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1.
BMC Infect Dis ; 22(1): 694, 2022 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-35978312

RESUMO

COVID-19 has had a substantial impact globally. It spreads readily, particularly in enclosed and crowded spaces, such as public transport carriages, yet there are limited studies on how this risk can be reduced. We developed a tool for exploring the potential impacts of mitigation strategies on public transport networks, called the Systems Analytics for Epidemiology in Transport (SAfE Transport). SAfE Transport combines an agent-based transit assignment model, a community-wide transmission model, and a transit disease spread model to support strategic and operational decision-making. For this simulated COVID-19 case study, the transit disease spread model incorporates both direct (person-to-person) and fomite (person-to-surface-to-person) transmission modes. We determine the probable impact of wearing face masks on trains over a seven day simulation horizon, showing substantial and statistically significant reductions in new cases when passenger mask wearing proportions are greater than 80%. The higher the level of mask coverage, the greater the reduction in the number of new infections. Also, the higher levels of mask coverage result in an earlier reduction in disease spread risk. These results can be used by decision makers to guide policy on face mask use for public transport networks.


Assuntos
COVID-19 , COVID-19/prevenção & controle , Humanos , Máscaras , SARS-CoV-2
2.
PLoS One ; 16(10): e0258332, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34662353

RESUMO

BACKGROUND: Disease surveillance and response are critical components of epidemic preparedness. The disease response, in most cases, is a set of reactive measures that follow the outcomes of the disease surveillance. Hence, timely surveillance is a prerequisite for an effective response. METHODOLOGY/PRINCIPAL FINDINGS: We apply epidemiological soundness criteria in combination with the Latent Influence Point Process and time-to-event models to construct a disease spread network. The network implicitly quantifies the fertility (whether a case leads to secondary cases) and reproduction (number of secondary cases per infectious case) of the cases as well as the size and generations (of the infection chain) of the outbreaks. We test our approach by applying it to historic dengue case data from Australia. Using the data, we empirically confirm that high morbidity relates positively with delay in disease response. Moreover, we identify what constitutes timely surveillance by applying various thresholds of disease response delay to the network and report their impact on case fertility, reproduction, number of generations and ultimately, outbreak size. We observe that enforcing a response delay threshold of 5 days leads to a large average reduction across all parameters (occurrence 87%, reproduction 83%, outbreak size 80% and outbreak generations 47%), whereas extending the threshold to 10 days, in comparison, significantly limits the effectiveness of the response actions. Lastly, we identify the components of the disease surveillance system that can be calibrated to achieve the identified thresholds. CONCLUSION: We identify practically achievable, timely surveillance thresholds (on temporal scale) that lead to an effective response and identify how they can be satisfied. Our approach can be utilized to provide guidelines on spatially and demographically targeted resource allocation for public awareness campaigns as well as to improve diagnostic abilities and turn-around times for the doctors and laboratories involved.


Assuntos
Doenças Transmissíveis/epidemiologia , Austrália/epidemiologia , Calibragem , Doenças Transmissíveis/transmissão , Dengue/epidemiologia , Monitoramento Epidemiológico , Geografia , Humanos , Fatores de Tempo
3.
BMC Public Health ; 21(1): 1573, 2021 08 20.
Artigo em Inglês | MEDLINE | ID: mdl-34416860

RESUMO

BACKGROUND: Novel coronavirus disease (COVID-19) has spread across the world at an unprecedented pace, reaching over 200 countries and territories in less than three months. In response, many governments denied entry to travellers arriving from various countries affected by the virus. While several industries continue to experience economic losses due to the imposed interventions, it is unclear whether the different travel restrictions were successful in reducing COVID-19 importations. METHODS: Here we develop a comprehensive probabilistic framework to model daily COVID-19 importations, considering different travel bans. We quantify the temporal effects of the restrictions and elucidate the relationship between incidence rates in other countries, travel flows and the expected number of importations into the country under investigation. RESULTS: As a cases study, we evaluate the travel bans enforced by the Australian government. We find that international travel bans in Australia lowered COVID-19 importations by 87.68% (83.39 - 91.35) between January and June 2020. The presented framework can further be used to gain insights into how many importations to expect should borders re-open. CONCLUSIONS: While travel bans lowered the number of COVID-19 importations overall, the effectiveness of bans on individual countries varies widely and directly depends on the change in behaviour in returning residents and citizens. Authorities may consider the presented information when planning a phased re-opening of international borders.


Assuntos
COVID-19 , Austrália , Humanos , SARS-CoV-2 , Viagem
4.
Epidemics ; 34: 100422, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33340847

RESUMO

The global incidence of dengue is increasing, and many previously unaffected areas have reported local cases of the vector-borne disease in recent years. For the effective containment of local outbreaks health authorities rely on the prompt notification of new cases. However, due to severe under-reporting and misdiagnosis, non-endemic countries face difficulties in containing local outbreaks, and the possibility of dengue becoming endemic. Outbreak control measures in non-endemic countries are largely reactive and health authorities would benefit from a universal early warning system that forecasts the probability of dengue outbreaks for given times and locations. We develop a model that establishes a link between pre- and post-border risk of dengue outbreaks. Specifically, we predict the probability of travellers importing dengue from other countries as well as the probability of those travellers causing local outbreaks. Our model can act as an early warning system, forecasting likely times and places of dengue outbreaks. We run our model for the Australian state of Queensland over a period of twelve years. Our results reveal the airports where dengue infected travellers are most likely to arrive and geographic locations associated with high outbreak probabilities. Our results can be used by health authorities to better utilise prevention and control resources and lead to the development of new prevention measures.


Assuntos
Dengue , Austrália/epidemiologia , Dengue/epidemiologia , Surtos de Doenças , Humanos , Probabilidade , Queensland/epidemiologia
5.
PLoS One ; 15(11): e0241612, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33180786

RESUMO

Infectious diseases are still a major global burden for modern society causing 13 million deaths annually. One way to reduce the morbidity and mortality rates from infectious diseases is through pre-emptive or targeted vaccinations. Current theoretical vaccination strategies based on contact networks, however, rely on highly specific individual contact information which is difficult and costly to obtain, in order to identify influential spreading individuals. Current approaches also focus only on direct contacts between individuals for spreading, and disregard indirect transmission where a pathogen can spread between one infected individual and one susceptible individual who visit the same location within a short time-frame without meeting. This paper presents a novel vaccination strategy which relies on coarse-grained contact information, both direct and indirect, that can be easily and efficiently collected. Rather than tracking exact contact degrees of individuals, our strategy uses the types of places people visit to estimate a range of contact degrees for individuals, considering both direct and indirect contacts. We conduct extensive computer simulations to evaluate the performance of our strategy in comparison to state-of-the-art vaccination strategies. Results show that, when considering indirect links, our lower cost vaccination strategy achieves comparable performance to the contact-degree based approach and outperforms other existing strategies without requiring over-detailed information.


Assuntos
Busca de Comunicante/estatística & dados numéricos , Transmissão de Doença Infecciosa/estatística & dados numéricos , Modelos Teóricos , Vacinação/estatística & dados numéricos , Simulação por Computador , Busca de Comunicante/instrumentação , Confiabilidade dos Dados , Transmissão de Doença Infecciosa/prevenção & controle , Humanos , Aplicativos Móveis , Vacinação/métodos
6.
JMIR Mhealth Uhealth ; 8(10): e19874, 2020 10 27.
Artigo em Inglês | MEDLINE | ID: mdl-33107838

RESUMO

BACKGROUND: The use of location-based data in clinical settings is often limited to real-time monitoring. In this study, we aim to develop a proximity-based localization system and show how its longitudinal deployment can provide operational insights related to staff and patients' mobility and room occupancy in clinical settings. Such a streamlined data-driven approach can help in increasing the uptime of operating rooms and more broadly provide an improved understanding of facility utilization. OBJECTIVE: The aim of this study is to measure the accuracy of the system and algorithmically calculate measures of mobility and occupancy. METHODS: We developed a Bluetooth low energy, proximity-based localization system and deployed it in a hospital for 30 days. The system recorded the position of 75 people (17 patients and 55 staff) during this period. In addition, we collected ground-truth data and used them to validate system performance and accuracy. A number of analyses were conducted to estimate how people move in the hospital and where they spend their time. RESULTS: Using ground-truth data, we estimated the accuracy of our system to be 96%. Using mobility trace analysis, we generated occupancy rates for different rooms in the hospital occupied by both staff and patients. We were also able to measure how much time, on average, patients spend in different rooms of the hospital. Finally, using unsupervised hierarchical clustering, we showed that the system could differentiate between staff and patients without training. CONCLUSIONS: Analysis of longitudinal, location-based data can offer rich operational insights into hospital efficiency. In particular, they allow quick and consistent assessment of new strategies and protocols and provide a quantitative way to measure their effectiveness.


Assuntos
Ocupação de Leitos , Hospitais , Humanos
7.
PLoS One ; 14(12): e0225193, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31800583

RESUMO

With approximately half of the world's population at risk of contracting dengue, this mosquito-borne disease is of global concern. International travellers significantly contribute to dengue's rapid and large-scale spread by importing the disease from endemic into non-endemic countries. To prevent future outbreaks and dengue from establishing in non-endemic countries, knowledge about the arrival time and location of infected travellers is crucial. We propose a network model that predicts the monthly number of dengue-infected air passengers arriving at any given airport. We consider international air travel volumes to construct weighted networks, representing passenger flows between airports. We further calculate the probability of passengers, who travel through the international air transport network, being infected with dengue. The probability of being infected depends on the destination, duration and timing of travel. Our findings shed light onto dengue importation routes and reveal country-specific reporting rates that have been until now largely unknown. This paper provides important new knowledge about the spreading dynamics of dengue that is highly beneficial for public health authorities to strategically allocate the often limited resources to more efficiently prevent the spread of dengue.


Assuntos
Aeroportos/estatística & dados numéricos , Dengue/epidemiologia , Transmissão de Doença Infecciosa/estatística & dados numéricos , Migração Humana/estatística & dados numéricos , Pandemias/estatística & dados numéricos , Aviação/estatística & dados numéricos , Dengue/transmissão , Humanos , Modelos Estatísticos
8.
R Soc Open Sci ; 6(8): 190845, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31598252

RESUMO

Interaction patterns at the individual level influence the behaviour of diffusion over contact networks. Most of the current diffusion models only consider direct interactions, capable of transferring infectious items among individuals, to build transmission networks of diffusion. However, delayed indirect interactions, where a susceptible individual interacts with infectious items after the infected individual has left the interaction space, can also cause transmission events. We define a diffusion model called the same place different time transmission (SPDT)-based diffusion that considers transmission links for these indirect interactions. Our SPDT model changes the network dynamics where the connectivity among individuals varies with the decay rates of link infectivity. We investigate SPDT diffusion behaviours by simulating airborne disease spreading on data-driven contact networks. The SPDT model significantly increases diffusion dynamics with a high rate of disease transmission. By making the underlying connectivity denser and stronger due to the inclusion of indirect transmissions, SPDT models are more realistic than same place same time transmission (SPST)-based models for the study of various airborne disease outbreaks. Importantly, we also find that the diffusion dynamics including indirect links are not reproducible by the current SPST models based on direct links, even if both SPDT and SPST networks assume the same underlying connectivity. This is because the transmission dynamics of indirect links are different from those of direct links. These outcomes highlight the importance of the indirect links for predicting outbreaks of airborne diseases.

9.
Proc Natl Acad Sci U S A ; 116(2): 401-406, 2019 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-30587583

RESUMO

Diffusion processes are governed by external triggers and internal dynamics in complex systems. Timely and cost-effective control of infectious disease spread critically relies on uncovering underlying diffusion mechanisms, which is challenging due to invisible infection pathways and time-evolving intensity of infection cases. Here, we propose a new diffusion framework for stochastic processes, which models disease spread across metapopulations by incorporating human mobility as topological pathways in a heterogeneous social system. We apply Bayesian inference with the stochastic Expectation-Maximization algorithm to quantify underlying diffusion dynamics in terms of exogeneity and endogeneity and estimate cross-regional infection flow based on Granger causality. The effectiveness of our proposed model is shown by using comprehensive simulation procedures (robustness tests with noisy data considering missing or delayed human case reporting in real situations) and by applying the model to real data from 15-y dengue outbreaks in Australia.


Assuntos
Modelos Teóricos , Comportamento Social , Humanos , Processos Estocásticos
10.
Sensors (Basel) ; 18(6)2018 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-29844296

RESUMO

Channel state information (CSI) collected during WiFi packet transmissions can be used for localization of commodity WiFi devices in indoor environments with multipath propagation. To this end, the angle of arrival (AoA) and time of flight (ToF) for all dominant multipath components need to be estimated. A two-dimensional (2D) version of the multiple signal classification (MUSIC) algorithm has been shown to solve this problem using 2D grid search, which is computationally expensive and is therefore not suited for real-time localisation. In this paper, we propose using a modified matrix pencil (MMP) algorithm instead. Specifically, we show that the AoA and ToF estimates can be found independently of each other using the one-dimensional (1D) MMP algorithm and the results can be accurately paired to obtain the AoA⁻ToF pairs for all multipath components. Thus, the 2D estimation problem reduces to running 1D estimation multiple times, substantially reducing the computational complexity. We identify and resolve the problem of degenerate performance when two or more multipath components have the same AoA. In addition, we propose a packet aggregation model that uses the CSI data from multiple packets to improve the performance under noisy conditions. Simulation results show that our algorithm achieves two orders of magnitude reduction in the computational time over the 2D MUSIC algorithm while achieving similar accuracy. High accuracy and low computation complexity of our approach make it suitable for applications that require location estimation to run on resource-constrained embedded devices in real time.

11.
Sensors (Basel) ; 18(1)2017 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-29271880

RESUMO

Wireless sensor networks are widely used in environmental monitoring. The number of sensor nodes to be deployed will vary depending on the desired spatio-temporal resolution. Selecting an optimal number, position and sampling rate for an array of sensor nodes in environmental monitoring is a challenging question. Most of the current solutions are either theoretical or simulation-based where the problems are tackled using random field theory, computational geometry or computer simulations, limiting their specificity to a given sensor deployment. Using an empirical dataset from a mine rehabilitation monitoring sensor network, this work proposes a data-driven approach where co-integrated time series analysis is used to select the number of sensors from a short-term deployment of a larger set of potential node positions. Analyses conducted on temperature time series show 75% of sensors are co-integrated. Using only 25% of the original nodes can generate a complete dataset within a 0.5 °C average error bound. Our data-driven approach to sensor position selection is applicable for spatiotemporal monitoring of spatially correlated environmental parameters to minimize deployment cost without compromising data resolution.

12.
Sensors (Basel) ; 17(6)2017 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-28587133

RESUMO

Wireless sensor networks have gained significant traction in environmental signal monitoring and analysis. The cost or lifetime of the system typically depends on the frequency at which environmental phenomena are monitored. If sampling rates are reduced, energy is saved. Using empirical datasets collected from environmental monitoring sensor networks, this work performs time series analyses of measured temperature time series. Unlike previous works which have concentrated on suppressing the transmission of some data samples by time-series analysis but still maintaining high sampling rates, this work investigates reducing the sampling rate (and sensor wake up rate) and looks at the effects on accuracy. Results show that the sampling period of the sensor can be increased up to one hour while still allowing intermediate and future states to be estimated with interpolation RMSE less than 0.2 °C and forecasting RMSE less than 1 °C.

13.
PLoS One ; 11(8): e0152624, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27501240

RESUMO

Temporal contact networks are studied to understand dynamic spreading phenomena such as communicable diseases or information dissemination. To establish how spatiotemporal dynamics of nodes impact spreading potential in colocation contact networks, we propose "inducement-shuffling" null models which break one or more correlations between times, locations and nodes. By reconfiguring the time and/or location of each node's presence in the network, these models induce alternative sets of colocation events giving rise to contact networks with varying spreading potential. This enables second-order causal reasoning about how correlations in nodes' spatiotemporal preferences not only lead to a given contact network but ultimately influence the network's spreading potential. We find the correlation between nodes and times to be the greatest impediment to spreading, while the correlation between times and locations slightly catalyzes spreading. Under each of the presented null models we measure both the number of contacts and infection prevalence as a function of time, with the surprising finding that the two have no direct causality.


Assuntos
Doenças Transmissíveis/epidemiologia , Disseminação de Informação , Modelos Teóricos , Rede Social , Difusão , Epidemias , Humanos
14.
Sci Rep ; 6: 31967, 2016 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-27555220

RESUMO

Understanding the drivers of animal movement is significant for ecology and biology. Yet researchers have so far been unable to fully understand these drivers, largely due to low data resolution. In this study, we analyse a high-frequency movement dataset for a group of grazing cattle and investigate their spatiotemporal patterns using a simple two-state 'stop-and-move' mobility model. We find that the dispersal kernel in the moving state is best described by a mixture exponential distribution, indicating the hierarchical nature of the movement. On the other hand, the waiting time appears to be scale-invariant below a certain cut-off and is best described by a truncated power-law distribution, suggesting that the non-moving state is governed by time-varying dynamics. We explore possible explanations for the observed phenomena, covering factors that can play a role in the generation of mobility patterns, such as the context of grazing environment, the intrinsic decision-making mechanism or the energy status of different activities. In particular, we propose a new hypothesis that the underlying movement pattern can be attributed to the most probable observable energy status under the maximum entropy configuration. These results are not only valuable for modelling cattle movement but also provide new insights for understanding the underlying biological basis of grazing behaviour.


Assuntos
Movimento/fisiologia , Algoritmos , Animais , Comportamento Animal , Bovinos , Entropia , Sistemas de Informação Geográfica
15.
PLoS One ; 10(7): e0131469, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26154597

RESUMO

Understanding human mobility is crucial for a broad range of applications from disease prediction to communication networks. Most efforts on studying human mobility have so far used private and low resolution data, such as call data records. Here, we propose Twitter as a proxy for human mobility, as it relies on publicly available data and provides high resolution positioning when users opt to geotag their tweets with their current location. We analyse a Twitter dataset with more than six million geotagged tweets posted in Australia, and we demonstrate that Twitter can be a reliable source for studying human mobility patterns. Our analysis shows that geotagged tweets can capture rich features of human mobility, such as the diversity of movement orbits among individuals and of movements within and between cities. We also find that short- and long-distance movers both spend most of their time in large metropolitan areas, in contrast with intermediate-distance movers' movements, reflecting the impact of different modes of travel. Our study provides solid evidence that Twitter can indeed be a useful proxy for tracking and predicting human movement.


Assuntos
Movimento , Mídias Sociais , Entropia , Humanos , Probabilidade
16.
J Acoust Soc Am ; 137(5): 2502-11, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25994683

RESUMO

Large scale networks of embedded wireless sensor nodes can passively capture sound for species detection. However, the acoustic recordings result in large amounts of data requiring in-network classification for such systems to be feasible. The current state of the art in the area of in-network bioacoustics classification targets narrowband or long-duration signals, which render it unsuitable for detecting species that emit impulsive broadband signals. In this study, impulsive broadband signals were classified using a small set of spectral and temporal features to aid in their automatic detection and classification. A prototype system is presented along with an experimental evaluation of automated classification methods. The sound used was recorded from a freshwater invasive fish in Australia, the spotted tilapia (Tilapia mariae). Results show a high degree of accuracy after evaluating the proposed detection and classification method for T. mariae sounds and comparing its performance against the state of the art. Moreover, performance slightly improves when the original signal was down-sampled from 44.1 to 16 kHz. This indicates that the proposed method is well-suited for detection and classification on embedded devices, which can be deployed to implement a large scale wireless sensor network for automated species detection.


Assuntos
Acústica , Monitoramento Ambiental/métodos , Água Doce , Reconhecimento Automatizado de Padrão , Processamento de Sinais Assistido por Computador , Tilápia/classificação , Tilápia/fisiologia , Vocalização Animal/classificação , Acústica/instrumentação , Animais , Análise Discriminante , Monitoramento Ambiental/instrumentação , Modelos Logísticos , Movimento (Física) , Reprodutibilidade dos Testes , Som , Espectrografia do Som , Especificidade da Espécie , Fatores de Tempo
17.
Trends Biotechnol ; 33(4): 201-7, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25744760

RESUMO

The global movement of people and goods has increased the risk of biosecurity threats and their potential to incur large economic, social, and environmental costs. Conventional manual biosecurity surveillance methods are limited by their scalability in space and time. This article focuses on autonomous surveillance systems, comprising sensor networks, robots, and intelligent algorithms, and their applicability to biosecurity threats. We discuss the spatial and temporal attributes of autonomous surveillance technologies and map them to three broad categories of biosecurity threat: (i) vector-borne diseases; (ii) plant pests; and (iii) aquatic pests. Our discussion reveals a broad range of opportunities to serve biosecurity needs through autonomous surveillance.


Assuntos
Produtos Agrícolas , Monitoramento Ambiental/instrumentação , Robótica/instrumentação , Medidas de Segurança
18.
F1000Res ; 4: 43, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25789162

RESUMO

Access to appropriate health services is a fundamental problem in developing countries, where patients do not have access to information and to the nearest health service facility. We propose building a recommendation system based on simple SMS text messaging to help Ebola patients readily find the closest health service with available and appropriate resources. The system will map people's reported symptoms to likely Ebola case definitions and suitable health service locations. In addition to providing a valuable individual service to people with curable diseases, the proposed system will also predict population-level disease spread risk for infectious diseases using crowd-sourced symptoms from the population. Health workers will be able to better plan and anticipate responses to the current Ebola outbreak in West Africa. Patients will have improved access to appropriate health care. This system could also be applied in other resource poor or rich settings.

19.
J R Soc Interface ; 12(104): 20141158, 2015 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-25631566

RESUMO

We present a simple model to study Lévy-flight foraging with a power-law step-size distribution [P(l) ∞ l-µ] in a finite landscape with countable targets. We find that different optimal foraging strategies characterized by a wide range of power-law exponent µopt, from ballistic motion (µopt → 1) to Lévy flight (1 < µopt < 3) to Brownian motion (µopt ≥ 3), may arise in adaptation to the interplay between the termination of foraging, which is regulated by the number of foraging steps, and the environmental context of the landscape, namely the landscape size and number of targets. We further demonstrate that stochastic returning can be another significant factor that affects the foraging efficiency and optimality of foraging strategy. Our study provides a new perspective on Lévy-flight foraging, opens new avenues for investigating the interaction between foraging dynamics and the environment and offers a realistic framework for analysing animal movement patterns from empirical data.


Assuntos
Comportamento Apetitivo , Comportamento Animal , Voo Animal , Animais , Modelos Biológicos , Modelos Estatísticos , Movimento , Processos Estocásticos
20.
PLoS One ; 8(11): e79396, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24236127

RESUMO

Understanding the drivers of urban mobility is vital for epidemiology, urban planning, and communication networks. Human movements have so far been studied by observing people's positions in a given space and time, though most recent models only implicitly account for expected costs and returns for movements. This paper explores the explicit impact of cost and network topology on mobility dynamics, using data from 2 city-wide public bicycle share systems in the USA. User mobility is characterized through the distribution of trip durations, while network topology is characterized through the pairwise distances between stations and the popularity of stations and routes. Despite significant differences in station density and physical layout between the 2 cities, trip durations follow remarkably similar distributions that exhibit cost sensitive trends around pricing point boundaries, particularly with long-term users of the system. Based on the results, recommendations for dynamic pricing and incentive schemes are provided to positively influence mobility patterns and guide improved planning and management of public bicycle systems to increase uptake.


Assuntos
Modelos Teóricos , Meio Social , Meios de Transporte/economia , Meios de Transporte/estatística & dados numéricos , População Urbana , Cidades , Custos e Análise de Custo , Humanos , Estados Unidos
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