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Networks and transmission

Infectious disease transmission in social and spatial context.

Where does transmission concentrate, and where would one intervention reach the most people?

Individual risk factors explain only part of an epidemic. Transmission concentrates where people are connected, directly or through the places they share. With a community cohort in New Delhi, we assembled a detailed social and spatial network of 2,512 participants and the 181 venues they frequent.

These data showed that both direct and indirect ties drive the spread of HIV and hepatitis C (eLife, 2021), and phylodynamic analysis traced how hepatitis C lineages moved through the same population over space and time (Hepatology, 2021). Graph neural networks then identified seven overlapping communities, with a single venue overlapping six of them (Science Advances, 2022): a leverage point that shows where one integrated service site could reach the most people.

Current work imputes the ties that sampling misses and evaluates spatially targeted interventions under realistic coverage, so prevention can be placed by network structure rather than spread evenly across an uneven epidemic.

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