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Dynamic analysis of syphilis model with the saturated incidence and early latent stage 饱和发病率和早期潜伏期梅毒模型的动力学分析
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-12-03 DOI: 10.1016/j.idm.2025.11.008
Anli Yao , Fengying Wei , Jianfeng Xie
Syphilis is a blood-borne disease with multiple hidden-transmission stages caused by Treponema pallidum, and most infected individuals are asymptomatic as reported by the World Health Organization. This study establishes a Susceptible-Exposed-Infected-Latent-Recovered-Susceptible syphilis model with the nonlinear incidence and early latent stage incorporating the psychological effect. Firstly, the basic reproduction number of the SEILRS syphilis model is derived using the next generation matrix method. Then, the local asymptotic stability of the syphilis-free equilibrium point is proved. The global asymptotic stabilities of the syphilis-free equilibrium point and an endemic equilibrium point are shown by LaSalle's invariance principle. Further, the key parameters of the SEILRS syphilis model are estimated by the least squares method against the surveillance data of Fujian Province, China. The numerical simulation demonstrates that the changes of transmission rate in the early latent stage, treatment rate in the secondary stage and psychological effect in the early latent stage present the significant influences on the infection scale of syphilis. The 2023–2030 tendency predictions of the infection scale with scenarios indicate that the transmission rates are most critical for the prevalence of syphilis. As a consequence, to more effectively reduce the transmission rates of syphilis, it is recommended to enhance testing and screening for high-risk groups, to ensure the effective and complete treatment for infected individuals in the secondary stage, and to vigorously publicize the asymptomatic but infectious characteristics of infected individuals in the early latent stage.
梅毒是由梅毒螺旋体(Treponema pallidum)引起的一种有多个隐蔽传播阶段的血液传播疾病,据世界卫生组织报道,大多数感染者无症状。本研究建立了梅毒易感-暴露-感染-潜伏-恢复-易感模型,该模型具有非线性发病率和早期潜伏期,并考虑了心理效应。首先,利用下一代矩阵法推导了SEILRS梅毒模型的基本繁殖数;然后,证明了无梅毒平衡点的局部渐近稳定性。用LaSalle不变性原理证明了无梅毒平衡点和地方性平衡点的全局渐近稳定性。并结合福建省监测数据,采用最小二乘法估计SEILRS梅毒模型的关键参数。数值模拟结果表明,早期潜伏期传播率、二次潜伏期治疗率和早期潜伏期心理效应的变化对梅毒感染规模有显著影响。2023-2030年感染规模与情景趋势预测表明,传播率对梅毒流行最为关键。因此,为了更有效地降低梅毒的传播率,建议加强对高危人群的检测和筛查,确保对二期感染个体的有效和完整治疗,并大力宣传早期潜伏期感染个体无症状但具有传染性的特点。
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引用次数: 0
Impact of age-structured migration on malaria burden: A modelling-empirical analysis in sub-Saharan Africa 年龄结构迁移对疟疾负担的影响:撒哈拉以南非洲的模型-实证分析
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-27 DOI: 10.1016/j.idm.2025.11.006
Harikripal , S. Pascal Zabre , Ina Danquah , Samit Bhattacharyya
Malaria transmission in Sub-Saharan Africa is strongly influenced by seasonal climatic variations and human mobility, particularly occupation-driven rural-to-urban migration. These dynamics contribute to persistent endemicity and periodic outbreaks, especially during the monsoon season. To capture the interplay between age-specific migration and malaria transmission, a generalized compartmental model is formulated that incorporates both human and vector populations, with age-specific demographic and epidemiological characteristics. The model includes three distinct age groups to reflect heterogeneity in susceptibility, exposure, and mobility patterns. The basic reproduction number R0 is derived using the next-generation matrix approach to characterize disease invasion thresholds. Local and global stability of the equilibria are analyzed via Lyapunov methods, with application of a graph-theoretic approach. The model was validated using multiyear malaria reported case data from Ouagadougou, combined with annual migration records from Kossi province, Burkina Faso. The incidence pattern in different age-cohorts was nicely explained by the model with age-specific migration. Qualitative analysis and long-term simulation dynamics indicate the emergence of nonlinear amplification and synchrony in infection prevalence is partially driven by migration in different age-cohorts. This analysis, integrating empirical data provide robust insights for understanding malaria dynamics in the context of behavioural and demographic mobility, and supports the design of targeted intervention strategies in regions with pronounced seasonal migration.
撒哈拉以南非洲的疟疾传播受到季节性气候变化和人类流动,特别是职业驱动的农村向城市迁移的强烈影响。这些动态导致了持续的地方性和周期性暴发,特别是在季风季节。为了捕捉特定年龄移徙与疟疾传播之间的相互作用,制定了一个广义的区隔模型,其中包括人类和病媒种群,并具有特定年龄的人口统计学和流行病学特征。该模型包括三个不同的年龄组,以反映易感性、暴露和流动性模式的异质性。基本繁殖数R0是使用下一代矩阵方法来表征疾病入侵阈值的。应用图论方法,利用李雅普诺夫方法分析了平衡点的局部稳定性和全局稳定性。利用瓦加杜古多年疟疾报告病例数据,结合布基纳法索科西省的年度移民记录,对该模型进行了验证。不同年龄组的发病率模式很好地解释了年龄特异性迁移模型。定性分析和长期模拟动态表明,感染流行的非线性放大和同步的出现部分是由不同年龄组的移民驱动的。这一整合了经验数据的分析为理解行为和人口流动背景下的疟疾动态提供了强有力的见解,并支持在季节性迁移明显的地区设计有针对性的干预策略。
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引用次数: 0
Modeling the seasonal and climate-dependent dynamics of visceral leishmaniasis in Brazil: Implications for transmission and Control 模拟巴西内脏利什曼病的季节性和气候依赖动态:对传播和控制的影响
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-25 DOI: 10.1016/j.idm.2025.11.009
Quinn H. Adams , Davidson H. Hamer , Lucy R. Hutyra , Gregory A. Wellenius , Kayoko Shioda

Background

Visceral leishmaniasis (VL) is a parasitic, zoonotic neglected tropical disease that remains a persistent public health challenge in endemic regions of Brazil, including the state of Maranhão. Transmission dynamics are complex, involving interactions between Lutzomyia longipalpis sandflies, canine reservoirs, and human hosts, and are influenced by environmental and climatic variability. Mathematical models are critical tools for understanding these dynamics and identifying opportunities to effectively disrupt transmission.

Methods

Our objective was to develop and calibrate a climate-informed mechanistic model of VL transmission in Maranhão, Brazil, and to evaluate the potential impacts of vector, environmental, and reservoir-targeted interventions. The model incorporates seasonally varying sandfly biting rates and vector recruitment and explicitly accounts for climate variability through the El Niño-Southern Oscillation (ENSO). Transmission rates between populations (human, canine reservoir, and sandfly vector) were calibrated using monthly reported human VL cases from 2007 to 2019 in Maranhão. We simulated the impact of four potential interventions on VL incidence: increased vector mortality, environmental sanitation (reducing vector maturation), expanded canine treatment, and increased canine culling.

Results

The model accurately reproduced the observed temporal trends in monthly human VL cases in Maranhão and quantified the nonlinear effects of potential interventions. Vector control was the most effective standalone strategy, with a 10 % increase in sandfly mortality reducing human cases by 43 %, and a 90 % increase leading to a 96 % decline. Environmental sanitation was similarly impactful, with a 50 % reduction in sandfly maturation lowering cases by 72 %, and a 90 % reduction leading to a 97 % decline. Canine-focused strategies were less effective: expanded canine treatment reduced human cases only up to 69 %, while increased euthanasia had only modest effects. A combined intervention strategy was more effective than any individual measure, reducing cases by 61 % at just a 10 % increase in coverage and achieving substantially greater declines at higher levels.

Conclusions

Climate variability and seasonal dynamics were key drivers of VL transmission in this setting. Our findings highlight the importance of integrating vector control and environmental management as core components of VL mitigation strategies. While canine-focused interventions may contribute incremental benefits, they are less effective than other interventions and are insufficient when implemented in isolation.
内脏利什曼病(VL)是一种被忽视的寄生虫性人畜共患热带病,在巴西流行地区(包括马拉州)仍然是一个持续的公共卫生挑战。传播动力学是复杂的,涉及长鼻喉虫白蛉、犬宿主和人类宿主之间的相互作用,并受环境和气候变化的影响。数学模型是了解这些动态和确定有效阻断传播机会的关键工具。我们的目标是建立和校准巴西maranh地区VL传播的气候信息机制模型,并评估媒介、环境和水库干预措施的潜在影响。该模式结合了季节变化的白蛉叮咬率和媒介招募,并通过厄尔Niño-Southern涛动(ENSO)明确地解释了气候变化。使用2007年至2019年maranh每月报告的人类VL病例,校准了种群(人类、犬宿主和白蛉媒介)之间的传播率。我们模拟了四种潜在干预措施对VL发病率的影响:媒介死亡率增加、环境卫生(减少媒介成熟)、扩大犬类治疗和增加犬类扑杀。结果该模型准确再现了maranh每月人类VL病例的观测时间趋势,并量化了潜在干预措施的非线性效应。病媒控制是最有效的单独战略,白蛉死亡率增加10%使人间病例减少43%,增加90%导致下降96%。环境卫生也有同样的效果,使白蛉成熟降低的案例减少了50%,减少了72%,减少了90%,导致了97%的下降。以犬类为中心的策略效果较差:扩大犬类治疗只减少了69%的人类病例,而增加安乐死的效果也不大。综合干预战略比任何单独措施都更有效,在覆盖率仅增加10%的情况下减少了61%的病例,并在更高的水平上实现了更大的下降。结论气候变率和季节动态是该地区VL传播的主要驱动因素。我们的研究结果强调了将媒介控制和环境管理作为VL缓解战略的核心组成部分的重要性。虽然以犬类为重点的干预措施可能带来渐进式效益,但与其他干预措施相比,它们的效果较差,如果孤立实施,效果也不充分。
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引用次数: 0
Stochastic dynamics of Chikungunya virus infection model incorporating general incidence rate and immune responses 结合一般发病率和免疫反应的基孔肯雅病毒感染模型的随机动力学
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-19 DOI: 10.1016/j.idm.2025.11.007
Jingze Ma, Yan Wang
This study investigates a stochastic model of Chikungunya virus (CHIKV) infection that incorporates a general incidence rate along with B-cell and CTL immune responses. Stochasticity is modeled through a log-normal Ornstein-Uhlenbeck process. We first establish the existence of a unique and globally positive solution. Then, the solution's dynamic behavior around the two steady states is examined, and it is shown that the stochastic model's dynamics at the steady state generalizes the global asymptotic stability of the deterministic model. We prove the existence of the stationary distribution by constructing suitable Lyapunov functions when the stochastic reproduction number is greater than one. The probability density function near the quasi-steady state is subsequently derived. Sufficient conditions for CHIKV extinction are provided by spectral radius analysis. Furthermore, we conduct uncertainty and sensitivity analyses to investigate the effects of key parameters on each population and the value of the stochastic reproduction number. Finally, numerical simulations are carried out to explore the impact of noise intensity and the average incidence rate on the dynamic behavior of the model.
本研究调查了基孔肯雅病毒(CHIKV)感染的随机模型,该模型结合了一般发病率以及b细胞和CTL免疫反应。随机性通过对数正态Ornstein-Uhlenbeck过程建模。我们首先建立了一个唯一的全局正解的存在性。然后,研究了解在两个稳态附近的动力学行为,证明了随机模型在稳态下的动力学推广了确定性模型的全局渐近稳定性。当随机再现数大于1时,通过构造合适的Lyapunov函数证明了平稳分布的存在性。随后导出了准稳态附近的概率密度函数。谱半径分析提供了CHIKV消光的充分条件。此外,我们还进行了不确定性和敏感性分析,以研究关键参数对每个种群和随机再现数值的影响。最后,进行了数值模拟,探讨了噪声强度和平均入射率对模型动力学行为的影响。
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引用次数: 0
Comparing frequentist and Bayesian methods to identify drivers of pathogen strain invasion: A temporal case study of pertussis in the United States 比较频率和贝叶斯方法来确定病原体菌株入侵的驱动因素:百日咳在美国的时间案例研究
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-17 DOI: 10.1016/j.idm.2025.09.007
Florian Lecorvaisier, Dominique Pontier, Frank Sauvage, David Fouchet
Since the 20th century, it has been widely recognized that the emergence of new pathogens is closely linked to human activities such as global travel and environmental exploitation. In addition, the widespread use of antibiotics and vaccines has contributed to the evolution and dissemination of new pathogen variants. However, the role of environmental and socio-demographic cofactors on the dynamics of pathogen spread remains insufficiently explored. In this study, we argue that such influences are best captured using mixed logistic regression models that incorporate temporally autocorrelated random effects, in order to reflect the complex and time-dependent nature of strain invasion processes. To address the statistical challenges of this framework, we compared two approaches: (i) a simplified model with independent random effects and frequentist inference, and (ii) a full model accounting for temporal autocorrelation, estimated using Bayesian inference. Our results show that the simplified model, although commonly used in longitudinal analyses, substantially underestimates the probability of detecting false-positive associations (i.e., it underestimates the Type I error rate), leading to potentially misleading conclusions. In contrast, the full Bayesian model avoids this bias and offers a more robust alternative. We applied this approach to a dataset monitoring the emergence of vaccine-escape Bordetella pertussis strains in the United States between 2007 and 2017. Among the eight cofactors tested, only temperature was significantly associated with the rate of strain invasion. Further simulation-based analyses revealed that the current dataset has limited statistical power to detect such associations. However, our results suggest that increasing the temporal resolution of data collection could substantially improve the model's ability to detect meaningful associations – without increasing surveillance costs.
自20世纪以来,人们已广泛认识到,新病原体的出现与全球旅行和环境开发等人类活动密切相关。此外,抗生素和疫苗的广泛使用促进了新的病原体变异的演变和传播。然而,环境和社会人口辅助因素对病原体传播动态的作用仍未得到充分探讨。在这项研究中,我们认为这种影响最好使用混合逻辑回归模型,其中包含时间自相关随机效应,以反映应变入侵过程的复杂性和时间依赖性。为了解决该框架的统计挑战,我们比较了两种方法:(i)具有独立随机效应和频率推断的简化模型,以及(ii)考虑时间自相关的完整模型,使用贝叶斯推断进行估计。我们的研究结果表明,简化模型虽然通常用于纵向分析,但在很大程度上低估了检测假阳性关联的概率(即低估了I型错误率),从而导致潜在的误导性结论。相比之下,完整的贝叶斯模型避免了这种偏差,并提供了一个更健壮的替代方案。我们将这种方法应用于监测2007年至2017年美国疫苗逃逸百日咳博德泰拉菌株出现的数据集。在8个辅助因子中,只有温度与菌株入侵率显著相关。进一步基于模拟的分析表明,当前数据集在检测此类关联方面的统计能力有限。然而,我们的研究结果表明,在不增加监测成本的情况下,增加数据收集的时间分辨率可以大大提高模型检测有意义关联的能力。
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引用次数: 0
Dynamical analysis of the SVEIR-M epidemic model with age structure under media coverage 媒体覆盖下具有年龄结构的SVEIR-M流行病模型动力学分析
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-15 DOI: 10.1016/j.idm.2025.11.004
Jianrong Wang , Xue Yan , Xinghua Chang , Maoxing Liu
With the frequent emergence and spread of new infectious diseases, poses severe threats to public health, and the government often relies on non-pharmaceutical interventions to cope. Meanwhile, the impact of media information on public behavior and health awareness is increasingly significant, becoming an indispensable factor in epidemic prevention and control. This paper constructs an SVEIR-M infectious disease model integrating age structure and media coverage mechanisms, depicting the differences in individuals’ acceptance of media information and the effectiveness of vaccination at different age stages. The model introduces complex factors such as immune waning, latent development age, and media information dissemination, and systematically analyzes the existence and stability of disease-free and endemic equilibrium points using partial differential equations and Volterra integral tools. It is proved that the basic reproduction number R0 plays a threshold role in characterizing the dynamical properties of the system, and the global stability of equilibrium points under different conditions is demonstrated by constructing Lyapunov functions. In addition, the uniform persistence of the system is analyzed, and the correctness of the theoretical analysis is verified through numerical simulations, discussing the impact of different intervention measures on epidemic development. The research results show that media publicity and vaccination can significantly reduce the infection and mortality rates, and their combination can more effectively control the spread of the epidemic.
随着新型传染病的频繁出现和传播,对公众健康构成严重威胁,而政府往往依靠非药物干预手段来应对。同时,媒体信息对公众行为和健康意识的影响日益显著,成为疫情防控中不可或缺的因素。本文构建了一个整合年龄结构和媒体报道机制的SVEIR-M传染病模型,描绘了不同年龄阶段个体对媒体信息接受程度和疫苗接种效果的差异。该模型引入免疫减弱、潜伏发育年龄、媒介信息传播等复杂因素,利用偏微分方程和Volterra积分工具系统分析了无病和地方病平衡点的存在性和稳定性。通过构造Lyapunov函数,证明了系统的基本再现数R0对系统的动力学特性具有阈值作用,并证明了系统平衡点在不同条件下的全局稳定性。此外,分析了系统的均匀持续性,并通过数值模拟验证了理论分析的正确性,讨论了不同干预措施对疫情发展的影响。研究结果表明,媒体宣传和疫苗接种可以显著降低感染率和死亡率,两者结合可以更有效地控制疫情的传播。
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引用次数: 0
Dynamics and forecasting of an age-structured stochastic SIR model with Lévy perturbations via physics-informed neural networks 基于物理信息神经网络的年龄结构随机SIR模型的动力学和预测
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-12 DOI: 10.1016/j.idm.2025.11.003
Ge Zhang , Zhihao Wang , Zhiming Li , Shenglong Chen , Qiaoling Chen
Understanding and predicting real-world epidemic dynamics has consistently posed a formidable challenge. This study addresses an age-structured stochastic SIR model incorporating a general incidence rate, high-order white noise, and Lévy jump perturbations. By employing Lyapunov function method, we establish the existence and uniqueness of a global positive solution. Furthermore, we derive a stochastic threshold that delineates the conditions for disease persistence and extinction. Moreover, the existence and uniqueness of a stationary distribution are proven by applying an improved version of Hasminskii's theory. Numerical simulations based on the positivity- and boundedness-preserving Euler–Maruyama scheme corroborate the theoretical results, showing that reducing the amplitude of higher-order noise amplifies the infection burden, whereas increasing the age-structure parameters ϑ and ς markedly suppresses transmission. Finally, the efficacy of physics-informed neural network based on stochastic SIR model (PINN-SIR), is demonstrated through its application to the fitting and forecasting of COVID-19 case in Zhejiang, China. The method shows promise for extension to more complex dynamical systems and diseases.
理解和预测现实世界的流行病动态一直是一项艰巨的挑战。本研究解决了一个年龄结构的随机SIR模型,该模型包含一般发病率、高阶白噪声和lsamvy跳跃扰动。利用Lyapunov函数方法,建立了全局正解的存在唯一性。此外,我们推导了一个随机阈值,描述了疾病持续和灭绝的条件。此外,利用改进的Hasminskii理论证明了平稳分布的存在唯一性。基于保正和保有界的Euler-Maruyama格式的数值模拟证实了理论结果,表明降低高阶噪声的振幅会放大感染负担,而增加年龄结构参数φ和φ则会显著抑制传播。最后,通过对中国浙江省新冠肺炎病例的拟合和预测,验证了基于随机SIR模型的物理信息神经网络(PINN-SIR)的有效性。该方法有望推广到更复杂的动力系统和疾病。
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引用次数: 0
Optimal prevention and control strategy of infectious disease: Cost-effectiveness analysis based on a modified dynamic model with economic loss 传染病最优防控策略:基于考虑经济损失的修正动态模型的成本-效果分析
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-11 DOI: 10.1016/j.idm.2025.11.001
Wenjun Liu , Guohua Zou , Qin Bao , Shouyang Wang
The large-scale outbreaks of novel infectious diseases threaten public health, while strict intervention measures might slow down the economic activity. The effective prevention and control measures should balance cost and benefit. This study aims to explore the optimal intervention strategy for the infectious diseases by proposing a dynamic model with economic cost based on the modified SEIR model. Seven compartments were expanded as QSEAIRD model according to China's real practice in COVID-19. The parameters were estimated by minimizing the prediction error, and the GDP loss coefficients were introduced to quantify the economic costs of different measures. Thereafter, we formulated a corresponding algorithm to solve for the optimal prevention policies, which could control the epidemic within a specified time with minimized economic loss. Using Shanghai as a case study, we simulated the epidemic trends from March 2022 under different policy scenarios. We found that the government interventions effectively shortened the peak time by 60 % and significantly reduced its magnitude by 90 %. Without these measures, we predicted that Shanghai would reach the peaks of the first and second waves of infections at the end of 2022 and in June 2023, respectively, with the number of infections during the second peak being about 1/7 of that during the first. These results demonstrate that the government's prevention and control measures were effective in containing the epidemic. If relatively loose measures were adopted, the epidemic would not be controlled within one month, which would prolong the implementation of the prevention measures and increase economic loss. By conducting a cost-effectiveness analysis, the proposed model and algorithm can be flexibly applied to optimize the design of infectious disease prevention and control schemes under different scenarios, systematically enhancing the capacity to respond to the novel infectious diseases.
新型传染病的大规模暴发对公共健康构成威胁,而严格的干预措施可能会减缓经济活动。有效的防控措施应平衡成本与效益。本研究在改进的SEIR模型的基础上,提出了一个具有经济成本的动态模型,探讨传染病的最优干预策略。根据中国应对新冠肺炎疫情的实际情况,将7个车厢扩展为QSEAIRD模式。通过最小化预测误差来估计参数,并引入GDP损失系数来量化不同措施的经济成本。然后,我们制定了相应的算法,求解最优预防策略,使疫情在规定时间内得到控制,经济损失最小。以上海市为例,模拟了2022年3月以来不同政策情景下的疫情趋势。研究发现,政府干预有效缩短了峰值时间60%,显著降低了峰值幅度90%。如果不采取这些措施,我们预测上海将分别在2022年底和2023年6月达到第一波和第二波感染高峰,第二波感染高峰的感染人数约为第一波感染高峰的1/7。这些结果表明,政府的防控措施在控制疫情方面是有效的。如果采取相对宽松的措施,疫情无法在一个月内得到控制,不仅会延长预防措施的实施时间,还会增加经济损失。通过成本-效果分析,可以灵活应用所提出的模型和算法,优化设计不同场景下的传染病防控方案,系统地提高应对新型传染病的能力。
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引用次数: 0
FluAttn: Antigenicity prediction of influenza A/H3N2 through attention-based feature mining FluAttn:通过基于注意力的特征挖掘预测甲型流感/H3N2的抗原性
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-10 DOI: 10.1016/j.idm.2025.11.005
Li Geng , Jun He , Ping Liu
The rapid antigenic drift of influenza A/H3N2 compromises the durability of vaccine-induced protection, underscoring the need for accurate antigenic assessment to evaluate vaccine efficacy and guide vaccine updates. Although the hemagglutination inhibition (HI) assay remains the gold standard for antigenic characterization, its labor-intensive and time-consuming procedures hinder large-scale application. Sequence-based computational approaches have therefore emerged as high-throughput and cost-effective complements to the HI assay. However, most existing methods insufficiently exploit differences in the intrinsic properties of amino acids across sequence positions, constraining advances in antigenicity prediction. To address this limitation, we propose FluAttn, an attention-based feature mining framework that automatically identifies and integrates antigenicity-relevant features from various amino acid property datasets. FluAttn not only allows for customizable feature scales but also simultaneously quantifies the differential contributions of these features during the mining process, thereby facilitating synergistic feature integration and enabling high-precision prediction of antigenic distances between A/H3N2 influenza viruses. Evaluation on datasets covering the periods 1963–2003 and 2003–2025 demonstrates that FluAttn significantly outperforms existing methods in both accuracy and robustness, providing a cost-effective and reliable framework for early antigenic characterization and vaccine candidate screening.
甲型流感/H3N2的快速抗原漂移损害了疫苗诱导保护的持久性,强调需要准确的抗原评估来评估疫苗效力并指导疫苗更新。虽然血凝抑制(HI)测定仍然是抗原表征的金标准,但其劳动密集型和耗时的过程阻碍了大规模应用。因此,基于序列的计算方法已成为HI测定的高通量和高成本效益的补充。然而,大多数现有的方法没有充分利用氨基酸在序列位置上的内在特性差异,限制了抗原性预测的进展。为了解决这一限制,我们提出了FluAttn,这是一个基于注意力的特征挖掘框架,可以自动识别和集成来自各种氨基酸属性数据集的抗原性相关特征。FluAttn不仅允许可定制的特征尺度,而且还可以在挖掘过程中同时量化这些特征的差异贡献,从而促进协同特征整合,并实现A/H3N2流感病毒之间抗原距离的高精度预测。对涵盖1963-2003年和2003-2025年期间的数据集的评估表明,FluAttn在准确性和鲁棒性方面明显优于现有方法,为早期抗原表征和候选疫苗筛选提供了成本效益高且可靠的框架。
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引用次数: 0
Dengue forecasting and outbreak detection in Brazil using LSTM: integrating human mobility and climate factors 利用LSTM在巴西进行登革热预测和疫情检测:综合人类流动性和气候因素
IF 2.5 3区 医学 Q1 Medicine Pub Date : 2025-11-05 DOI: 10.1016/j.idm.2025.11.002
Xiang Chen, Paula Moraga

Background

Dengue fever is a major global health concern, with Brazil experiencing recurrent and severe outbreaks due to its favorable climate factors, socio-environmental conditions, and increasing human mobility. Accurate forecasting of dengue cases and outbreak risk is essential for early warning systems and effective public health interventions. Traditional forecasting models primarily rely on historical case data and climate variables, often neglecting the role of human movement in virus transmission. This study addresses this gap by incorporating human mobility data into a deep learning-based dengue forecasting framework.

Method

An LSTM-based model was developed to forecast weekly dengue cases and detect outbreaks across selected Brazilian cities. The model integrates historical dengue cases, lagged climate variables (temperature and humidity), and human mobility-adjusted imported cases to capture both temporal trends and spatial transmission dynamics. Its performance was evaluated against three alternative models: (1) an LSTM using only dengue case data, (2) an LSTM incorporating climate variables, and (3) an LSTM integrating climate and geographic neighborhood effects. Forecasting accuracy was assessed using Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), and Continuous Ranked Probability Score (CRPS), while outbreak classification was evaluated using accuracy, sensitivity, specificity, and the F1 score.

Results

The proposed mobility-enhanced LSTM model consistently outperformed all baselines in both dengue case forecasting and outbreak detection. Across all cities, it achieved lower MAE and MAPE values, indicating improved accuracy, while also demonstrating superior CRPS performance, reflecting well-calibrated uncertainty estimates. In outbreak classification, the model achieved the highest sensitivity and F1 scores, highlighting its effectiveness in detecting outbreak periods compared to models that relied solely on case trends, climate variables, or geographic proximity. The results underscore the importance of integrating mobility data in dengue forecasting, particularly in urban centers with high population movement.

Conclusion

By incorporating human mobility dynamics into deep learning-based forecasting, this study presents a scalable and adaptable framework for enhancing dengue early warning systems. The proposed model provides more accurate case predictions and outbreak classifications, offering actionable insights for public health planning and resource allocation. Beyond dengue, this approach can be extended to other vector-borne diseases influenced by mobility and climate factors, supporting more effective epidemic preparedness strategies worldwide.
登革热是一个主要的全球卫生问题,巴西由于其有利的气候因素、社会环境条件和人员流动性增加,经常发生严重的疫情。准确预测登革热病例和疫情风险对早期预警系统和有效的公共卫生干预至关重要。传统的预测模型主要依赖于历史病例数据和气候变量,往往忽略了人类活动在病毒传播中的作用。本研究通过将人类流动性数据纳入基于深度学习的登革热预测框架来解决这一差距。方法开发了一个基于lstm的模型,用于预测每周登革热病例并在选定的巴西城市发现疫情。该模型综合了历史登革热病例、滞后气候变量(温度和湿度)和经人类流动性调整的输入病例,以捕捉时间趋势和空间传播动态。通过三种模型对其性能进行了评估:(1)仅使用登革热病例数据的LSTM模型,(2)包含气候变量的LSTM模型,以及(3)综合气候和地理邻域效应的LSTM模型。使用平均绝对误差(MAE)、平均绝对百分比误差(MAPE)和连续排序概率评分(CRPS)评估预测准确性,而使用准确性、敏感性、特异性和F1评分评估爆发分类。结果所提出的流动性增强LSTM模型在登革热病例预测和疫情检测方面均优于所有基线。在所有城市中,它获得了较低的MAE和MAPE值,表明精度提高,同时也显示出优越的CRPS性能,反映了校准良好的不确定性估计。在疫情分类方面,该模型获得了最高的灵敏度和F1分数,与仅依赖病例趋势、气候变量或地理邻近性的模型相比,突出了其在检测疫情时期方面的有效性。这些结果强调了在登革热预测中整合流动数据的重要性,特别是在人口高流动的城市中心。通过将人类活动动力学纳入基于深度学习的预测,本研究提出了一个可扩展和适应性强的框架,以加强登革热早期预警系统。提出的模型提供了更准确的病例预测和疫情分类,为公共卫生规划和资源分配提供了可操作的见解。除了登革热之外,这种方法还可以推广到受流动性和气候因素影响的其他病媒传播疾病,从而支持世界范围内更有效的流行病防范战略。
{"title":"Dengue forecasting and outbreak detection in Brazil using LSTM: integrating human mobility and climate factors","authors":"Xiang Chen,&nbsp;Paula Moraga","doi":"10.1016/j.idm.2025.11.002","DOIUrl":"10.1016/j.idm.2025.11.002","url":null,"abstract":"<div><h3>Background</h3><div>Dengue fever is a major global health concern, with Brazil experiencing recurrent and severe outbreaks due to its favorable climate factors, socio-environmental conditions, and increasing human mobility. Accurate forecasting of dengue cases and outbreak risk is essential for early warning systems and effective public health interventions. Traditional forecasting models primarily rely on historical case data and climate variables, often neglecting the role of human movement in virus transmission. This study addresses this gap by incorporating human mobility data into a deep learning-based dengue forecasting framework.</div></div><div><h3>Method</h3><div>An LSTM-based model was developed to forecast weekly dengue cases and detect outbreaks across selected Brazilian cities. The model integrates historical dengue cases, lagged climate variables (temperature and humidity), and human mobility-adjusted imported cases to capture both temporal trends and spatial transmission dynamics. Its performance was evaluated against three alternative models: (1) an LSTM using only dengue case data, (2) an LSTM incorporating climate variables, and (3) an LSTM integrating climate and geographic neighborhood effects. Forecasting accuracy was assessed using Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), and Continuous Ranked Probability Score (CRPS), while outbreak classification was evaluated using accuracy, sensitivity, specificity, and the F1 score.</div></div><div><h3>Results</h3><div>The proposed mobility-enhanced LSTM model consistently outperformed all baselines in both dengue case forecasting and outbreak detection. Across all cities, it achieved lower MAE and MAPE values, indicating improved accuracy, while also demonstrating superior CRPS performance, reflecting well-calibrated uncertainty estimates. In outbreak classification, the model achieved the highest sensitivity and F1 scores, highlighting its effectiveness in detecting outbreak periods compared to models that relied solely on case trends, climate variables, or geographic proximity. The results underscore the importance of integrating mobility data in dengue forecasting, particularly in urban centers with high population movement.</div></div><div><h3>Conclusion</h3><div>By incorporating human mobility dynamics into deep learning-based forecasting, this study presents a scalable and adaptable framework for enhancing dengue early warning systems. The proposed model provides more accurate case predictions and outbreak classifications, offering actionable insights for public health planning and resource allocation. Beyond dengue, this approach can be extended to other vector-borne diseases influenced by mobility and climate factors, supporting more effective epidemic preparedness strategies worldwide.</div></div>","PeriodicalId":36831,"journal":{"name":"Infectious Disease Modelling","volume":"11 1","pages":"Pages 338-354"},"PeriodicalIF":2.5,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Infectious Disease Modelling
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