The objective of this project, Systems analysis of social pathways of epidemics to reduce health disparities,"""""""" is to incorporate social behavior into mathematical models of infectious disease transmission dynamics, with a focus on in uenza like illness. The inferences of this project will improve our understand- ing of the impact of di erent control and prevention strategies for infectious disease epidemics in general and in uenza epidemics in particular. Our hypothesis is that individual behavior, disease dynamics, and interventions coevolve across multi- ple scales to create statistically and epidemiologically signi cant di erences in the ecacy and social equity of public health policies such as infectious disease control strategies. This hypothesis will be tested by pursuing the following speci c aims: 1. Identify social behaviors across communities that strongly a ect transmission dynamics of infectious disease epidemics. 2. Evaluate how the lack of dynamic behavioral response to epidemic evolution a ects previous model- based estimates for transmissibility and the ecacy of targeted, layered containment of pandemic in uenza. 3. Analyze interactions between behavioral di erences and epidemic interventions to facilitate the design of optimal interventions to reduce health disparities. This project extends well studied computational simulations to include people's behaviors relevant to infec- tious disease epidemics and will be used to determine the consequences of feedback between population-level e ects and individual-level behavior. In particular, we will determine the sensitivity of outcomes to partic- ular behaviors. A survey designed to focus on those particular behaviors will be used to estimate variability across communities and to calibrate the simulations. Published models and results on in uenza transmis- sibility and intervention ecacy will be revisited with the improved simulations. Initially, our analysis will describe the mean performance of interventions over the whole population. The analyses will then extend to scenarios re ecting the observed variability in behavior to reveal how health disparities could arise from behavioral di erences at the community level. Altogether, the results of the new and comparative analyses will inform the design of optimal epidemic interventions with fewer unintended consequences.

Public Health Relevance

This research project will fill an important gap in understanding individual social behavior, disease dynamics and preventive interventions, especially in the domain of infectious disease spread. The knowledge and methods developed here will enable society to control outbreaks of infectious diseases effectively and equitably.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
1R01GM109718-01A1
Application #
8650027
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Marcus, Stephen
Project Start
2014-08-15
Project End
2019-05-31
Budget Start
2014-08-15
Budget End
2015-05-31
Support Year
1
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Virginia Polytechnic Institute and State University
Department
Type
Organized Research Units
DUNS #
City
Blacksburg
State
VA
Country
United States
Zip Code
24060
Chen, Jiangzhuo; Chu, Shuyu; Chungbaek, Youngyun et al. (2016) Effect of modelling slum populations on influenza spread in Delhi. BMJ Open 6:e011699
Abbas, Kaja M; Dorratoltaj, Nargesalsadat; O'Dell, Margaret L et al. (2016) Clinical Response, Outbreak Investigation, and Epidemiology of the Fungal Meningitis Epidemic in the United States: Systematic Review. Disaster Med Public Health Prep 10:145-51
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Xia, Huadong; Nagaraj, Kalyani; Chen, Jiangzhuo et al. (2015) Synthesis of a high resolution social contact network for Delhi with application to pandemic planning. Artif Intell Med 65:113-30
Althouse, Benjamin M; Scarpino, Samuel V; Meyers, Lauren Ancel et al. (2015) Enhancing disease surveillance with novel data streams: challenges and opportunities. EPJ Data Sci 4:
Deodhar, Suruchi; Bisset, Keith; Chen, Jiangzhuo et al. (2015) EpiCaster: An Integrated Web Application For Situation Assessment and Forecasting of Global Epidemics. ACM BCB 2015:156-165
Yi, Ming; Marathe, Achla (2015) Fairness versus efficiency of vaccine allocation strategies. Value Health 18:278-83
Abbas, Kaja M; Dorratoltaj, Nargesalsadat; O'Dell, Margaret L et al. (2015) Economic Evaluation of Fungal Meningitis Outbreak Response in New River Valley: Local Health Department Perspective. Front Public Health Serv Syst Res 4:21-28
Cadena, Jose; Korkmaz, Gizem; Kuhlman, Chris J et al. (2015) Forecasting Social Unrest Using Activity Cascades. PLoS One 10:e0128879
Zhao, Liang; Chen, Jiangzhuo; Chen, Feng et al. (2015) SimNest: Social Media Nested Epidemic Simulation via Online Semi-supervised Deep Learning. Proc IEEE Int Conf Data Min 2015:639-648

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