Selasa, 24 Juli 2012

Study: Airports in N.Y., L.A., Hawaii most likely to aid spread of contagion

A contagion map shows flights in and out of the top 40 airports.

Christos Nicolaides, Juanes Research Group, MIT

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Air travel — and airport design — may be key to the spread of a contagious disease, as well as efforts to put a lid on it, according to research from the Massachusetts Institute of Technology. Using network theory, the MIT researchers examined how air travel could play a role in spreading a pandemic virus and how containment efforts at airports could help curb a global spread.

From the 2003 outbreak of SARS, which killed 1,000 in 37 countries to the 2009 H1N1 flu pandemic that killed 300,000 globally, air travel has played a part in the spread of viral or bacterial infections, the researchers said in the study, published in the journal PLoS ONE.

The study ranks New York's John F. Kennedy International Airport and the Los Angeles International Airport as top global "super-spreaders" of a deadly virus. Next would be Honolulu International Airport. It's not simply a matter of which airport has the most travel. In the case of Honolulu, its location and links to major international hubs would make those passing through it more vulnerable than they would be in some higher-traffic airports. Even wait times for flights impact the disease-spread potential.

"Study authors said the effort moves contagion research forward by highlighting where U.S. health officials could focus attention immediately following an outbreak," wrote Elise Viebeck of Healthwatch, a blog on thehill.com.

Using network theory to create a new model, the researchers ranked the 40 largest U.S. airports in terms of how they would influence the spread of a contagious illness that started in their home cities. According to a release accompanying the study, "this new approach could help determine appropriate measures for containing infection in specific geographic areas and aid public health officials in making decisions about the distribution of vaccinations or treatments in the earliest days of contagion."

While mathematical models have been created to look at how disease spreads, the background information for the study said most look at the final stages of epidemics and which areas developed the highest infection rates.

"Our work is the first to look at the spatial spreading of contagion processes at early times and to propose a predictor of which 'nodes' — in this case, airports — will lead to more aggressive spatial spreading," said Ruben Juanes, an associate professor in MIT's Department of Civil and Environmental Engineering, in a written statement. "The findings could form the basis of an initial evaluation of vaccine allocation strategies in the event of an outbreak and could inform national security agencies of the most vulnerable pathways for biological attacks in a densely connected world."

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