Technological advancements in phylodynamic modeling coupled with the accessibility of real-time pathogen genetic data are increasingly important for understanding the infectious disease transmission dynamics.In this s...Technological advancements in phylodynamic modeling coupled with the accessibility of real-time pathogen genetic data are increasingly important for understanding the infectious disease transmission dynamics.In this study,we compare the transmission potentials of North American influenza A(H1N1)pdm09 derived from sequence data to that derived from surveillance data.The impact of the choice of tree-priors,informative epidemiological priors,and evolutionary parameters on the transmission potential estimation is evaluated.North American Influenza A(H1N1)pdm09 hemagglutinin(HA)gene sequences are analyzed using the coalescent and birth-death tree prior models to estimate the basic reproduction number(R_(0)).Epidemiological priors gathered from published literature are used to simulate the birth-death skyline models.Path-sampling marginal likelihood estimation is conducted to assess model fit.A bibliographic search to gather surveillancebased R_(0)values were consistently lower(mean≤1.2)when estimated by coalescent models than by the birth-death models with informative priors on the duration of infectiousness(mean≥1.3 to≤2.88 days).The user-defined informative priors for use in the birth-death model shift the directionality of epidemiological and evolutionary parameters compared to non-informative estimates.While there was no certain impact of clock rate and tree height on the R_(0)estimation,an opposite relationship was observed between coalescent and birth-death tree priors.There was no significant difference(p=0.46)between the birth-death model and surveillance R0 estimates.This study concludes that treeprior methodological differences may have a substantial impact on the transmission potential estimation as well as the evolutionary parameters.The study also reports a consensus between the sequence-based R_(0)estimation and surveillanceased R_(0)stimates.Altogether,these outcomes shed light on the potential role of phylodynamic modeling to augment existing surveillance and epidemiological activities to better assess and respond to emerging infectious diseases.展开更多
In July 2023,the Center of Excellence in Respiratory Pathogens organized a two-day workshop on infectious diseases modelling and the lessons learnt from the Covid-19 pandemic.This report summarizes the rich discussion...In July 2023,the Center of Excellence in Respiratory Pathogens organized a two-day workshop on infectious diseases modelling and the lessons learnt from the Covid-19 pandemic.This report summarizes the rich discussions that occurred during the workshop.The workshop participants discussed multisource data integration and highlighted the benefits of combining traditional surveillance with more novel data sources like mobility data,social media,and wastewater monitoring.Significant advancements were noted in the development of predictive models,with examples from various countries showcasing the use of machine learning and artificial intelligence in detecting and monitoring disease trends.The role of open collaboration between various stakeholders in modelling was stressed,advocating for the continuation of such partnerships beyond the pandemic.A major gap identified was the absence of a common international framework for data sharing,which is crucial for global pandemic preparedness.Overall,the workshop underscored the need for robust,adaptable modelling frameworks and the integration of different data sources and collaboration across sectors,as key elements in enhancing future pandemic response and preparedness.展开更多
The basic reproduction number of an infectious agent is the average number of infections one case can generate over the course of the infectious period,in a naïve,uninfected population.It is well-known that the e...The basic reproduction number of an infectious agent is the average number of infections one case can generate over the course of the infectious period,in a naïve,uninfected population.It is well-known that the estimation of this number may vary due to several methodological issues,including different assumptions and choice of parameters,utilized models,used datasets and estimation period.With the spreading of the novel coronavirus(2019-nCoV)infection,the reproduction number has been found to vary,reflecting the dynamics of transmission of the coronavirus outbreak as well as the case reporting rate.Due to significant variations in the control strategies,which have been changing over time,and thanks to the introduction of detection technologies that have been rapidly improved,enabling to shorten the time from infection/symptoms onset to diagnosis,leading to faster confirmation of the new coronavirus cases,our previous estimations on the transmission risk of the 2019-nCoV need to be revised.By using time-dependent contact and diagnose rates,we refit our previously proposed dynamics transmission model to the data available until January 29th,2020 and re-estimated the effective daily reproduction ratio that better quantifies the evolution of the interventions.We estimated when the effective daily reproduction ratio has fallen below 1 and when the epidemics will peak.Our updated findings suggest that the best measure is persistent and strict self-isolation.The epidemics will continue to grow,and can peak soon with the peak time depending highly on the public health interventions practically implemented.展开更多
The surface glycoprotein hemagglutinin (HA) helps the influenza A virus to evade the host immune system by antigenic variation and is a major driving force for viral evolution. In this study, the selection pressure ...The surface glycoprotein hemagglutinin (HA) helps the influenza A virus to evade the host immune system by antigenic variation and is a major driving force for viral evolution. In this study, the selection pressure on HA of H5N1 influenza A virus was analyzed using bioinformatics algorithms. Most of the identified positive selection (PS) sites were found to be within or adjacent to epitope sites. Some of the identified PS sites are consistent with previous experimental studies, providing further support to the biological significance of our findings. The highest frequency of PS sites was observed in recent strains isolated during 2005-2007. Phylogenetic analysis was also conducted on HA sequences from various hosts. Viral drift is almost similar in both avian and human species with a progressive trend over the years. Our study reports new mutations in functional regions of HA that might provide markers for vaccine design or can be used to predict isolates of pandemic potential.展开更多
Food-borne disease outbreaks caused by Listeria monocytogenes continue to impose heavy burdens on public health in North America and globally.To explore the threat L.monocytogenes presents to the elderly,pregnant woma...Food-borne disease outbreaks caused by Listeria monocytogenes continue to impose heavy burdens on public health in North America and globally.To explore the threat L.monocytogenes presents to the elderly,pregnant woman and immuno-compromised individuals,many studies have focused on in-host infection mechanisms and risk evaluation in terms of dose-response outcomes.However,the connection of these two foci has received little attention,leaving risk prediction with an insufficient mechanistic basis.Consequently,there is a critical need to quantifiably link in-host infection pathways with the doseresponse paradigm.To better understand these relationships,we propose a new mathematical model to describe the gastro-intestinal pathway of L.monocytogenes within the host.The model dynamics are shown to be sensitive to inoculation doses and exhibit bistability phenomena.Applying the model to guinea pigs,we show how it provides useful tools to identify key parameters and to inform critical values of these parameters that are pivotal in risk evaluation.Our preliminary analysis shows that the effect of gastroenvironmental stress,the role of commensal microbiota and immune cells are critical for successful infection of L.monocytogenes and for dictating the shape of the doseresponse curves.展开更多
Human Immunodeficiency Virus(HIV)is able to persist in cellular and/or anatomical viral reservoirs,despite the effective inhibition of virus replication by the antiretroviral therapy(ART).Here we develop a mathematica...Human Immunodeficiency Virus(HIV)is able to persist in cellular and/or anatomical viral reservoirs,despite the effective inhibition of virus replication by the antiretroviral therapy(ART).Here we develop a mathematical model to gain some insights of HIV persistence relevant to the lymphocyte recirculation network of immune system and the central nervous system(CNS).Our simulations and analyses illustrate the role of the CNS as a virus reservoir to prevent antiretroviral drugs from penetrating the blood-brain(or blood-testis)barrier,and we examine the long-term impact of this reservoir on the transmissibility of an infected individual.We observe numerically that level of HIV in peripheral blood may not accurately reflect the true mechanisms occurring within other organs.展开更多
Brazil is one of the highest endemic countries for Zoonotic Visceral Leishmaniasis:according to the Brazilian Ministry of Health,the annual number of new human cases and deaths due to this disease has been increasing ...Brazil is one of the highest endemic countries for Zoonotic Visceral Leishmaniasis:according to the Brazilian Ministry of Health,the annual number of new human cases and deaths due to this disease has been increasing for the last 20 years.In addition,regarding the Americas,the specific relationship between canine and human for Visceral Leishmaniasis dynamics is still not well understood.In this work we propose a new model for Zoonotic Visceral Leishmaniasis,based on the models previously published by Burattini et al.(1998)and Ribas et al.(2013).Herein,we modeled the disease dynamics using a modified set of differential equations from those two authors,considering the same assumptions(inclusion of human,dog and sandfly populations,all constants over time).From this set of equations we were able to calculate the basic reproduction number R 0 and to analyze the stability and sensitivity of the system to the parameters variability.As main result,when the stability of the system is reached,the normalized reporting human cases rate is estimated in 9.12E-08/day.This estimation is very close to the 2015 report from Araçatuba city,5.69E-08/day.We also observed from stability and sensitivity analysis that the activity of sandfly population is critical to introduction and maintenance of Zoonotic Visceral Leishmaniasis in the population.In addition,the importance of dog as source of infection concentrates on latent dog,since it does not show clinical symptoms and signs and,therefore,has a great contribution to disease dissemination.As conclusion,considering the presently ethical issues regarding to elimination of positive dog in Brazil and the highly sensitivity of disease dynamics on sandfly population,we recommend that the sandfly population control should be prioritized.展开更多
In this study,we determine and compare the incubation duration,serial interval,pre-symptomatic transmission,and case fatality rate of MERS-CoV and COVID-19 in Saudi Arabia based on contact tracing data we acquired in ...In this study,we determine and compare the incubation duration,serial interval,pre-symptomatic transmission,and case fatality rate of MERS-CoV and COVID-19 in Saudi Arabia based on contact tracing data we acquired in Saudi Arabia.The date of infection and infector-infectee pairings are deduced from travel history to Saudi Arabia or exposure to confirmed cases.The incubation times and serial intervals are estimated using parametric models accounting for exposure interval censoring.Our estimations show that MERS-CoV has a mean incubation time of 7.21(95%CI:6.59–7.85)days,whereas COVID-19(for the circulating strain in the study period)has a mean incubation period of 5.43(95%CI:4.81–6.11)days.MERS-CoV has an estimated serial interval of 14.13(95%CI:13.9–14.7)days,while COVID-19 has an estimated serial interval of 5.1(95%CI:5.0–5.5)days.The COVID-19 serial interval is found to be shorter than the incubation time,indicating that pre-symptomatic transmission may occur in a significant fraction of transmission events.We conclude that during the COVID-19 wave studied,at least 75%of transmission happened prior to the onset of symptoms.The CFR for MERS-CoV is estimated to be 38.1%(95%CI:36.8–39.5),while the CFR for COVID-191.67%(95%CI:1.63–1.71).This work is expected to help design future surveillance and intervention program targeted at specific respiratory virus outbreaks,and have implications for contingency planning for future coronavirus outbreaks.展开更多
In the early stages of the pandemic,Saudi Arabia and other countries in the Arab Gulf region relied on non-pharmaceutical therapies to limit the effect of the pandemic,much like other nations across the world.In compa...In the early stages of the pandemic,Saudi Arabia and other countries in the Arab Gulf region relied on non-pharmaceutical therapies to limit the effect of the pandemic,much like other nations across the world.In comparison to other nations in the area or globally,these interventions were successful at lowering the healthcare burden.This was accomplished via the deterioration of the economy,education,and a variety of other societal activities.By the end of 2020,the promise of effective vaccinations against SARS-CoV-2 have been realized,and vaccination programs have begun in developed countries,followed by the rest of the world.Despite this,there is still a long way to go in the fight against the disease.In order to explore disease transmission,vaccine rollout and prioritisation,as well as behavioural dynamics,we relied on an age-structured compartmental model.We examine how individual and social behaviour changes in response to the initiation of vaccination campaigns and the relaxation of non-pharmacological treatments.Overall,vaccination remains the most effective method of containing the disease and resuming normal life.Additionally,we evaluate several vaccination prioritisation schemes based on age group,behavioural responses,vaccine effectiveness,and vaccination rollout speed.We applied our model to four Arab Gulf nations(Saudi Arabia,Bahrain,the United Arab Emirates,and Oman),which were chosen for their low mortality rate compared to other countries in the region or worldwide,as well as their demographic and economic settings.We fitted the model using actual pandemic data in these countries.Our results suggest that vaccinations focused on the elderly and rapid vaccine distribution are critical for reducing disease resurgence.Our result also reinforces the cautious note that early relaxation of safety measures may compromise the vaccine's short-term advantages.展开更多
Background:After the declaration of COVID-19 pandemic on March 11th,2020,local transmission chains starting in different countries including Canada are forcing governments to take decisions on public health interventi...Background:After the declaration of COVID-19 pandemic on March 11th,2020,local transmission chains starting in different countries including Canada are forcing governments to take decisions on public health interventions to mitigate the spread of the epidemic.Methods:We conduct data-driven and model-free estimations for the growth rates of the COVID-19 epidemics in Italy and Canada,by fitting an exponential curve to the daily reported cases.We use these estimates to predict epidemic trends in Canada under different scenarios of public health interventions.Results:In Italy,the initial growth rate(0.22)has reduced to 0.1 two weeks after the lockdown of the country on March 8th,2020.This corresponds to an increase of the doubling time from about 3.15 to almost 7 days.In comparison,the growth rate in Canada has increased from 0.13 between March 1st and 13th,to 0.25 between March 13th to 22nd.This current growth rate corresponds to a doubling time of 2.7 days,and therefore,unless further public health interventions are escalated in Canada,we project 15,000 cases by March 31st.However,the case number may be reduced to 4000 if escalated public health interventions could instantly reduce the growth rate to 0.1,the same level achieved in Italy.Interpretation:Prompt and farsighted interventions are critical to counteract the very rapid initial growth of the COVID-19 epidemic in Canada.Mitigation plans must take into account the delayed effect of interventions by up to 2-weeks and the short doubling time of 3e4 days.展开更多
Neisseria meningitidis is the agent of invasive meningococcal disease, including cerebral meningitis and septicemia. Because the diseases caused by different clonal groups (sequence types) have their own epidemiolog...Neisseria meningitidis is the agent of invasive meningococcal disease, including cerebral meningitis and septicemia. Because the diseases caused by different clonal groups (sequence types) have their own epidemiological characteristics, it is important to understand the differences among the genomes of the N. meningitidis clonal groups. To this end, a novel interpretation of a structural dot plot of genomes was devised and applied; exact nu- cleotide matches between the genomes ofN. meningitidis serogroup A strain Z2491 and serogroup B strain MC58 were identified, leading to the specification of various structural regions. Known and putative virulence genes for each N. meningitidis strain were then classified into these regions. We found that virulence genes of MC58 tend more to the translocated regions (chromosomal segments in new sequence contexts) than do those of Z2491, notably tending towards the interface between one of the translocated regions and the collinear region. Within the col- linear region, virulence genes tend to occur within 16 kb of gaps in the exact matches. Verification of these tendencies using genes clustered in the cps locus was sufficiently supportive to suggest that these tendencies can be used to focus the search for and understanding of virulence genes and mechanisms of pathogenicity in these two organisms.展开更多
Based on the lung adenocarcinoma(LUAD)gene expression data from the cancer genome atlas(TCGA)database,the Stromal score,Immune score and Estimate score in tumor microenvironment(TME)were computed by the Estimation of ...Based on the lung adenocarcinoma(LUAD)gene expression data from the cancer genome atlas(TCGA)database,the Stromal score,Immune score and Estimate score in tumor microenvironment(TME)were computed by the Estimation of Stromal and Immune cells in Malignant Tumor tissues using Expression data(ESTIMATE)algorithm.And gene modules significantly related to the three scores were identified by weighted gene coexpression network analysis(WGCNA).Based on the correlation coefficients and P values,899 key genes affecting tumor microenvironment were obtained by selecting the two most correlated modules.It was suggested through Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analysis that these key genes were significantly involved in immune-related or cancer-related terms.Through univariate cox regression and elastic network analysis,genes associated with prognosis of the LUAD patients were screened out and their prognostic values were further verified by the survival analysis and the University of ALabama at Birmingham CANcer(UALCAN)database.The results indicated that eight genes were significantly related to the overall survival of LUAD.Among them,six genes were found differentially expressed between tumor and control samples.And immune infiltration analysis further verified that all the six genes were significantly related to tumor purity and immune cells.Therefore,these genes were used eventually for constructing a Naive Bayes projection model of LUAD.The model was verified by the receiver operating characteristic(ROC)curve where the area under curve(AUC)reached 92.03%,which suggested that the model could discriminate the tumor samples from the normal accurately.Our study provided an effective model for LUAD projection which improved the clinical diagnosis and cure of LUAD.The result also confirmed that the six genes in the model construction could be the potential prognostic biomarkers of LUAD.展开更多
Lyme disease,a typical tick-borne disease,imposes increasing global public health challenges.A growing body of theoretical models have been proposed to better understand various factors determining the disease risk,wh...Lyme disease,a typical tick-borne disease,imposes increasing global public health challenges.A growing body of theoretical models have been proposed to better understand various factors determining the disease risk,which not only enrich our understanding on the ecological cycle of disease transmission but also promote new theoretical developments on model formulation,analysis and simulation.In this paper,we provide a review about the models and results we have obtained recently on modeling and analyzing Lyme disease transmission,with the purpose to highlight various aspects in the ecological cycle of disease transmission to be incorporated,including the growth of ticks with different stages in the life cycle,the seasonality,host diversity,spatial disease pattern due to host short distance movement and bird migration,co-infection with other tick-borne pathogens,and climate change impact.展开更多
In December of 2019,27 patients with viral pneumonia including 7 severe cases were reported inWuhan,the capital city of Hubei province and one of the largest cities of China.By the morning of January 23,2020,the infec...In December of 2019,27 patients with viral pneumonia including 7 severe cases were reported inWuhan,the capital city of Hubei province and one of the largest cities of China.By the morning of January 23,2020,the infected cases have increased to 571 including 17 deaths,and spread to 25 of 31 mainland provinces and municipals and Hong Kong,Macao and Taiwan as well as to 7 other countries,including South Korea,Japan,Thailand,Singapore,Philippines,Mexico and the United States of America.展开更多
The breast milk of HIV infected women contains HIV virus particles,therefore children can become infected through breastfeeding.We develop a mathematical epidemiological model of HIV infection in infants,infected chil...The breast milk of HIV infected women contains HIV virus particles,therefore children can become infected through breastfeeding.We develop a mathematical epidemiological model of HIV infection in infants,infected children and infected women that represents infection of an infant/child as a series of exposures,by incorporating within-host virus dynamics in the individuals exposed to the virus through breastfeeding.We show that repeated exposures of the infant/child via breastfeeding can cause bi-stability dynamics and,subsequently,infection persistence even when the epidemiological basic reproduction number R0 is less than unity.This feature of the model,due to a backward bifurcation,gives new insight into the control mechanisms of HIV disease through breastfeeding.展开更多
Non-pharmaceutical interventions(NPI)were implemented all around the world in the fight against COVID-19:Social distancing,shelter-in-place,mask wearing,etc.to mitigate transmission,together with testing and contact-t...Non-pharmaceutical interventions(NPI)were implemented all around the world in the fight against COVID-19:Social distancing,shelter-in-place,mask wearing,etc.to mitigate transmission,together with testing and contact-tracing to identify,isolate and treat the infected.The majority of countries have relied on the former measures,followed by a ramping up of their testing and tracing capabilities.We present here the cases of South Korea,Italy,Canada and the United States,as a look back to lessons that can be drawn for controlling the pandemic,specifically through the means of testing and tracing.By fitting a disease transmission model to daily case report data in each of the four countries,we first show that their combination of social-distancing and testing/tracing have had a significant impact on the evolution of their first wave of pandemic curves.We then consider the hypothetical scenario where the only NPI measures implemented past the first pandemic wave consisted of isolating individuals due to repeated,country-scale testing and contact tracing,as a mean of lifting social distancing measures without a resurgence of COVID-19.We give estimates on the average isolation rates needed to occur in each country.We find that testing and tracing each individual of a country,on average,every 4.5 days(South Korea),5.7 days(Canada),6 days(Italy)and 3.5 days(US),would have been sufficient to mitigate their second pandemic waves.We also considered the situation in Canada to see how a frequent large-scale asymptomatic testing and contact tracing could have been used in combination with vaccination rollout to reduce the infection in the population.This could offer an alternative approach towards preventing and controlling an outbreak when vaccine supply is limited,while testing capacity has been increasingly enhanced.展开更多
基金National Institutes of Health(NIH)Centers for Excellence in Influenza Research and Surveillance(contract#HHSN272201400006C)National Institute of Allergy and Infectious Diseases,National Institutes of Health,Department of Health and Human Services,under Contract No.75N93021C00018(NIAID Centers of Excellence for Influenza Research and Response,CEIRR)。
文摘Technological advancements in phylodynamic modeling coupled with the accessibility of real-time pathogen genetic data are increasingly important for understanding the infectious disease transmission dynamics.In this study,we compare the transmission potentials of North American influenza A(H1N1)pdm09 derived from sequence data to that derived from surveillance data.The impact of the choice of tree-priors,informative epidemiological priors,and evolutionary parameters on the transmission potential estimation is evaluated.North American Influenza A(H1N1)pdm09 hemagglutinin(HA)gene sequences are analyzed using the coalescent and birth-death tree prior models to estimate the basic reproduction number(R_(0)).Epidemiological priors gathered from published literature are used to simulate the birth-death skyline models.Path-sampling marginal likelihood estimation is conducted to assess model fit.A bibliographic search to gather surveillancebased R_(0)values were consistently lower(mean≤1.2)when estimated by coalescent models than by the birth-death models with informative priors on the duration of infectiousness(mean≥1.3 to≤2.88 days).The user-defined informative priors for use in the birth-death model shift the directionality of epidemiological and evolutionary parameters compared to non-informative estimates.While there was no certain impact of clock rate and tree height on the R_(0)estimation,an opposite relationship was observed between coalescent and birth-death tree priors.There was no significant difference(p=0.46)between the birth-death model and surveillance R0 estimates.This study concludes that treeprior methodological differences may have a substantial impact on the transmission potential estimation as well as the evolutionary parameters.The study also reports a consensus between the sequence-based R_(0)estimation and surveillanceased R_(0)stimates.Altogether,these outcomes shed light on the potential role of phylodynamic modeling to augment existing surveillance and epidemiological activities to better assess and respond to emerging infectious diseases.
文摘In July 2023,the Center of Excellence in Respiratory Pathogens organized a two-day workshop on infectious diseases modelling and the lessons learnt from the Covid-19 pandemic.This report summarizes the rich discussions that occurred during the workshop.The workshop participants discussed multisource data integration and highlighted the benefits of combining traditional surveillance with more novel data sources like mobility data,social media,and wastewater monitoring.Significant advancements were noted in the development of predictive models,with examples from various countries showcasing the use of machine learning and artificial intelligence in detecting and monitoring disease trends.The role of open collaboration between various stakeholders in modelling was stressed,advocating for the continuation of such partnerships beyond the pandemic.A major gap identified was the absence of a common international framework for data sharing,which is crucial for global pandemic preparedness.Overall,the workshop underscored the need for robust,adaptable modelling frameworks and the integration of different data sources and collaboration across sectors,as key elements in enhancing future pandemic response and preparedness.
基金This research was funded by the National Natural Science Foundation of China(grant numbers:11631012(YX,ST),61772017(ST))by the Canada Research Chair Program(grant number:230720(JW)the Natural Sciences and Engineering Research Council of Canada(Grant number:105588-2011(JW).
文摘The basic reproduction number of an infectious agent is the average number of infections one case can generate over the course of the infectious period,in a naïve,uninfected population.It is well-known that the estimation of this number may vary due to several methodological issues,including different assumptions and choice of parameters,utilized models,used datasets and estimation period.With the spreading of the novel coronavirus(2019-nCoV)infection,the reproduction number has been found to vary,reflecting the dynamics of transmission of the coronavirus outbreak as well as the case reporting rate.Due to significant variations in the control strategies,which have been changing over time,and thanks to the introduction of detection technologies that have been rapidly improved,enabling to shorten the time from infection/symptoms onset to diagnosis,leading to faster confirmation of the new coronavirus cases,our previous estimations on the transmission risk of the 2019-nCoV need to be revised.By using time-dependent contact and diagnose rates,we refit our previously proposed dynamics transmission model to the data available until January 29th,2020 and re-estimated the effective daily reproduction ratio that better quantifies the evolution of the interventions.We estimated when the effective daily reproduction ratio has fallen below 1 and when the epidemics will peak.Our updated findings suggest that the best measure is persistent and strict self-isolation.The epidemics will continue to grow,and can peak soon with the peak time depending highly on the public health interventions practically implemented.
基金supported by the Natural Sciences and Engineering Research Council of Canada (NSERC)the Canadian Research Chairs Program (CRC)+1 种基金the Mathematics for Information Technology and Complex Systems (MITACS)the support from the Canadian Network of Centers of Excellence, MITACS
文摘The surface glycoprotein hemagglutinin (HA) helps the influenza A virus to evade the host immune system by antigenic variation and is a major driving force for viral evolution. In this study, the selection pressure on HA of H5N1 influenza A virus was analyzed using bioinformatics algorithms. Most of the identified positive selection (PS) sites were found to be within or adjacent to epitope sites. Some of the identified PS sites are consistent with previous experimental studies, providing further support to the biological significance of our findings. The highest frequency of PS sites was observed in recent strains isolated during 2005-2007. Phylogenetic analysis was also conducted on HA sequences from various hosts. Viral drift is almost similar in both avian and human species with a progressive trend over the years. Our study reports new mutations in functional regions of HA that might provide markers for vaccine design or can be used to predict isolates of pandemic potential.
基金Daniel Munther acknowledges support from Cleveland State University startup funding(STARTUP42)Ashrafur Rahman's postdoctoral fellowship is supported by a research contract from the Public Heath Agency of Canada and by the NSERC CREATE project Advanced Disaster,Emergency and Rapid Response Simulations.JianhongWu's research has been funded by the Natural Sciences and Engineering Research Council of Canada and by the Canada Research Chairs program.
文摘Food-borne disease outbreaks caused by Listeria monocytogenes continue to impose heavy burdens on public health in North America and globally.To explore the threat L.monocytogenes presents to the elderly,pregnant woman and immuno-compromised individuals,many studies have focused on in-host infection mechanisms and risk evaluation in terms of dose-response outcomes.However,the connection of these two foci has received little attention,leaving risk prediction with an insufficient mechanistic basis.Consequently,there is a critical need to quantifiably link in-host infection pathways with the doseresponse paradigm.To better understand these relationships,we propose a new mathematical model to describe the gastro-intestinal pathway of L.monocytogenes within the host.The model dynamics are shown to be sensitive to inoculation doses and exhibit bistability phenomena.Applying the model to guinea pigs,we show how it provides useful tools to identify key parameters and to inform critical values of these parameters that are pivotal in risk evaluation.Our preliminary analysis shows that the effect of gastroenvironmental stress,the role of commensal microbiota and immune cells are critical for successful infection of L.monocytogenes and for dictating the shape of the doseresponse curves.
基金This study was sponsored by grants from the Natural Science Foundation of China (No. 11271246 and No. 11331009).
文摘Human Immunodeficiency Virus(HIV)is able to persist in cellular and/or anatomical viral reservoirs,despite the effective inhibition of virus replication by the antiretroviral therapy(ART).Here we develop a mathematical model to gain some insights of HIV persistence relevant to the lymphocyte recirculation network of immune system and the central nervous system(CNS).Our simulations and analyses illustrate the role of the CNS as a virus reservoir to prevent antiretroviral drugs from penetrating the blood-brain(or blood-testis)barrier,and we examine the long-term impact of this reservoir on the transmissibility of an infected individual.We observe numerically that level of HIV in peripheral blood may not accurately reflect the true mechanisms occurring within other organs.
基金Sao Paulo Research Foundation-FAPESP(grant 2011/02633-5 and 2013/13347-9)Mathematics of Information Technology and Complex Systems-Mitacs for partial financial support.
文摘Brazil is one of the highest endemic countries for Zoonotic Visceral Leishmaniasis:according to the Brazilian Ministry of Health,the annual number of new human cases and deaths due to this disease has been increasing for the last 20 years.In addition,regarding the Americas,the specific relationship between canine and human for Visceral Leishmaniasis dynamics is still not well understood.In this work we propose a new model for Zoonotic Visceral Leishmaniasis,based on the models previously published by Burattini et al.(1998)and Ribas et al.(2013).Herein,we modeled the disease dynamics using a modified set of differential equations from those two authors,considering the same assumptions(inclusion of human,dog and sandfly populations,all constants over time).From this set of equations we were able to calculate the basic reproduction number R 0 and to analyze the stability and sensitivity of the system to the parameters variability.As main result,when the stability of the system is reached,the normalized reporting human cases rate is estimated in 9.12E-08/day.This estimation is very close to the 2015 report from Araçatuba city,5.69E-08/day.We also observed from stability and sensitivity analysis that the activity of sandfly population is critical to introduction and maintenance of Zoonotic Visceral Leishmaniasis in the population.In addition,the importance of dog as source of infection concentrates on latent dog,since it does not show clinical symptoms and signs and,therefore,has a great contribution to disease dissemination.As conclusion,considering the presently ethical issues regarding to elimination of positive dog in Brazil and the highly sensitivity of disease dynamics on sandfly population,we recommend that the sandfly population control should be prioritized.
基金This study was funded by the Medical Research Council through the COVID-19 Rapid Response Rolling Call[grant number MR/V009761/1]and by Taif University[grant number 4360060].
文摘In this study,we determine and compare the incubation duration,serial interval,pre-symptomatic transmission,and case fatality rate of MERS-CoV and COVID-19 in Saudi Arabia based on contact tracing data we acquired in Saudi Arabia.The date of infection and infector-infectee pairings are deduced from travel history to Saudi Arabia or exposure to confirmed cases.The incubation times and serial intervals are estimated using parametric models accounting for exposure interval censoring.Our estimations show that MERS-CoV has a mean incubation time of 7.21(95%CI:6.59–7.85)days,whereas COVID-19(for the circulating strain in the study period)has a mean incubation period of 5.43(95%CI:4.81–6.11)days.MERS-CoV has an estimated serial interval of 14.13(95%CI:13.9–14.7)days,while COVID-19 has an estimated serial interval of 5.1(95%CI:5.0–5.5)days.The COVID-19 serial interval is found to be shorter than the incubation time,indicating that pre-symptomatic transmission may occur in a significant fraction of transmission events.We conclude that during the COVID-19 wave studied,at least 75%of transmission happened prior to the onset of symptoms.The CFR for MERS-CoV is estimated to be 38.1%(95%CI:36.8–39.5),while the CFR for COVID-191.67%(95%CI:1.63–1.71).This work is expected to help design future surveillance and intervention program targeted at specific respiratory virus outbreaks,and have implications for contingency planning for future coronavirus outbreaks.
基金This study was funded by the Medical Research Council through the COVID19 Rapid Response Rolling Call[grant number MR/V009761/1]and by Taif University[4360060].
文摘In the early stages of the pandemic,Saudi Arabia and other countries in the Arab Gulf region relied on non-pharmaceutical therapies to limit the effect of the pandemic,much like other nations across the world.In comparison to other nations in the area or globally,these interventions were successful at lowering the healthcare burden.This was accomplished via the deterioration of the economy,education,and a variety of other societal activities.By the end of 2020,the promise of effective vaccinations against SARS-CoV-2 have been realized,and vaccination programs have begun in developed countries,followed by the rest of the world.Despite this,there is still a long way to go in the fight against the disease.In order to explore disease transmission,vaccine rollout and prioritisation,as well as behavioural dynamics,we relied on an age-structured compartmental model.We examine how individual and social behaviour changes in response to the initiation of vaccination campaigns and the relaxation of non-pharmacological treatments.Overall,vaccination remains the most effective method of containing the disease and resuming normal life.Additionally,we evaluate several vaccination prioritisation schemes based on age group,behavioural responses,vaccine effectiveness,and vaccination rollout speed.We applied our model to four Arab Gulf nations(Saudi Arabia,Bahrain,the United Arab Emirates,and Oman),which were chosen for their low mortality rate compared to other countries in the region or worldwide,as well as their demographic and economic settings.We fitted the model using actual pandemic data in these countries.Our results suggest that vaccinations focused on the elderly and rapid vaccine distribution are critical for reducing disease resurgence.Our result also reinforces the cautious note that early relaxation of safety measures may compromise the vaccine's short-term advantages.
基金This research was funded by the Canada Research Chair Program(grant number:230720(JW))the Natural Sciences and Engineering Research Council of Canada(grant number:105588-2011(JW))+1 种基金the CIHR 2019 Novel Coronavirus(COVID-19)rapid research program(JW)LP is funded by the Wellcome Trust and Royal Society(grant number:202562/Z/16/Z).
文摘Background:After the declaration of COVID-19 pandemic on March 11th,2020,local transmission chains starting in different countries including Canada are forcing governments to take decisions on public health interventions to mitigate the spread of the epidemic.Methods:We conduct data-driven and model-free estimations for the growth rates of the COVID-19 epidemics in Italy and Canada,by fitting an exponential curve to the daily reported cases.We use these estimates to predict epidemic trends in Canada under different scenarios of public health interventions.Results:In Italy,the initial growth rate(0.22)has reduced to 0.1 two weeks after the lockdown of the country on March 8th,2020.This corresponds to an increase of the doubling time from about 3.15 to almost 7 days.In comparison,the growth rate in Canada has increased from 0.13 between March 1st and 13th,to 0.25 between March 13th to 22nd.This current growth rate corresponds to a doubling time of 2.7 days,and therefore,unless further public health interventions are escalated in Canada,we project 15,000 cases by March 31st.However,the case number may be reduced to 4000 if escalated public health interventions could instantly reduce the growth rate to 0.1,the same level achieved in Italy.Interpretation:Prompt and farsighted interventions are critical to counteract the very rapid initial growth of the COVID-19 epidemic in Canada.Mitigation plans must take into account the delayed effect of interventions by up to 2-weeks and the short doubling time of 3e4 days.
文摘Neisseria meningitidis is the agent of invasive meningococcal disease, including cerebral meningitis and septicemia. Because the diseases caused by different clonal groups (sequence types) have their own epidemiological characteristics, it is important to understand the differences among the genomes of the N. meningitidis clonal groups. To this end, a novel interpretation of a structural dot plot of genomes was devised and applied; exact nu- cleotide matches between the genomes ofN. meningitidis serogroup A strain Z2491 and serogroup B strain MC58 were identified, leading to the specification of various structural regions. Known and putative virulence genes for each N. meningitidis strain were then classified into these regions. We found that virulence genes of MC58 tend more to the translocated regions (chromosomal segments in new sequence contexts) than do those of Z2491, notably tending towards the interface between one of the translocated regions and the collinear region. Within the col- linear region, virulence genes tend to occur within 16 kb of gaps in the exact matches. Verification of these tendencies using genes clustered in the cps locus was sufficiently supportive to suggest that these tendencies can be used to focus the search for and understanding of virulence genes and mechanisms of pathogenicity in these two organisms.
基金Our deepest gratitude goes to the editors and anonymous reviewers for their careful work and thoughtful suggestions that have helped to improve this paper substantially.The workwas supported by the National Natural Science Foundation of China(No.12071382)the Bowang scholar youth talent program(Zhiqiang Ye)of Chongqing Normal University,the Natural Science and Engineering Research Council of Canada,and the Canada Research Chair Program(JWu).
文摘Based on the lung adenocarcinoma(LUAD)gene expression data from the cancer genome atlas(TCGA)database,the Stromal score,Immune score and Estimate score in tumor microenvironment(TME)were computed by the Estimation of Stromal and Immune cells in Malignant Tumor tissues using Expression data(ESTIMATE)algorithm.And gene modules significantly related to the three scores were identified by weighted gene coexpression network analysis(WGCNA).Based on the correlation coefficients and P values,899 key genes affecting tumor microenvironment were obtained by selecting the two most correlated modules.It was suggested through Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analysis that these key genes were significantly involved in immune-related or cancer-related terms.Through univariate cox regression and elastic network analysis,genes associated with prognosis of the LUAD patients were screened out and their prognostic values were further verified by the survival analysis and the University of ALabama at Birmingham CANcer(UALCAN)database.The results indicated that eight genes were significantly related to the overall survival of LUAD.Among them,six genes were found differentially expressed between tumor and control samples.And immune infiltration analysis further verified that all the six genes were significantly related to tumor purity and immune cells.Therefore,these genes were used eventually for constructing a Naive Bayes projection model of LUAD.The model was verified by the receiver operating characteristic(ROC)curve where the area under curve(AUC)reached 92.03%,which suggested that the model could discriminate the tumor samples from the normal accurately.Our study provided an effective model for LUAD projection which improved the clinical diagnosis and cure of LUAD.The result also confirmed that the six genes in the model construction could be the potential prognostic biomarkers of LUAD.
基金The work was supported by General Research Fund from Hong Kong Research Grants Council(PolyU 153277/16P)the Natural Sciences and Engineering Research Council of Canada(NSERC)(105588-2011)+1 种基金the Canadian Institutes of Health Research(CIHR)(289907)the Canada Research Chair Program(CRC)(230720).
文摘Lyme disease,a typical tick-borne disease,imposes increasing global public health challenges.A growing body of theoretical models have been proposed to better understand various factors determining the disease risk,which not only enrich our understanding on the ecological cycle of disease transmission but also promote new theoretical developments on model formulation,analysis and simulation.In this paper,we provide a review about the models and results we have obtained recently on modeling and analyzing Lyme disease transmission,with the purpose to highlight various aspects in the ecological cycle of disease transmission to be incorporated,including the growth of ticks with different stages in the life cycle,the seasonality,host diversity,spatial disease pattern due to host short distance movement and bird migration,co-infection with other tick-borne pathogens,and climate change impact.
文摘In December of 2019,27 patients with viral pneumonia including 7 severe cases were reported inWuhan,the capital city of Hubei province and one of the largest cities of China.By the morning of January 23,2020,the infected cases have increased to 571 including 17 deaths,and spread to 25 of 31 mainland provinces and municipals and Hong Kong,Macao and Taiwan as well as to 7 other countries,including South Korea,Japan,Thailand,Singapore,Philippines,Mexico and the United States of America.
文摘The breast milk of HIV infected women contains HIV virus particles,therefore children can become infected through breastfeeding.We develop a mathematical epidemiological model of HIV infection in infants,infected children and infected women that represents infection of an infant/child as a series of exposures,by incorporating within-host virus dynamics in the individuals exposed to the virus through breastfeeding.We show that repeated exposures of the infant/child via breastfeeding can cause bi-stability dynamics and,subsequently,infection persistence even when the epidemiological basic reproduction number R0 is less than unity.This feature of the model,due to a backward bifurcation,gives new insight into the control mechanisms of HIV disease through breastfeeding.
文摘Non-pharmaceutical interventions(NPI)were implemented all around the world in the fight against COVID-19:Social distancing,shelter-in-place,mask wearing,etc.to mitigate transmission,together with testing and contact-tracing to identify,isolate and treat the infected.The majority of countries have relied on the former measures,followed by a ramping up of their testing and tracing capabilities.We present here the cases of South Korea,Italy,Canada and the United States,as a look back to lessons that can be drawn for controlling the pandemic,specifically through the means of testing and tracing.By fitting a disease transmission model to daily case report data in each of the four countries,we first show that their combination of social-distancing and testing/tracing have had a significant impact on the evolution of their first wave of pandemic curves.We then consider the hypothetical scenario where the only NPI measures implemented past the first pandemic wave consisted of isolating individuals due to repeated,country-scale testing and contact tracing,as a mean of lifting social distancing measures without a resurgence of COVID-19.We give estimates on the average isolation rates needed to occur in each country.We find that testing and tracing each individual of a country,on average,every 4.5 days(South Korea),5.7 days(Canada),6 days(Italy)and 3.5 days(US),would have been sufficient to mitigate their second pandemic waves.We also considered the situation in Canada to see how a frequent large-scale asymptomatic testing and contact tracing could have been used in combination with vaccination rollout to reduce the infection in the population.This could offer an alternative approach towards preventing and controlling an outbreak when vaccine supply is limited,while testing capacity has been increasingly enhanced.