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Biomedical subjects

Carlos Castillo-Chavez

Publications and source records attributed to Carlos Castillo-Chavez.

8 recordsLinked to original sources

Model parameters and outbreak control for SARS.

Control of the 2002-2003 severe acute respiratory syndrome (SARS) outbreak was based on rapid diagnosis coupled with effective patient isolation. We used uncertainty and sensitivity analysis of the basic reproductive number R0 to assess the role that model parameters play in outbreak control. The transmission rate and isolation effectiveness have the largest fractional effect on R0. We estimated the distribution of the reproductive number R0 under perfect isolation conditions. The distribution lies in the interquartile range 0.19-1.08, with a median of 0.49. Even though the median of R0 is <1, we found that 25% of our R0 distribution lies at R0 > 1, even with perfect isolation. This implies the need to simultaneously apply more than one method of control.

Communicable Disease Control↗

Implications of systems dynamic models and control theory for environmental approaches to the prevention of alcohol- and other drug use-related problems.

The approach described in this article is premised on the idea that drug and alcohol use-related problems are heterogeneously distributed with respect to population and geography, and therefore, are essentially local problems. More specifically, it is argued that viewing a local community as an interacting set of systems that support or buffer the occurrence of specific substance misuse outcomes, opens up to research two important prospects. The first of these involves creating adequate systems models that can capture the primary community structures and relationships that support public health problems such as alcohol and drug misuse and related outcomes. The second entails rationally testing control strategies that have the potential to moderate or reduce these problems. Understanding and controlling complex dynamic systems models nowadays pervades all scientific disciplines, and it is to research in areas such as biology, ecology, engineering, computer sciences, and mathematics that researchers in the field of addictions must turn to in order to better study the complexity that confronts them as they try to understand and prevent problems resulting from alcohol and drug use and misuse. Here we set out what such a systems-based understanding of alcohol- and drug use-related problems will require and discuss its implications for public policy and prevention programming.

Humans↗

Coexistence of pathogens in sexually-transmitted disease models.

We present a sexually-transmitted disease (STD) model for two strains of pathogen in a one-sex, heterogeneously-mixing population, where the dynamics are of SIS (susceptible/infected/susceptible) type, and there are two different groups of individuals. We analyze all equilibria for the case where contacts are modeled via proportionate (random) mixing. We find that both strains may under suitable circumstances coexist, and that it is the heterogeneous mixing that creates "refuges" for each strain as each population group favors one particular strain.

Animals↗

Diseases with chronic stage in a population with varying size.

An epidemiological model of hepatitis C with a chronic infectious stage and variable population size is introduced. A non-structured baseline ODE model which supports exponential solutions is discussed. The normalized version where the unknown functions are the proportions of the susceptible, infected, and chronic individuals in the total population is analyzed. It is shown that sustained oscillations are not possible and the endemic proportions either approach the disease-free or an endemic equilibrium. The expanded model incorporates the chronic age of the individuals. Partial analysis of this age-structured model is carried out. The global asymptotic stability of the infection-free state is established as well as local asymptotic stability of the endemic non-uniform steady state distribution under some additional conditions. A numerical method for the chronic-age-structured model is introduced. It is shown that this numerical scheme is consistent and convergent of first order. Simulations based on the numerical method suggest that in the structured case the endemic equilibrium may be unstable and sustained oscillations are possible. Closer look at the reproduction number reveals that treatment strategies directed towards speeding up the transition from acute to chronic stage in effect contribute to the eradication of the disease.

Age Factors↗

Interplay between local dynamics and dispersal in discrete-time metapopulation models.

The effects of synchronous dispersal on discrete-time metapopulation dynamics with local (patch) dynamics of the same (compensatory or overcompensatory) or mixed (compensatory and overcompensatory) types are explored. Single-species metapopulation models behave as single-species single-patch models, whenever all local patches are governed by compensatory dynamics. Dispersal gives rise to multiple attractors with complex basin structures, whenever some local patches are under overcompensatory dynamics. In mixed systems, dispersal is capable of altering the local dynamics from compensatory to overcompensatory dynamics and vice versa. Examples are provided of metapopulation models supporting multiple attractors with intermingled basins of attraction.

Animals↗

Markers of disease evolution: the case of tuberculosis.

Abrupt changes in environmental conditions--broadly understood to include demographic and social dynamics--can seriously impact the local or global disease dynamics of a population. These changes in the evolutionary landscape, which may occur over relatively short time-scales, are very likely to play a critical role in disease evolution. The potential impact of demographic, social and epidemiological shifts on the evolution of tuberculosis epidemics in the United States over the past century and a half is the main subject of this article. Evidence is provided to support the hypothesis that the observed substantial decreases in the incidence of active tuberculosis are the result of abrupt reductions in the rates of disease progression.

Disease Outbreaks↗

Tuberculosis models with fast and slow dynamics: the role of close and casual contacts.

Models that incorporate local and individual interactions are introduced in the context of the transmission dynamics of tuberculosis (TB). The multi-level contact structure implicitly assumes that individuals are at risk of infection from close contacts in generalized household (clusters) as well as from casual (random) contacts in the general population. Epidemiological time scales are used to reduce the dimensionality of the model and singular perturbation methods are used to corroborate the results of time-scale approximations. The concept and impact of optimal average cluster or generalized household size on TB dynamics is discussed. We also discuss the potential impact of our results on the spread of TB.

Cluster Analysis↗