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      The Impact of Human Mobility on HIV Transmission in Kenya

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      PLoS ONE
      Public Library of Science

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          Abstract

          Disease spreads as a result of people moving and coming in contact with each other. Thus the mobility patterns of individuals are crucial in understanding disease dynamics. Here we study the impact of human mobility on HIV transmission in different parts of Kenya. We build an SIR metapopulation model that incorporates the different regions within the country. We parameterise the model using census data, HIV data and mobile phone data adopted to track human mobility. We found that movement between different regions appears to have a relatively small overall effect on the total increase in HIV cases in Kenya. However, the most important consequence of movement patterns was transmission of the disease from high infection to low prevalence areas. Mobility slightly increases HIV incidence rates in regions with initially low HIV prevalences and slightly decreases incidences in regions with initially high HIV prevalence. We discuss how regional HIV models could be used in public-health planning. This paper is a first attempt to model spread of HIV using mobile phone data, and we also discuss limitations to the approach.

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          Most cited references31

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          Prediction and predictability of global epidemics: the role of the airline transportation network

          The systematic study of large-scale networks has unveiled the ubiquitous presence of connectivity patterns characterized by large scale heterogeneities and unbounded statistical fluctuations. These features affect dramatically the behavior of the diffusion processes occurring on networks, determining the ensuing statistical properties of their evolution pattern and dynamics. In this paper, we investigate the role of the large scale properties of the airline transportation network in determining the global evolution of emerging disease. We present a stochastic computational framework for the forecast of global epidemics that considers the complete world-wide air travel infrastructure complemented with census population data. We address two basic issues in global epidemic modeling: i) We study the role of the large scale properties of the airline transportation network in determining the global diffusion pattern of emerging diseases; ii) We evaluate the reliability of forecasts and outbreak scenarios with respect to the intrinsic stochasticity of disease transmission and traffic flows. In order to address these issues we define a set of novel quantitative measures able to characterize the level of heterogeneity and predictability of the epidemic pattern. These measures may be used for the analysis of containment policies and epidemic risk assessment.
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            Travel and the emergence of infectious diseases.

            Travel is a potent force in the emergence of disease. Migration of humans has been the pathway for disseminating infectious diseases throughout recorded history and will continue to shape the emergence, frequency, and spread of infections in geographic areas and populations. The current volume, speed, and reach of travel are unprecedented. The consequences of travel extend beyond the traveler to the population visited and the ecosystem. When they travel, humans carry their genetic makeup, immunologic sequelae of past infections, cultural preferences, customs, and behavioral patterns. Microbes, animals, and other biologic life also accompany them. Today's massive movement of humans and materials sets the stage for mixing diverse genetic pools at rates and in combinations previously unknown. Concomitant changes in the environment, climate, technology, land use, human behavior, and demographics converge to favor the emergence of infectious diseases caused by a broad range of organisms in humans, as well as in plants and animals.
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              The impact of migration on HIV-1 transmission in South Africa: a study of migrant and nonmigrant men and their partners.

              To investigate the association between migration and HIV infection among migrant and nonmigrant men and their rural partners. The goal was to determine risk factors for HIV-1 infection in South Africa. This was a cross-sectional study of 196 migrant men and 130 of their rural partners, as well as 64 nonmigrant men and 98 rural women whose partners are nonmigrant. Male migrants were recruited at work in two urban centers, 100 km and 700 km from their rural homes. Rural partners were traced and invited to participate. Nonmigrant couples were recruited for comparison. The study involved administration of a detailed questionnaire and blood collection for HIV testing. Testing showed that 25.9% of migrant men and 12.7% of nonmigrant men were infected with HIV ( P= 0.029; odds ratio = 2.4; 95% CI = 1.1-5.3). In multivariate analysis, main risk factors for male HIV infection were being a migrant, ever having used a condom, and having lived in four or more places during a lifetime. Being the partner of a migrant was not a significant risk factor for HIV infection among women; significant risk factors were reporting more than one current regular partner, being younger than 35 years, and having STD symptoms during the previous 4 months. Migration is an independent risk factor for HIV infection among men. Workplace interventions are urgently needed to prevent further infections. High rates of HIV were found among rural women, and the migration status of the regular partner was not a major risk factor for HIV. Rural women lack access to appropriate prevention interventions, regardless of their partners' migration status.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                2015
                24 November 2015
                : 10
                : 11
                : e0142805
                Affiliations
                [1 ]Department of Mathematics, University of Dar es Salaam, Dar es Salaam, Tanzania
                [2 ]Department of Mathematics, Uppsala University, Uppsala, Sweden
                China Medical University, TAIWAN
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: DJTS AI. Performed the experiments: DJTS AI EWM. Analyzed the data: DJTS AI EWM. Contributed reagents/materials/analysis tools: DJTS AI EWM. Wrote the paper: DJTS AI EWM.

                Article
                PONE-D-15-15598
                10.1371/journal.pone.0142805
                4657931
                26599277
                8b3a0de8-c8b4-4ea7-92d1-f6650bb21995
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 10 April 2015
                : 27 October 2015
                Page count
                Figures: 10, Tables: 0, Pages: 21
                Funding
                The authors received no specific funding for this work. However, the International Science Programme (ISP) sponsored the corresponding author in his visits from Tanzania to Uppsala University, Sweden. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Custom metadata
                All relevant data are within the paper and its Supporting Information files.

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