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Creators/Authors contains: "Manore, Carrie"

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  1. Increasing temperatures have raised concerns over the potential effect on disease spread. Temperature is a well known factor affecting mosquito population dynamics and the development rate of the malaria parasite within the mosquito, and consequently, malaria transmission. A sinusoidal wave is commonly used to incorporate temperature effects in malaria models, however, we introduce a seasonal malaria framework that links data on temperature-dependent mosquito and parasite demographic traits to average monthly regional temperature data, without forcing a sinusoidal t to the data. We introduce a spline methodology that maps temperature-dependent mosquito traits to time-varying model parameters. The resulting non-autonomous system of differential equations is used to study the impact of seasonality on malaria transmission dynamics and burden in a high and low malaria transmission region in Malawi. We present numerical simulations illustrating how temperature shifts alter the entomological inoculation rate and the number of malaria infections in these regions. 
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  2. Policymakers must make management decisions despite incomplete knowledge and conflicting model projections. Little guidance exists for the rapid, representative, and unbiased collection of policy-relevant scientific input from independent modeling teams. Integrating approaches from decision analysis, expert judgment, and model aggregation, we convened multiple modeling teams to evaluate COVID-19 reopening strategies for a mid-sized United States county early in the pandemic. Projections from seventeen distinct models were inconsistent in magnitude but highly consistent in ranking interventions. The 6-mo-ahead aggregate projections were well in line with observed outbreaks in mid-sized US counties. The aggregate results showed that up to half the population could be infected with full workplace reopening, while workplace restrictions reduced median cumulative infections by 82%. Rankings of interventions were consistent across public health objectives, but there was a strong trade-off between public health outcomes and duration of workplace closures, and no win-win intermediate reopening strategies were identified. Between-model variation was high; the aggregate results thus provide valuable risk quantification for decision making. This approach can be applied to the evaluation of management interventions in any setting where models are used to inform decision making. This case study demonstrated the utility of our approach and was one of several multimodel efforts that laid the groundwork for the COVID-19 Scenario Modeling Hub, which has provided multiple rounds of real-time scenario projections for situational awareness and decision making to the Centers for Disease Control and Prevention since December 2020. 
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