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Topological dynamics of the 2015 South Korea MERS-CoV spread-on-contact networks
Chang Hoon Yang1, Hyejin Jung2
1Catholic Kwandong University 24, Beomil-ro 579beon-gil, Gangneung-si, Gangwon-do, 25601, Korea.
Abstract:
Network analysis to examine infectious contact relations provides an important means to uncover the topologies of individual infectious contact networks. This study aims to investigate the spread of diseases among individuals over contact networks by exploring the 2015 Middle East Respiratory Syndrome (MERS) outbreak in Korea. We present several distinct features of MERS transmission by employing a comprehensive approach in network research to examine both the traced relationship matrix of infected individuals and their bipartite transmission routes among healthcare facilities visited for treatment. The results indicate that a few super-spreaders were more likely to hold certain structural advantages by linking to an exceptional number of other individuals, causing several ongoing transmission events in neighbourhoods without the aid of any intermediary. Thus, the infectious contact network exhibited small-world dynamics characterised by locally clustered contacts exposed to transmission paths via short path lengths. In addition, nosocomial infection analysis shows the pattern of a common-source outbreak followed by secondary person-to-person transmission of the disease. Based on the results, we suggest policy implications related to the redesign of prevention and control strategies against the spread of epidemics.
Insights
Network analysis of the 2015 Middle East Respiratory Syndrome (MERS) outbreak in Korea revealed super-spreaders and small-world dynamics. This highlights the need for redesigned epidemic control strategies.
Area of Science:
- Epidemiology
- Network Science
- Public Health
Background:
- Understanding disease transmission dynamics is crucial for effective public health interventions.
- The 2015 Middle East Respiratory Syndrome (MERS) outbreak in Korea provided a significant case study for examining infectious disease spread.
- Contact network analysis offers a powerful lens to visualize and understand disease transmission patterns.
Purpose of the Study:
- To investigate the transmission pathways and network topology of the 2015 MERS outbreak in Korea.
- To identify key factors, such as super-spreaders and network structures, influencing disease propagation.
- To inform the development of improved strategies for epidemic prevention and control.
Main Methods:
- Utilized network analysis to map infectious contact relations among individuals during the MERS outbreak.
- Examined the traced relationship matrix of infected individuals.
- Analyzed bipartite transmission routes within healthcare facilities.
Main Results:
- Identified a few super-spreaders with structural advantages, enabling widespread transmission.
- Characterized the infectious contact network as exhibiting small-world dynamics with local clustering and short path lengths.
- Nosocomial infection analysis revealed a common-source outbreak followed by person-to-person transmission.
Conclusions:
- Super-spreaders play a critical role in rapid disease dissemination within contact networks.
- The small-world nature of the MERS network facilitated efficient transmission.
- Findings support the redesign of public health policies for enhanced epidemic prevention and control.
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