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.

Peerj
|June 29, 2019
PubMed

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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