Abstract
Understanding the dynamics of how infectious diseases spread in time and space is the primary concern of epidemic control and prevention. Spatial methods of tracking the possible sources of infection have not been well developed. The objective of this study is to propose an innovative methodology that combines exploratory spatial-temporal analysis and network topological analysis to identify diffusion patterns and track possible sources of an epidemic. The methodology is composed of two stages. The first stage involves establishing case-to-case distances in space and time. Using a diagram of space-time distances, the space-time clustering of cases can be identified. In the second stage, the network topology of space-time distances is further analyzed. We use two network indicators, degree centrality and network clustering coefficient, to measure the risk of epidemic diffusion. The feasibility of our proposed methodology is assessed by a case study on a dengue epidemic in Kaohsiung, Taiwan. . Our results show that this method can be used to detect the possible origin of an epidemic and to differentiate patterns of spatial diffusion. Spatial-temporal transitions in epidemic progression from local to large-scale transmission are also determined. This study contributes a methodology on modeling spatial-temporal epidemic dynamics.
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Acknowledgements
The research was supported by the grants of National Science Council in Taiwan (NSC 98-2410-H-002-168-MY2, NSC 101-2119-M-002-020). The authors also acknowledge the financial support provided by Infectious Diseases Research and Education Center, Department of Health and National Taiwan University. The funder had no role in study design, data collection and analysis, or preparation of the manuscript.
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Wen, TH., Tsai, YS. (2015). Analyzing the Patterns of Space-Time Distances for Tracking the Diffusion of an Epidemic. In: Kwan, MP., Richardson, D., Wang, D., Zhou, C. (eds) Space-Time Integration in Geography and GIScience. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9205-9_15
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DOI: https://doi.org/10.1007/978-94-017-9205-9_15
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