spreading of diseases along river networks

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Rivers, rainfall and cholera. A new challenge for hydrologists Enrico Bertuzzo, Senior Scientist, ECHO lab, EPFL Interdisciplinary Workshop on Frontiers in Hydrology and Hydrogeoscience

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Enrico Bertuzzo covered instead the new topic of water borne diseases and their spreading along rivers. The way Enrico and coworkers analysed the problem, certainly inherited many notions and ideas sprout the early studies on river networks structure by Andrea (I had a part in it), but also on recent and domain specific achievements and findings. In the presentation he cited just one paper, but the research outcomes on the topic are certainly copious and exciting.

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Page 1: Spreading of diseases along river networks

Rivers, rainfall and cholera.

A new challenge for hydrologists

Enrico Bertuzzo, Senior Scientist, ECHO lab, EPFL

Interdisciplinary Workshop

on Frontiers in Hydrology and Hydrogeoscience

Page 2: Spreading of diseases along river networks

humanbacteria in the

environment

ingestion of

contaminated water

fecal contamination

ecological dynamics

Page 3: Spreading of diseases along river networks

• Mortality rate less than 1% if properly treated

• Recovery time of about 5 days

• Immunity is acquired after infection; not permanent, lasts a few years (1–5?)

Page 4: Spreading of diseases along river networks

the model

Page 5: Spreading of diseases along river networks

Continuous Compartmental

Spatially Explicit Epidemic Model

S susceptible

I infected

R recovered

B bacteria concentration in the

environment

Page 6: Spreading of diseases along river networks

S susceptible

I infected

R recovered

B bacteria concentration in the

environment

Pij hydrologic transport network

Continuous Compartmental

Spatially Explicit Epidemic Model

Page 7: Spreading of diseases along river networks

Continuous Compartmental

Spatially Explicit Epidemic Model

S susceptible

I infected

R recovered

B bacteria concentration in the

environment

Pij hydrologic transport network

Qij human mobility transport

network

Page 8: Spreading of diseases along river networks

Continuous Compartmental

Spatially Explicit Epidemic Model

S susceptible

I infected

R recovered

B bacteria concentration in the

environment

Pij hydrologic transport network

Qij human mobility transport

network

Page 9: Spreading of diseases along river networks

Haiti cholera epidemic

Page 10: Spreading of diseases along river networks

Haiti cholera epidemic. First case on October 2010

As of April 15 2014:

00’000 reported cases (7% of the population)

’552 deaths (1.2% of the total cases)

Page 11: Spreading of diseases along river networks

Digital Terrain Model

SRTM3

network and watershed

delineation

Page 12: Spreading of diseases along river networks

definition of the graph

hydrologic transport

Digital Terrain Model

SRTM3

network and watershed

delineation

Page 13: Spreading of diseases along river networks

LandScan Project

1 km resolution population

distribution: downscaling of

census data through remote

sensing

Page 14: Spreading of diseases along river networks

Road Network

source: openstreetmap.org

distances between

communities

Page 15: Spreading of diseases along river networks

human-mediated

transport network

Road Network

source: openstreetmap.org

distances between

communities

Page 16: Spreading of diseases along river networks

Rinaldo et al. PNAS 2012

Page 17: Spreading of diseases along river networks

prediction Dec 2010Bertuzzo et al., GRL, 2011

Page 18: Spreading of diseases along river networks

prediction Nov 2011Rinaldo et al., PNAS, 2012

Page 19: Spreading of diseases along river networks

prediction Jan 2013Bertuzzo et al., in press SERRA

Page 20: Spreading of diseases along river networks

Stability analysis

Page 21: Spreading of diseases along river networks

unstable disease

free equilibrium

perturbation (I>0)

epidemic outbreak

10R

stable disease

free equilibrium

perturbation (I>0)

epidemic fades out

Basic reproduction number: number of secondary cases produced by a single

case over the course of the infectious period

10R

Stability conditionsspatially implicit model

Page 22: Spreading of diseases along river networks

spatially explicit model

Stability conditions

eigenvectorcases

leading eigenvalue

Page 23: Spreading of diseases along river networks

Intervention strategies

Page 24: Spreading of diseases along river networks

Intervention strategies

300’000 vaccines

3’000’000 vaccines

sanitation 40%

sanitation 40%

Page 25: Spreading of diseases along river networks

Epidemic or endemic?

Page 26: Spreading of diseases along river networks

probability of extinction

Page 27: Spreading of diseases along river networks

thanks for the attention