Rift Valley fever is a vector-borne zoonotic disease which causes high morbidity and mortality in livestock. In the event Rift Valley fever virus is introduced to the United States or other non-endemic areas, understanding the potential patterns of spread and the areas at risk based on disease vectors and hosts will be vital for developing mitigation strategies. Presented here is a general network-based mathematical model of Rift Valley fever. Given a lack of empirical data on disease vector species and their vector competence, this discrete time epidemic model uses stochastic parameters following several PERT distributions to model the dynamic interactions between hosts and likely North American mosquito vectors in dispersed geographic areas. Spatial effects and climate factors are also addressed in the model. The model is applied to a large directed asymmetric network of 3,621 nodes based on actual farms to examine a hypothetical introduction to some counties of Texas, an important ranching area in the United States of America. The nodes of the networks represent livestock farms, livestock markets, and feedlots, and the links represent cattle movements and mosquito diffusion between different nodes. Cattle and mosquito (Aedes and Culex) populations are treated with different contact networks to assess virus propagation. Rift Valley fever virus spread is assessed under various initial infection conditions (infected mosquito eggs, adults or cattle). A surprising trend is fewer initial infectious organisms result in a longer delay before a larger and more prolonged outbreak. The delay is likely caused by a lack of herd immunity while the infection expands geographically before becoming an epidemic involving many dispersed farms and animals almost simultaneously. Cattle movement between farms is a large driver of virus expansion, thus quarantines can be efficient mitigation strategy to prevent further geographic spread.
Citation: Xue L, Cohnstaedt LW, Scott HM, Scoglio C (2013) A Hierarchical Network Approach for Modeling Rift Valley Fever Epidemics with Applications in North America. PLoS ONE 8(5): e62049. doi:10.1371/journal.pone.0062049
Editor: Christopher N. Mores, Louisiana State University, United States of America
Received: October 25, 2012; Accepted: March 18, 2013; Published: May 7, 2013
This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Funding: This material is based upon work supported by the U.S. Department of Homeland Security under Grant Award Number 2010-ST061-AG0001 and a grant through the Kansas Biosciences Authority. The views and conclusions contained in this publication are those of the authors and should not be interpreted as necessarily representing the official policies, either explicit or implicit, of the U.S. Department of Homeland Security and Kansas Biosciences Authority. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Rift Valley fever (RVF) was first identified in Egypt in 1931  and is endemic in the eastern and southern regions of Africa . Viral infection may result in abortion in adults and death in newborn livestock . Sheep, goats and cattle are the most important domestic animal hosts affected when viewed from an economic standpoint  although humans also can become infected , .
Aedes and Culex genera of mosquitoes are thought to be main RVF disease vectors with respect to vector competence . The virus is maintained between epidemics through vertical transmission within the Aedes mosquitoes , and is thought to be propagated and amplified during epidemics by both Aedes and Culex species mosquitoes. High RVF transmission is typically related to persistent, above average rainfall and El Niño/Southern Oscillation (ENSO) events in Eastern Africa which create favorable mosquito habitats . Aedes mosquitoes lay eggs in dry mud  and the eggs can survive for long periods of time . After flooding, RVF virus-infected eggs can develop into infected adult mosquitoes . Infected adult Aedes mosquitoes then feed on animals which become infected, and spread the infection to other Aedes and Culex genera adult mosquitoes feeding on infected animals.
Animal movements, typically motivated by livestock trading and marketing may accelerate the transmission of zoonotic diseases among animal holdings which may cover a vast area . In 1977, the trade of sheep from east Africa during Ramadan was considered to be a likely pathway for the introduction of RVF virus to Egypt –. A boy from Anjouan, an island of Comoros archipelago, was diagnosed to have been infected with RVF virus on the French island of Mayotte in 2007 . The Rift Valley fever virus was likely to be introduced by live ruminants imported from Kenya or Tanzania in the trade during the 2006–2007 Rift Valley fever outbreak .
Humans can acquire the infection from the bites of infected mosquitoes or directly from contact with the bodily fluids of infected animals . Individuals working with animals, such as farmers and veterinarians, are the most vulnerable to RVF virus infection during animal outbreaks  because of increased exposure to mosquitoes in an outdoor environment and direct contact with animals. Rift Valley fever virus infection causes severe influenza-like disease in humans with serious consequences such as blindness, or even death . It has been reported that more than 200 persons died of RVF in Mauritania in 1987 . There were 738 reported human cases in Sudan, including 230 deaths, in 2007–2008 . It is likely that the number of human cases has been underreported in the past, especially in rural areas . Rift Valley fever virus has spread outside of Africa to Yemen and Saudi Arabia in 2000  and the French island of Mayotte with multiple human cases reported . Rift Valley fever virus could possibly be introduced to the United States, similar to the experience with West Nile virus which was introduced into the North America in 1999 . A mathematical epidemiological model can be applied to non-traditional locations in order to study the potential for spatial spread of RVF virus.
Epidemiological modeling plays an important role in planning, implementing, and evaluating detection, control, and prevention programs . Mathematical modeling takes the advantage of economic, clear and precise mathematical formulation, e.g., applications of differential, integral, or functional differential equations . Mathematical models of infection transmission include interpretation of transmission processes and are often useful in answering questions that cannot be answered only with empirical data analysis , as well as to explore biological and critical ecological characteristics of disease transmission , . Current RVF virus transmission models are useful in representing infection transmission process  but are limited in determining and testing relevant risk factors. For the Ferlo area of Senegal, a pond-level meta-population model which considered only vectors was developed assuming that Aedes mosquitoes were the only vector and rainfall was the only driving force . It has been shown that within Ferlo, the virus would persist only if the livestock moved between ponds and the rainfall did not occur in all ponds simultaneously . Very few mathematical dynamic transmission models have explored mechanisms of RVF virus circulation  on a larger geographical scale. A theoretical model in a closed system including Aedes and Culex mosquitoes and livestock population was earlier proposed . The key result was that RVF virus can persist in a closed system for 10 years if the contact rate between hosts and vectors is high , . Another theoretical RVF virus transmission mathematical model  modified the model in  by adding human hosts, merging all mosquitoes into one class, removing mosquito egg compartment, as well as vertical transmission of mosquitoes. Sensitivity indices of the reproduction number are used to determine the most sensitive parameters to the basic reproduction number of RVF virus transmission . It has been found that both the reproduction number and disease prevalence in mosquitoes are sensitive to mosquito death rate and the disease prevalence in livestock and humans are more sensitive to livestock and human recruitment rates . A theoretical ordinary differential equation meta-population involving livestock and human mobility was presented . They analyzed the likelihood of pathogen establishment and provided hypothesized examples to illustrate the methodology . A three-patch model for the process by which animals enter Egypt from Sudan, are moved up the Nile, and then consumed at population centers is proposed . Using  and  as a foundation, the homogeneous models have been extended to a meta-population differential equation model including Aedes, Culex, livestock, and humans and a case study was carried out for South Africa during a country-wide outbreak in 2010 . The model was based on RVF virus spatial transmission during an outbreak, where a network with three nodes corresponding to three affected provinces in South Africa was established. To make the output of the model  easily compared with incidence data if available and the simulation for thousands of nodes easily implemented, a discrete time epidemic model is developed and a much larger network on which to study the dynamics of the larger system is established.
Proposed here is a deterministic network-based RVF virus transmission model with stochastic parameters. Two competent vector populations: Aedes mosquitoes, Culex mosquitoes, and two host populations: cattle and humans are considered. The dynamical behavior of mosquito and livestock populations are modeled using a meta-population approach based on weighted contact networks. The nodes of the networks represent geographical locations, and the weights represent the level of contact between regional pairings. In particular, nodes represent different farm sizes or operator businesses of the cattle industry, nominally markets and feedlots. Heterogeneous aspects of the spreading are considered in the model through realistic modeling of the cattle movement among different nodes of the network. Additionally, the mosquito population and development is modeled as a function of climatic factors, such as humidity and temperature. It is easy to implement simulations of the model even for networks with thousands of nodes, and it is easy to compare the output of the model with incidence data if available. The role of starting location has been shown to be important in the final size of rinderpest epidemic . To investigate the role of starting location, and the size of initial infection in RVF virus spread, the proposed model has been applied to a case study to some counties in Texas, U.S. and the model outcomes (the human and cattle cases, and the timing of the epidemic’s characteristics) indicate which biotic factors will play an important role if RVF virus is introduced to the United States.
Materials and Methods
Network-based Meta-population Models
Aedes mosquitoes, Culex mosquitoes, livestock, and human populations each are considered in the network-based meta-population models. The movement of each population is represented by networks, where nodes denote locations, and links denote movement flow between locations. In the mosquito diffusion network, the nodes represent farms and the links represent mosquito diffusion from one farm to the neighboring farms. The weights are diffusion rates for Aedes population, and for Culex population from location to location . In the livestock movement network, the nodes represent farms, livestock markets, and feedlots. The links represent livestock movements due to livestock trade between the nodes and the weight is the movement rate from node to node . The mosquito and livestock networks are shown in Fig. 1A and Fig. 1B, respectively.
Figure 1. Network illustration.
(A) A hypothetical mosquito diffusion network demonstrating how mosquito move to farms that are smaller than 2 km away. (B) Livestock move bidirectionally between livestock farms and livestock markets but only move unidirectionally to feedlots as demonstrated in the livestock movement network.doi:10.1371/journal.pone.0062049.g001
The compartmental models are adapted to represent the status of each population during a simulated RVF virus transmission. The models are built based on the principle of the RVF virus transmission flow diagram illustrated in . Adult Aedes and Culex populations are distributed among susceptible , exposed , and infected compartments. Only those mosquito species that are known to be competent vectors of RVF virus transmission are considered and they are broadly grouped by Aedes and Culex genera mosquitoes. The subscript denotes Aedes in node , and denotes Culex mosquitoes in node . Uninfected and infected mosquitoes eggs are represented by and , respectively. Culex mosquitoes do not display vertical transmission. Therefore, only uninfected Culex eggs are incorporated in the model. The livestock and human hosts are likewise considered , , , and . The subscript representing livestock in node is , and humans in node are represented with . The descriptions of the parameters in the models are found in Table 1. All the transitions to be discussed below are for location at day .
Table 1. Parameter ranges for numerical simulations.doi:10.1371/journal.pone.0062049.t001
Aedes Population Model
There are eggs laid, including infected eggs, and uninfected eggs each day. After the development period, uninfected eggs develop into susceptible adult Aedes mosquitoes and infected eggs develop into infected adult Aedes mosquitoes. The number of Aedes mosquitoes infected by livestock is . Following the incubation period, Aedes mosquitoes transfer from exposed compartment to infected compartment. The number of Aedes mosquitoes dying naturally in compartment is given as . The percentage of Aedes mosquitoes moving from location to location is . The change in the number of Aedes mosquitoes due to mobility in compartment is given as .
Culex Population Model
There are eggs laid each day. After the development period, eggs develop into susceptible adult Culex mosquitoes. After the incubation period, Culex mosquitoes transfer to infected compartment . The number of Culex mosquitoes acquiring infection from livestock is denoted by . The Culex mosquitoes removed from compartment due to natural death is . The percentage of Culex mosquitoes moving from location to location is . The change in the number of Culex mosquitoes due to movement in compartment is given as .
Livestock Population Model
The daily number of newborn livestock in location is . The variables and are used to differentiate different types of nodes. If location is a farm, then , . If location is a market, then , . If location is a feedlot, then , . The numbers of livestock infected by Aedes mosquitoes and Culex mosquitoes are denoted by and , respectively. After the incubation period, livestock transfer from exposed state to infected state. After the infection period, livestock recover from RVF virus infection. The number of dead livestock in compartment is given as in which is the carrying capacity of livestock in each node. The change in the number of livestock in compartment due to mobility is given as for livestock in compartments , , and , and - , for livestock in compartment .
Human Population Model
The number of humans in each node is constant because birth, death, mortality, and mobility of humans are not considered. The number of humans infected by Aedes mosquitoes, Culex mosquitoes, and livestock is , , and , respectively. There are humans transferring to infected compartment after incubation period, and humans recovering from RVF virus infection after infection period.
Case Study: Texas, U.S.A. from to
Networks in the study area.
As a case study, various RVF virus introduction scenarios were tested using the model to determine the hypothetical model outcomes (number of livestock cases and timing of the epidemic). Although the model accounts for their exact locations when simulating RVF virus spread, we do not report any of this information or even discuss ranches in areas smaller than county level. The exact farms and counties are very well masked from the results. Texas cattle ranches were selected because they have large cattle concentrations and we have aggregate survey data on cattle movements in these areas . A network with cattle farms , livestock markets , and cattle feedlots  is constructed. The cattle farms, and livestock markets are located in one region, and the feedlots are in another region. The location of each node is uniformly distributed in each county according to the total number of farms within each county . The exact location of each farm is obscured because those data are not publicly available  due to confidentiality. The initial number of cattle in each farm is categorized as , , , , , and more than . The initial number of susceptible cattle in each farm or feedlot for numerical simulation is assumed according to the number of cattle in each county in  and the histogram of the number of cattle . For cattle movement, if cattle are sold from one node to another, then there is a link between the nodes. The movement rate of cattle denoted by shown in Table 2 is estimated based on the aggregate movement rates from survey  and inversely proportional to the distance between source-destination pairs. Movement rate is the average movement rate for all cattle at different ages, and the movement rate of cattle in compartment is assumed to be half the movement rate for cattle in compartments S, E, and R, namely, .
Table 2. Cattle movement rate , where = the number of markets connected to farm , = the number of farms connected to market , = the number of feedlots connected to farm , = the number of feedlots connected to market .doi:10.1371/journal.pone.0062049.t002
For mosquito diffusion, if the distance between two farms is smaller than an assumed radius, two kilometers, then there is a link between the nodes in the network. The diffusion rates of Aedes and Culex mosquitoes are shown below .
where is the distance between the centers of node and node  and is a diffusion like parameter within the range day .
Parameters for numerical simulations.
Vector competence varies within and between mosquito species . Stochastic parameters were used to account for broad range of vector competence between Aedes and Culex species and individual variation within each species. The PERT distribution has few constraints (minimum, maximum, and most likely value), similarly to the triangular distribution applied in  to simulate West Nile virus epidemic. In the following simulations, PERT distributions are selected to generate stochastic parameters with ranges and the most likely values listed in Table 1. Any appropriate parameter distribution can be adapted into the model.
The egg laying rates of Aedes and Culex mosquitoes changing with moisture conditions as indicated in Equation (21)  are shown in Fig. 2A. The egg development rate of Aedes mosquitoes varying with temperature in Equation  and that of Culex mosquitoes in Equation are in Fig. 2E and Fig. 2B, respectively. The parameters for egg laying rates of Aedes mosquitoes and Culex mosquitoes, and parameters for egg development rate of Culex mosquitoes are derived from data concerning West Nile virus in in the Northern U.S. , and the parameters for the egg development rate of Aedes mosquitoes is derived using the model for Aedes aegypti , which are the best models currently available. More precise parameters can be adopted, as they become available. The egg laying rates of Aedes and Culex mosquitoes, egg development rate of Culex mosquitoes, and egg development rate of Aedes mosquitoes computed with the climate data for the region where cattle farm and markets located in the study area of Texas from January, to October, , are shown in Fig. 2C, Fig. 2D, and Fig. 2F, respectively. If the temperature is too low, the eggs will not develop into larvae and then adult mosquitoes. If the temperature is too high, the lifespan of the mosquitoes is shortened and the development rate decreases. Moisture index is the difference between precipitation and evaporation as shown in Equation (22). A lower moisture index correlates to fewer adult mosquitoes because low moisture index represents a combination of low precipitation and high evaporation. For some days, the missing precipitation data from January, to December,  are assumed to be zero. The evaporation data are calculated using Equation (23) . The parameters in Equations (21) through (25) are listed in Table 3. Although humans move between nodes, they do not transmit virus between nodes and the number of humans in each node (i.e., farm) is assumed to be fewer than .
Figure 2. The relationship between egg laying rates, egg development rates of mosquitoes and climate factors.
(A) The egg laying rates of Aedes and Culex mosquitoes with moisture . (B) The egg development rate of Culex mosquitoes with temperature . (C) The egg laying rates of Aedes and Culex mosquitoes in the nine counties in the south of Texas from January, to October, . (D) The egg development rate of Culex mosquitoes in one region of Texas from January, to October, . (E) The egg development rate of Aedes mosquitoes with temperature. (F) The egg development rate of Aedes mosquitoes in one region of Texas from January, to October, .doi:10.1371/journal.pone.0062049.g002
Table 3. Parameters in Equations (21) through (25).doi:10.1371/journal.pone.0062049.t003
air temperature in units of .
the latitude (degrees) .
the mean dew-point in units of .
the elevation (meters) .
The Novel Mathematical Model
Presented is a discrete time compartmental mathematical model based on a network approach. Rift Valley fever is transmitted by several species of mosquito vectors that have varying levels of vector competence; therefore, each genus and species combination requires modeling the vector competence, movement, and life stage development patterns which is too complicated while considering only a single species or genus is not accurate. Consequently, the species are loosely grouped as their genera and the parameters are allowed to vary following PERT distributions. The distribution captures uncertainties on inherent variability between species, as well as variability among individual mosquitoes. The mosquito parameters are functions of climate factors to reflect the impact of climate and season on mosquito dynamics. Only Aedes and Culex genera mosquitoes that are competent vectors of RVF virus transmission are considered in the model.
Different networks are developed for mosquito diffusion and livestock movement considering heterogeneity in both. In the cattle movement network, different types of nodes distinguish between sources, sinks, and transitions.
The model can be used to simulate networks with the number of nodes up to thousands with the easily solvable discrete time model. To use the model in any location, one only needs the initial populations, the movement rates, ranges of the parameters, and climate factors in each location to obtain the epidemic curve.
Sixteen initial conditions shown in Table 4 in two regions of Texas, U.S.A. from January to October, were tested with the model to determine their effects on the simulated and hypothetical spread of Rift Valley fever virus were it to be introduced. The average results of realizations for each scenario starting in the same small or large farm are presented qualitatively in Table 5, and the quantitative numerical simulation results are shown in the Supporting Information section. For the simulations an introduction to a small farm is a farm with fewer than cattle and the large farm is considered a farm with more than cattle. By changing initial locations in extensive numerical simulations, we obtained different value for each variable from that of corresponding one in the table of Supporting Information but similar trends. Note at this time no specific mitigation strategies are applied here; during an outbreak the RVF virus control methods post detection will be expected to modify any such results.
Table 4. Sixteen different initial conditions.doi:10.1371/journal.pone.0062049.t004
Table 5. Qualitative numerical simulation results of different scenarios with respect to infected cattle.doi:10.1371/journal.pone.0062049.t005
Size of the epidemics.
The suffix l or s, (which denote large or small farms) were removed from the initial condition labels when comparing results with different initial infections in the same scale of initial location. The impact of the Rift Valley fever epidemic in terms of infected cattle depends on the size of the initial infection.
When the initial condition of the outbreak is assumed to be Aedes-eggs-f (few Aedes eggs), the simulations result in a larger cumulative number of infected cattle than the one obtained in the case of Aedes-eggs-m (many Aedes eggs). When the initial condition of the outbreak is assumed to be Aedes -f (few adult Aedes mosquitoes), the simulations result in a larger cumulative number of infected cattle than the ones obtained in the case of Aedes-m (many adult Aedes mosquitoes). Similarly, fewer initial infected Culex mosquitoes (Culex-f) leads to larger cumulative number of infected cattle than the one obtained in the case of Culex-m throughout the simulation period.
When the initial condition of the outbreak is assumed to be Cattle-f (few cattle), the simulations result in a larger cumulative number of infected cattle than the ones obtained in the case of Cattle-m (many cattle).
The total number of infected humans and the total number of farms with at least one infected human remain fewer than one regardless of initial infection conditions. This is likely because the human population of each farm is assumed to be fewer than . Therefore, human infection is unlikely in this case but this should not be inferred or generalized to be similar in a more heavily populated region or where there are many more persons in direct contact with animals (e.g., slaughter plants).
Timing of the epidemics.
The temporal characteristics of Rift Valley fever cases followed the general trend that fewer infected individuals in the initial introduction resulted in a delayed epidemic peak. When the initial condition of the outbreak is assumed to be Aedes-eggs-f-s, the simulation results in a peak days later than the one with initial starting conditions of Aedes-eggs-m-s. When the initial condition of the outbreak is assumed to be Aedes-eggs-f-l, the simulations result in a later peak than the Aedes-eggs-m-l condition. Comparing another pair of initial conditions, the epidemic peak happens no sooner when few initially infected Aedes eggs are considered than when few initial infected Aedes adult mosquitoes are assumed. Similarly, the epidemic peak happens not sooner when many initial infected Aedes eggs are considered than the one when many initial infected Aedes adult mosquitoes are assumed. When the initial condition of the outbreak is assumed to be Aedes-f, the simulations result in a later peak than the Aedes-l condition. When the initial condition of the outbreak is assumed to be Culex-f, the simulations result in a later peak than the Culex-l condition. Few initially infected cattle produce a later peak than the one when many cattle are initially infected.
The original meta-population model for Rift Valley fever described by Equations (1) through (20) has been proposed and applied to a case study in two study areas of Texas, the United States. The simulation results are helpful in understanding the mechanisms of RVF virus transmission. Modeling each mosquito species individually requires specific species information to parameterize the model, such as vector competence, which is often not available or is based on assumptions from other species. Therefore, the model groups competent mosquito vectors into two main genera of RVF competent mosquitoes, Aedes and Culex. The PERT distribution allows for mosquito species of the same genera to be clumped together and for individual variation within a single mosquito species by having a distribution with a most likely value and a range of possible values for each parameter. The distribution also allows the model to be easily adapted to new environments where the vector competence of mosquitoes remains uncharacterized. The model can accommodate various mosquito species of the same genus by adjusting the most likely values and the range of values to account for the variation in vector competence between species. Moreover, the model is not limited to the known mosquito vector species, and newly discovered competent vectors of RVF can be readily included in the model.
The model can be used to study not only local transmission between hosts and vectors, but also trans-location transmission of RVF virus with the network approach. The roles of mosquitoes and livestock in RVF virus transmission can be studied independently because they have separate networks. One infected farm node can spread the infection to other nodes connected to it; therefore, more nodes can be infected over time. The temporal and spatial evolution of RVF virus and its driving force can be analyzed. The spread of RVF virus is estimated within farms as well as between farms, markets, and feedlots. The goal of the simulation analysis is to provide insights into possible pathways for rapid spread of RVF virus among farms and counties. Using the cattle networks, the impact of cattle movement from trade can be investigated as newborn calves mature to weaning and on to harvest. The cattle farms are the source nodes where the cattle are born and raised for several months before being sold through markets or direct to feedlots, or to other farms as stockers or replacement females. Cattle on an infected farm may become infected and then carry the virus to the livestock market or else transition nodes before being sold to another farm, which may introduce the virus to a new farm. On the other hand, infected cattle movement to feedlots (sink nodes) does not propagate the transmission because there is no further transfer of cattle from the nodes except onto slaughter. Different mitigation strategies can be applied according to each node type (source, sink, and transition) within livestock movement network.
Discrete time modeling is appealing in the way it describes the epidemic process, which is conceptualized as evolving through a set of discrete time epochs instead of continuously . Typically infections or illnesses are reported at discrete time (daily or weekly) , . Discrete time modeling makes it easier to compare the incidence data with the output of simulations . Moreover, the numerical exploration of discrete time models is more straightforward . Thus, it can be easily implemented  by non-mathematicians , , an advantage in the public health world . Our model allows for simulations of RVF outbreaks on small networks with a few nodes and large scale networks with thousands of nodes. The model is developed not only for the purpose of being applied to the study area of Texas, but also to any geographic region or habitat type of concerns without changing the model. To apply the model to a new study area, the modelers only need to adapt corresponding data into the model. It is time consuming and easy to make mistakes by frequently changing the model to adapt it to a new environment.
In large populations, with a large scale of epidemic incidence, deterministic models can provide good approximations . Moreover, deterministic models are easier to analyze and interpret. However, the given starting condition and fixed parameters of a deterministic model will always result in the same solutions  because deterministic models do not reflect the role of chances in disease spread . In principle, stochastic models are more realistic than deterministic models in representing real world activities . In a stochastic model, there are probabilities at each time step transferring from one epidemiological state to another . Hence, the outcomes of different runs may be different  and a probability or credibility interval, similar to the confidence interval achieved from statistical analysis of empirical data, can be established. Stochastic models produce quantities such as the probability for an epidemic outbreak to occur and the mean epidemic duration time instead of deterministic results . To reflect the chance of infection more appropriately, a stochastic model will later be developed. However, epidemic outcomes can still be compared with the presented deterministic model applied to case study in the study area of Texas, the United States.
Concerning the discussion of simulation results, Aedes are the bridge between Culex and livestock starting with Aedes egg infection. Infected Aedes eggs may hatch infected Aedes mosquitoes. The susceptible livestock become infected after being fed on by the infected Aedes mosquitoes. Culex mosquitoes are amplifiers of RVF virus transmission. Culex mosquitoes acquire the infection after blood meals on infected livestock. In return, the infected Culex feed on livestock and RVF virus infection is thus amplified. If there are more infected adult mosquitoes at the beginning, whether Aedes or Culex mosquitoes, the rate of infection is faster, herd immunity is reached faster, the cumulative number of infected cattle is smaller because most recover before they further diffuse to other farms to spread RVF virus, as shown in Fig. 3. If most livestock infected by mosquitoes in a node recover before they move to other nodes, the number of infected livestock and mosquitoes that transmit RVF virus to other nodes is reduced. The eggs do not hatch until their habitats, such as dambos (in Africa) or playas/ponds/sloughs (Texas) are created by rainfall. Moreover, it takes time for Aedes eggs to become adult Aedes mosquitoes. Consequently, it may take longer to reach the epidemic peak with initially infected Aedes eggs than with initially infected Aedes mosquitoes.
Figure 3. Disease epidemic characteristics based on model output with different numbers of initially infected Culex mosquitoes on a small farm.
Time to peak infection is the time until the maximal number of cases is observed and epidemic duration is the amount of time an epidemic persists.doi:10.1371/journal.pone.0062049.g003
Cattle can be spreaders of virus because they are frequently bought and sold . Infected cattle may infect a large number of mosquitoes via mosquito bites in a new location. In turn, the infected mosquitoes can bite a large number of susceptible cattle and transmit the virus to them. Movement bans during a RVF outbreak can restrict the further spatial spread of RVF. Therefore, very few infected cattle can infect a large number of susceptible cattle, by interacting with mosquito vectors. Early detection of infected cattle is essential. After local and regional authorities are warned and response planning initiated, such as cattle movement restrictions, culling, insecticide treatments, quarantines, and other methods to limit transmission can also be effective. These methods will be explored in future models. The cumulative number of infected cattle with few infected cattle at the beginning is larger than that with a large number of infected cattle at the beginning. The consequence caused by few initially infected cattle should also be taken seriously.
There are no human cases (integers) in the simulations regardless of initial starting conditions because of the small constant human population in each node of the study region. In high population areas, there can be a large number of human cases. Humans are often exposed to fewer mosquitoes than cattle, especially in more developed countries, which results in lower probability of being infected by mosquitoes. The probability that humans are infected by cattle is also low in this region because the model does not account for contact with the virus via animal slaughter. Hence, the number of infected humans in each farm produced by simulations is fewer than . Therefore, an introduction of RVF in the study area of Texas, the United States is likely to be mainly a concern for livestock farms and not an outbreak in humans as recently seen in South Africa based on the deterministic mathematical model presented by . During previous outbreaks, many reported human cases proceeded with livestock cases. In the United States, humans still have the potential of being infected by mosquitoes and livestock especially when many livestock cases are reported. For this reason, the dynamics of human infection during an outbreak and the factors that affect RVF virus transmission will also be studied in future models.
In conclusion, the general epidemiological trend of a smaller initial infection observed through various simulations with various initial staring locations is: a larger total number of infected cattle, a longer delay after introduction until the peak of the epidemic, and a more prolonged epidemic. If the infection remains small (and possibly undetected) for a longer duration, it expands geographically before the epidemic explodes involving many cattle almost simultaneously. Therefore, an established and endemic condition can generate larger epidemic disease incidence after a long period of apparent hibernation.
Quantitative simulation results of different scenarios.
We are grateful to Kenneth J. Linthicum for his suggestions on mosquito models, and we are thankful to Bo Norby, Doyle Fuchs, Bryanna Pockrandt, and Phillip Schumm for their help in producing this work. We gratefully thank two anonymous referees for their valuable comments and suggestions which lead to an improvement of our manuscript.
Conceived and designed the experiments: LX CS. Performed the experiments: LX CS. Analyzed the data: LX LWC HMS CS. Contributed reagents/materials/analysis tools: LX LWC HMS CS. Wrote the paper: LX LWC HMS CS.
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