Title
Calling in sick: Impacts of fever on intra-urban human mobility
Date Issued
13 July 2016
Access level
open access
Resource Type
journal article
Author(s)
Perkins T.A.
Stoddard S.T.
Morrison A.C.
Forshey B.M.
Long K.C.
Halsey E.S.
Kochel T.J.
Elder J.P.
Kitron U.
Scott T.W.
Vazquez-Prokopec G.M.
Tulane University School of Public Health and Tropical Medicine
Publisher(s)
Royal Society of London
Abstract
Pathogens inflict a wide variety of disease manifestations on their hosts, yet the impacts of disease on the behaviour of infected hosts are rarely studied empirically and are seldom accounted for in mathematical models of transmission dynamics. We explored the potential impacts of one of the most common disease manifestations, fever, on a key determinant of pathogen transmission, host mobility, in residents of the Amazonian city of Iquitos, Peru. We did so by comparing two groups of febrile individuals (dengue-positive and dengue-negative) with an afebrile control group. A retrospective, semi-structured interview allowed us to quantify multiple aspects of mobility during the two-week period preceding each interview. We fitted nested models of each aspect of mobility to data from interviews and compared models using likelihood ratio tests to determine whether there were statistically distinguishable differences in mobility attributable to fever or its aetiology. Compared with afebrile individuals, febrile study participants spent more time at home, visited fewer locations, and, in some cases, visited locations closer to home and spent less time at certain types of locations. These multifaceted impacts are consistent with the possibility that disease-mediated changes in host mobility generate dynamic and complex changes in host contact network structure.
Volume
283
Issue
1834
OCDE Knowledge area
Ciencias del cuidado de la salud y servicios (administración de hospitales, financiamiento)
Políticas de salud, Servicios de salud
Subjects
Scopus EID
2-s2.0-84978524721
PubMed ID
Source
Proceedings of the Royal Society B: Biological Sciences
ISSN of the container
09628452
DOI of the container
10.1098/rspb.2016.0390
Sources of information:
Directorio de Producción Científica
Scopus