis Humans Temporal scales Phylogeny media_common Population Density Multidisciplinary Host (biology) Sequence Analysis RNA Population size Dengue Virus medicine.disease Thailand Phylogeography 030104 developmental biology Transmission (mechanics) Evolutionary biology Epidemiological Monitoring Biological dispersal Diversity (politics) |
Popis: | A fundamental mystery for dengue and other infectious pathogens is how observed patterns of cases relate to actual chains of individual transmission events. These pathways are intimately tied to the mechanisms by which strains interact and compete across spatial scales. Phylogeographic methods have been used to characterize pathogen dispersal at global and regional scales but have yielded few insights into the local spatiotemporal structure of endemic transmission. Using geolocated genotype (800 cases) and serotype (17,291 cases) data, we show that in Bangkok, Thailand, 60% of dengue cases living200 meters apart come from the same transmission chain, as opposed to 3% of cases separated by 1 to 5 kilometers. At distances200 meters from a case (encompassing an average of 1300 people in Bangkok), the effective number of chains is 1.7. This number rises by a factor of 7 for each 10-fold increase in the population of the "enclosed" region. This trend is observed regardless of whether population density or area increases, though increases in density over 7000 people per square kilometer do not lead to additional chains. Within Thailand these chains quickly mix, and by the next dengue season viral lineages are no longer highly spatially structured within the country. In contrast, viral flow to neighboring countries is limited. These findings are consistent with local, density-dependent transmission and implicate densely populated communities as key sources of viral diversity, with home location the focal point of transmission. These findings have important implications for targeted vector control and active surveillance. |
Databáze: | OpenAIRE |
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