Combination interventions for Hepatitis C and Cirrhosis reduction among people who inject drugs: An agent-based, networked population simulation experiment

Hepatitis C virus (HCV) infection is endemic in people who inject drugs (PWID), with prevalence estimates above 60 percent for PWID in the United States. Previous modeling studies suggest that direct acting antiviral (DAA) treatment can lower overall prevalence in this population, but treatment is often delayed until the onset of advanced liver disease (fibrosis stage 3 or later) due to cost. Lower cost interventions featuring syringe access (SA) and medically assisted treatment (MAT) for addiction are known to be less costly, but have shown mixed results in lowering HCV rates below current levels. Little is known about the potential synergistic effects of combining DAA and MAT treatment, and large-scale tests of combined interventions are rare. While simulation experiments can reveal likely long-term effects, most prior simulations have been performed on closed populations of model agents--a scenario quite different from the open, mobile populations known to most health agencies. This paper uses data from the Centers for Disease Control's National HIV Behavioral Surveillance project, IDU round 3, collected in New York City in 2012 by the New York City Department of Health and Mental Hygiene to parameterize simulations of open populations. Our results show that, in an open population, SA/MAT by itself has only small effects on HCV prevalence, while DAA treatment by itself can significantly lower both HCV and HCV-related advanced liver disease prevalence. More importantly, the simulation experiments suggest that cost effective synergistic combinations of the two strategies can dramatically reduce HCV incidence. We conclude that adopting SA/MAT implementations alongside DAA interventions can play a critical role in reducing the long-term consequences of ongoing infection

Fluctuation effects in metapopulation models: percolation and pandemic threshold

Metapopulation models provide the theoretical framework for describing disease spread between different populations connected by a network. In particular, these models are at the basis of most simulations of pandemic spread. They are usually studied at the mean-field level by neglecting fluctuations. Here we include fluctuations in the models by adopting fully stochastic descriptions of the corresponding processes. This level of description allows to address analytically, in the SIS and SIR cases, problems such as the existence and the calculation of an effective threshold for the spread of a disease at a global level. We show that the possibility of the spread at the global level is described in terms of (bond) percolation on the network. This mapping enables us to give an estimate (lower bound) for the pandemic threshold in the SIR case for all values of the model parameters and for all possible networks.Comment: 14 pages, 13 figures, final versio

Using Machine Learning to Predict Swine Movements within a Regional Program to Improve Control of Infectious Diseases in the US.

Between-farm animal movement is one of the most important factors influencing the spread of infectious diseases in food animals, including in the US swine industry. Understanding the structural network of contacts in a food animal industry is prerequisite to planning for efficient production strategies and for effective disease control measures. Unfortunately, data regarding between-farm animal movements in the US are not systematically collected and thus, such information is often unavailable. In this paper, we develop a procedure to replicate the structure of a network, making use of partial data available, and subsequently use the model developed to predict animal movements among sites in 34 Minnesota counties. First, we summarized two networks of swine producing facilities in Minnesota, then we used a machine learning technique referred to as random forest, an ensemble of independent classification trees, to estimate the probability of pig movements between farms and/or markets sites located in two counties in Minnesota. The model was calibrated and tested by comparing predicted data and observed data in those two counties for which data were available. Finally, the model was used to predict animal movements in sites located across 34 Minnesota counties. Variables that were important in predicting pig movements included between-site distance, ownership, and production type of the sending and receiving farms and/or markets. Using a weighted-kernel approach to describe spatial variation in the centrality measures of the predicted network, we showed that the south-central region of the study area exhibited high aggregation of predicted pig movements. Our results show an overlap with the distribution of outbreaks of porcine reproductive and respiratory syndrome, which is believed to be transmitted, at least in part, though animal movements. While the correspondence of movements and disease is not a causal test, it suggests that the predicted network may approximate actual movements. Accordingly, the predictions provided here might help to design and implement control strategies in the region. Additionally, the methodology here may be used to estimate contact networks for other livestock systems when only incomplete information regarding animal movements is available

Epidemic spreading in modular time-varying networks

We investigate the effects of modular and temporal connectivity patterns on epidemic spreading. To this end, we introduce and analytically characterise a model of time-varying networks with tunable modularity. Within this framework, we study the epidemic size of Susceptible-Infected-Recovered, SIR, models and the epidemic threshold of Susceptible-Infected-Susceptible, SIS, models. Interestingly, we find that while the presence of tightly connected clusters inhibits SIR processes, it speeds up SIS phenomena. In this case, we observe that modular structures induce a reduction of the threshold with respect to time-varying networks without communities. We confirm the theoretical results by means of extensive numerical simulations both on synthetic graphs as well as on a real modular and temporal networ

Early Warning Analysis for Social Diffusion Events

There is considerable interest in developing predictive capabilities for social diffusion processes, for instance to permit early identification of emerging contentious situations, rapid detection of disease outbreaks, or accurate forecasting of the ultimate reach of potentially viral ideas or behaviors. This paper proposes a new approach to this predictive analytics problem, in which analysis of meso-scale network dynamics is leveraged to generate useful predictions for complex social phenomena. We begin by deriving a stochastic hybrid dynamical systems (S-HDS) model for diffusion processes taking place over social networks with realistic topologies; this modeling approach is inspired by recent work in biology demonstrating that S-HDS offer a useful mathematical formalism with which to represent complex, multi-scale biological network dynamics. We then perform formal stochastic reachability analysis with this S-HDS model and conclude that the outcomes of social diffusion processes may depend crucially upon the way the early dynamics of the process interacts with the underlying network's community structure and core-periphery structure. This theoretical finding provides the foundations for developing a machine learning algorithm that enables accurate early warning analysis for social diffusion events. The utility of the warning algorithm, and the power of network-based predictive metrics, are demonstrated through an empirical investigation of the propagation of political memes over social media networks. Additionally, we illustrate the potential of the approach for security informatics applications through case studies involving early warning analysis of large-scale protests events and politically-motivated cyber attacks

Phase transition for the Maki-Thompson rumour model on a small-world network

We consider the Maki-Thompson model for the stochastic propagation of a rumour within a population. We extend the original hypothesis of homogenously mixed population by allowing for a small-world network embedding the model. This structure is realized starting from a $k$-regular ring and by inserting, in the average, $c$ additional links in such a way that $k$ and $c$ are tuneable parameter for the population architecture. We prove that this system exhibits a transition between regimes of localization (where the final number of stiflers is at most logarithmic in the population size) and propagation (where the final number of stiflers grows algebraically with the population size) at a finite value of the network parameter $c$. A quantitative estimate for the critical value of $c$ is obtained via extensive numerical simulations.Comment: 24 pages, 4 figure

Entropic measures of individual mobility patterns

Understanding human mobility from a microscopic point of view may represent a fundamental breakthrough for the development of a statistical physics for cognitive systems and it can shed light on the applicability of macroscopic statistical laws for social systems. Even if the complexity of individual behaviors prevents a true microscopic approach, the introduction of mesoscopic models allows the study of the dynamical properties for the non-stationary states of the considered system. We propose to compute various entropy measures of the individual mobility patterns obtained from GPS data that record the movements of private vehicles in the Florence district, in order to point out new features of human mobility related to the use of time and space and to define the dynamical properties of a stochastic model that could generate similar patterns. Moreover, we can relate the predictability properties of human mobility to the distribution of time passed between two successive trips. Our analysis suggests the existence of a hierarchical structure in the mobility patterns which divides the performed activities into three different categories, according to the time cost, with different information contents. We show that a Markov process defined by using the individual mobility network is not able to reproduce this hierarchy, which seems the consequence of different strategies in the activity choice. Our results could contribute to the development of governance policies for a sustainable mobility in modern cities

Stochastic analysis of a deterministic and seasonally forced SEI model for improved disease spread simulation

The geographic distribution of different viruses has developed widely, giving rise to an escalating number of cases during the past two decades. The deterministic Susceptible, Exposed, Infectious (SEI) models can demonstrate the spatio-temporal dynamics of the diseases and have been used extensively in modern mathematical and mechano-biological simulations. This article presents a functional technique to model the stochastic effects and seasonal forcing in a reliable manner by satisfying the Lipschitz criteria. We have emphasized that the graphical portrayal can prove to be a powerful tool to demonstrate the stability analysis of the deterministic as well as the stochastic modeling. Emphasis is made on the dynamical effects of the force of infection. Such analysis based on the parametric sweep can prove to be helpful in predicting the disease spread in urban as well as rural areas and should be of interest to mathematical biosciences researchers