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Biomedical subjects

Chris T Bauch

Publications and source records attributed to Chris T Bauch.

3 recordsLinked to original sources

Group interest versus self-interest in smallpox vaccination policy.

The recent threat of bioterrorism has fueled debate on smallpox vaccination policy for the United States. Certain policy proposals call for voluntary mass vaccination; however, if individuals decide whether to vaccinate according to self-interest, the level of herd immunity achieved may differ from what is best for the population as a whole. We present a synthesis of game theory and epidemic modeling that formalizes this conflict between self-interest and group interest and shows that voluntary vaccination is unlikely to reach the group-optimal level. This shortfall results in a substantial increase in expected mortality after an attack.

Game Theory↗

Transients and attractors in epidemics.

Historical records of childhood disease incidence reveal complex dynamics. For measles, a simple model has indicated that epidemic patterns represent attractors of a nonlinear dynamic system and that transitions between different attractors are driven by slow changes in birth rates and vaccination levels. The same analysis can explain the main features of chickenpox dynamics, but fails for rubella and whooping cough. We show that an additional (perturbative) analysis of the model, together with knowledge of the population size in question, can account for all the observed incidence patterns by predicting how stochastically sustained transient dynamics should be manifested in these systems.

Child↗

Using network models to approximate spatial point-process models.

Spatial effects are fundamental to ecological and epidemiological systems, yet the incorporation of space into models is potentially complex. Fixed-edge network models (i.e. networks where each edge has the same fixed strength of interaction) are widely used to study spatial processes but they make simplistic assumptions about spatial scale and structure. Furthermore, it can be difficult to parameterize such models with empirical data. By comparison, spatial point-process models are often more realistic than fixed-edge network models, but are also more difficult to analyze. Here we develop a moment closure technique that allows us to define a fixed-edge network model which predicts the prevalence and rate of epidemic spread of a continuous spatial point-process epidemic model. This approach provides a systematic method for accurate parameterization of network models using data from continuously distributed populations (such as data on dispersal kernels). Insofar as point-process models are accurate representations of real spatial biological systems, our example also supports the view that network models are realistic representations of space.

Animals↗