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Cameron Zachreson

Publications and source records attributed to Cameron Zachreson.

17 recordsLinked to original sources

Simulating the impact of perception bias on social contact surveys for infectious disease modelling

Social contact patterns are a key input to many infectious disease models. Contact surveys, where participants are asked to provide information on their recent close and casual contacts with others, are one of the standard methods to measure contact patterns in a population. Surveys that require detailed sociodemographic descriptions of contacts allow for the specification of fine-grained contact rates between subpopulations in models. However, perception biases affecting a surveyed person's ability to estimate sociodemographic attributes (e.g., age, race, socioeconomic status) of others could affect contact rates derived from survey data. Here, we simulate contact surveys using a synthetic contact network of New Mexico to investigate the impact of these biases on survey accuracy and infectious disease model projections. We found that perception biases affecting the estimation of another individual's age and race substantially decreased the accuracy of the derived contact patterns. Using these biased patterns in a Susceptible-Infectious-Recovered compartmental model lead to an underestimation of cumulative incidence among older people (65+ years) and individuals identifying as races other than White. Our study shows that perception biases can impact contact patterns estimated from surveys in ways that systematically underestimate disease burden in minority populations when used in transmission models.

q-bio.PE

Including frameworks of public health ethics in computational modelling of infectious disease interventions

Decisions on public health interventions to control infectious disease are often informed by computational models. Interpreting the predicted outcomes of a public health decision requires not only high-quality modelling, but also an ethical framework for assessing the benefits and harms associated with different options. The design and specification of ethical frameworks matured independently of computational modelling, so many values recognised as important for ethical decision-making are missing from computational models. We demonstrate a proof-of-concept approach to incorporate multiple public health values into the evaluation of a simple computational model for vaccination against a pathogen such as SARS-CoV-2. By examining a bounded space of alternative prioritisations of values (outcome equity and aggregate benefit) we identify value trade-offs, where the outcomes of optimal strategies differ depending on the ethical framework. This work demonstrates an approach to incorporating diverse values into decision criteria used to evaluate outcomes of models of infectious disease interventions.

physics.soc-ph

A model-based assessment of social isolation practices for COVID-19 outbreak response in residential care facilities

Residential aged-care facilities (RACFs, also called long-term care facilities, aged care homes, or nursing homes) have elevated risks of respiratory infection outbreaks and associated disease burden. During the COVID-19 pandemic, social isolation policies were commonly used in these facilities to prevent and mitigate outbreaks. We refer specifically to general isolation policies that were intended to reduce contact between residents, without regard to confirmed infection status. Such policies are controversial because of their association with adverse mental and physical health indicators and there is a lack of modelling that assesses their effectiveness. We developed an agent-based model of COVID-19 transmission in a structured population, intended to represent the salient characteristics of a residential care environment. Using our model, we generated stochastic ensembles of simulated outbreaks and compared summary statistics of outbreaks simulated} under different mitigation conditions. Our study focuses on the marginal impact of general isolation (reducing social contact between residents), regardless of confirmed infection. In the absence of any asymptomatic screening, general isolation of residents to their rooms reduced median cumulative cases by approximately 27%. However, when conducted concurrently with asymptomatic screening and isolation of confirmed cases, general isolation reduced the median number of cumulative infections by only 12% in our simulations. Our simulations showed that general isolation of residents did not provide substantial benefits beyond those achieved through screening, isolation of confirmed cases, and deployment of PPE. Our conclusions are sensitive to assumptions about the proportion of total contacts in a facility accounted for by casual interactions between residents.

q-bio.PE

A microsimulation model of behaviour change calibrated to reversal learning data

Behaviour change lies at the heart of many observable collective phenomena such as the transmission and control of infectious diseases, adoption of public health policies, and migration of animals to new habitats. Representing the process of individual behaviour change in computer simulations of these phenomena remains an open challenge. Often, computational models use phenomenological implementations with limited support from behavioural data. Without a strong connection to observable quantities, such models have limited utility for simulating observed and counterfactual scenarios of emergent phenomena because they cannot be validated or calibrated. Here, we present a simple stochastic microsimulation model of reversal learning that captures fundamental properties of individual behaviour change, namely, the capacity to learn based on accumulated reward signals, and the transient persistence of learned behaviour after rewards are removed or altered. The model has only two parameters, and we use approximate Bayesian computation to demonstrate that they are fully identifiable from empirical reversal learning time series data. Finally, we demonstrate how the model can be extended to account for the increased complexity of behavioural dynamics over longer time scales involving fluctuating stimuli. This work is a step towards the development and evaluation of fully identifiable individual-level behaviour change models that can function as validated submodels for complex simulations of collective behaviour change.

q-bio.QM

Apparent structural changes in contact patterns during COVID-19 were driven by survey design and long-term demographic trends

Social contact patterns are key drivers of infectious disease transmission. During the COVID-19 pandemic, differences between pre-COVID and COVID-era contact rates were widely attributed to non-pharmaceutical interventions such as lockdowns. However, the factors that drive changes in the distribution of contacts between different subpopulations remain poorly understood. Here, we present a clustering analysis of 33 contact matrices generated from surveys conducted before and during the COVID-19 pandemic, and analyse key features distinguishing their topological structures. While we expected to identify aspects of pandemic scenarios responsible for these features, our analysis demonstrates that they can be explained by differences in study design and long-term demographic trends. Our results caution against using survey data from different studies in counterfactual analysis of epidemic mitigation strategies. Doing so risks attributing differences stemming from methodological choices or long-term changes to the short-term effects of interventions.

physics.soc-ph

Correlation of viral loads in disease transmission chains could bias early estimates of the reproduction number

Early estimates of the transmission properties of a newly emerged pathogen are critical to an effective public health response, and are often based on limited outbreak data. Here, we use simulations to investigate a potential source of bias in such estimates, arising from correlations between the viral load of cases in transmission chains. We show that this mechanism can affect estimates of fundamental transmission properties characterising the spread of a virus. Our computational model simulates a disease transmission mechanism in which the viral load of the infector at the time of transmission influences the infectiousness of the infectee. These correlations in transmission pairs produce a population-level decoherence process during which the distributions of initial viral loads in each subsequent generation converge to a steady state. We find that outbreaks arising from index cases with low initial viral loads give rise to early estimates of transmission properties that are subject to large biases. These findings demonstrate the potential for bias arising from transmission mechanics to affect estimates of the transmission properties of newly emerged viruses.

q-bio.PE

Simulating transmission scenarios of the Delta variant of SARS-CoV-2 in Australia

An outbreak of the Delta (B.1.617.2) variant of SARS-CoV-2 that began around mid-June 2021 in Sydney, Australia, quickly developed into a nation-wide epidemic. The ongoing epidemic is of major concern as the Delta variant is more infectious than previous variants that circulated in Australia in 2020. Using a re-calibrated agent-based model, we explored a feasible range of non-pharmaceutical interventions, including case isolation, home quarantine, school closures, and stay-at-home restrictions (i.e., "social distancing"). Our modelling indicated that the levels of reduced interactions in workplaces and across communities attained in Sydney and other parts of the nation were inadequate for controlling the outbreak. A counter-factual analysis suggested that if 70% of the population followed tight stay-at-home restrictions, then at least 45 days would have been needed for new daily cases to fall from their peak to below ten per day. Our model predicted that, under a progressive vaccination rollout, if 40-50% of the Australian population follow stay-at-home restrictions, the incidence will peak by mid-October 2021: the peak in incidence across the nation was indeed observed in mid-October. We also quantified an expected burden on the healthcare system and potential fatalities across Australia.

q-bio.PE

The effects of local homogeneity assumptions in metapopulation models of infectious disease

Computational models of infectious disease can be broadly categorized into two types: individual-based (Agent-based), or compartmental models. While compartmental models can be structured to separate distinct sectors of a population, they are conceptually distinct from individual-based models in which population structure emerges from micro-scale interactions. While the conceptual distinction is straightforward, a fair comparison of the approaches is difficult to achieve. Here, we carry out such a comparison by building a set of compartmental metapopulation models from an agent-based representation of a real population. By adjusting the compartmental model to approximately match the dynamics of the Agent-based model, we identify two key qualitative properties of the individual-based dynamics which are lost upon aggregation into metapopulations. These are (1) the local depletion of susceptibility to infection, and (2) decoupling of different regional groups due to correlation between commuting behaviors and contact rates. The first of these effects is a general consequence of aggregating small, closely connected groups (i.e., families) into larger homogeneous metapopulations. The second can be interpreted as a consequence of aggregating two distinct types of individuals: school children, who travel short distances but have many potentially infectious contacts, and adults, who travel further but tend to have fewer contacts capable of transmitting infection. Our results could be generalised to other types of correlations between the characteristics of individuals and the behaviors that distinguish them.

q-bio.PE

COVID-19 in low-tolerance border quarantine systems: impact of the Delta variant of SARS-CoV-2

In controlling transmission of COVID-19, the effectiveness of border quarantine strategies is a key concern for jurisdictions in which the local prevalence of disease and immunity is low. In settings like this such as China, Australia, and New Zealand, rare outbreak events can lead to escalating epidemics and trigger the imposition of large scale lockdown policies. Here, we examine to what degree vaccination status of incoming arrivals and the quarantine workforce can allow relaxation of quarantine requirements. To do so, we develop and apply a detailed model of COVID-19 disease progression and transmission taking into account nuanced timing factors. Key among these are disease incubation periods and the progression of infection detectability during incubation. Using the disease characteristics associated with the ancestral lineage of SARS-CoV-2 to benchmark the level of acceptable risk, we examine the performance of the border quarantine system for vaccinated arrivals. We examine disease transmission and vaccine efficacy parameters over a wide range, covering plausible values for the Delta variant currently circulating globally. Our results indicate a threshold in outbreak potential as a function of vaccine efficacy, with the time until an outbreak increasing by up to two orders of magnitude as vaccine efficacy against transmission increases from 70% to 90%. For parameters corresponding to the Delta variant, vaccination is able to maintain the capacity of quarantine systems to reduce case importation and outbreak risk, by counteracting the pathogen's increased infectiousness. To prevent outbreaks, heightened vaccination in border quarantine systems must be combined with mass vaccination. The ultimate success of these programs will depend sensitively on the efficacy of vaccines against viral transmission.

q-bio.PE

How will mass-vaccination change COVID-19 lockdown requirements in Australia?

Background: To prevent future outbreaks of COVID-19, Australia is pursuing a mass-vaccination approach in which a targeted group of the population comprising healthcare workers, aged-care residents and other individuals at increased risk of exposure will receive a highly effective priority vaccine. The rest of the population will instead have access to a less effective vaccine. Methods: We apply a large-scale agent-based model of COVID-19 in Australia to investigate the possible implications of this hybrid approach to mass-vaccination. The model is calibrated to recent epidemiological and demographic data available in Australia, and accounts for several components of vaccine efficacy. Findings: Within a feasible range of vaccine efficacy values, our model supports the assertion that complete herd immunity due to vaccination is not likely in the Australian context. For realistic scenarios in which herd immunity is not achieved, we simulate the effects of mass-vaccination on epidemic growth rate, and investigate the requirements of lockdown measures applied to curb subsequent outbreaks. In our simulations, Australia's vaccination strategy can feasibly reduce required lockdown intensity and initial epidemic growth rate by 43% and 52%, respectively. The severity of epidemics, as measured by the peak number of daily new cases, decreases by up to two orders of magnitude under plausible mass-vaccination and lockdown strategies. Interpretation: The study presents a strong argument for a large-scale vaccination campaign in Australia, which would substantially reduce both the intensity of future outbreaks and the stringency of non-pharmaceutical interventions required for their suppression.

q-bio.PE

Risk mapping for COVID-19 outbreaks in Australia using mobility data

COVID-19 is highly transmissible and containing outbreaks requires a rapid and effective response. Because infection may be spread by people who are pre-symptomatic or asymptomatic, substantial undetected transmission is likely to occur before clinical cases are diagnosed. Thus, when outbreaks occur there is a need to anticipate which populations and locations are at heightened risk of exposure. In this work, we evaluate the utility of aggregate human mobility data for estimating the geographic distribution of transmission risk. We present a simple procedure for producing spatial transmission risk assessments from near-real-time population mobility data. We validate our estimates against three well-documented COVID-19 outbreak scenarios in Australia. Two of these were well-defined transmission clusters and one was a community transmission scenario. Our results indicate that mobility data can be a good predictor of geographic patterns of exposure risk from transmission centres, particularly in scenarios involving workplaces or other environments associated with habitual travel patterns. For community transmission scenarios, our results demonstrate that mobility data adds the most value to risk predictions when case counts are low and spatially clustered. Our method could assist health systems in the allocation of testing resources, and potentially guide the implementation of geographically-targeted restrictions on movement and social interaction.

physics.soc-ph

Modelling transmission and control of the COVID-19 pandemic in Australia

There is a continuing debate on relative benefits of various mitigation and suppression strategies aimed to control the spread of COVID-19. Here we report the results of agent-based modelling using a fine-grained computational simulation of the ongoing COVID-19 pandemic in Australia. This model is calibrated to match key characteristics of COVID-19 transmission. An important calibration outcome is the age-dependent fraction of symptomatic cases, with this fraction for children found to be one-fifth of such fraction for adults. We apply the model to compare several intervention strategies, including restrictions on international air travel, case isolation, home quarantine, social distancing with varying levels of compliance, and school closures. School closures are not found to bring decisive benefits, unless coupled with high level of social distancing compliance. We report several trade-offs, and an important transition across the levels of social distancing compliance, in the range between 70% and 80% levels, with compliance at the 90% level found to control the disease within 13--14 weeks, when coupled with effective case isolation and international travel restrictions.

q-bio.PE

Urbanization affects peak timing, prevalence, and bimodality of influenza pandemics in Australia: results of a census-calibrated model

We examine salient trends of influenza pandemics in Australia, a rapidly urbanizing nation. To do so, we implement state-of-the-art influenza transmission and progression models within a large-scale stochastic computer simulation, generated using comprehensive Australian census datasets from 2006, 2011, and 2016. Our results offer a simulation-based investigation of a population's sensitivity to pandemics across multiple historical time points, and highlight three significant trends in pandemic patterns over the years: increased peak prevalence, faster spreading rates, and decreasing spatiotemporal bimodality. We attribute these pandemic trends to increases in two key quantities indicative of urbanization: population fraction residing in major cities, and international air traffic. In addition, we identify features of the pandemic's geographic spread that we attribute to changes in the commuter mobility network. The generic nature of our model and the ubiquity of urbanization trends around the world make it likely for our results to be applicable in other rapidly urbanizing nations.

physics.soc-ph

Creating a surrogate commuter network from Australian Bureau of Statistics census data

Between the 2011 and 2016 national censuses, the Australian Bureau of Statistics changed its anonymity policy compliance system for the distribution of census data. The new method has resulted in dramatic inconsistencies when comparing low-resolution data to aggregated high-resolution data. Hence, aggregated totals do not match true totals, and the mismatch gets worse as the data resolution gets finer. Here, we address several aspects of this inconsistency with respect to the 2016 usual-residence to place-of-work travel data. We introduce a re-sampling system that rectifies many of the artifacts introduced by the new ABS protocol, ensuring a higher level of consistency across partition sizes. We offer a surrogate high-resolution 2016 commuter dataset that reduces the difference between aggregated and true commuter totals from ~34% to only ~7%, which is on the order of the discrepancy across partition resolutions in data from earlier years.

cs.DB

Network patterns in exponentially growing 2D biofilms

Anisotropic collective patterns occur frequently in the morphogenesis of 2D biofilms. These patterns are often attributed to growth regulation mechanisms and differentiation based on gradients of diffusing nutrients and signalling molecules. Here, we employ a model of bacterial growth dynamics to show that even in the absence of growth regulation or differentiation, confinement by an enclosing medium such as agar can itself lead to stable pattern formation over time scales that are employed in experiments. The underlying mechanism relies on path formation through physical deformation of the enclosing environment.

physics.bio-ph

Emergent pattern formation in an interstitial biofilm

Collective behavior of bacterial colonies plays critical roles in adaptability, survivability, biofilm expansion and infection. We employ an individual-based model of an interstitial biofilm to study emergent pattern formation based on the assumptions that rod-shaped bacteria furrow through a viscous environment, and excrete extracellular polymeric substances which bias their rate of motion. Because the bacteria furrow through their environment, the substratum stiffness is a key control parameter behind the formation of distinct morphological patterns. By systematically varying this property (which we quantify with a stiffness coefficient γ), we show that subtle changes in the substratum stiffness can give rise to a stable state characterized by a high degree of local order and long-range pattern formation. The ordered state exhibits characteristics typically associated with bacterial fitness advantages, even though it is induced by changes in environmental conditions rather than changes in biological parameters. Our findings are applicable to broad range of biofilms and provide insights into the relationship between bacterial movement and their environment, and basic mechanisms behind self-organization of biophysical systems.

nlin.AO

Quantum Emission from Defects in Single Crystal Hexagonal Boron Nitride

Bulk hexagonal boron nitride (hBN) is a highly nonlinear natural hyperbolic material that attracts major attention in modern nanophotonics applications. However, studies of its optical properties in the visible part of the spectrum and quantum emitters hosted by bulk hBN have not been reported to date. In this work we study the emission properties of hBN crystals in the red spectral range using sub-bandgap optical excitation. Quantum emission from defects is observed at room temperature and characterized in detail. Our results advance the use of hBN in quantum nanophotonics technologies and enhance our fundamental understanding of its optical properties.

cond-mat.mtrl-sci