Modelling cholera epidemics: the role of waterways, human mobility and sanitation
Autor: | Lorenzo Mari, Enrico Bertuzzo, Ignacio Rodriguez-Iturbe, Marino Gatto, Renato Casagrandi, Lorenzo Righetto, Andrea Rinaldo |
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Rok vydání: | 2012 |
Předmět: |
Sanitation
Climate Population Dynamics 02 engineering and technology medicine.disease_cause Biochemistry South Africa Cholera Theoretical Models 020701 environmental engineering Vibrio cholerae Research Articles 0303 health sciences Ecology Transmission (medicine) Explicit model Hydrological transport Settore ICAR/02 - Costruzioni Idrauliche e Marittime e Idrologia 3. Good health Dynamics Hyperinfectivity Geography Strategies Water Microbiology Biotechnology Settore BIO/07 - Ecologia Spread 0207 environmental engineering Biophysics Biomedical Engineering Bioengineering Cholera outbreak Biomaterials 03 medical and health sciences Rates medicine Humans Gravity models Long-distance dispersal Multi-layer networks Susceptible-infected-recovered-like models Epidemics Models Theoretical Environmental planning 030304 developmental biology Systems medicine.disease Influenza Measles |
Zdroj: | JOURNAL OF THE ROYAL SOCIETY INTERFACE Journal of The Royal Society Interface |
DOI: | 10.1098/rsif.2011.0304 |
Popis: | We investigate the role of human mobility as a driver for long-range spreading of cholera infections, which primarily propagate through hydrologically controlled ecological corridors. Our aim is to build a spatially explicit model of a disease epidemic, which is relevant to both social and scientific issues. We present a two-layer network model that accounts for the interplay between epidemiological dynamics, hydrological transport and long-distance dissemination of the pathogen Vibrio cholerae owing to host movement, described here by means of a gravity-model approach. We test our model against epidemiological data recorded during the extensive cholera outbreak occurred in the KwaZulu-Natal province of South Africa during 2000–2001. We show that long-range human movement is fundamental in quantifying otherwise unexplained inter-catchment transport of V. cholerae , thus playing a key role in the formation of regional patterns of cholera epidemics. We also show quantitatively how heterogeneously distributed drinking water supplies and sanitation conditions may affect large-scale cholera transmission, and analyse the effects of different sanitation policies. |
Databáze: | OpenAIRE |
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