Abstract:New outbreaks of Zika in the U.S. are imminent. Human nature dictates that many individuals will continue to revisit affected ‘Ground Zero’ patches, whether out of choice, work or family reasons − yet this feature is missing from traditional epidemiological analyses. Here we show that this missing visit-revisit mechanism is by itself capable of explaining quantitatively the 2016 human Zika outbreaks in all three Ground Zero patches. Our findings reveal counterintuitive ways in which this human flow can be mana… Show more
“…The State of Florida's ability to contain the 2016 ZIKV disease outbreak under relatively low or declining local mosquito-fighting budgets (Ajelli et al 2017, Manrique et al 2017) might be more a testament of programs essentially performing miracles with little than it was about the sufficient capacity of individual programs. In particular, the combined, coordinated federal and state support, including additional federal funding from the Centers for Disease Control and Prevention and state funding from the Florida Department of Health and FDACS, and efforts that went beyond control activities alone, were critical in limiting the spread of the deadly virus.…”
Effective and efficient surveillance systems are key for preventing arthropod-borne diseases. We examined the capacity of Florida mosquito control districts (both state-approved and open programs, n = 90; 48.9% response rate). Questions centered on budgets, staffing levels, equipment, vector control measures, and staff perceptions of own agency's capacity to implement routine surveillance and vector control activities. Bivariate analyses indicate that districts with relatively large budgets have advanced capacities regarding staffing levels, employee specialties, mosquito control equipment, conduct routine surveillance and vector control yet they serve only a small proportion of the population. Independent tax districts' average annual budgets were 9 times higher than Board of County Commissioners programs in fiscal year 2017–18. Most respondents indicated that staff is appropriately trained, and has timely access to information and needed equipment for mosquito surveillance and control. Slightly more than half of respondents feel they are understaffed. Perceived understaffing may compromise mosquito surveillance and control efforts in some districts.
“…The State of Florida's ability to contain the 2016 ZIKV disease outbreak under relatively low or declining local mosquito-fighting budgets (Ajelli et al 2017, Manrique et al 2017) might be more a testament of programs essentially performing miracles with little than it was about the sufficient capacity of individual programs. In particular, the combined, coordinated federal and state support, including additional federal funding from the Centers for Disease Control and Prevention and state funding from the Florida Department of Health and FDACS, and efforts that went beyond control activities alone, were critical in limiting the spread of the deadly virus.…”
Effective and efficient surveillance systems are key for preventing arthropod-borne diseases. We examined the capacity of Florida mosquito control districts (both state-approved and open programs, n = 90; 48.9% response rate). Questions centered on budgets, staffing levels, equipment, vector control measures, and staff perceptions of own agency's capacity to implement routine surveillance and vector control activities. Bivariate analyses indicate that districts with relatively large budgets have advanced capacities regarding staffing levels, employee specialties, mosquito control equipment, conduct routine surveillance and vector control yet they serve only a small proportion of the population. Independent tax districts' average annual budgets were 9 times higher than Board of County Commissioners programs in fiscal year 2017–18. Most respondents indicated that staff is appropriately trained, and has timely access to information and needed equipment for mosquito surveillance and control. Slightly more than half of respondents feel they are understaffed. Perceived understaffing may compromise mosquito surveillance and control efforts in some districts.
“…aegypti, the mathematical models have proven to be useful tools to understand dengue transmission [14,36] and, recently, chikungunya [37] and Zika [38], as well as to help in planning control strategies [39]. Among the different mathematical approaches to study infectious diseases through vectors, as with the Mayaro virus, the SEIR-type (susceptible, exposed, infected and recovered) epidemiological models [40,41] and in metapopulations, have been used widely [42][43][44][45][46]. Nonetheless, none of them considers the passive vector transport (dispersion process of invasive species associated with human activities) or its dynamic populations, under different biogeographical conditions; therefore, an option is to include a meta-population model in differential equations, where each local population includes a structured model on age for the dynamic population of Ae.…”
Background
Mayaro virus (Togaviridae) is an endemic arbovirus of the Americas with epidemiological similarities with the agents of other more prominent diseases such as dengue (Flaviviridae), Zika (Flaviviridae), and chikungunya (Togaviridae). It is naturally transmitted in a sylvatic/rural cycle by Haemagogus spp., but, potentially, it could be incorporated and transmitted in an urban cycle by Aedes aegypti, a vector widely disseminated in the Americas.
Methods
The Mayaro arbovirus dynamics was simulated mathematically in the colombian population in the eight biogeographical provinces, bearing in mind the vector’s population movement between provinces through passive transport via truck cargo. The parameters involved in the virus epidemiological dynamics, as well as the vital rates of Ae. aegypti in each of the biogeographical provinces were obtained from the literature. These data were included in a meta-population model in differential equations, represented by a model structured by age for the dynamic population of Ae. aegypti combined with an epidemiological SEI/SEIR-type model. In addition, the model was incorporated with a term of migration to represent the connectivity between the biogeographical provinces.
Results
The vital rates and the development cycle of Ae. aegypti varied between provinces, having greater biological potential between 23 °C and 28 °C in provinces of Imerí, biogeographical Chocó, and Magdalena, with respect to the North-Andean Moorland (9.33–21.38 °C). Magdalena and Maracaibo had the highest flow of land cargo. The results of the simulations indicate that Magdalena, Imerí, and biogeographical Chocó would be the most affected regarding the number of cases of people infected by Mayaro virus over time.
Conclusions
The temperature in each of the provinces influences the local population dynamics of Ae. aegypti and passive migration via transport of land cargo plays an important role on how the Mayaro virus would be disseminated in the human population. Once this arbovirus begins an urban cycle, the most-affected departments would be Antioquia, Santander, Norte de Santander, Cesar (Provinces of Magdalena), and Valle del Cauca, and Chocó (biogeographical province of Chocó), which is why vector control programmes must aim their efforts at these departments and include some type of vector control to the transport of land cargo to avoid a future Mayaro epidemic.
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