The contribution of social behaviour to the transmission of influenza A in a human population.

Variability in the risk of transmission for respiratory pathogens can result from several factors, including the intrinsic properties of the pathogen, the immune state of the host and the host's behaviour. It has been proposed that self-reported social mixing patterns can explain the behavioura...

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Autores principales: Adam J Kucharski, Kin O Kwok, Vivian W I Wei, Benjamin J Cowling, Jonathan M Read, Justin Lessler, Derek A Cummings, Steven Riley
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:9a37d2516d284c43abac00844d3917972021-11-11T06:06:06ZThe contribution of social behaviour to the transmission of influenza A in a human population.1553-73661553-737410.1371/journal.ppat.1004206https://doaj.org/article/9a37d2516d284c43abac00844d3917972014-06-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24968312/pdf/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374Variability in the risk of transmission for respiratory pathogens can result from several factors, including the intrinsic properties of the pathogen, the immune state of the host and the host's behaviour. It has been proposed that self-reported social mixing patterns can explain the behavioural component of this variability, with simulated intervention studies based on these data used routinely to inform public health policy. However, in the absence of robust studies with biological endpoints for individuals, it is unclear how age and social behaviour contribute to infection risk. To examine how the structure and nature of social contacts influenced infection risk over the course of a single epidemic, we designed a flexible disease modelling framework: the population was divided into a series of increasingly detailed age and social contact classes, with the transmissibility of each age-contact class determined by the average contacts of that class. Fitting the models to serologically confirmed infection data from the 2009 Hong Kong influenza A/H1N1p pandemic, we found that an individual's risk of infection was influenced strongly by the average reported social mixing behaviour of their age group, rather than by their personal reported contacts. We also identified the resolution of social mixing that shaped transmission: epidemic dynamics were driven by intense contacts between children, a post-childhood drop in risky contacts and a subsequent rise in contacts for individuals aged 35-50. Our results demonstrate that self-reported social contact surveys can account for age-associated heterogeneity in the transmission of a respiratory pathogen in humans, and show robustly how these individual-level behaviours manifest themselves through assortative age groups. Our results suggest it is possible to profile the social structure of different populations and to use these aggregated data to predict their inherent transmission potential.Adam J KucharskiKin O KwokVivian W I WeiBenjamin J CowlingJonathan M ReadJustin LesslerDerek A CummingsSteven RileyPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 10, Iss 6, p e1004206 (2014)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
Adam J Kucharski
Kin O Kwok
Vivian W I Wei
Benjamin J Cowling
Jonathan M Read
Justin Lessler
Derek A Cummings
Steven Riley
The contribution of social behaviour to the transmission of influenza A in a human population.
description Variability in the risk of transmission for respiratory pathogens can result from several factors, including the intrinsic properties of the pathogen, the immune state of the host and the host's behaviour. It has been proposed that self-reported social mixing patterns can explain the behavioural component of this variability, with simulated intervention studies based on these data used routinely to inform public health policy. However, in the absence of robust studies with biological endpoints for individuals, it is unclear how age and social behaviour contribute to infection risk. To examine how the structure and nature of social contacts influenced infection risk over the course of a single epidemic, we designed a flexible disease modelling framework: the population was divided into a series of increasingly detailed age and social contact classes, with the transmissibility of each age-contact class determined by the average contacts of that class. Fitting the models to serologically confirmed infection data from the 2009 Hong Kong influenza A/H1N1p pandemic, we found that an individual's risk of infection was influenced strongly by the average reported social mixing behaviour of their age group, rather than by their personal reported contacts. We also identified the resolution of social mixing that shaped transmission: epidemic dynamics were driven by intense contacts between children, a post-childhood drop in risky contacts and a subsequent rise in contacts for individuals aged 35-50. Our results demonstrate that self-reported social contact surveys can account for age-associated heterogeneity in the transmission of a respiratory pathogen in humans, and show robustly how these individual-level behaviours manifest themselves through assortative age groups. Our results suggest it is possible to profile the social structure of different populations and to use these aggregated data to predict their inherent transmission potential.
format article
author Adam J Kucharski
Kin O Kwok
Vivian W I Wei
Benjamin J Cowling
Jonathan M Read
Justin Lessler
Derek A Cummings
Steven Riley
author_facet Adam J Kucharski
Kin O Kwok
Vivian W I Wei
Benjamin J Cowling
Jonathan M Read
Justin Lessler
Derek A Cummings
Steven Riley
author_sort Adam J Kucharski
title The contribution of social behaviour to the transmission of influenza A in a human population.
title_short The contribution of social behaviour to the transmission of influenza A in a human population.
title_full The contribution of social behaviour to the transmission of influenza A in a human population.
title_fullStr The contribution of social behaviour to the transmission of influenza A in a human population.
title_full_unstemmed The contribution of social behaviour to the transmission of influenza A in a human population.
title_sort contribution of social behaviour to the transmission of influenza a in a human population.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/9a37d2516d284c43abac00844d391797
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