The Magnitude and Frequency Variations of Vector-Borne Infections Outbreaks with the Ross-Macdonald Model: Explaining and Predicting Outbreaks of Dengue Fever
Marcos Amaku, Franciane Azevedo, Marcelo Nascimento Burattini, Francisco Antonio Bezerra Coutinho, Luis Fernandez Lopez, Eduardo Massad
It is possible to model vector-borne infection using the classical Ross-Macdonald model. This attempt, however fails in several respects. First, using measured (or estimated) parameters, the model predicts a much greater number of cases than what is usually observed. Second, the model predicts a single huge outbreaks that is followed after decades of much smaller outbreaks. This is not what is observed. Usually towns or cities report a number of cases that recur for many years, even when environmental changes cannot explain the disappearance of the infection in-between the peaks. In this paper we continue to examine the pitfalls in modeling this class of infections, and explain that, in fact, if properly used, the Ross-Macdonald model works, can be used to understand the patterns of epidemics and even, to some extents, to make some predictions. We model several outbreaks of dengue fever and show that the variable pattern of year recurrence (or absence of it) can be understood and explained by a simple Ross-Macdonald model modified to take into account human movement across a range of neighborhoods inside a city. In addition, we analyze the effect of seasonal variations in the parameters determining the number, longevity and biting behavior of mosquitoes. Based on the size of the first outbreak, we show that it is possible to estimate the proportion of the remaining susceptibles and predict the likelihood and magnitude of eventual subsequent outbreaks. The approach is exemplified by actual dengue outbreaks with different recurrence patterns from some Brazilian regions.
In this paper we present a model to estimate the density of aedes mosquitoes in a community affected by dengue. The model is based on the fitting of a continuous function to the incidence of dengue infections, from which the density of infected mosquitoes is derived straightforwardly. Further derivations allows the calculation of the latent and susceptible mosquitoes' densities, the sum of the three equals the total mosquitoes' density. The model is illustrated with the case of the risk of urban yellow fever resurgence in dengue infested areas but the same methods apply for other aedes-transmi…
Although dengue fever is an ancient disease that should have been eradicated since time ago, in Mexico as well as in other regions worldwide the cases of classic and hemorrhagic dengue continue to be reported presently. Since 2002 (and before), a worrying outbreak of dengue was observed in several states of Mexico, notably the case of Colima for which a "descacharrizacion" campaign was implemented in 2009 to encourage the population to get rid of old objects accumulated in their backyards and outdoors so as to prevent proliferation of mosquitoes Aedes Aegypti. To understand the effect of such …
Metapopulation (multipatch) models are widely used to study the patterns of spatial spread of epidemics. In this paper we study the impact of inter-patch connection weights on the predictions of these models. We contrast arbitrary, uniform link weights with link weights predicted using a gravity model based on patch populations and distance. In a synthetic system with one large driver city and many small follower cities, we show that under uniform link weights, epidemics in the follower regions are perfectly synchronized. In contrast, gravity-based links allow a more realistic, less synchroniz…
According to the World Health Organization, dengue fever is the most important mosquito-borne disease of humans, and it is currently estimated that there may be 50 - 100 million yearly dengue infections worldwide. For the purpose to provide new techniques to public health policies in course, we introduce a predictive non-linear population dynamics model to describe the population size of four stages of the development of \emph{Aedes aegypti}, having the coefficients set to be dependent on the rainfall index data. In spite of the population dynamics of the \emph{Ae. aegypti} be mainly ruled by …
Different extensions of the classical single-strain SIR model for the host population, motivated by modeling dengue fever epidemiology, have reported a rich dynamic structure including deterministic chaos which was able to explain the large fluctuations of disease incidences. A comparison between the basic two-strain dengue model, which already captures differences between primary and secondary infections, with the four-strain dengue model, that introduces the idea of competition of multiple strains in dengue epidemics shows that the difference between first and secondary infections drives the…
The model considers the human population, the adult mosquito population and the population of immature stages, which includes eggs, larvae and pupae. The model also considers the vertical transmission of dengue in the mosquitoes and the seasonal variation in the mosquito population. From this basic model describing the dynamics of dengue infection, we deduce thresholds for avoiding the introduction of the disease and for the elimination of the disease. In particular, we deduce a Basic Reproduction Number for dengue that includes parameters related to the immature stages of the mosquito. By neg…
Dengue fever is increasing in geographical range, spread by invasion of its vector mosquitoes. The trade in second-hand tires has been implicated as a factor in this process as they act as mobile reservoirs of mosquito eggs and larvae. Regional transportation of tires can create linkages between rural areas with dengue to disease-free urban areas, potentially giving rise to outbreaks even in areas with strong local control measures. In this work we sought to model the dynamics of mosquito transportation via the tire trade, in particular to predict its role in causing unexpected dengue outbreak…
Dengue is a viral infection that can produce a severe fever and symptoms that may require hospitalization. It is transmitted between humans by the urban-adapted, day-biting Aedes mosquitoes and is therefore a particular problem in towns and cities. To explore this risk, one has assessed the potential levels of exposure by a climate-driven model for dengue risk transmission in Brazil and records of its seasonal variation at the key sites. Like the weather, it is unworkable to forecast the precise situation with regard to dengue in Brazil in 2014. One can, however, make informed guesses on the b…
We construct an epidemic model for the transmission of dengue fever with an early-life stage in the vector dynamics and age-structure within hosts. The early-life stage of the vector is modeled via a general function that supports multiple vector densities. The {\it basic reproductive number} and {\it vector demographic threshold} are computed to study the local and global stability of the infection-free state. A numerical framework is implemented and simulations are performed.
An epidemic multi-strain model with temporary cross-immunity shows chaos, even in a previously unexpected parameter region. Especially dengue fever models with strong enhanced infectivity on secondary infection have previously shown deterministic chaos motivated by experimental findings of antibody-dependent-enhancement (ADE). Including temporary cross-immunity in such models, which is common knowledge among field researchers in dengue, we find a deterministically chaotic attractor in the more realistic parameter region of reduced infectivity on secondary infection (''inverse ADE'' parameter r…
Infection by distinct Dengue virus serotypes and host immunity are intricately linked. In particular, certain levels of cross-reactive antibodies in the host may actually enhance infection severity leading to Dengue hemorrhagic fever (DHF). The coupled immunological and epidemiological dynamics of Dengue calls for a multi-scale modeling approach. In this work, we formulate a within-host model which mechanistically recapitulates characteristics of antibody dependent enhancement (ADE) in Dengue infection. The within-host scale is then linked to epidemiological spread by a vector-host partial dif…
The first outbreak of dengue occurred in Madeira Island on 2012, featuring one virus serotype. Aedes aegypti was the vector of the disease and it is unlikely that it will be eliminated from the island. Therefore, a new outbreak of dengue fever can occur and, if it happens, risk to the population increases if two serotypes coexist. In this paper, mathematical modeling and numerical simulations are carried out to forecast what may happen in Madeira Island in such scenario.
Dengue is the most prevalent arthropod-borne viral disease. Clinical symptoms of dengue virus (DENV) infection range from classical mild dengue fever to severe, life-threatening dengue shock syndrome. However, most DENV infections cause few or no symptoms. Asymptomatic DENV-infected patients provide a unique opportunity to decipher the host immune responses leading to virus elimination without negative impact on t v 'health. We used an integrated approach of transcriptional profiling and immunological analysis comparing a Cambodian population of strictly asymptomatic viremic individuals with c…
After their re-emergence in the last decades, dengue fever and other vector-borne diseases are a potential threat to the lives of millions of people. Based on a data set of dengue cases in the Brazilian city of Fortaleza, collected from 2011 to 2016, we study the spatio-temporal characteristics of dengue outbreaks to characterize epidemic and non-epidemic years. First, we identify regions that show a high prevalence of dengue cases and mosquito larvae in different years and also analyze their corresponding correlations. Our results show that the characteristic correlation length of the epidemi…
Dengue viral infections show unique infection patterns arising from its four serot- ypes, (DENV-1,2,3,4). Its effects range from simple fever in primary infections to potentially fatal secondary infections. We analytically and numerically analyse virus dynamics and humoral response in a host during primary and secondary dengue infection for long periods using micro-epidemic models. The models presented here incorporate time delays, antibody dependent enhancement (ADE), a dynamic switch and a correlation factor between different DENV serotypes. We find that the viral load goes down to undetecta…
Vector-transmitted diseases such as dengue fever and chikungunya have been spreading rapidly in many parts of the world. The Zika virus has been known since 1947 and invaded South America in 2013. It can be transmitted not only by (mosquito) vectors but also directly through sexual contact. Zika has developed into a serious global health problem because, while most cases are asymptomatic or very light, babies born to Zika - infected mothers may develop microcephaly and other very serious birth defects. We formulate and analyze two epidemic models for vector-transmitted diseases, one appropriat…
International Institute of Information Technology Bangalore（班加罗尔国际信息技术学院）；Sorbonne University Abu Dhabi（索邦大学阿布扎比分校）；Sorbonne Center for Artificial Intelligence（索邦人工智能中心）；University of Georgia（佐治亚大学）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）；National University of Singapore（新加坡国立大学）
Dengue fever is a virulent disease spreading over 100 tropical and subtropical countries in Africa, the Americas, and Asia. This arboviral disease affects around 400 million people globally, severely distressing the healthcare systems. The unavailability of a specific drug and ready-to-use vaccine makes the situation worse. Hence, policymakers must rely on early warning systems to control intervention-related decisions. Forecasts routinely provide critical information for dangerous epidemic events. However, the available forecasting models (e.g., weather-driven mechanistic, statistical time se…
An non-autonomous system is proposed to model the seasonal pattern of dengue fever. We found that an approximate threshold condition for infection persistence describes all possible behavior of the system. As far as we know, the kind of analysis here proposed is entirely new. No precise mathematical theorems are demonstrated but we give enough numerical evidence to support the conclusions.
We develop and analyze an ordinary differential equation model to assess the potential effectiveness of infecting mosquitoes with the Wolbachia bacteria to control the ongoing mosquito-borne epidemics, such as dengue fever, chikungunya, and Zika. Wolbachia is a natural parasitic microbe that stops the proliferation of the harmful viruses inside the mosquito and reduces disease transmission. It is difficult to sustain an infection of the maternal transmitted Wolbachia in a wild mosquito population because of the reduced fitness of the Wolbachia-infected mosquitoes and cytoplasmic incompatibilit…
