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1.
PLoS Comput Biol ; 19(6): e1011149, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37262052

RESUMEN

COVID-19 has disproportionately impacted individuals depending on where they live and work, and based on their race, ethnicity, and socioeconomic status. Studies have documented catastrophic disparities at critical points throughout the pandemic, but have not yet systematically tracked their severity through time. Using anonymized hospitalization data from March 11, 2020 to June 1, 2021 and fine-grain infection hospitalization rates, we estimate the time-varying burden of COVID-19 by age group and ZIP code in Austin, Texas. During this 15-month period, we estimate an overall 23.7% (95% CrI: 22.5-24.8%) infection rate and 29.4% (95% CrI: 28.0-31.0%) case reporting rate. Individuals over 65 were less likely to be infected than younger age groups (11.2% [95% CrI: 10.3-12.0%] vs 25.1% [95% CrI: 23.7-26.4%]), but more likely to be hospitalized (1,965 per 100,000 vs 376 per 100,000) and have their infections reported (53% [95% CrI: 49-57%] vs 28% [95% CrI: 27-30%]). We used a mixed effect poisson regression model to estimate disparities in infection and reporting rates as a function of social vulnerability. We compared ZIP codes ranking in the 75th percentile of vulnerability to those in the 25th percentile, and found that the more vulnerable communities had 2.5 (95% CrI: 2.0-3.0) times the infection rate and only 70% (95% CrI: 60%-82%) the reporting rate compared to the less vulnerable communities. Inequality persisted but declined significantly over the 15-month study period. Our results suggest that further public health efforts are needed to mitigate local COVID-19 disparities and that the CDC's social vulnerability index may serve as a reliable predictor of risk on a local scale when surveillance data are limited.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , SARS-CoV-2 , Etnicidad , Hospitalización , Salud Pública
2.
Entropy (Basel) ; 24(9)2022 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-36141125

RESUMEN

We investigate the effects of external and autonomous global interaction fields on an adaptive network of social agents with an opinion formation dynamics based on a simple imitation rule. We study the competition between global fields and adaptive rewiring on the space of parameters of the system. The model represents an adaptive society subject to global mass media such as a directed opinion influence or feedback of endogenous cultural trends. We show that, in both situations, global mass media contribute to consensus and to prevent the fragmentation of the social network induced by the coevolutionary dynamics. We present a discussion of these results in the context of dynamical systems and opinion formation dynamics.

4.
PLoS Comput Biol ; 18(8): e1010354, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35984841

RESUMEN

The structure of contact networks affects the likelihood of disease spread at the population scale and the risk of infection at any given node. Though this has been well characterized for both theoretical and empirical networks for the spread of epidemics on completely susceptible networks, the long-term impact of network structure on risk of infection with an endemic pathogen, where nodes can be infected more than once, has been less well characterized. Here, we analyze detailed records of the transportation of cattle among farms in Turkey to characterize the global and local attributes of the directed-weighted shipments network between 2007-2012. We then study the correlations between network properties and the likelihood of infection with, or exposure to, foot-and-mouth disease (FMD) over the same time period using recorded outbreaks. The shipments network shows a complex combination of features (local and global) that have not been previously reported in other networks of shipments; i.e. small-worldness, scale-freeness, modular structure, among others. We find that nodes that were either infected or at high risk of infection with FMD (within one link from an infected farm) had disproportionately higher degree, were more central (eigenvector centrality and coreness), and were more likely to be net recipients of shipments compared to those that were always more than 2 links away from an infected farm. High in-degree (i.e. many shipments received) was the best univariate predictor of infection. Low in-coreness (i.e. peripheral nodes) was the best univariate predictor of nodes always more than 2 links away from an infected farm. These results are robust across the three different serotypes of FMD observed in Turkey and during periods of low-endemic prevalence and high-prevalence outbreaks.


Asunto(s)
Enfermedades de los Bovinos , Epidemias , Fiebre Aftosa , Animales , Bovinos , Enfermedades de los Bovinos/epidemiología , Brotes de Enfermedades/veterinaria , Epidemias/veterinaria , Granjas , Fiebre Aftosa/epidemiología , Turquía/epidemiología
5.
PNAS Nexus ; 1(2): pgac038, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35693630

RESUMEN

Targeting surveillance resources toward individuals at high risk of early infection can accelerate the detection of emerging outbreaks. However, it is unclear which individuals are at high risk without detailed data on interpersonal and physical contacts. We propose a data-driven COVID-19 surveillance strategy using Electronic Health Record (EHR) data that identifies the most vulnerable individuals who acquired the earliest infections during historical influenza seasons. Our simulations for all three networks demonstrate that the EHR-based strategy performs as well as the most-connected strategy. Compared to the random acquaintance surveillance, our EHR-based strategy detects the early warning signal and peak timing much earlier. On average, the EHR-based strategy has 9.8 days of early warning and 13.5 days of peak timings, respectively, before the whole population. For the urban network, the expected values of our method are better than the random acquaintance strategy (24% for early warning and 14% in-advance for peak time). For a scale-free network, the average performance of the EHR-based method is 75% of the early warning and 109% in-advance when compared with the random acquaintance strategy. If the contact structure is persistent enough, it will be reflected by their history of infection. Our proposed approach suggests that seasonal influenza infection records could be used to monitor new outbreaks of emerging epidemics, including COVID-19. This is a method that exploits the effect of contact structure without considering it explicitly.

6.
Entropy (Basel) ; 22(2)2020 Feb 02.
Artículo en Inglés | MEDLINE | ID: mdl-33285947

RESUMEN

We quantified the spatial and temporal entropy related to football teams and their players by means of a pass-based interaction. First, we calculated the spatial entropy associated to the positions of all passes made by a football team during a match, obtaining a spatial entropy ranking of Spanish teams during the 2017/2018 season. Second, we investigated how the player's average location in the field is related to the amount of entropy of his passes. Next, we constructed the temporal passing networks of each team and computed the deviation of their network parameters along the match. For each network parameter, we obtained the permutation entropy and the statistical complexity of its temporal fluctuations. Finally, we investigated how the permutation entropy (and statistical complexity) of the network parameters was related to the total number of passes made by a football team. Our results show that (i) spatial entropy changes according to the position of players in the field, and (ii) the organization of passing networks change during a match and its evolution can be captured measuring the permutation entropy and statistical complexity of the network parameters, allowing to identify what parameters evolve more randomly.

7.
Proc Math Phys Eng Sci ; 476(2236): 20190777, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32398936

RESUMEN

We introduce a new methodology, which is based on the construction of epidemic networks, to analyse the evolution of epidemic time series. First, we translate the time series into ordinal patterns containing information about local fluctuations in disease prevalence. Each pattern is associated with a node of a network, whose (directed) connections arise from consecutive appearances in the series. The analysis of the network structure and the role of each pattern allows them to be classified according to the enhancement of entropy/complexity along the series, giving a different point of view about the evolution of a given disease.

8.
PLoS One ; 14(12): e0225576, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31794551

RESUMEN

As infectious disease outbreaks emerge, public health agencies often enact vaccination and social distancing measures to slow transmission. Their success depends on not only strategies and resources, but also public adherence. Individual willingness to take precautions may be influenced by global factors, such as news media, or local factors, such as infected family members or friends. Here, we compare three modes of epidemiological decision-making in the midst of a growing outbreak using network-based mathematical models that capture plausible heterogeneity in human contact patterns. Individuals decide whether to adopt a recommended intervention based on overall disease prevalence, the proportion of social contacts infected, or the number of social contacts infected. While all strategies can substantially mitigate transmission, vaccinating (or self isolating) based on the number of infected acquaintances is expected to prevent the most infections while requiring the fewest intervention resources. Unlike the other strategies, it has a substantial herd effect, providing indirect protection to a large fraction of the population.


Asunto(s)
Enfermedades Transmisibles/transmisión , Brotes de Enfermedades/prevención & control , Cooperación del Paciente/psicología , Conducta de Reducción del Riesgo , Vacunación/psicología , Conducta de Elección , Enfermedades Transmisibles/epidemiología , Política de Salud/legislación & jurisprudencia , Humanos , Medios de Comunicación de Masas , Prevalencia , Distancia Psicológica , Salud Pública/legislación & jurisprudencia
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