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Brown, Mac

Publications and source records attributed to Brown, Mac.

Constructing rigorous and broad biosurveillance networks for detecting emerging zoonotic outbreaks

Determining optimal surveillance networks for an emerging pathogen is difficult since it is not known beforehand what the characteristics of a pathogen will be or where it will emerge. The resources for surveillance of infectious diseases in animals and wildlife are often limited and mathematical modeling can play a supporting role in examining a wide range of scenarios of pathogen spread. We demonstrate how a hierarchy of mathematical and statistical tools can be used in surveillance planning help guide successful surveillance and mitigation policies for a wide range of zoonotic pathogens. The model forecasts can help clarify the complexities of potential scenarios, and optimize biosurveillance programs for rapidly detecting infectious diseases. Using the highly pathogenic zoonotic H5N1 avian influenza 2006-2007 epidemic in Nigeria as an example, we determined the risk for infection for localized areas in an outbreak and designed biosurveillance stations that are effective for different pathogen strains and a range of possible outbreak locations. We created a general multi-scale, multi-host stochastic SEIR epidemiological network model, with both short and long-range movement, to simulate the spread of an infectious disease through Nigerian human, poultry, backyard duck, and wild bird populations. We chose parameter ranges specific to avian influenza (but not to a particular strain) and used a Latin hypercube sample experimental design to investigate epidemic predictions in a thousand simulations. We ranked the risk of local regions by the number of times they became infected in the ensemble of simulations. These spatial statistics were then complied into a potential risk map of infection. Finally, we validated the results with a known outbreak, using spatial analysis of all the simulation runs to show the progression matched closely with the observed location of the farms infected in the 2006-2007 epidemic.

59 BASIC BIOLOGICAL SCIENCES↗

Biosurveillance Data Stream Framework: A Novel Approach to Characterization and Evaluation

Multiple data sources are used in a variety of biosurveillance systems. With the advent of new technologies, globalization, high performance computing, and "big data" opportunities, there are seemingly unlimited potential data streams that could be useful in biosurveillance. Data streams have not been universally defined in either the literature or by specific biosurveillance systems. Furthermore, the definitions and framework that we have developed enable a characterization methodology that facilitates understanding of data streams and can be universally applicable for use in evaluating and understanding a wide range of biosurveillance activities- filling a gap recognized in both the public health and biosurveillance communities.

59 BASIC BIOLOGICAL SCIENCES↗

Contextualizing Data Streams for Infectious Disease Surveillance

To aid in developing a global biosurveillance program, it is critical to develop a framework to capture and understand the myriad of data streams and evaluate them in context of surveillance goals. Toward this goal, Los Alamos National Laboratory has developed a new method of evaluating the effectiveness of data stream types through the use of a novel concept called the surveillance window, a technique that integrates operational systems analysis, surveillance system analysis and epidemiological analysis. This study provides a simple, yet elegant methodology for which to ground truth known and emerging data streams for utility in integrated biosurveillance efforts.

59 BASIC BIOLOGICAL SCIENCES↗

Selecting Essential Information for Biosurveillance - A Multi-Criteria Decision Analysis

This paper proposes the use of Multi-Attribute Utility Theory to address the issue of identifying and selecting essential information for inclusion into a biosurveillance system or process. Additionally, we developed a decision support framework that can facilitate identifying data streams for use in biosurveillance systems or processes and demonstrated utility by applying the framework to the problem of evaluating data streams for use in an global infectious disease surveillance system.

59 BASIC BIOLOGICAL SCIENCES↗

Selecting Essential Information for Biosurveillance—A Multi-Criteria Decision Analysis

The National Strategy for Biosurveillancedefines biosurveillance as ‘‘the process of gathering, integrating, interpreting, and communicating essential information related to all-hazards threats or disease activity affecting human, animal, or plant health to achieve early detection and warning, contribute to overall situational awareness of the health aspects of an incident, and to enable better decision-making at all levels.’’ However, the strategy does not specify how ‘‘essential information’’ is to be identified and integrated into the current biosurveillance enterprise, or what the metrics qualify information as being ‘‘essential’’. Thequestion of data stream identification and selection requires a structured methodology that can systematically evaluate the tradeoffs between the many criteria that need to be taken in account. Multi-Attribute Utility Theory, a type of multi-criteria decision analysis, can provide a well-defined, structured approach that can offer solutions to this problem. While the use of Multi-Attribute Utility Theoryas a practical method to apply formal scientific decision theoretical approaches to complex, multi-criteria problems has been demonstrated in a variety of fields, this method has never been applied to decision support in biosurveillance.We have developed a formalized decision support analytic framework that can facilitate identification of ‘‘essential information’’ for use in biosurveillance systems or processes and we offer this framework to the global BSV community as a tool for optimizing the BSV enterprise. To demonstrate utility, we applied the framework to the problem of evaluating data streams for use in an integrated global infectious disease surveillance system.

47 OTHER INSTRUMENTATION↗

Advancing a Framework to Enable Characterization and Evaluation of Data Streams Useful for Biosurveillance

In recent years, biosurveillance has become the buzzword under which a diverse set of ideas and activities regarding detecting and mitigating biological threats are incorporated depending on context and perspective. Increasingly, biosurveillance practice has become global and interdisciplinary, requiring information and resources across public health, One Health, and biothreat domains. Even within the scope of infectious disease surveillance, multiple systems, data sources, and tools are used with varying and often unknown effectiveness. Evaluating the impact and utility of state-of-the-art biosurveillance is, in part, confounded by the complexity of the systems and the information derived from them. We present a novel approach conceptualizing biosurveillance from the perspective of the fundamental data streams that have been or could be used for biosurveillance and to systematically structure a framework that can be universally applicable for use in evaluating and understanding a wide range of biosurveillance activities. Moreover, the Biosurveillance Data Stream Framework and associated definitions are proposed as a starting point to facilitate the development of a standardized lexicon for biosurveillance and characterization of currently used and newly emerging data streams. Criteria for building the data stream framework were developed from an examination of the literature, analysis of information on operational infectious disease biosurveillance systems, and consultation with experts in the area of biosurveillance. To demonstrate utility, the framework and definitions were used as the basis for a schema of a relational database for biosurveillance resources and in the development and use of a decision support tool for data stream evaluation.

47 OTHER INSTRUMENTATION↗

Disease properties, geography, and mitigation strategies in a simulation spread of rinderpest across the United States

For the past decade, the Food and Agriculture Organization of the United Nations has been working toward eradicating rinderpest through vaccination and intense surveillance by 2012. Because of the potential severity of a rinderpest epidemic, it is prudent to prepare for an unexpected outbreak in animal populations. There is no immunity to the disease among the livestock or wildlife in the United States (US). If rinderpest were to emerge in the US, the loss in livestock could be devastating. We predict the potential spread of rinderpest using a two-stage model for the spread of a multi-host infectious disease among agricultural animals in the US. The model incorporates large-scale interactions among US counties and the small-scale dynamics of disease spread within a county. The model epidemic was seeded in 16 locations and there was a strong dependence of the overall epidemic size on the starting location. The epidemics were classified according to overall size into small epidemics of 100 to 300 animals (failed epidemics), epidemics infecting 3 000 to 30 000 animals (medium epidemics), and the large epidemics infecting around one million beef cattle. The size of the rinderpest epidemics were directly related to the origin of the disease and whether or not the disease moved into certain key counties in high-livestock-density areas of the US. The epidemic size also depended upon response time and effectiveness of movement controls.

59 BASIC BIOLOGICAL SCIENCES↗