Talks

There is no “one size fits all” intervention for malaria elimination due to the spectrum of available sub-optimal interventions acting at different stages of the parasite life-cycle and the heterogeneous transmission landscape. Every district of every country has its own unique challenges, conditions and solutions. Mathematical modelling is the best available approach for combining the many interacting factors that must be considered. In a recent project bespoke mathematical and economic models were developed in parallel with training a new group of modellers based in their own countries around the World. The resulting research demonstrates that modelling can be used to support all aspects of the World Health Organization Global Technical Strategy for Malaria within the countries where the disease persists.

Authors: K. Laneri*, B. Cabella*, P.I. Prado, R.M. Coutinho**, R.A. Kraenkel I'll quickly introduce the Convergent Cross-Mapping (CCM) criterion to investigate causality between two time series. Than I'll present an analysis of the potential environmental drivers of malaria cases in Northwestern Argentina, and discuss plausible interpretations of these results. We have inspected causal links between malaria and climatic variables, based on 12 years of weekly malaria /P. vivax/ cases in Tartagal, Salta, Argentina—at the southern fringe of malaria incidence in the Americas—together with humidity and temperature time-series spanning the same period. Our results show that there are causal links between malaria cases and both maximum temperature, with a delay of five weeks, and minimum temperature, with delays of zero and twenty two weeks. Humidity is also a driver of malaria cases, with thirteen weeks delay between cause and effect. Furthermore we also determined the sign and strength of the effects. These results might be signaling processes operating at short (below 5 weeks) and long (over 12 weeks) time delays, corresponding to effects related to parasite cycle and mosquito population dynamics respectively. The non-linearities found for the strength of the effect of temperature on malaria cases make warmer areas more prone to higher increases in the disease incidence. Moreover, our results indicate that an increase of extreme weather events could enhance the risks of malaria spreading and re-emergence beyond the current distribution. Both situations, warmer climate and increase of extreme events, will be remarkably increased by the end of the century in thishot spot of climate change. * joint first authors** speaker 

Quantitative methods are unquestionably valuable tools for disease propagation models, and have trackedattention of mathematicians, physicists, and statisticians for decades. Mathematical models for diseasepropagation have become more and more sophisticated, incorporating different sets of heterogeneities inthe hope to be as accurate as possible while still being mathematically and computationally tractable. Sociodemographic characteristics such as age distribution, study and work activities, and local and long-range mobility, have been key to study historical infection data and devise scenario assessment. Recent outbreaks of global concern such as the influenza H1N1pdm09, SARS, MERS-CoV, Ebola, Zika, and thecurrent COVID-19 have tested our ability to produce information that is fundamental for preparedness:reproductive number estimation, importation case probability, short-term predictions of disease evolution,and so on. On the other hand, endemic diseases ask for a complementary approach to disease propagationmodels, which is that of disease surveillance. How do we properly separate baseline activity,characterized by stochastic fluctuations and isolated case bursts, from epidemic activity? In other words,how many weekly cases we need to say that the current season of “disease A” have started? Is that levelthe same everywhere? Does influenza-like illnesses always start in the winter? As for real-timesurveillance, are the available data delivered in a timely manner or is there significant delay between caseoccurrence and official report? In this talk we will go over both approaches highlighting the nuances ofeach, their importance to provide relevant information to public health actions, and, hopefully, spark yourinterest in joining the field.

In this talk, we propose an approach based on machine learning algorithms to predict epidemic processes in complex networks. Specifically, we show that it is possible to estimate the outbreak size starting from a single node in a network and determine which networks properties are the most related to the spreading dynamics. Our approach is general and can be applied to any dynamical process running on top of complex networks. Likewise, our work constitutes an important step towards the application of machine learning methods to unravel dynamical patterns emerging in complex networked systems.

The overall malaria burden in the Americas has decreased dramatically over the past two decades, but residual transmission pockets persist across the Amazon Basin, where Plasmodium vivax is the predominant infecting species. Current elimination efforts require a better quantitative understanding of malaria transmission dynamics for planning, monitoring, and evaluating interventions at the community level. This can be achieved with mathematical models that properly account for risk heterogeneity in communities approaching elimination, where few individuals disproportionately contribute to overall malaria prevalence, morbidity, and onwards transmission. Here we analyse demographic information combined with routinely collected malaria morbidity data from the town of Mâncio Lima, the main urban transmission hotspot of Brazil. We estimate the proportion of high-risk subjects in the host population by fitting compartmental susceptible-infected-susceptible (SIS) transmission models simultaneously to age-stratified vivax malaria incidence densities and the frequency distribution of P. vivax malaria attacks experienced by each individual over 12 months. Simulations with the best-fitting SIS model indicate that 20% of the hosts contribute 86% of the overall vivax malaria burden. Despite the low overall force of infection typically found in the Amazon, about one order of magnitude lower than that in rural Africa, high-risk individuals gradually develop clinical immunity following repeated infections and eventually constitute a substantial infectious reservoir comprised of asymptomatic parasite carriers that is overlooked by routine surveillance but likely fuels onwards malaria transmission. High-risk individuals therefore represent a priority target for more intensive and effective interventions that may not be readily delivered to the entire community.