Agent-based model of Dengue Disease Transmission ...

1 downloads 0 Views 225KB Size Report
beginning with the classic Ross-Macdonald malaria models [4,5,6] and extending to present day models of vectors populations or aspects of vector biology, not.
Agent-based model of Dengue Disease Transmission by

Aedes aegypti Populations

Carlos Isidoro and Nuno Fachada and Fábio Barata and Agostinho Rosa Evolutionary System and Biomedical Engineering Lab Systems and Robotics Institute Instituto Superior Técnico Av. Rovisco Pais, 1049-001 Lisboa, Portugal [email protected], [email protected], [email protected], [email protected]

This paper presents an agent based model of the Aedes aemosquito showing not only population dynamics but also the Dengue disease propagation in both the vector and host populations (mosquitoes and humans, respectively); this study will focus on the latter aspect. The agents model the main aspects of the mosquito's ecology and behavior, while the environmental components are implemented as a layer of dynamic elements obeying to physical laws. Model verication was performed through examination of simulation parameters variation and qualitative assessment with existing models and simulations. The agent based modeling and simulation platform used was the LAIS simulator. Abstract.

gypti

Keywords

RIDL, SIT

1

Articial Life, Agent Based Modelling, Aedes aegypti, Dengue,

Introduction

The dengue is a dangerous disease which still lacks a cure, and it is spread through a specic type of vector, the Aedes aegypti mosquito. Currently, the most aected areas are the ones with tropical climates since factors like high temperature and frequent precipitation are favorable to Aedes aegypti growth. However, if current predictions about climate change happen, many new areas might start facing the dengue threat [1]. Since an eective treatment is yet to be found, it is particularly important to focus on prevention, keeping the mosquito population under transmission threshold, or better still, eradicate the disease. Various strategies have been developed and used for this purpose, ranging from releasing large amounts of sterile mosquitoes into the environment to clearing areas with still water that might be used as mosquito breeding sites. This paper is a continuation of [2], which studied the mosquito population dynamics and the eects of a particular population control strategy, RIDL. The study presented here will focus on the disease itself, more specically on the

propagation of the disease in both the mosquito (vector) and human (host) populations. These studies were performed using an agent based model, developed for the LAIS simulator. ABM is well suited for describing complex systems in general and disease transmission in particular, providing a way to represent the true diversity of intervening components, such as environmental factors, disease vectors and disease hosts. Other advantages include the possibility to determine spatial behavior distribution, rapid insertion of new components and natural consideration of nonlinear interactions between agents. This approach is not without problems of its own: it requires considerable computational power to simulate individual agents; parameter tuning is not trivial; and it lacks the formalism provided by dierential equations (although ABM formalism is already a reality [3]). Nonetheless, for explicitly spatial models, such as the one presented here, the advantages of ABM clearly outweigh its limitations. The state of the art in the modeling and simulation of the Aedes aegypti mosquito, dengue transmission and other relevant related subjects is presented in section 2; a brief description of the LAIS simulator is given in section 3, while the model itself is described in section 4. Sections 5 and 6 present the performed simulations, and the associated discussion, respectively.

2

State of the art

There have been numerous models of mosquitoes and mosquito-borne disease, beginning with the classic Ross-Macdonald malaria models [4,5,6] and extending to present day models of vectors populations or aspects of vector biology, not directly considering disease [7,8,9,10]. One example of modeling the dengue vector mosquito population dynamics is by Focks and colleagues [11,12], examining the biology of Aedes aegypti. This is an exceptionally detailed model, with numerous types of containers for larval development. Hydrology (water levels and drying), temperature-dependent larval development, food availability and survival are explicitly tracked in each container type. Detailed weather data are used to drive the hydrological and biological functions. This level of detail has both costs and benets; it enables consideration of detailed aspects of the mosquito biology, but also makes true sensitivity analysis of the model dicult or impossible. Thus, to develop a model with this level of detail, it is necessary to have extensive data available for parameter estimates and validation. The use of ABM methodologies to model Aedes aegypti populations has been scarse at best. Some interesting ideas are presented in a work by Deng et. al [13], namely the use of an utility function to determine mosquito movement, taking into account factors such as population, wind direction, land use type and landscape roughness. However the practical implementation of the model is very limited, with coarse spatial discretization (30x30) and not singular agentbased.

Models can be useful to evaluate dierent strategy of mosquito control. Recently, techniques like releasing genetic modied mosquitoes have been considered as an enhanced SIT to control the mosquito population, as the genetic manipulation in insects result in sterility or lethal genes[14,15]. Although there wasn't any genetic modied mosquito open eld release conducted yet, a couple of mathematical modeling works have been done to assess the control ecacy [16,17,18]. But none of those could provide a tool to simulate the interaction between mosquito individuals such as mating behavior, spatial distribution, and immigration etc. All these are important for the evaluation and guidance of genetic control approach.

3

The LAIS simulator

The LAIS simulator is a multithreaded agent-based simulation platform, oering a modeling paradigm and a set of tools for the simulation of complex systems [19]. The platform is implemented in Java and makes use of several open source libraries which provide tools for spatial organization and visualization, event scheduling, simulation output (e.g., charts, CSV les, movies) an d simple class development and instantiation using XML. Simulations are performed in discrete time and two-dimensional discrete space. As such, space is divided into blocks, which are independently processed by dierent threads, making LAIS scalable on modern multiprocessor systems. There are two main actors in the LAIS framework: agents and elements. Agents are typical ABM discret e and independent decision-making entities. When prompted to act, each agent analyzes its current situation (e.g. what resources are available, what other agents are in the vicinity), and acts accordingly, based on a set of rules. These rules incorporate knowledge or theories about the respective low-level components. On the other hand, elements are real-valued objects which obey predetermined rul es, such as physical laws (e.g., diusion).

4

Model description

The Aedes aegypti LAIS model implements a square topology where each spatial block has 8 neighbors (N,NE,E,SE,S,SW,W,NW). Five dierent agents are considered: Wild Male Mosquitoes (WM), Female Mosquitoes (WF), Sterile Male Mosquitoes (SM), Humans (H) and Oviposition spots (OS). Various dierent elements are also used, with the most important falling into one of the following categories: mosquito attractors and mosquito density measure. The interactions between the various agents are represented in a simplistic way in g. 1; a brief explanation follows: WM are attracted to the pheromone released by WF. If a WM and a WF are on the same cell, there is a chance for the WF to become fertilized. WM-WF

Death Sting Human If fertile, lay eggs

Female Mosquito

Eggs

Mating

Sterile Male Mosquito

Fig. 1.

Wild Male Mosquito

Growth Stages

Model overview.

SM are also attracted to the pheromone released by WF. If a SM and a WF are on the same cell, there is a chance for the WF to register having mated, although it has not been fertilized (the implications will be given on the WF-OS interaction). SM-WF

WF follow the Humans body heat, and if they are in the same cell as a human they have a chance to either die or successfully acquire human blood. WF-Hu

After having mated and having acquired human blood, a WF will move towards an OS by following the humidity released by them. After reaching an OS, the WF will lay a certain number of eggs if it mated with a WM, or lay none if its mate was a SM. Afterwards it will again start looking for mates and humans. WF-OS

Mosquitoes only interact with other agents after they mature into adults. After hatching from their eggs, they go through a number of development stages before becoming adults. It is important to note that the elements used as mosquito attractors, are intended to model mosquito behavior and might not correspond to the exact process the mosquitoes use to follow their targets. While not present in gure 1 and on the explanations given above, the spread of the Dengue disease can happen during the WF-Hu or the WF-OS interactions. In the rst case (WF-Hu) an infected WF stinging a healthy human has a certain chance to infect the human. A non-infected WF that stings a contagious human will become infected. An infected human will stay contagious for a certain number of days, after which they stop infecting WF that sting them, and can't become contagious again for the duration of the simulation. For the second case (WF-OS), Eggs layed by infected WF have a small chance to be born infected as well. Table 1 shows the parameters relating to the dengue disease.

A more detailed description of each agent and element can be found in [2]. Table 1.

More parameters related to the dengue disease.

Parameter

Value

Chance to be infected when stinging an infected human 1 Chance to infect a human 0.9 Chance to be born infected if mother was infected 0.003

5

Tests and results

To study the propagation of the dengue disease, a number of simulations were performed. The simulations are done in two steps: a) they begin with the initial numbers WM,WF and humans; b) after the system reaches a steady state, a number of infected WF are simultaneously released. The xed simulation parameters are given in table 2, and the contagious period in humans varies between 8 and 19. For each specic value of the contagious period a total of 40 simulations were run. Table 2.

Parameter

Model default parameters. Value

Model width (blocks) 100 Model height (blocks) 100 Initial number of Male Mosquitoes 1250 Initial number of Female Mosquitoes 750 Initial Number of Humans 700

The results associated with these tests are presented in gures 2 and 3. Figure 2 shows the relation between average infection period in the human population (the amount of the time before no more humans are contagious) and the contagious period. Figure 3 shows the relation between the average number of infected humans and the contagious period.

6

Discussion

Both graphics seem to show an increasing trend in the average infection period and the total number of humans infected with the increase of the contagious period. The correlation of the contagious period with infection period and disease duration follows almost a linear relationship. The uctuations observed in both

55

50

Disease Duration

45

40

35

30

25

20

8

10

12

14

16

18

20

Contagious Period

Fig. 2.

Relation between the infection period and the contagious period.

8

Total of Infected Humans

7.5

7

6.5

6

8

10

12

14

16

18

20

Contagious Period

Fig. 3.

period.

Relation between the number of humans infected and the contagious

gures 2 and 3 are due to the limited number of runs (40); a much higher number would be necessary to reduce the natural variation of the curves due the presence of an accentuated limit cycle.

7

Conclusions and future work

The model presented in this paper can be improved by taking into account other important factors which impact mosquito population dynamics, most noticeably environmental factors like temperature, precipitation and wind. The various parameters can also be further ne-tuned; in particular, some parameters are not entirely correct in relation to the amount of time associated with each iteration. As such, current results can only be used for a qualitative validation of the model. A more realistic representation of the disease will also be implemented, taking into account the dierent strains of the dengue virus and immune status of the human population. Simulations studying the impact of population control strategies on the propagation of the dengue disease will also be investigated. Nevertheless, the current agent based model shows potential as a test bench to help study the propagation of the disease and predict the eciency of possible treatments before deploying them on the eld.

8

Acknowledgements

This work was partially supported by Fundação para a Ciência e a Tecnologia (ISR/IST plurianual funding) through the POS_Conhecimento Program that includes FEDER funds. The authors C. Isidoro and F. Barata acknowledge their grant BII-2009 to Fundação para a Ciência e Tecnologia (FCT). The author N. Fachada acknowledges its grant SFRH/BD / 48310/2008 to Fundação para a Ciência e Tecnologia (FCT).

References 1. Senior, K.: Climate change and infectious disease: a dangerous liaison. The Lancet Infectious Diseases 8(2) (2008) 92  93 2. Isidoro, C., Fachada, N., Barata, F., Rosa, A.: Agent-based model of Aedes aegypti Population Dynamics (ACCEPTED). In: Lecture Notes in Articial Intelligence. Springer (2009) 3. Helleboogh, A., Vizzari, G., Uhrmacher, A., Michel, F.: Modeling dynamic environments in multi-agent simulation. Autonomous Agents and Multi-Agent Systems 14(1) (2007) 87116 4. Ross, R.: The Prevention of Malaria. (1911) 5. Macdonald, G.: The analysis of equilibrium in malaria. Trop Dis Bull 49(9) (1952) 813829 6. Macdonald, G.: The epidemiology and control of malaria. (1957) 7. Eisenberg, J., Reisen, W., Spear, R.: Dynamic model comparing the bionomics of two isolated Culex tarsalis (Diptera: Culicidae) populations: model development. Journal of Medical Entomology 32(2) (1995) 8397

8. Eisenberg, J., Reisen, W., Spear, R.: Dynamic model comparing the bionomics of two isolated Culex tarsalis (Diptera: Culicidae) populations: sensitivity analysis. Journal of medical entomology 32(2) (1995) 98106 9. Alto, B., Juliano, S.: Precipitation and temperature eects on populations of Aedes albopictus (Diptera: Culicidae): implications for range expansion. Journal of medical entomology 38(5) (2001) 646656 10. Ahumada, J., Lapointe, D., Samuel, M.: Modeling the population dynamics of Culex quinquefasciatus (Diptera: Culicidae), along an elevational gradient in Hawaii. Journal of medical entomology 41(6) (2004) 11571170 11. Focks, D., Haile, D., Daniels, E., Mount, G.: Dynamic life table model of a container-inhabiting mosquito, Aedes aegypti (L.)(Diptera: Culicidae). Part 1. Analysis of the literature and model development. Journal of Medical Entomology 30 (1993) 10031017 12. Focks, D., Haile, D., Daniels, E., Mount, G.: Dynamic life table model of a container-inhabiting mosquito, Aedes aegypti (L.)(Diptera: Culicidae). Part 2. Simulation results and validation. Journal of Medical Entomology 30 (1993) 10181028 13. Deng, C., Tao, H., Ye, Z.: Agent-based modeling to simulate the dengue spread. 7143 (2008) 714310 14. Thomas, D., Donnelly, C., Wood, R., Alphey, L.: Insect population control using a dominant, repressible, lethal genetic system. Science 287(5462) 24742476 15. Atkinson, M., Su, Z., Alphey, N., Alphey, L., Coleman, P., Wein, L.: Analyzing the control of mosquito-borne diseases by a dominant lethal genetic system. Proceedings of the National Academy of Sciences 104(22) (2007) 95409546 16. Esteva, L., Mo Yang, H.: Mathematical model to assess the control of Aedes aegypti mosquitoes by the sterile insect technique. Mathematical biosciences 198(2) (2005) 132147 17. Li, J.: Simple mathematical models for interacting wild and transgenic mosquito populations. Mathematical biosciences 189(1) (2004) 3959 18. Maiti, A., Patra, B., Samanta, G.: Sterile insect release method as a control measure of insect pests: A mathematical model. Journal of Applied Mathematics and Computing 22(3) (2006) 7186 19. Fachada, N.: Agent-based Simulation of the Immune System. Master's thesis, Instituto Superior Técnico, Lisboa (July 2008)