The stability of model ecosystems

Ecologists would like to understand how complexity persists in nature. In this thesis I have taken two fundamentally different routes to study ecosystem stability of model ecosystems: classical community ecology and classical population ecology. In community ecology models, we can study the mathematical mechanisms of stability in general, large model ecosystems. In population ecology models, fewer species are studied but greater detail of species interactions can be incorporated. Within these alternative contexts, this thesis contributes to two consuming issues concerning the stability of ecological systems: the ecosystem stability-complexity debate; and the causes of cyclic population dynamics. One of the major unresolved issues in community ecology is the relationship between ecosystem stability and complexity. In 1958 Charles Elton made the conjecture that the stability of an ecological system was coupled to its complexity and this could be a “wise principle of co-existence between man and nature” with which ecologists could argue the case for the conservation of nature for all species, including man. The earliest and simplest model systems were randomly constructed and exhibited a negative association between stability and complexity. This finding sparked the stability-complexity debate and initiated the search for organising principles that enhanced stability in real ecosystems. One of the universal laws of ecology is that ecosystems contain many rare and few common species. In this thesis, I present analytical arguments and numerical results to show that the stability of an ecosystem can increase with complexity when the abundance distribution is characterized by a skew towards many rare species. This work adds to the growing number of conditions under which the negative stability - complexity relationship can been inverted in theoretical studies. While there is growing evidence that the stability-complexity debate is progressing towards a resolution, community ecology has become increasingly subject to major criticism. A long-standing criticism is the reliance on local stability analysis. There is growing recognition that a global property called permanence is a more satisfactory definition of ecosystem stability because it tests only whether species can coexist. Here I identify and explain a positive correlation between the probability of local stability and permanence, which suggests local stability is a better measure of species coexistence than previously thought. While this offers some relief, remaining issues cause the stability-complexity debate to evade clear resolution and leave community ecology in a poor position to argue for the conservation of natural diversity for the benefit of all species. In classical population ecology, a major unresolved issue is the cause of non-equilibrium population dynamics. In this thesis, I use models to study the drivers of cyclic dynamics in Scottish populations of mountain hares (Lepus timidus), for the first time in this system. Field studies currently favour the hypothesis that parasitism by a nematode Trichostrongylus retortaeformis drives the hare cycles, and theory predicts that the interaction should induce cycling. Initially I used a simple, strategic host-parasite model parameterised using available empirical data to test the superficial concordance between theory and observation. I find that parasitism could not account for hare cycles. This verdict leaves three options: either the parameterisation was inadequate, there were missing important biological details or simply that parasites do not drive host cycles. Regarding the first option, reliable information for some hare-parasite model parameters was lacking. Using a rejection-sampling approach motivated by Bayesian methods, I identify the most likely parameter set to predict observed dynamics. The results imply that the current formulation of the hare-parasite model can only generate realistic dynamics when parasite effects are significantly larger than current empirical estimates, and I conclude it is likely that the model contains an inadequate level of detail. The simple strategic model was mathematically elegant and allowed mathematical concepts to be employed in analysis, but the model was biologically naïve. The second model is the antipode of the first, an individual based model (IBM) steeped in biological reality that can only be studied by simulation. Whilst most highly detailed tactical models are developed as a predictive tool, I instead structurally perturb the IBM to study the ecological processes that may drive population cycles in mountain hares. The model allows delayed responses to life history by linking maternal body size and parasite infection to the future survival and fecundity of offspring. By systematically removing model structure I show that these delayed life history effects are weakly destabilising and allow parameters to lie closer to empirical estimates to generate observed hare population cycles. In a third model I structurally modify the simple strategic host-parasite model to make it spatially explicit by including diffusion of mountain hares and corresponding advection of parasites (transportation with host). From initial simulations I show that the spatially extended host-parasite equations are able to generate periodic travelling waves (PTWs) of hare and parasite abundance. This is a newly documented behaviour in these widely used host-parasite equations. While PTWs are a new potential scenario under which cyclic hare dynamics could be explained, further mathematical development is required to determine whether adding space can generate realistic dynamics with parameters that lie closer to empirical estimates. In the general thesis discussion I deliberate on whether a hare-parasite model has been identified which can be considered the right balance between abstraction and relevant detail for this system

A Bayesian approach for inferring the dynamics of partially observed endemic infectious diseases from space-time-genetic data

We describe a statistical framework for reconstructing the sequence of transmission events between observed cases of an endemic infectious disease using genetic, temporal and spatial information. Previous approaches to reconstructing transmission trees have assumed all infections in the study area originated from a single introduction and that a large fraction of cases were observed. There are as yet no approaches appropriate for endemic situations in which a disease is already well established in a host population and in which there may be multiple origins of infection, or that can enumerate unobserved infections missing from the sample. Our proposed framework addresses these shortcomings, enabling reconstruction of partially observed transmission trees and estimating the number of cases missing from the sample. Analyses of simulated datasets show the method to be accurate in identifying direct transmissions, while introductions and transmissions via one or more unsampled intermediate cases could be identified at high to moderate levels of case detection. When applied to partial genome sequences of rabies virus sampled from an endemic region of South Africa, our method reveals several distinct transmission cycles with little contact between them, and direct transmission over long distances suggesting significant anthropogenic influence in the movement of infected dogs

Rabies control and elimination: a test case for One Health

One Health approaches have already been shown to be successful in controlling rabies in different parts of the world. In this article, the latest in Veterinary Record's series promoting One Health, Sarah Cleaveland and her colleagues at the University of Glasgow discuss why integrated strategies are needed to enhance the cost effectiveness of measures to control and eliminate rabies, particularly in low-income countries

Heterogeneity in the spread and control of infectious disease: consequences for the elimination of canine rabies

Understanding the factors influencing vaccination campaign effectiveness is vital in designing efficient disease elimination programmes. We investigated the importance of spatial heterogeneity in vaccination coverage and human-mediated dog movements for the elimination of endemic canine rabies by mass dog vaccination in Region VI of the Philippines (Western Visayas). Household survey data was used to parameterise a spatially-explicit rabies transmission model with realistic dog movement and vaccination coverage scenarios, assuming a basic reproduction number for rabies drawn from the literature. This showed that heterogeneous vaccination reduces elimination prospects relative to homogeneous vaccination at the same overall level. Had the three vaccination campaigns completed in Region VI in 2010–2012 been homogeneous, they would have eliminated rabies with high probability. However, given the observed heterogeneity, three further campaigns may be required to achieve elimination with probability 0.95. We recommend that heterogeneity be reduced in future campaigns through targeted efforts in low coverage areas, even at the expense of reduced coverage in previously high coverage areas. Reported human-mediated dog movements did not reduce elimination probability, so expending limited resources on restricting dog movements is unnecessary in this endemic setting. Enhanced surveillance will be necessary post-elimination, however, given the reintroduction risk from long-distance dog movements

Comparing methods of assessing dog rabies vaccination coverage in rural and urban communities in Tanzania

Rabies can be eliminated by achieving comprehensive coverage of 70% of domestic dogs during annual mass vaccination campaigns. Estimates of vaccination coverage are, therefore, required to evaluate and manage mass dog vaccination programs; however, there is no specific guidance for the most accurate and efficient methods for estimating coverage in different settings. Here, we compare post-vaccination transects, school-based surveys, and household surveys across 28 districts in southeast Tanzania and Pemba island covering rural, urban, coastal and inland settings, and a range of different livelihoods and religious backgrounds. These approaches were explored in detail in a single district in northwest Tanzania (Serengeti), where their performance was compared with a complete dog population census that also recorded dog vaccination status. Post-vaccination transects involved counting marked (vaccinated) and unmarked (unvaccinated) dogs immediately after campaigns in 2,155 villages (24,721 dogs counted). School-based surveys were administered to 8,587 primary school pupils each representing a unique household, in 119 randomly selected schools approximately 2 months after campaigns. Household surveys were conducted in 160 randomly selected villages (4,488 households) in July/August 2011. Costs to implement these coverage assessments were $12.01,$66.12, and $155.70 per village for post-vaccination transects, school-based, and household surveys, respectively. Simulations were performed to assess the effect of sampling on the precision of coverage estimation. The sampling effort required to obtain reasonably precise estimates of coverage from household surveys is generally very high and probably prohibitively expensive for routine monitoring across large areas, particularly in communities with high human to dog ratios. School-based surveys partially overcame sampling constraints, however, were also costly to obtain reasonably precise estimates of coverage. Post-vaccination transects provided precise and timely estimates of community-level coverage that could be used to troubleshoot the performance of campaigns across large areas. However, transects typically overestimated coverage by around 10%, which therefore needs consideration when evaluating the impacts of campaigns. We discuss the advantages and disadvantages of these different methods and make recommendations for how vaccination campaigns can be better monitored and managed at different stages of rabies control and elimination programs

Towards elimination of dog-mediated human rabies: experiences from implementing a large-scale demonstration project in Southern Tanzania

No abstract available

Surveillance guidelines for disease elimination: a case study of canine rabies

Surveillance is a critical component of disease control programmes but is often poorly resourced, particularly in developing countries lacking good infrastructure and especially for zoonoses which require combined veterinary and medical capacity and collaboration. Here we examine how successful control, and ultimately disease elimination, depends on effective surveillance. We estimated that detection probabilities of <0.1 are broadly typical of rabies surveillance in endemic countries and areas without a history of rabies. Using outbreak simulation techniques we investigated how the probability of detection affects outbreak spread, and outcomes of response strategies such as time to control an outbreak, probability of elimination, and the certainty of declaring freedom from disease. Assuming realistically poor surveillance (probability of detection <0.1), we show that proactive mass dog vaccination is much more effective at controlling rabies and no more costly than campaigns that vaccinate in response to case detection. Control through proactive vaccination followed by 2 years of continuous monitoring and vaccination should be sufficient to guarantee elimination from an isolated area not subject to repeat introductions. We recommend that rabies control programmes ought to be able to maintain surveillance levels that detect at least 5% (and ideally 10%) of all cases to improve their prospects of eliminating rabies, and this can be achieved through greater intersectoral collaboration. Our approach illustrates how surveillance is critical for the control and elimination of diseases such as canine rabies and can provide minimum surveillance requirements and technical guidance for elimination programmes under a broad-range of circumstances

Designing programs for eliminating canine rabies from islands: Bali, Indonesia as a case study

<p>Background: Canine rabies is one of the most important and feared zoonotic diseases in the world. In some regions rabies elimination is being successfully coordinated, whereas in others rabies is endemic and continues to spread to uninfected areas. As epidemics emerge, both accepted and contentious control methods are used, as questions remain over the most effective strategy to eliminate rabies. The Indonesian island of Bali was rabies-free until 2008 when an epidemic in domestic dogs began, resulting in the deaths of over 100 people. Here we analyze data from the epidemic and compare the effectiveness of control methods at eliminating rabies.</p> <p>Methodology/Principal Findings: Using data from Bali, we estimated the basic reproductive number, R0, of rabies in dogs, to be ~1·2, almost identical to that obtained in ten–fold less dense dog populations and suggesting rabies will not be effectively controlled by reducing dog density. We then developed a model to compare options for mass dog vaccination. Comprehensive high coverage was the single most important factor for achieving elimination, with omission of even small areas (<0.5% of the dog population) jeopardizing success. Parameterizing the model with data from the 2010 and 2011 vaccination campaigns, we show that a comprehensive high coverage campaign in 2012 would likely result in elimination, saving ~550 human lives and ~$15 million in prophylaxis costs over the next ten years.</p> <p>Conclusions/Significance: The elimination of rabies from Bali will not be achieved through achievable reductions in dog density. To ensure elimination, concerted high coverage, repeated, mass dog vaccination campaigns are necessary and the cooperation of all regions of the island is critical. Momentum is building towards development of a strategy for the global elimination of canine rabies, and this study offers valuable new insights about the dynamics and control of this disease, with immediate practical relevance.</p&gt

The ACCESS study a Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in people who present to hospital after self-harm: study protocol for a randomised controlled trial

<p>Abstract</p> <p>Background</p> <p>People who present to hospital after intentionally harming themselves pose a common and important problem. Previous reviews of interventions have been inconclusive as existing trials have been under powered and done on unrepresentative populations. These reviews have however indicated that problem solving therapy and regular written communications after the self-harm attempt may be an effective treatment. This protocol describes a large pragmatic trial of a package of measures which include problem solving therapy, regular written communication, patient support, cultural assessment, improved access to primary care and a risk management strategy in people who present to hospital after self-harm using a novel design.</p> <p>Methods</p> <p>We propose to use a double consent Zelen design where participants are randomised prior to giving consent to enrol a large representative cohort of patients. The main outcome will be hospital attendance following repetition of self-harm, in the 12 months after recruitment with secondary outcomes of self reported self-harm, hopelessness, anxiety, depression, quality of life, social function and hospital use at three months and one year.</p> <p>Discussion</p> <p>A strength of the study is that it is a pragmatic trial which aims to recruit large numbers and does not exclude people if English is not their first language. A potential limitation is the analysis of the results which is complex and may underestimate any effect if a large number of people refuse their consent in the group randomised to problem solving therapy as they will effectively cross over to the treatment as usual group. However the primary analysis is a true intention to treat analysis of everyone randomised which includes both those who consent and do not consent to participate in the study. This provides information about how the intervention will work in practice in a representative population which is a major advance in this study compared to what has been done before.</p> <p>Trial registration</p> <p>Australia and New Zealand Clinical Trials Register (ANZCTR): <a href="http://www.anzctr.org.au/ACTRN12609000641291.aspx">ACTRN12609000641291</a></p

EHRA expert consensus statement on arrhythmic mitral valve prolapse and mitral annular disjunction complex in collaboration with the ESC Council on valvular heart disease and the European Association of Cardiovascular Imaging endorsed cby the Heart Rhythm Society, by the Asia Pacific Heart Rhythm Society, and by the Latin American Heart Rhythm Society.

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