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Linked within-host and between-host models and data for infectious diseases: a systematic review
Lauren M Childs1, Fadoua El Moustaid2,3, Zachary Gajewski2,3,4
1Department of Mathematics, Virginia Polytechnic Institute and State University (Virginia Tech), Blacksburg, VA, USA.
Abstract:
The observed dynamics of infectious diseases are driven by processes across multiple scales. Here we focus on two: within-host, that is, how an infection progresses inside a single individual (for instance viral and immune dynamics), and between-host, that is, how the infection is transmitted between multiple individuals of a host population. The dynamics of each of these may be influenced by the other, particularly across evolutionary time. Thus understanding each of these scales, and the links between them, is necessary for a holistic understanding of the spread of infectious diseases. One approach to combining these scales is through mathematical modeling. We conducted a systematic review of the published literature on multi-scale mathematical models of disease transmission (as defined by combining within-host and between-host scales) to determine the extent to which mathematical models are being used to understand across-scale transmission, and the extent to which these models are being confronted with data. Following the PRISMA guidelines for systematic reviews, we identified 24 of 197 qualifying papers across 30 years that include both linked models at the within and between host scales and that used data to parameterize/calibrate models. We find that the approach that incorporates both modeling with data is under-utilized, if increasing. This highlights the need for better communication and collaboration between modelers and empiricists to build well-calibrated models that both improve understanding and may be used for prediction.
Insights
Mathematical models integrating within-host and between-host infectious disease dynamics are under-utilized. More data-driven calibration is needed for better understanding and prediction of disease transmission across scales.
Area of Science:
- Epidemiology
- Mathematical Biology
- Infectious Disease Dynamics
Background:
- Infectious disease dynamics involve complex processes at both within-host (individual) and between-host (population) scales.
- Understanding the interplay between these scales is crucial for a holistic view of disease spread.
- Mathematical modeling offers a framework to integrate these multi-scale processes.
Purpose of the Study:
- To systematically review the literature on multi-scale mathematical models of infectious disease transmission.
- To assess the extent to which these models link within-host and between-host scales.
- To evaluate the degree to which these integrated models are validated with empirical data.
Main Methods:
- A systematic literature review was conducted following PRISMA guidelines.
- The review focused on published mathematical models combining within-host and between-host scales.
- Papers were screened for data utilization in model parameterization or calibration.
Main Results:
- Out of 197 initially identified papers, 24 met the criteria over a 30-year period.
- A significant proportion of reviewed studies linked within-host and between-host scales in their models.
- The integration of empirical data for model calibration and parameterization was found to be under-utilized.
Conclusions:
- Multi-scale mathematical models are valuable tools for studying infectious disease transmission.
- There is a critical need to increase the use of empirical data in calibrating and validating these models.
- Enhanced collaboration between modelers and empiricists is essential for developing robust, predictive disease transmission models.
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