41 Blood Feeding and Transmission

The endpoint

41.0.1 Search and Risk

41.0.2 Search Weights and Availability

To deal with heterogeneous exposure and many other phenomena, we need a sensible way of segmenting humans into population strata. Stratification makes it possible to deal with population heterogeneity.

A new model of blood feeding is based on a model of blood feeding as the endpoint of a search for a blood host [15].

  • Each sub-population has a search weight (\(w\)), and the total availability of humans for blood feeding (\(W\)) is the sum of the sizes of the strata weighted by their search weights.

  • We also consider the availability of alternative vertebrate species for blood feeding (\(O\)).

41.0.3 Functional Response

  • Mosquito blood feeding rates are computed using a functional response to total availability of vertebrate hosts (\(f = F_f(B)\)).

  • To compute total availability, we add a scaling parameter on alternative hosts, because mosquito preferences can translate into different patterns of search; total availability is \(B=W + O^\zeta\).

  • The human fraction is proportional to the relative availability of hosts \(q = W/B\).

41.0.4 Environmental Heterogeneity

  • The search weights thus translate into a kind of Frailty, which is one component of heterogeneous exposure. Important sources of frailty include bednet use, housing type, and age.

  • We also want to consider variability in exposure within a stratum – what is the distribution of the expected number of bites over time? We have already discussed frailties, so this is a different kind of heterogeneous exposure that we call Environmental Heterogeneity. This helps us to align models with data: mosquito counts data tend to be described well by negative binomial distributions, so it is likely that the distribution of infectious bites also follows a negative binomial distribution. We introduce a function that translate the EIR into the FoI: \[h=F_h(E)\]

In the Ross-Macdonald model, the underlying assumption is consistent with a Poisson distribution, but we have also derived negative binomial hazard rates. Environmental heterogeneity can arise from two sources:

  • the aggregated distributions of mosquitoes in micro-habitats, and the redistribution of mosquito populations by wind and weather;

  • random movements of humans around mosquito micro-habitats that affect their risk in a way that doesn’t tend to change the mean;

References

15.
Wu SL, Henry JM, Citron DT, Ssebuliba DM, Nsumba JN, C HMS, et al. Spatial dynamics of malaria transmission. PLOS Computational Biology. 2023;19: e1010684. doi:10.1371/journal.pcbi.1010684