Abstract
As international travel increases worldwide, new surveillance tools are needed to help identify locations where diseases are most likely to be spread and prevention measures need to be implemented. In this paper we present epiflows, an R package for risk assessment of travel-related spread of disease. epiflows produces estimates of the expected number of symptomatic and/or asymptomatic infections that could be introduced to other locations from the source of infection. Estimates (average and confidence intervals) of the number of infections introduced elsewhere are obtained by integrating data on the cumulative number of cases reported, population movement, length of stay and information on the distributions of the incubation and infectious periods of the disease. The package also provides tools for geocoding and visualization. We illustrate the use of epiflows by assessing the risk of travel-related spread of yellow fever cases in Southeast Brazil in December 2016 to May 2017.
Original language | English |
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Article number | 1374 |
Pages (from-to) | 1-20 |
Number of pages | 20 |
Journal | F1000 Research |
Volume | 7 |
Early online date | 31 Aug 2018 |
DOIs | |
Publication status | Published - 12 Sept 2019 |
Bibliographical note
Funding Information:ID acknowledges research funding from the Imperial College Junior Research Fellowship. ID, CAD and TJ thank the UK Medical Research Council for Centre funding. TJ is funded by the National Institute for Health Research Health Protection Research Unit (NIHRHPRU) in Modelling Methodology at Imperial College London in partnership with Public Health England (PHE). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2019 Moraga P et al.
Keywords
- Disease surveillance
- Epidemics
- Infectious
- Outbreaks
- R,RECON
ASJC Scopus subject areas
- General Biochemistry,Genetics and Molecular Biology
- General Immunology and Microbiology
- Pharmacology, Toxicology and Pharmaceutics(all)