Publications by authors named "Benjamin Rice"

The emergence of SARS-CoV-2 into a highly susceptible global population was primarily driven by human mobility-induced introduction events. Especially in the early stages, understanding mobility was vital to mitigating the pandemic prior to widespread vaccine availability. We conducted a systematic review of studies published from January 1, 2020, to May 9, 2021, that used population-level human mobility data to understand SARS-CoV-2 transmission.

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The evidence of seasonal patterns in malaria epidemiology in the Brazilian Amazon basin indicates the need for a thorough investigation of seasonality in this last and heterogeneous region. Additionally, since these patterns are linked to climate variables, malaria models should also incorporate them. This study applies wavelet analysis to incidence data from 2003 to 2020 in the Epidemiological Surveillance System for Malaria (SIVEP-Malaria) database.

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Article Synopsis
  • Billions globally face micronutrient deficiencies, with Madagascar being particularly vulnerable—nearly half the population is stunted, and some areas are in emergency conditions similar to famine.
  • Research from 2013-2020 involved 4,710 individuals, revealing alarming deficiency rates: 66.5% for zinc, 15.6% for vitamin B, and 11.6% for retinol, along with notable iron deficiencies.
  • The study also found high levels of inflammation in the population, with 24% experiencing chronic inflammation and significant geographic variations in nutrient deficiencies, indicating that some regions are much worse off than others.
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Novel multihost pathogens can threaten endangered wildlife species, as well as humans and domestic animals. The zoonotic protozoan parasite Toxoplasma gondii is transmitted by members of Felidae and can infect a large number of animal species, including humans. This parasite can have significant health consequences for infected intermediate hosts and could further endanger wild carnivore populations of Madagascar.

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Despite multiple spillover events and short chains of transmission on at least 4 continents, Middle East Respiratory Syndrome Coronavirus (MERS-CoV) has never triggered a pandemic. By contrast, its relative, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has, despite apparently little, if any, previous circulation in humans. Resolving the unsolved mystery of the failure of MERS-CoV to trigger a pandemic could help inform how we understand the pandemic potential of pathogens, and probing it underscores a need for a more holistic understanding of the ways in which viral genetic changes scale up to population-level transmission.

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  • Limited availability of COVID-19 vaccines in low and middle-income countries (LMICs) like Madagascar necessitates prioritization schemes for effective distribution, targeting health care workers and vulnerable populations initially.
  • The study utilized a mathematical model to simulate various vaccination strategies, focusing on geographical allocation and the impact of past infection rates.
  • Results showed that prioritizing vaccine distribution based on the elderly population size or overall regional population leads to a greater reduction in COVID-19 mortality compared to using reported cases and deaths as criteria for allocation.
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  • Quantifying travel is crucial for predicting disease spread in emerging epidemics like COVID-19, particularly in low- and middle-income countries (LMICs) where travel data is often limited.
  • Data from Madagascar's COVID-19 dashboard was used to compare real reported case timing against expectations from various connectivity models, revealing that mobile phone data and a gravity model based on distance provided the best predictions.
  • The study emphasizes the need for better data availability and collaboration among institutions, as the effectiveness of predictive models relies heavily on the quality of the data they use.
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  • Scientists face challenges when new diseases that could spread widely appear, especially in how to find and understand them.
  • Math models can help us prepare better for these new diseases by showing how to collect and use data effectively.
  • To improve our response, we need to identify the riskiest diseases, create better estimation tools, and work together in diverse teams to share information properly.
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The twenty-first century has witnessed a wave of severe infectious disease outbreaks, not least the COVID-19 pandemic, which has had a devastating impact on lives and livelihoods around the globe. The 2003 severe acute respiratory syndrome coronavirus outbreak, the 2009 swine flu pandemic, the 2012 Middle East respiratory syndrome coronavirus outbreak, the 2013-2016 Ebola virus disease epidemic in West Africa and the 2015 Zika virus disease epidemic all resulted in substantial morbidity and mortality while spreading across borders to infect people in multiple countries. At the same time, the past few decades have ushered in an unprecedented era of technological, demographic and climatic change: airline flights have doubled since 2000, since 2007 more people live in urban areas than rural areas, population numbers continue to climb and climate change presents an escalating threat to society.

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For emerging epidemics such as the COVID-19 pandemic, quantifying travel is a key component of developing accurate predictive models of disease spread to inform public health planning. However, in many LMICs, traditional data sets on travel such as commuting surveys as well as non-traditional sources such as mobile phone data are lacking, or, where available, have only rarely been leveraged by the public health community. Evaluating the accuracy of available data to measure transmission-relevant travel may be further hampered by limited reporting of suspected and laboratory confirmed infections.

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Despite vast diversity in non-human hosts and conspicuous recent spillover events, only a small number of coronaviruses have been observed to persist in human populations. This puzzling mismatch suggests substantial barriers to establishment. We detail hypotheses that might contribute to explain the low numbers of endemic coronaviruses, despite their considerable evolutionary and emergence potential.

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  • Madagascar's diverse ecologies impact malaria infection patterns, yet limited studies exist at finer sub-regional scales.
  • Researchers sampled 1476 households across various ecological regions to understand local prevalence rates and their connection to ecological conditions.
  • Findings revealed significant variation in malaria prevalence, with some communities experiencing over 50% infection rates, indicating densely infected households and highlighting localized hotspots of the disease.
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A surprising feature of the SARS-CoV-2 pandemic to date is the low burdens reported in sub-Saharan Africa (SSA) countries relative to other global regions. Potential explanations (for example, warmer environments, younger populations) have yet to be framed within a comprehensive analysis. We synthesized factors hypothesized to drive the pace and burden of this pandemic in SSA during the period from 25 February to 20 December 2020, encompassing demographic, comorbidity, climatic, healthcare capacity, intervention efforts and human mobility dimensions.

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Objectives: Quantitative estimates of the impact of infectious disease outbreaks are required to develop measured policy responses. In many low- and middle-income countries, inadequate surveillance and incompleteness of death registration are important barriers.

Design: Here, we characterize how large an impact on mortality would have to be for being detectable using the uniquely detailed mortality notification data from the city of Antananarivo, Madagascar, with application to a recent measles outbreak.

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  • - Madagascar has faced major environmental changes since 1960, largely due to deforestation for agriculture, which is compounded by shifting climate patterns like rising temperatures and increased droughts and cyclones, threatening food security and health.
  • - This study assesses the health status of diverse Malagasy communities by analyzing clinical data and social surveys from 6,292 individuals across 1,125 households in 24 distinct regions, aiming to understand the links between health, climate, and nutrition.
  • - Utilizing a mixed-methods approach, researchers collected detailed information on income, food production, and health outcomes, to help predict and address future health burdens that may arise from ongoing environmental changes.
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  • Deforestation and land use change in Madagascar are increasing malaria risks by promoting the spread of disease vectors like the Anopheles mosquito among rural populations.
  • The study investigates various risk factors for malaria infection, focusing on ecological, demographic, and socioeconomic aspects in four different regions using multilevel models.
  • Findings indicate that aquatic agriculture is a significant predictor of Anopheles larvae habitats, with risk factors for malaria varying substantially by region, suggesting a need for tailored malaria control strategies across Madagascar.
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  • There is a notable discrepancy in the impact of the SARS-CoV-2 pandemic in sub-Saharan Africa (SSA) compared to other regions, with lower reported cases and fatalities.
  • Various factors like climate, demographics, and healthcare capacity are analyzed to understand this phenomenon, highlighting the important role of human mobility and connectivity in the spread of the virus.
  • The study suggests that despite a younger population, variations in comorbidities and healthcare access could lead to severe outcomes, emphasizing the need for urgent data to manage potential high-burden scenarios effectively.
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The Madagascar Health and Environmental Research-Antongil (MAHERY-Antongil) study cohort was set up in September 2015 to assess the nutritional value of seafood for the coastal Malagasy population living along Antongil Bay in northeastern Madagascar. Over 28 months of surveillance, we aimed to understand the relationships among different marine resource governance models, local people's fish catch, the consumption of seafood, and nutritional status. In the Antongil Bay, fisheries governance takes three general forms: traditional management, marine national parks, and co-management.

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The body-wide human microbiome plays a role in health, but its full diversity remains uncharacterized, particularly outside of the gut and in international populations. We leveraged 9,428 metagenomes to reconstruct 154,723 microbial genomes (45% of high quality) spanning body sites, ages, countries, and lifestyles. We recapitulated 4,930 species-level genome bins (SGBs), 77% without genomes in public repositories (unknown SGBs [uSGBs]).

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Human food and nutrition security is dependent on marine ecosystems threatened by overfishing, climate change, and other processes. The consequences on human nutritional status are uncertain, in part because current methods of analyzing fish nutrient content are expensive. Here, we evaluate the possibility of predicting nutrient content of ray-finned fishes using existing phylogenetic and life history information.

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  • Advances in malaria control have been seen in Africa, but hotspots of high transmission remain a threat due to inadequate surveillance and high costs of direct estimates.
  • Researchers used genetic data to study malaria prevalence and transmission dynamics in the remote Makira region of Madagascar, involving 698 individuals and multiple seasonal tests.
  • The study found a 27.8% infection rate for P. falciparum in Makira, significantly higher than the national average, and noted a high level of genetic diversity among infections, indicating stable and high transmission in the area.
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Genetic polymorphisms identified from genomic sequencing can be used to track changes in parasite populations through time. Such tracking is particularly informative when applying control strategies and evaluating their effectiveness. Using genomic approaches may also enable improved ability to categorise populations and to stratify them according to the likely effectiveness of intervention.

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The genus Plasmodium is a diversified group of parasites with more than 200 known species that includes those causing malaria in humans. These parasites use numerous proteins in a complex process that allows them to invade the red blood cells of their vertebrate hosts. Many of those proteins are part of multi-gene families; one of which is the merozoite surface protein-3 (msp3) family.

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Background: Plasmodium vivax is the most widespread of the human malaria parasites in terms of geography, and is thought to present unique challenges to local efforts aimed at control and elimination. Parasite molecular markers can provide much needed data on P. vivax populations, but few such markers have been critically evaluated.

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