2020
DOI: 10.1186/s12916-020-01674-y
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Spatial modes for transmission of chikungunya virus during a large chikungunya outbreak in Italy: a modeling analysis

Abstract: Background: The spatial spread of many mosquito-borne diseases occurs by focal spread at the scale of a few hundred meters and over longer distances due to human mobility. The relative contributions of different spatial scales for transmission of chikungunya virus require definition to improve outbreak vector control recommendations. Methods: We analyzed data from a large chikungunya outbreak mediated by the mosquito Aedes albopictus in the Lazio region, Italy, consisting of 414 reported human cases between Ju… Show more

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Cited by 23 publications
(15 citation statements)
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“…By targeting the Culex species at their peak activity time, their populations would need approximately 50 days to rebound to the levels prior to the adulticide spraying in contrast with no reduction if the intervention would have been done just a few hours earlier. From an epidemiological standpoint, it is important to note that a 90% reduction in the vector population over a time span of 5 days (i.e., less than a generation time of Zika, dengue, and chikungunya [ 41 43 ]) would have a substantial effect on the control of an arbovirus outbreak, causing reproduction numbers of up to 10 to fall below the epidemic threshold of 1. In fact, the reproduction number (i.e., the number of secondary infections generated by an infective host through vector bites in a fully susceptible host population) for a mosquito-borne infectious disease is nearly directly proportional to the number of adult female vectors per human host.…”
Section: Discussionmentioning
confidence: 99%
“…By targeting the Culex species at their peak activity time, their populations would need approximately 50 days to rebound to the levels prior to the adulticide spraying in contrast with no reduction if the intervention would have been done just a few hours earlier. From an epidemiological standpoint, it is important to note that a 90% reduction in the vector population over a time span of 5 days (i.e., less than a generation time of Zika, dengue, and chikungunya [ 41 43 ]) would have a substantial effect on the control of an arbovirus outbreak, causing reproduction numbers of up to 10 to fall below the epidemic threshold of 1. In fact, the reproduction number (i.e., the number of secondary infections generated by an infective host through vector bites in a fully susceptible host population) for a mosquito-borne infectious disease is nearly directly proportional to the number of adult female vectors per human host.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, dates of infection were imputed multiple times based on the distribution of the incubation period [32]. The same intrinsic limitation of the unobservability of infection times is shared by all transmission chain reconstruction models, but there are now several examples where these models have been proven to correctly identify the transmission dynamics of infectious outbreaks [32][33][34][35][36]. Estimates were substantially robust with respect to different methods of imputation and different distributions of the incubation period (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…On one hand, this prevented us to apply standard Bayesian approaches to reconstructing the occurred transmission chains. 9 , 21 On the other hand, when an infection episode was identified between individuals involved in the scholastic settings, we cannot exclude that the transmission occurred outside school. As for other epidemiological investigations, it is likely that some contacts were not identified or remained untested.…”
Section: Discussionmentioning
confidence: 99%