Perez Liliana, Dragicevic Suzana
Spatial Analysis and Modeling Laboratory, Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
Int J Health Geogr. 2009 Aug 5;8:50. doi: 10.1186/1476-072X-8-50.
The propagation of communicable diseases through a population is an inherent spatial and temporal process of great importance for modern society. For this reason a spatially explicit epidemiologic model of infectious disease is proposed for a greater understanding of the disease's spatial diffusion through a network of human contacts.
The objective of this study is to develop an agent-based modelling approach the integrates geographic information systems (GIS) to simulate the spread of a communicable disease in an urban environment, as a result of individuals' interactions in a geospatial context.
The methodology for simulating spatiotemporal dynamics of communicable disease propagation is presented and the model is implemented using measles outbreak in an urban environment as a case study. Individuals in a closed population are explicitly represented by agents associated to places where they interact with other agents. They are endowed with mobility, through a transportation network allowing them to move between places within the urban environment, in order to represent the spatial heterogeneity and the complexity involved in infectious diseases diffusion. The model is implemented on georeferenced land use dataset from Metro Vancouver and makes use of census data sets from Statistics Canada for the municipality of Burnaby, BC, Canada study site.
The results provide insights into the application of the model to calculate ratios of susceptible/infected in specific time frames and urban environments, due to its ability to depict the disease progression based on individuals' interactions. It is demonstrated that the dynamic spatial interactions within the population lead to high numbers of exposed individuals who perform stationary activities in areas after they have finished commuting. As a result, the sick individuals are concentrated in geographical locations like schools and universities.
The GIS-agent based model designed for this study can be easily customized to study the disease spread dynamics of any other communicable disease by simply adjusting the modeled disease timeline and/or the infection model and modifying the transmission process. This type of simulations can help to improve comprehension of disease spread dynamics and to take better steps towards the prevention and control of an epidemic outbreak.
传染病在人群中的传播是一个固有的时空过程,对现代社会至关重要。因此,提出了一种具有空间明确性的传染病流行病学模型,以更好地理解疾病通过人际接触网络的空间扩散。
本研究的目的是开发一种基于主体的建模方法,该方法整合地理信息系统(GIS),以模拟在城市环境中由于个体在地理空间背景下的相互作用而导致的传染病传播。
介绍了模拟传染病传播时空动态的方法,并以城市环境中的麻疹疫情为例实施了该模型。封闭人群中的个体由与他们与其他主体互动的地点相关联的主体明确表示。通过交通网络赋予他们流动性,使他们能够在城市环境中的不同地点之间移动,以体现传染病扩散所涉及的空间异质性和复杂性。该模型在来自大温哥华地区的地理参考土地利用数据集上实施,并利用加拿大统计局为加拿大不列颠哥伦比亚省本拿比市研究地点提供的人口普查数据集。
由于该模型能够根据个体的相互作用描绘疾病进展情况,其结果为在特定时间框架和城市环境中计算易感/感染比率的模型应用提供了见解。结果表明,人群中的动态空间相互作用导致大量暴露个体在通勤结束后在某些区域进行固定活动。因此,患病个体集中在学校和大学等地理位置。
为本研究设计的基于GIS-主体的模型可以很容易地进行定制,通过简单调整建模疾病时间线和/或感染模型以及修改传播过程来研究任何其他传染病的疾病传播动态。这种类型的模拟有助于提高对疾病传播动态的理解,并朝着预防和控制疫情爆发采取更好的措施。