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Background Self-protective behaviors of social distancing and vaccination uptake vary by demographics and affect the transmission dynamics of influenza in the United States. By incorporating the socio-behavioral differences in social distancing and vaccination uptake into mathematical models of influenza transmission dynamics, we can improve our estimates of epidemic outcomes. In this study we analyze the impact of demographic disparities in social distancing and vaccination on influenza epidemics in urban and rural regions of the United States. Methods We conducted a survey of a nationally representative sample of US adults to collect data on their self-protective behaviors, including social distancing and vaccination to protect themselves from influenza infection. We incorporated this data in an agent-based model to simulate the transmission dynamics of influenza in the urban region of Miami Dade county in Florida and the rural region of Montgomery county in Virginia. Results We compare epidemic scenarios wherein the social distancing and vaccination behaviors are uniform versus non-uniform across different demographic subpopulations. We infer that a uniform compliance of social distancing and vaccination uptake among different demographic subpopulations underestimates the severity of the epidemic in comparison to differentiated compliance among different demographic subpopulations. This result holds for both urban and rural regions. Conclusions By taking into account the behavioral differences in social distancing and vaccination uptake among different demographic subpopulations in analysis of influenza epidemics, we provide improved estimates of epidemic outcomes that can assist in improved public health interventions for prevention and control of influenza. Electronic supplementary material The online version of this article (10.1186/s12879-019-3703-2) contains supplementary material, which is available to authorized users.

Recognition of the social costs associated with traditional practices of urban waste management in India led to the formulation of Municipal Waste Management and Handling rules (2000). However, compliance with the proposed collection and disposal involves higher commitment in terms of both time and money on the part of the residents, local bodies as well as the state and central government. In this context, information about the value of the environmental improvements conferred upon the city dwellers would be important from the planner's perspective. Given the non-market characteristic of waste disposal services, we infer about beneficiaries' perceived demand for the proposed service by means of Double-Bounded Dichotomous Choice Contingent Valuation Survey conducted in the Bally Municipality in the district of Howrah, West Bengal. We estimate the average WTP by controlling for anchoring bias and use the annualized value of cost to examine the feasibility of the proposed system.

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