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Meakin, S.

Publications and source records attributed to Meakin, S..

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Correlations between stochastic endemic infection in multiple interacting subpopulations

Heterogeneity plays an important role in the emergence, persistence and control of infectious diseases. Metapopulation models are often used to describe spatial heterogeneity, and the transition from random-to heterogeneous-mixing is made by incorporating the interaction, or coupling, within and between subpopulations. However, such couplings are difficult to measure explicitly; instead, their action through the correlations between subpopulations is often all that can be observed. We use moment-closure methods to investigate how the coupling and resulting correlation are related, considering systems of multiple identical interacting populations on highly symmetric complex networks: the complete network, the k-regular tree network, and the star network. We show that the correlation between the prevalence of infection takes a relatively simple form and can be written in terms of the coupling, network parameters and epidemiological parameters only. These results provide insight into the effect of metapopulation network structure on endemic disease dynamics, and suggest that detailed case-reporting data alone may be sufficient to infer the strength of between population interaction and hence lead to more accurate mathematical descriptions of infectious disease behaviour.

epidemiology

A metapopulation model for the 2018 Ebola outbreak in Equateur province in the Democratic Republic of the Congo

Ebola virus disease (EVD) is a viral haemorrhagic fever with high mortality that has caused a number of severe outbreaks in Central and West Africa. Although the majority previous outbreaks have been relatively small, the result of managing outbreaks places huge strains on already limited resources. Mathematical models matched to early case reporting data can be used to identify outbreaks that are at high risk of spreading. Here we consider the EVD outbreak in Equateur Province in the Democratic Republic of the Congo, which was declared on 8 May 2018. We use a simple stochastic metapopulation model to capture the dynamics in the three affected health zones: Bikoro, Iboko and Wangata. We are able to rapidly simulate a large number of realisations and use approximate Bayesian computation, a likelihood-free method, to determine parameters by matching between reported and simulated cases. This method has a number of advantages over more traditional likelihood-based methods as it is less sensitive to errors in the data and is a natural extension to the prediction framework. Using data from 8 to 25 May 2018 we are able to capture the exponential increases in the number of cases in three locations (Bikoro, Iboko and Wangata), although our estimated basic reproductive ratio is higher than for previous outbreaks. Using additional data until 08 July 2018 we are able to detect a decrease in transmission such that the reproductive ratio falls below one. We also estimate the probability of transmission to Kinshasa. We believe this method of fitting models to data offers a generic approach that can deliver rapid results in real time during a range of future outbreaks.

epidemiology