Abstract:
:Spatial-temporal patterns of measles incidence reflect the spatial distribution of human hosts. The heterogeneous spatial distribution of communities has been shown to introduce spatially dependent temporal lags in the timing of measles incidence. Incidence patterns reflect internal dynamics within a community and coupling of communities through the movement of infectious individuals. The central role of human movement in coupling dynamics in separate communities suggests that physical geographic barriers to movement should reduce spatial-temporal correlation. We examine measles dynamics in Maryland and Pennsylvania during the period of 1917-1938. The central feature of interest is the Chesapeake Bay, which separates Maryland into two distinct regions. We find that correlation of measles incidences in communities separated by the bay is reduced compared to communities not separated by the bay, suggesting the bay acted as a barrier to human movement during this time sufficient to decouple measles dynamics in Maryland counties.
journal_name
Epidemiol Infectjournal_title
Epidemiology and infectionauthors
Vora A,Burke DS,Cummings DAdoi
10.1017/S0950268807009193subject
Has Abstractpub_date
2008-05-01 00:00:00pages
713-20issue
5eissn
0950-2688issn
1469-4409pii
S0950268807009193journal_volume
136pub_type
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