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Biology subjects

Bussell, E. H.

Publications and source records attributed to Bussell, E. H..

3 recordsLinked to original sources

Optimal strategies to protect a sub-population at risk due to an established epidemic

Epidemics can particularly threaten certain sub-populations. For example, for SARS-CoV-2, the elderly are often preferentially protected. For diseases of plants and animals, certain sub-populations can drive mitigation because they are intrinsically more valuable for ecological, economic, socio-cultural or political reasons. Here we use optimal control theory to identify strategies to optimally protect a "high value" sub-population when there is a limited budget and epidemiological uncertainty. We use protection of the Redwood National Park in California in the face of the large ongoing state-wide epidemic of sudden oak death (caused by Phytophthora ramorum) as a case study. We concentrate on whether control should be focused entirely within the National Park itself, or whether treatment of the growing epidemic in the surrounding "buffer region" can instead be more profitable. We find that, depending on rates of infection and the size of the ongoing epidemic, focusing control on the high value region is often optimal. However, priority should sometimes switch from the buffer region to the high value region only as the local outbreak grows. We characterise how the timing of any switch depends on epidemiological and logistic parameters, and test robustness to systematic misspecification of these factors due to imperfect prior knowledge.

ecology↗

Ongoing surveillance protects tanoak whilst conserving biodiversity: applying optimal control theory to a spatial simulation model of sudden oak death

The sudden oak death epidemic in California is spreading uncontrollably. Large-scale eradication has been impossible for some time. However, small-scale disease management could still slow disease spread. Although empirical evidence suggests localised control could potentially be successful, mathematical models have said little about such management. By approximating a detailed, spatially-explicit simulation model of sudden oak death with a simpler, mathematically-tractable model, we demonstrate how optimal control theory can be used to unambiguously characterise effective time-dependent disease management strategies. We focus on protection of tanoak, a tree species which is culturally and ecologically important, but also highly susceptible to sudden oak death. We identify management strategies to protect tanoak in a newly-invaded forest stand, whilst also conserving biodiversity. We find that thinning of bay laurel is essential early in the epidemic. We apply model predictive control, a feedback strategy in which both the approximating model and the control are repeatedly updated as the epidemic progresses. Adapting optimal control strategies in this way is vital for effective disease management. This feedback strategy is robust to parameter uncertainty, limiting loss of tanoak in the worst-case scenarios. However, the methodology requires ongoing surveillance to re-optimise the approximating model. This introduces an optimal level of surveillance to balance the high costs of intensive surveys against improved management resulting from better estimates of disease progress. Our study shows how detailed simulation models can be coupled with optimal control theory and model predictive control to find effective control strategies for sudden oak death. We demonstrate that control strategies for sudden oak death must depend on local management goals, and that success relies on adaptive strategies that are updated via ongoing disease surveillance. The broad framework allowing the use of optimal control theory on complex simulation models is applicable to a wide range of systems.

plant biology↗

Applying optimal control theory to complex epidemiological models to inform real-world disease management

Mathematical models provide a rational basis to inform how, where and when to control disease. Assuming an accurate spatially-explicit simulation model can be fitted to spread data, it is straightforward to use it to test the performance of a range of management strategies. However, the typical complexity of simulation models and the vast set of possible controls mean that only a small subset of all possible strategies can ever be tested. An alternative approach - optimal control theory - allows the very best control to be identified unambiguously. However, the complexity of the underpinning mathematics means that disease models used to identify this optimum must be very simple. We highlight two frameworks for bridging the gap between detailed epidemic simulations and optimal control theory: open-loop and model predictive control. Both these frameworks approximate a simulation model with a simpler model more amenable to mathematical analysis. Using an illustrative example model we show the benefits of using feedback control, in which the approximation and control are updated as the epidemic progresses. Our work illustrates a new methodology to allow the insights of optimal control theory to inform practical disease management strategies, with the potential for application to diseases of plants, animals and humans.

epidemiology↗