scholarly journals Symptom and Age Homophilies in SARS-CoV-2 Transmission Networks during the First and Second Waves of the Pandemic in Japan

Author(s):  
Ali Andalibi ◽  
Naoru Koizumi ◽  
Meng-hao Li ◽  
Abu Bakkar Siddique

Background Hokkaido is the northernmost, least populous, and coldest of the Japanese islands. It was the first prefecture to be affected by COVID-19, while Kanagawa is home to one of the most populous areas of Japan, namely the Tokyo metro area. The Japanese government responded early during the pandemic by identifying infected patients, contact tracing, and performing PCR analysis on anyone who was suspected of having been exposed to SARS-CoV-2. The government has also been publishing information about each individual who tested positive for the virus. Both Hokkaido and Kanagawa started recording COVID-19 cases in the winter of 2020 and have detailed records of thousands of patients, thus providing an invaluable resource for the transmission and behavior of the virus. Methods The current study analyzed the COVID-19 registry data from the Hokkaido and Kanagawa prefectures. The Hokkaido registry contained 1,269 cases (674 (53%) females and 595 (47%) males) recorded between February 14 and July 22, 2020. The Kanagawa registry had 3,123 cases (1,346 (43%) females and 1,777 (57%) males. The final data contained a total of 4,392 cases (2,020 (46%) females and 2,372 (54%) males). By leveraging the information on viral transmission paths available in the registry data, we performed exponential random graph model (ERGM) network analysis to examine demographic and symptomological homophilies of the SARS-CoV-2 viral transmission networks. Results We observed age, symptomatic, and asymptomatic homophilies in both prefectures. Furthermore, those patients who contracted the virus through secondary or tertiary contacts were more likely to be asymptomatic than those who contracted it from primary infection cases. The transmission networks showed that transmission occurred significantly in healthcare settings, as well as in families, although the size of the networks was small in the latter. Most of the transmissions stopped at the primary and secondary levels and no transmission beyond quaternary was observed. We also observed a higher level of asymptomatic transmission in Kanagawa than in Hokkaido. Conclusions Symptom homophilies are an important component of COVID-19 and suggest that nuanced genetic differences in the virus may affect its epithelial cell type range and can thus result in the diversity of symptoms seen in individuals infected by SARS-CoV-2. Moreover, environmental variables such as temperature and humidity may also be playing an important role in the overall pathogenesis of the virus.

Biology ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 499
Author(s):  
Ali Andalibi ◽  
Naoru Koizumi ◽  
Meng-Hao Li ◽  
Abu Bakkar Siddique

Kanagawa and Hokkaido were affected by COVID-19 in the early stage of the pandemic. Japan’s initial response included contact tracing and PCR analysis on anyone who was suspected of having been exposed to SARS-CoV-2. In this retrospective study, we analyzed publicly available COVID-19 registry data from Kanagawa and Hokkaido (n = 4392). Exponential random graph model (ERGM) network analysis was performed to examine demographic and symptomological homophilies. Age, symptomatic, and asymptomatic status homophilies were seen in both prefectures. Symptom homophilies suggest that nuanced genetic differences in the virus may affect its epithelial cell type range and can result in the diversity of symptoms seen in individuals infected by SARS-CoV-2. Environmental variables such as temperature and humidity may also play a role in the overall pathogenesis of the virus. A higher level of asymptomatic transmission was observed in Kanagawa. Moreover, patients who contracted the virus through secondary or tertiary contacts were shown to be asymptomatic more frequently than those who contracted it from primary cases. Additionally, most of the transmissions stopped at the primary and secondary levels. As expected, significant viral transmission was seen in healthcare settings.


Atmosphere ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 1528
Author(s):  
Meng-Hao Li ◽  
Abu Bakkar Siddique ◽  
Ali Andalibi ◽  
Naoru Koizumi

Background: Hokkaido was the first Japanese prefecture to be affected by COVID-19. Since the beginning of the pandemic, the Japanese government has been publishing the information of each individual who was tested positive for the virus. Method: The current study analyzed the 1269 SARS-CoV-2 cases confirmed in Hokkaido in order to examine sex-based differences in symptomology and infectiveness, as well as the status of reinfections and the viral transmission networks. Results: The majority of asymptomatic patients were females and older. Females were 1.3-fold more likely to be asymptomatic (p < 0.001) while a decade of difference in age increased the likelihood of being asymptomatic by 1% (p < 0.001). The data contained information up to quaternary viral transmission. The transmission network revealed that, although asymptomatic patients are more likely to transmit the virus, the individuals infected by asymptomatic cases are likely to be asymptomatic (p < 0.001). Four distinct co-occurrences of symptoms were observed, including (i) fever/fatigue, (ii) pharyngitis/rhinitis, (iii) ageusia/anosmia, and (iv) nausea/vomiting/diarrhea. The presences of diarrhea (p = 0.05) as well as nausea/vomiting (p < 0.001) were predictive of developing dyspnea, i.e., severe disease. About 1% of the patients experienced reinfection. Conclusions: Sex and symptomatology appear to play important roles in determining the levels of viral transmission as well as disease severity.


2018 ◽  
Vol 68 (9) ◽  
pp. 1547-1555
Author(s):  
David P Bui ◽  
Eyal Oren ◽  
Denise J Roe ◽  
Heidi E Brown ◽  
Robin B Harris ◽  
...  

Abstract Background The majority of tuberculosis transmission occurs in community settings. Our primary aim in this study was to assess the association between exposure to community venues and multidrug-resistant (MDR) tuberculosis. Our secondary aim was to describe the social networks of MDR tuberculosis cases and controls. Methods We recruited laboratory-confirmed MDR tuberculosis cases and community controls that were matched on age and sex. Whole-genome sequencing was used to identify genetically clustered cases. Venue tracing interviews (nonblinded) were conducted to enumerate community venues frequented by participants. Logistic regression was used to assess the association between MDR tuberculosis and person-time spent in community venues. A location-based social network was constructed, with respondents connected if they reported frequenting the same venue, and an exponential random graph model (ERGM) was fitted to model the network. Results We enrolled 59 cases and 65 controls. Participants reported 729 unique venues. The mean number of venues reported was similar in both groups (P = .92). Person-time in healthcare venues (adjusted odds ratio [aOR] = 1.67, P = .01), schools (aOR = 1.53, P &lt; .01), and transportation venues (aOR = 1.25, P = .03) was associated with MDR tuberculosis. Healthcare venues, markets, cinemas, and transportation venues were commonly shared among clustered cases. The ERGM indicated significant community segregation between cases and controls. Case networks were more densely connected. Conclusions Exposure to healthcare venues, schools, and transportation venues was associated with MDR tuberculosis. Intervention across the segregated network of case venues may be necessary to effectively stem transmission.


2018 ◽  
Vol 39 (3) ◽  
pp. 443-464 ◽  
Author(s):  
Francesca P. Vantaggiato

AbstractThe literature on transnational regulatory networks identified interdependence as their main rationale, downplaying domestic factors. Typically, relevant contributions use the word “network” only metaphorically. Yet, informal ties between regulators constitute networked structures of collaboration, which can be measured and explained. Regulators choose their frequent, regular network partners. What explains those choices? This article develops an Exponential Random Graph Model of the network of European national energy regulators to identify the drivers of informal regulatory networking. The results show that regulators tend to network with peers who regulate similarly organised market structures. Geography and European policy frameworks also play a role. Overall, the British regulator is significantly more active and influential than its peers, and a divide emerges between regulators from EU-15 and others. Therefore, formal frameworks of cooperation (i.e. a European Agency) were probably necessary to foster regulatory coordination across the EU.


2018 ◽  
Vol 21 (02) ◽  
pp. 1850001 ◽  
Author(s):  
ZHENGQI PAN

To what extent does joint membership in intergovernmental organizations (IGOs) matter for bilateral trade? How and under what conditions do the various types of IGOs — economic, socio-cultural and general purpose — influence bilateral trade between their members? How do complex interdependencies in world trade matter? Existing research tends to examine aggregate joint IGO memberships and has done little to analyze how specific types of IGO membership matter in trade. Using a detailed IGO dataset and a novel network analysis approach called the temporal exponential random graph model, I assess the importance of three main IGO types — economic, socio-cultural and general purpose — in helping members to establish major trading ties. The results provide support for general purpose and socio-cultural IGOs and point to the importance of network phenomena such as popularity, activity and transitivity effects. Moreover, joint economic IGO memberships exhibit slightly more complex relations with bilateral trade. A robustness test reveals that preferential trade agreements are significant in fostering trade, while the World Trade Organization and other economic IGOs such as development banks are not. This paper presents a nuanced way of analyzing IGOs and provides the impetus for the study of complex interdependencies in international trade.


2021 ◽  
pp. 147737082110531
Author(s):  
Tomáš Diviák ◽  
Jan Kornelis Dijkstra ◽  
Fenna van der Wijk ◽  
Indra Oosting ◽  
Gerard Wolters

In this study, we investigated the relation between the different stages of women trafficking (i.e. recruitment, entrance, accommodation, labor, and finance) and the structure of five criminal networks involved in women trafficking in the Netherlands ( Ns ranging from 6 to 15). On the one hand, it could be argued that for efficiency and avoidance of being detected by law enforcement agencies, the network structure might align with the different stages, resulting in a cell-structured network with collaboration between actors within rather than across stages. On the other hand, criminal actors might prefer to collaborate and rely on a few others, whom they trust in order to circumvent the lack of formal opportunities to enforce collaboration and agreements, resulting in a core-periphery network with actors also collaborating across stages. Results indicate that three of the five networks were characterized by a core-periphery structure, whereas the two other networks exhibit a mixture of both a cell-structured and core-periphery network. Furthermore, using an Exponential Random Graph Model (ERGM), we found that actors were likely to form ties with each other in the stages of recruitment, accommodation, and exploitation, but not in the stages of transport and finance.


2020 ◽  
pp. 135481662094544
Author(s):  
Juan D Montoro-Pons ◽  
Manuel Cuadrado-García

Music festivals, as cultural events that induce tourism flows, intermediate both the cultural and travel experience. The present study analyzes online search behavior of potential attenders to a music festival. We hypothesize that the search process reveals latent patterns of behavior of cultural tourists planning to attend music festivals. To this end, information from Google Trends on queries related to three popular music festivals is used to build a network of search topics. Based on it, alternative exponential random graph model specifications are estimated. Findings support the general result of mediated information flows: music festivals induce planning and traveling queries. However, differences relating to the specificities of the cultural event are also found, in particular those regarding what nodes or queries supply the network with more useful information.


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