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Akshay Deverakonda

Publications and source records attributed to Akshay Deverakonda.

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Synthetic Wastewater Epidemiology Data Generation using Patterns-of-Life Simulation

Wastewater contains rich biological signals that can be used to monitor population health, track infectious diseases, and detect emerging outbreaks. Pathogens and other biomarkers in sewage provide a unique, noninvasive view of disease prevalence at the community level. However, extracting these signals requires extensive field sampling, laboratory analysis, and expert interpretation. Consequently, wastewater-based epidemiology (WBE) datasets are scarce, geographically fragmented, and rarely released as open data. Even when available, existing datasets typically cover short time periods and limited geographic regions, restricting their usefulness for method development, benchmarking, and large-scale modeling. To address this gap, we present an application of an existing patterns-of-life simulation framework for generating synthetic infectious disease and wastewater pathogen datasets for wastewater-based epidemiology. Our approach extends a patterns-of-life simulation framework by using it as a model of human mobility and behavior while incorporating disease transmission and pathogen shedding dynamics. The resulting framework generates high-resolution spatial and temporal datasets capturing infection dynamics, mobility behavior, and wastewater-associated pathogen signals. We release a fully simulated dataset containing check-in records, social network links, infection states, pathogen loads, and ground-truth disease transmission information. These data support controlled experimentation for outbreak detection, source localization, resource allocation, surveillance strategy design, mobility-aware wastewater analysis, and targeted public health interventions. We provide datasets for Fulton County and demonstrate that the framework generalizes to other regions by generating data for any city with available OpenStreetMap information.

q-bio.PE

Where Do We Poop? City-Wide Simulation of Defecation Behavior for Wastewater-Based Epidemiology

Wastewater surveillance, which regularly measures pathogen biomarkers in wastewater samples, is a valuable tool for monitoring infectious diseases circulating in communities. Yet, most wastewater-based epidemiology methods that use wastewater surveillance results to infer disease trends implicitly assume that individuals excrete only at their residential locations and that the populations contributing to wastewater samples are static. These simplifying assumptions ignore daily mobility, social interactions, and heterogeneous toilet-use patterns, which can bias the interpretation of wastewater results, especially at upstream sampling locations such as neighborhoods, institutions, or buildings. Here, we introduce an agent-based geospatial simulation framework. Building on an established Patterns of Life model, we simulate daily human activities within a realistic urban environment and extend the framework with a physiologically motivated defecation cycle and toilet-use patterns. We couple this behavioral model with an infectious disease model to simulate transmission through spatial and social interactions. When an infected agent defecates, a pathogen-shedding model determines the amount of pathogen released in the feces. By integrating population mobility, disease transmission, toilet-use behavior, and pathogen shedding, the framework can simulate the spatiotemporal dynamics of wastewater pathogen loads. Using a case study of 10,000 simulated agents in Fulton County, Georgia, we examine how varying infection rates alter epidemic trajectories, wastewater pathogen loads, and the spatial distribution of pathogen shedding over time. Our results show that mobility and toilet use can substantially decouple residential disease prevalence from wastewater pathogen loads and demonstrate how behaviorally grounded simulations can support interpretation, scenario analysis, and wastewater surveillance

physics.soc-ph