Are all underimmunized measles clusters equally critical?

This research develops a novel system science approach to examine the potential risk of outbreaks caused by geographical clustering of underimmunized individuals for an infectious disease like measles. We use an activity-based population network model and school immunization records to identify unde...

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Main Authors: Sifat Afroj Moon, Achla Marathe, Anil Vullikanti
Format: Article
Language:English
Published: The Royal Society 2023-08-01
Series:Royal Society Open Science
Subjects:
Online Access:https://royalsocietypublishing.org/doi/10.1098/rsos.230873
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author Sifat Afroj Moon
Achla Marathe
Anil Vullikanti
author_facet Sifat Afroj Moon
Achla Marathe
Anil Vullikanti
author_sort Sifat Afroj Moon
collection DOAJ
description This research develops a novel system science approach to examine the potential risk of outbreaks caused by geographical clustering of underimmunized individuals for an infectious disease like measles. We use an activity-based population network model and school immunization records to identify underimmunized clusters of zip codes in the Commonwealth of Virginia. Although Virginia has high vaccine coverage for measles at the state level, finer-scale investigation at the zip code level finds three statistically significant underimmunized clusters. This research examines why some underimmunized geographical clusters are more critical in causing outbreaks and how their criticality changes with a possible drop in overall vaccination coverage. Results show that different clusters can cause vastly different outbreaks in a region, depending on their size, location, immunization rate and network characteristics. Among the three underimmunized clusters, we find one to be critical and the other two to be benign in terms of an outbreak risk. However, when the vaccine coverage among children drops by just 5% (or 0.8% overall in the population), one of the benign clusters becomes highly critical. This work also examines the demographic and network properties of these clusters to identify factors that are responsible for affecting the criticality of the clusters. Although this work focuses on measles, the methodology is generic and can be applied to study other infectious diseases.
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spelling doaj.art-298f8a2924444ee3a8a36eec40c08d152023-08-16T07:05:34ZengThe Royal SocietyRoyal Society Open Science2054-57032023-08-0110810.1098/rsos.230873Are all underimmunized measles clusters equally critical?Sifat Afroj Moon0Achla Marathe1Anil Vullikanti2Network Systems Science and Advanced Computing, Biocomplexity Institute, University of Virginia, Charlottesville, VA, USANetwork Systems Science and Advanced Computing, Biocomplexity Institute, University of Virginia, Charlottesville, VA, USANetwork Systems Science and Advanced Computing, Biocomplexity Institute, University of Virginia, Charlottesville, VA, USAThis research develops a novel system science approach to examine the potential risk of outbreaks caused by geographical clustering of underimmunized individuals for an infectious disease like measles. We use an activity-based population network model and school immunization records to identify underimmunized clusters of zip codes in the Commonwealth of Virginia. Although Virginia has high vaccine coverage for measles at the state level, finer-scale investigation at the zip code level finds three statistically significant underimmunized clusters. This research examines why some underimmunized geographical clusters are more critical in causing outbreaks and how their criticality changes with a possible drop in overall vaccination coverage. Results show that different clusters can cause vastly different outbreaks in a region, depending on their size, location, immunization rate and network characteristics. Among the three underimmunized clusters, we find one to be critical and the other two to be benign in terms of an outbreak risk. However, when the vaccine coverage among children drops by just 5% (or 0.8% overall in the population), one of the benign clusters becomes highly critical. This work also examines the demographic and network properties of these clusters to identify factors that are responsible for affecting the criticality of the clusters. Although this work focuses on measles, the methodology is generic and can be applied to study other infectious diseases.https://royalsocietypublishing.org/doi/10.1098/rsos.230873agent-based modelsimulationimmunizationanomaly detectionpattern recognition
spellingShingle Sifat Afroj Moon
Achla Marathe
Anil Vullikanti
Are all underimmunized measles clusters equally critical?
Royal Society Open Science
agent-based model
simulation
immunization
anomaly detection
pattern recognition
title Are all underimmunized measles clusters equally critical?
title_full Are all underimmunized measles clusters equally critical?
title_fullStr Are all underimmunized measles clusters equally critical?
title_full_unstemmed Are all underimmunized measles clusters equally critical?
title_short Are all underimmunized measles clusters equally critical?
title_sort are all underimmunized measles clusters equally critical
topic agent-based model
simulation
immunization
anomaly detection
pattern recognition
url https://royalsocietypublishing.org/doi/10.1098/rsos.230873
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