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1.
Proc Natl Acad Sci U S A ; 121(5): e2215685121, 2024 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-38227646

RESUMEN

Future climate change can cause more days with poor air quality. This could trigger more alerts telling people to stay inside to protect themselves, with potential consequences for health and health equity. Here, we study the change in US air quality alerts over this century due to fine particulate matter (PM2.5), who they may affect, and how they may respond. We find air quality alerts increase by over 1 mo per year in the eastern United States by 2100 and quadruple on average. They predominantly affect areas with high Black populations and leakier homes, exacerbating existing inequalities and impacting those less able to adapt. Reducing emissions can offer significant annual health benefits ($5,400 per person) by mitigating the effect of climate change on air pollution and its associated risks of early death. Relying on people to adapt, instead, would require them to stay inside, with doors and windows closed, for an extra 142 d per year, at an average cost of $11,000 per person. It appears likelier, however, that people will achieve minimal protection without policy to increase adaptation rates. Boosting adaptation can offer net benefits, even alongside deep emission cuts. New adaptation policies could, for example: reduce adaptation costs; reduce infiltration and improve indoor air quality; increase awareness of alerts and adaptation; and provide measures for those working or living outdoors. Reducing emissions, conversely, lowers everyone's need to adapt, and protects those who cannot adapt. Equitably protecting human health from air pollution under climate change requires both mitigation and adaptation.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire Interior , Contaminación del Aire , Humanos , Estados Unidos , Modelos Teóricos , Contaminación del Aire/análisis , Material Particulado/análisis , Cambio Climático , Contaminantes Atmosféricos/análisis
2.
Proc Natl Acad Sci U S A ; 118(39)2021 09 28.
Artículo en Inglés | MEDLINE | ID: mdl-34544867

RESUMEN

Many natural systems exhibit tipping points where slowly changing environmental conditions spark a sudden shift to a new and sometimes very different state. As the tipping point is approached, the dynamics of complex and varied systems simplify down to a limited number of possible "normal forms" that determine qualitative aspects of the new state that lies beyond the tipping point, such as whether it will oscillate or be stable. In several of those forms, indicators like increasing lag-1 autocorrelation and variance provide generic early warning signals (EWS) of the tipping point by detecting how dynamics slow down near the transition. But they do not predict the nature of the new state. Here we develop a deep learning algorithm that provides EWS in systems it was not explicitly trained on, by exploiting information about normal forms and scaling behavior of dynamics near tipping points that are common to many dynamical systems. The algorithm provides EWS in 268 empirical and model time series from ecology, thermoacoustics, climatology, and epidemiology with much greater sensitivity and specificity than generic EWS. It can also predict the normal form that characterizes the oncoming tipping point, thus providing qualitative information on certain aspects of the new state. Such approaches can help humans better prepare for, or avoid, undesirable state transitions. The algorithm also illustrates how a universe of possible models can be mined to recognize naturally occurring tipping points.

3.
Proc Natl Acad Sci U S A ; 117(39): 24575-24580, 2020 09 29.
Artículo en Inglés | MEDLINE | ID: mdl-32887803

RESUMEN

In the late stages of an epidemic, infections are often sporadic and geographically distributed. Spatially structured stochastic models can capture these important features of disease dynamics, thereby allowing a broader exploration of interventions. Here we develop a stochastic model of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission among an interconnected group of population centers representing counties, municipalities, and districts (collectively, "counties"). The model is parameterized with demographic, epidemiological, testing, and travel data from Ontario, Canada. We explore the effects of different control strategies after the epidemic curve has been flattened. We compare a local strategy of reopening (and reclosing, as needed) schools and workplaces county by county, according to triggers for county-specific infection prevalence, to a global strategy of province-wide reopening and reclosing, according to triggers for province-wide infection prevalence. For trigger levels that result in the same number of COVID-19 cases between the two strategies, the local strategy causes significantly fewer person-days of closure, even under high intercounty travel scenarios. However, both cases and person-days lost to closure rise when county triggers are not coordinated and when testing rates vary among counties. Finally, we show that local strategies can also do better in the early epidemic stage, but only if testing rates are high and the trigger prevalence is low. Our results suggest that pandemic planning for the far side of the COVID-19 epidemic curve should consider local strategies for reopening and reclosing.


Asunto(s)
Control de Enfermedades Transmisibles/organización & administración , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Betacoronavirus , COVID-19 , Ciudades/epidemiología , Control de Enfermedades Transmisibles/métodos , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Humanos , Modelos Estadísticos , Ontario/epidemiología , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Prevalencia , SARS-CoV-2 , Procesos Estocásticos , Viaje
4.
Proc Natl Acad Sci U S A ; 117(30): 17650-17655, 2020 07 28.
Artículo en Inglés | MEDLINE | ID: mdl-32669434

RESUMEN

Collective risks permeate society, triggering social dilemmas in which working toward a common goal is impeded by selfish interests. One such dilemma is mitigating runaway climate change. To study the social aspects of climate-change mitigation, we organized an experimental game and asked volunteer groups of three different sizes to invest toward a common mitigation goal. If investments reached a preset target, volunteers would avoid all consequences and convert their remaining capital into monetary payouts. In the opposite case, however, volunteers would lose all their capital with 50% probability. The dilemma was, therefore, whether to invest one's own capital or wait for others to step in. We find that communicating sentiment and outlook helps to resolve the dilemma by a fundamental shift in investment patterns. Groups in which communication is allowed invest persistently and hardly ever give up, even when their current investment deficits are substantial. The improved investment patterns are robust to group size, although larger groups are harder to coordinate, as evidenced by their overall lower success frequencies. A clustering algorithm reveals three behavioral types and shows that communication reduces the abundance of the free-riding type. Climate-change mitigation, however, is achieved mainly by cooperator and altruist types stepping up and increasing contributions as the failure looms. Meanwhile, contributions from free riders remain flat throughout the game. This reveals that the mechanisms behind avoiding collective risks depend on an interaction between behavioral type, communication, and timing.


Asunto(s)
Conducta , Cambio Climático , Comunicación , Modelos Teóricos , Humanos
5.
Proc Natl Acad Sci U S A ; 117(23): 13138-13144, 2020 06 09.
Artículo en Inglés | MEDLINE | ID: mdl-32457142

RESUMEN

Regions with insufficient vaccination have hindered worldwide poliomyelitis eradication, as they are vulnerable to sporadic outbreaks through reintroduction of the disease. Despite Israel's having been declared polio-free in 1988, a routine sewage surveillance program detected polio in 2013. To curtail transmission, the Israel Ministry of Health launched a vaccine campaign to vaccinate children-who had only received the inactivated polio vaccine-with the oral polio vaccine (OPV). Determining the degree of prosocial motivation in vaccination behavior is challenging because vaccination typically provides direct benefits to the individual as well as indirect benefits to the community by curtailing transmission. However, the Israel OPV campaign provides a unique and excellent opportunity to quantify and model prosocial vaccination as its primary objective was to avert transmission. Using primary survey data and a game-theoretical model, we examine and quantify prosocial behavior during the OPV campaign. We found that the observed vaccination behavior in the Israeli OPV campaign is attributable to prosocial behavior and heterogeneous perceived risk of paralysis based on the individual's comprehension of the prosocial nature of the campaign. We also found that the benefit of increasing comprehension of the prosocial nature of the campaign would be limited if even 24% of the population acts primarily from self-interest, as greater vaccination coverage provides no personal utility to them. Our results suggest that to improve coverage, communication efforts should also focus on alleviating perceived fears surrounding the vaccine.


Asunto(s)
Altruismo , Brotes de Enfermedades/prevención & control , Vacunación Masiva/psicología , Poliomielitis/prevención & control , Vacuna Antipolio Oral/uso terapéutico , Adolescente , Adulto , Anciano , Niño , Teoría del Juego , Humanos , Programas de Inmunización/métodos , Programas de Inmunización/estadística & datos numéricos , Israel/epidemiología , Vacunación Masiva/estadística & datos numéricos , Persona de Mediana Edad , Modelos Neurológicos , Poliomielitis/epidemiología , Poliomielitis/virología , Poliovirus/aislamiento & purificación , Vacuna Antipolio de Virus Inactivados/uso terapéutico , Aguas del Alcantarillado/virología , Encuestas y Cuestionarios , Cobertura de Vacunación/estadística & datos numéricos , Adulto Joven
6.
J Theor Biol ; 542: 111088, 2022 06 07.
Artículo en Inglés | MEDLINE | ID: mdl-35339514

RESUMEN

Stochasticity is often associated with negative consequences for population dynamics since a population may die out due to random chance during periods when population size is very low (stochastic fade-out). Here we develop a coupled social-ecological model based on stochastic differential equations that includes natural expansion and harvesting of a forest ecosystem, and dynamics of conservation opinions, social norms and social learning in a human population. Our objective was to identify mechanisms that influence long-term persistence of the forest ecosystem in the presence of noise. We found that most of the model parameters had a significant influence on the time to extinction of the forest ecosystem. Increasing the social learning rate and the net benefits of conservation significantly increased the time to extinction, for instance. Most interestingly, we found a parameter regime where an increase in the amount of system stochasticity caused an increase in the mean time to extinction, instead of causing stochastic fade-out. This effect occurs for a subset of realizations, but the effect is large enough to increase the mean time to extinction across all realizations. Such "stochasticity-induced persistence" occurs when stochastic dynamics in the social system generates benefits in the forest system at crucial points in its temporal dynamics. We conclude that studying relatively simple social-ecological models has the benefit of facilitating characterization of dynamical states and thereby enabling us to formulate new hypothesis about mechanisms that could be operating in empirical social-ecological systems.


Asunto(s)
Ecosistema , Bosques , Humanos , Modelos Biológicos , Modelos Teóricos , Dinámica Poblacional , Procesos Estocásticos
7.
PLoS Comput Biol ; 17(8): e1009351, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34460813

RESUMEN

Decision-making about pandemic mitigation often relies upon simulation modelling. Models of disease transmission through networks of contacts-between individuals or between population centres-are increasingly used for these purposes. Real-world contact networks are rich in structural features that influence infection transmission, such as tightly-knit local communities that are weakly connected to one another. In this paper, we propose a new flow-based edge-betweenness centrality method for detecting bottleneck edges that connect nodes in contact networks. In particular, we utilize convex optimization formulations based on the idea of diffusion with p-norm network flow. Using simulation models of COVID-19 transmission through real network data at both individual and county levels, we demonstrate that targeting bottleneck edges identified by the proposed method reduces the number of infected cases by up to 10% more than state-of-the-art edge-betweenness methods. Furthermore, the proposed method is orders of magnitude faster than existing methods.


Asunto(s)
COVID-19/prevención & control , Simulación por Computador , Modelos Biológicos , Algoritmos , COVID-19/epidemiología , COVID-19/transmisión , Humanos , Oregon/epidemiología , Pandemias , Quebec/epidemiología , Medios de Comunicación Sociales
8.
Bull Math Biol ; 84(4): 46, 2022 02 19.
Artículo en Inglés | MEDLINE | ID: mdl-35182222

RESUMEN

Overfishing has the potential to severely disrupt coral reef ecosystems worldwide, while harvesting at more sustainable levels instead can boost fish yield without damaging reefs. The dispersal abilities of reef species mean that coral reefs form highly connected environments, and the viability of reef fish populations depends on spatially explicit processes such as the spillover effect and unauthorized harvesting inside marine protected areas. However, much of the literature on coral conservation and management has only examined overfishing on a local scale, without considering how different spatial patterns of fishing levels can affect reef health both locally and regionally. Here, we simulate a coupled human-environment model to determine how coral and herbivorous reef fish respond to overfishing across multiple spatial scales. We find that coral and reef fish react in opposite ways to habitat fragmentation driven by overfishing, and that a potential spillover effect from marine protected areas into overfished patches helps coral populations far less than it does reef fish. We also show that ongoing economic transitions from fishing to tourism have the potential to revive fish and coral populations over a relatively short timescale, and that large-scale reef recovery is possible even if these transitions only occur locally. Our results show the importance of considering spatial dynamics in marine conservation efforts and demonstrate the ability of economic factors to cause regime shifts in human-environment systems.


Asunto(s)
Antozoos , Animales , Conservación de los Recursos Naturales , Arrecifes de Coral , Ecosistema , Explotaciones Pesqueras , Peces , Conceptos Matemáticos , Modelos Biológicos
9.
BMC Public Health ; 22(1): 446, 2022 03 07.
Artículo en Inglés | MEDLINE | ID: mdl-35255881

RESUMEN

BACKGROUND: Open online forums like Reddit provide an opportunity to quantitatively examine COVID-19 vaccine perceptions early in the vaccine timeline. We examine COVID-19 misinformation on Reddit following vaccine scientific announcements, in the initial phases of the vaccine timeline. METHODS: We collected all posts on Reddit (reddit.com) from January 1 2020 - December 14 2020 (n=266,840) that contained both COVID-19 and vaccine-related keywords. We used topic modeling to understand changes in word prevalence within topics after the release of vaccine trial data. Social network analysis was also conducted to determine the relationship between Reddit communities (subreddits) that shared COVID-19 vaccine posts, and the movement of posts between subreddits. RESULTS: There was an association between a Pfizer press release reporting 90% efficacy and increased discussion on vaccine misinformation. We observed an association between Johnson and Johnson temporarily halting its vaccine trials and reduced misinformation. We found that information skeptical of vaccination was first posted in a subreddit (r/Coronavirus) which favored accurate information and then reposted in subreddits associated with antivaccine beliefs and conspiracy theories (e.g. conspiracy, NoNewNormal). CONCLUSIONS: Our findings can inform the development of interventions where individuals determine the accuracy of vaccine information, and communications campaigns to improve COVID-19 vaccine perceptions, early in the vaccine timeline. Such efforts can increase individual- and population-level awareness of accurate and scientifically sound information regarding vaccines and thereby improve attitudes about vaccines, especially in the early phases of vaccine roll-out. Further research is needed to understand how social media can contribute to COVID-19 vaccination services.


Asunto(s)
COVID-19 , Medios de Comunicación Sociales , Vacunas , COVID-19/prevención & control , Vacunas contra la COVID-19 , Humanos , SARS-CoV-2
10.
Proc Biol Sci ; 288(1958): 20211357, 2021 09 08.
Artículo en Inglés | MEDLINE | ID: mdl-34521252

RESUMEN

Climate dynamics are inextricably linked to processes in social systems that are highly unequal. This suggests a need for coupled social-climate models that capture pervasive real-world asymmetries in the population distribution of the consequences of anthropogenic climate change and climate (in)action. Here, we use evolutionary game theory to develop a social-climate model with group structure to investigate how anthropogenic climate change and population heterogeneity coevolve. We find that greater homophily and resource inequality cause an increase in the global peak temperature anomaly by as much as 0.7°C. Also, climate change can structure human populations by driving opinion polarization. Finally, climate mitigation achieved by reducing the cost of mitigation measures paid by individuals tends to be contingent upon socio-economic conditions, whereas policies that achieve communication between different strata of society show climate mitigation benefits across a broad socio-economic regime. We conclude that advancing climate change mitigation efforts can benefit from a social-climate systems perspective.


Asunto(s)
Cambio Climático , Planetas , Teoría del Juego , Calor , Humanos , Modelos Teóricos
11.
J Theor Biol ; 531: 110881, 2021 12 21.
Artículo en Inglés | MEDLINE | ID: mdl-34453938

RESUMEN

Sudden shifts in vaccine uptake, vaccine opinion, and infection incidence can occur in coupled behaviour-disease systems going through a bifurcation as the perceived risk of the vaccine increases. Literature shows that such regime shifts are sometimes foreshadowed by early warning signals (EWS). We propose and compare the performance of various measures of network structure as potential EWS indicators of epidemics and changes in population vaccine opinion. We construct a multiplex model coupling transmission of a vaccine-preventable childhood infectious disease and social dynamics concerning vaccine opinion. We find that the modularity of pro- and anti-vaccine network communities perform well as EWS, as do several measures of the number and size of opinion-based communities, and the size of pro-vaccine echo chambers. The number of opinion changes also gives early warnings, although the clustering coefficient and metrics concerning anti-vaccine echo chambers provide little warning. Stronger social norms are found to compromise the ability of all EWS metrics to provide advance warning. These exploratory results suggest that EWS indicators based on the network structure of online social media communities might assist public health preparedness by providing early warning of potential regime shifts.


Asunto(s)
Epidemias , Negativa a la Vacunación , Benchmarking , Niño , Análisis por Conglomerados , Humanos , Red Social
12.
J Theor Biol ; 509: 110476, 2021 01 21.
Artículo en Inglés | MEDLINE | ID: mdl-33069675

RESUMEN

Shared resource extraction among profit-seeking individuals involves a tension between individual benefit and the collective well-being represented by the persistence of the resource. Many game theoretic models explore this scenario, but these models tend to assume either best response dynamics (where individuals instantly switch to better paying strategies) or imitation dynamics (where individuals copy successful strategies from neighbours), and do not systematically compare predictions under the two assumptions. Here we propose an iterated game on a social network with payoff functions that depend on the state of the resource. Agents harvest the resource, and the strategy composition of the population evolves until an equilibrium is reached. The system is then repeatedly perturbed and allowed to re-equilibrate. We compare model predictions under best response and imitation dynamics. Compared to imitation dynamics, best response dynamics increase sustainability of the system, the persistence of cooperation while decreasing inequality and debt corresponding to the Gini index in the agents' cumulative payoffs. Additionally, for best response dynamics, the number of strategy switches before equilibrium fits a power-law distribution under a subset of the parameter space, suggesting the system is in a state of self-organized criticality. We find little variation in most mean results over different network topologies; however, there is significant variation in the distributions of the raw data, equality of payoff, clustering of like strategies and power-law fit. We suggest the primary mechanisms driving the difference in sustainability between the two strategy update rules to be the clustering of like strategies as well as the time delay imposed by an imitation processes. Given the strikingly different outcomes for best response versus imitation dynamics for common-pool resource systems, our results suggest that modellers should choose strategy update rules that best represent decision-making in their study systems.


Asunto(s)
Teoría del Juego , Conducta Imitativa , Conducta Cooperativa , Humanos , Modelos Teóricos
13.
J Health Commun ; 26(12): 846-857, 2021 12 02.
Artículo en Inglés | MEDLINE | ID: mdl-35001841

RESUMEN

The duration and impact of the COVID-19 pandemic depends largely on individual and societal actions which are influenced by the quality and salience of the information to which they are exposed. Unfortunately, COVID-19 misinformation has proliferated. Despite growing attempts to mitigate COVID-19 misinformation, there is still uncertainty regarding the best way to ameliorate the impact of COVID-19 misinformation. To address this gap, the current study uses a meta-analysis to evaluate the relative impact of interventions designed to mitigate COVID-19-related misinformation. We searched multiple databases and gray literature from January 2020 to September 2021. The primary outcome was COVID-19 misinformation belief. We examined study quality and meta-analysis was used to pool data with similar interventions and outcomes. 16 studies were analyzed in the meta-analysis, including data from 33378 individuals. The mean effect size of interventions to mitigate COVID-19 misinformation was positive, but not statistically significant [d = 2.018, 95% CI (-0.14, 4.18), p = .065, k = 16]. We found evidence of publication bias. Interventions were more effective in cases where participants were involved with the topic, and where text-only mitigation was used. The limited focus on non-U.S. studies and marginalized populations is concerning given the greater COVID-19 mortality burden on vulnerable communities globally. The findings of this meta-analysis describe the current state of the literature and prescribe specific recommendations to better address the proliferation of COVID-19 misinformation, providing insights helpful to mitigating pandemic outcomes.


Asunto(s)
COVID-19 , Comunicación , Humanos , Pandemias , SARS-CoV-2
14.
Glob Chang Biol ; 26(11): 6097-6115, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32898316

RESUMEN

In mosaic ecosystems, multiple land types coexist as alternative stable states exhibiting distinct spatial patterns. Forest-grassland mosaics are ecologically valuable, due to their high species richness. However, anthropogenic disturbances threaten these ecosystems. Designating protected areas is one approach to preserving natural mosaics. Such work must account for climate change, yet there are few spatially explicit models of mosaics under climate change that can predict its effects. We construct a spatially explicit simulation model for a natural forest-grassland mosaic, parameterized for Southern Brazil. Using this model, we investigate how the spatial structure of these systems is altered under climate change and other disturbance regimes. By including local spatial interactions and fire-mediated forest recruitment, our model reproduces important spatial features of protected real-world mosaics, including the number of forest patches and overall forest cover. Multiple concurrent changes in environmental conditions have greater impacts on tree cover and spatial structure in simulated mosaics than single changes. This sensitivity reflects the narrow range of conditions under which simulated mosaics persist and emphasizes their vulnerability. Our model predicts that, in protected mosaics, climate change impacts on the fire-mediated threshold to recruitment will likely result in substantial increases in forest cover under Representative Concentration Pathway (RCP) 8.5, with potential for mosaic loss over a broad range of initial forest cover levels. Forest cover trajectories are similar until 2150, when cover increases under RCP 8.5 outpace those under RCP 2.6. Mosaics that persist under RCP 8.5 may experience structural alterations at the patch and landscape level. Our simple model predicts several realistic aspects of spatial structure as well as plausible responses to likely regional climate shifts. Hence, further model development could provide a useful tool when building strategies for protecting these ecosystems, by informing site selection for conservation areas that will be favourable to forest-grassland mosaics under future climates.


Asunto(s)
Cambio Climático , Ecosistema , Brasil , Cromosomas Humanos Y , Bosques , Pradera , Humanos , Masculino , Mosaicismo , Árboles
15.
PLoS Comput Biol ; 15(6): e1007000, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31170149

RESUMEN

Geophysical models of climate change are becoming increasingly sophisticated, yet less effort is devoted to modelling the human systems causing climate change and how the two systems are coupled. Here, we develop a simple socio-climate model by coupling an Earth system model to a social dynamics model. We treat social processes endogenously-emerging from rules governing how individuals learn socially and how social norms develop-as well as being influenced by climate change and mitigation costs. Our goal is to gain qualitative insights into scenarios of potential socio-climate dynamics and to illustrate how such models can generate new research questions. We find that the social learning rate is strongly influential, to the point that variation of its value within empirically plausible ranges changes the peak global temperature anomaly by more than 1°C. Conversely, social norms reinforce majority behaviour and therefore may not provide help when we most need it because they suppress the early spread of mitigative behaviour. Finally, exploring the model's parameter space for mitigation cost and social learning suggests optimal intervention pathways for climate change mitigation. We find that prioritising an increase in social learning as a first step, followed by a reduction in mitigation costs provides the most efficient route to a reduced peak temperature anomaly. We conclude that socio-climate models should be included in the ensemble of models used to project climate change.


Asunto(s)
Conservación de los Recursos Energéticos , Calentamiento Global/prevención & control , Modelos Teóricos , Cambio Social , Cambio Climático , Biología Computacional , Humanos
16.
Bull Math Biol ; 82(7): 85, 2020 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-32613297

RESUMEN

Pre-exposure prophylaxis (PrEP) has been shown to be highly effective in reducing the risk of HIV infection in gay and bisexual men who have sex with men (GbMSM). However, PrEP does not protect against other sexually transmitted infections (STIs). In some populations, PrEP has also led to riskier behavior such as reduced condom usage, with the result that the prevalence of bacterial STIs like gonorrhea has increased. Here, we develop a compartmental model of the transmission of HIV and gonorrhea and the impacts of PrEP, condom usage, STI testing frequency and potential changes in sexual risk behavior stemming from the introduction of PrEP in a population of GbMSM. We find that introducing PrEP causes an increase in gonorrhea prevalence for a wide range of parameter values, including at the currently recommended frequency of STI testing once every three months for individuals on PrEP. Moreover, the model predicts that a higher STI testing frequency alone is not enough to prevent a rise in gonorrhea prevalence, unless the testing frequency is increased to impractical levels. However, testing every 2 months in combination with a 10-25 % reduction in risky behavior by individuals on PrEP would maintain gonorrhea prevalence at pre-PrEP levels. The results emphasize that programs making PrEP more available should be accompanied by efforts to support condom usage and frequent STI testing, in order to avoid an increase in the prevalence of gonorrhea and other bacterial STIs.


Asunto(s)
Gonorrea/epidemiología , Infecciones por VIH/prevención & control , Profilaxis Pre-Exposición , Canadá/epidemiología , Simulación por Computador , Condones , Gonorrea/diagnóstico , Gonorrea/transmisión , Infecciones por VIH/epidemiología , Infecciones por VIH/transmisión , Homosexualidad Masculina , Humanos , Masculino , Conceptos Matemáticos , Modelos Biológicos , Prevalencia , Asunción de Riesgos , Conducta Sexual , Minorías Sexuales y de Género , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/epidemiología , Estados Unidos/epidemiología , Sexo Inseguro
17.
Proc Natl Acad Sci U S A ; 119(37): e2210407119, 2022 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-35972984
18.
Proc Natl Acad Sci U S A ; 114(52): 13762-13767, 2017 12 26.
Artículo en Inglés | MEDLINE | ID: mdl-29229821

RESUMEN

Vaccine refusal can lead to renewed outbreaks of previously eliminated diseases and even delay global eradication. Vaccinating decisions exemplify a complex, coupled system where vaccinating behavior and disease dynamics influence one another. Such systems often exhibit critical phenomena-special dynamics close to a tipping point leading to a new dynamical regime. For instance, critical slowing down (declining rate of recovery from small perturbations) may emerge as a tipping point is approached. Here, we collected and geocoded tweets about measles-mumps-rubella vaccine and classified their sentiment using machine-learning algorithms. We also extracted data on measles-related Google searches. We find critical slowing down in the data at the level of California and the United States in the years before and after the 2014-2015 Disneyland, California measles outbreak. Critical slowing down starts growing appreciably several years before the Disneyland outbreak as vaccine uptake declines and the population approaches the tipping point. However, due to the adaptive nature of coupled behavior-disease systems, the population responds to the outbreak by moving away from the tipping point, causing "critical speeding up" whereby resilience to perturbations increases. A mathematical model of measles transmission and vaccine sentiment predicts the same qualitative patterns in the neighborhood of a tipping point to greatly reduced vaccine uptake and large epidemics. These results support the hypothesis that population vaccinating behavior near the disease elimination threshold is a critical phenomenon. Developing new analytical tools to detect these patterns in digital social data might help us identify populations at heightened risk of widespread vaccine refusal.


Asunto(s)
Bases de Datos Factuales , Aprendizaje Automático , Vacunación Masiva , Vacuna contra el Sarampión-Parotiditis-Rubéola/administración & dosificación , Medios de Comunicación Sociales , California , Femenino , Humanos , Masculino
19.
J Theor Biol ; 466: 64-83, 2019 04 07.
Artículo en Inglés | MEDLINE | ID: mdl-30684498

RESUMEN

Natural Selection is frequently modelled via proportional selection where survival is proportional to the average payoff differential. There has been little attention devoted to modelling truncation selection where replicators below a threshold are culled and survivors reproduce. Here, we systematically explore truncation selection for two strategy games in a spatial setting. We employ two variations of truncation selection: independent, where the threshold is fixed; and dependent, where the proportion culled is fixed. Further, we explore the effects of diffusion with the algorithms: contest-diffusion-offspring (CDO), and diffusion-contest-offspring (DCO). CDO and DCO frequently facilitate and diminish cooperation, respectively. For independent truncation, there are three qualitative regimes determined by the payoff threshold: cooperation decreases as the threshold rises; polymorphisms are stable; and extinction is frequent. Further, an intermediate payoff to cooperators playing defectors can maximize cooperation for the DCO algorithm with a high payoff threshold. Dependent truncation affects games differently; lower levels reduce cooperation for the Hawk Dove game and increase it for the Stag Hunt, and higher levels produce the opposite effects. Comparing these truncation methods to proportional selection, we show how they impact the prevalence of cooperation.


Asunto(s)
Algoritmos , Evolución Biológica , Modelos Biológicos , Teoría del Juego
20.
Proc Natl Acad Sci U S A ; 113(51): 14552-14559, 2016 12 20.
Artículo en Inglés | MEDLINE | ID: mdl-27956605

RESUMEN

Endangered forest-grassland mosaics interspersed with expanding agriculture and silviculture occur across many parts of the world, including the southern Brazilian highlands. This natural mosaic ecosystem is thought to reflect alternative stable states driven by threshold responses of recruitment to fire and moisture regimes. The role of adaptive human behavior in such systems remains understudied, despite its pervasiveness and the fact that such ecosystems can exhibit complex dynamics. We develop a nonlinear mathematical model of coupled human-environment dynamics in mosaic systems and social processes regarding conservation and economic land valuation. Our objective is to better understand how the coupled dynamics respond to changes in ecological and social conditions. The model is parameterized with southern Brazilian data on mosaic ecology, land-use profits, and questionnaire results concerning landowner preferences and conservation values. We find that the mosaic presently resides at a crucial juncture where relatively small changes in social conditions can generate a wide variety of possible outcomes, including complete loss of mosaics; large-amplitude, long-term oscillations between land states that preclude ecosystem stability; and conservation of the mosaic even to the exclusion of agriculture/silviculture. In general, increasing the time horizon used for conservation decision making is more likely to maintain mosaic stability. In contrast, increasing the inherent conservation value of either forests or grasslands is more likely to induce large oscillations-especially for forests-due to feedback from rarity-based conservation decisions. Given the potential for complex dynamics, empirically grounded nonlinear dynamical models should play a larger role in policy formulation for human-environment mosaic ecosystems.


Asunto(s)
Agricultura/métodos , Conservación de los Recursos Naturales , Bosques , Pradera , Algoritmos , Biodiversidad , Brasil , Clima , Ecología , Humanos , Dinámicas no Lineales , Dinámica Poblacional , Conducta Social , Árboles
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