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Giordano, Michael R.; Malings, Carl; Pandis, Spyros N.; Presto, Albert A.; McNeill, V.F.; Westervelt, Daniel M.; Beekmann, Matthias; Subramanian, R. (, Journal of Aerosol Science)
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Subramanian, R; Romeo-Aznar, V; Ionides, E; Codeço, CT; Pascual, M. (, Journal of the Royal Society interface)Predicting arbovirus re-emergence remains challenging in regions with limited off-season transmission and intermittent epidemics. Current mathematical models treat the depletion and replenishment of susceptible (non-immune) hosts as the principal drivers of re-emergence, based on established understanding of highly transmissible childhood diseases with frequent epidemics. We extend an analytical approach to determine the number of ‘skip’ years preceding re-emergence for diseases with continuous seasonal transmission, population growth and under-reporting. Re-emergence times are shown to be highly sensitive to small changes in low R0 (secondary cases produced from a primary infection in a fully susceptible population). We then fit a stochastic SIR (Susceptible-Infected-Recovered) model to observed case data for the emergence of dengue serotype DENV1 in Rio de Janeiro. This aggregated city-level model substantially over-estimates observed re-emergence times either in terms of skips or outbreak probability under forward simulation. The inability of susceptible depletion and replenishment to explain re-emergence under ‘well-mixed’ conditions at a city-wide scale demonstrates a key limitation of SIR aggregated models including those applied to other arboviruses. The predictive uncertainty and high skip sensitivity to epidemiological parameters suggest a need to investigate the relevant spatial scales of susceptible depletion and the scaling of microscale transmission dynamics to formulate simpler models that apply at coarse resolutions. Introduction:more » « less
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McFarlane, Celeste; Isevulambire, Paulson Kasereka; Lumbuenamo, Raymond Sinsi; Ndinga, Arnold Murphy; Dhammapala, Ranil; Jin, Xiaomeng; McNeill, V. Faye; Malings, Carl; Subramanian, R.; Westervelt, Daniel M. (, Aerosol and Air Quality Research)
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Raheja, Garima; Nimo, James; Appoh, Emmanuel K. -E.; Essien, Benjamin; Sunu, Maxwell; Nyante, John; Amegah, Mawuli; Quansah, Reginald; Arku, Raphael E.; Penn, Stefani L.; et al (, Environmental Science & Technology)
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