Vector-borne disease risk indexes in spatially structured populations

TL;DR

This paper introduces risk indexes for urban vector-borne diseases that incorporate human mobility and population density to identify critical areas for targeted control and prevention strategies.

Contribution

It proposes novel risk indexes based on secondary cases to guide efficient disease control focusing on specific neighborhoods considering mobility and density.

Findings

Indexes identify high-risk neighborhoods for disease spread.

Simulation results demonstrate the indexes' utility in prioritizing interventions.

Indexes can inform targeted public health campaigns.

Abstract

There are economic and physical limitations when applying prevention and control strategies for urban vector borne diseases. Consequently, there are increasing concerns and interest in designing efficient strategies and regulations that health agencies can follow in order to reduce the imminent impact of viruses like Dengue, Zika and Chikungunya. That includes fumigation, abatization, reducing the hatcheries, picking up trash, information campaigns. A basic question that arise when designing control strategies is about which and where these ones should focus. In other words, one would like to know whether preventing the contagion or decrease vector population, and in which area of the city, is more efficient. In this work, we propose risk indexes based on the idea of secondary cases from patch to patch. Thus, they take into account human mobility and indicate which patch has more chance to be a corridor for the spread of the disease and which is more vulnerable. They can also indicate the neighborhood where hatchery control will reduce more the number of potential cases. In order to illustrate the usefulness of these indexes, we run a set of numerical simulations in a mathematical model that takes into account the urban mobility and the differences in population density among the areas of a city. If i is a particular neighborhood, the transmission risk index TR_i measures the potential secondary cases caused by a host in that neighborhood. The vector transmission risk index VTR_i measures the potential secondary cases caused by a vector. Finally, the vulnerability risk index VR_i measures the potential secondary cases in the neighborhood. Transmission indexes can be used to give geographical priority to some neighborhoods when applying prevention and control measures. On the other hand, the vulnerability index can be useful to implement monitoring campaigns or public health investment.