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Copyright © 2008 Bouden et al; licensee BioMed Central Ltd. The geosimulation of West Nile virus propagation: a multi-agent and climate sensitive tool for risk management in public health 1Department of Computer Sciences and Software Engineering, Laval University, Quebec, G1V 0A6, Canada 2Centre for Research in Geomatics, Laval University, Quebec, G1V 0A6, Canada 3Institut national de santé publique du Québec (INSPQ), 945 avenue Wolfe, Quebec, G1V 5B3, Canada 4Centre hospitalier universitaire de Québec (CHUQ), 2705, boulevard Laurier, Quebec, G1V 4G2, Canada Corresponding author.Mondher Bouden: Mondher.Bouden/at/ift.ulaval.ca; Bernard Moulin: Bernard.Moulin/at/ift.ulaval.ca; Pierre Gosselin: Pierre-L.Gosselin/at/crchul.ulaval.ca Received March 27, 2008; Accepted July 7, 2008. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC.Abstract Background Since 1999, the expansion of the West Nile virus (WNV) epizooty has led public health authorities to build and operate surveillance systems in North America. These systems are very useful to collect data, but cannot be used to forecast the probable spread of the virus in coming years. Such forecasts, if proven reliable, would permit preventive measures to be put into place at the appropriate level of expected risk and at the appropriate time. It is within this context that the Multi-Agent GeoSimulation approach has been selected to develop a system that simulates the interactions of populations of mosquitoes and birds over space and time in relation to the spread and transmission of WNV. This simulation takes place in a virtual mapping environment representing a large administrative territory (e.g. province, state) and carried out under various climate scenarios in order to simulate the effects of vector control measures such as larviciding at scales of 1/20 000 or smaller. Results After setting some hypotheses, a conceptual model and system architecture were developed to describe the population dynamics and interactions of mosquitoes (genus Culex) and American crows, which were chosen as the main actors in the simulation. Based on a mathematical compartment model used to simulate the population dynamics, an operational prototype was developed for the Southern part of Quebec (Canada). The system allows users to modify the parameters of the model, to select various climate and larviciding scenarios, to visualize on a digital map the progression (on a weekly or daily basis) of the infection in and around the crows' roosts and to generate graphs showing the evolution of the populations. The basic units for visualisation are municipalities. Conclusion In all likelihood this system might be used to support short term decision-making related to WNV vector control measures, including the use of larvicides, according to climatic scenarios. Once fully calibrated in several real-life contexts, this promising approach opens the door to the study and management of other zoonotic diseases such as Lyme disease. Background The WNV is a flavivirus which was isolated for the first time in 1937. Its name comes from the district of West Nile in Uganda. It was detected in human, birds and mosquitoes in Egypt at the beginning of the fifties, and has then been found in various European countries [1]. It is however only with the important 1996 human epidemic in Bucharest, Romania, that WNV became a concern for public health. Moreover, there is no specific treatment of the disease and no vaccine is yet available for humans. The WNV was detected on the American continent in 1999 and more specifically in New York [2]. In Canada, WNV reached southern Ontario in 2001, while the first human cases were detected in August 2002 [3]. WNV made its appearance in Quebec in July 2002. The virus was then propagated, like everywhere else, by the intermediary of mosquitoes and birds. The expansion of this epizooty forced the Government of Quebec to adopt an intervention plan which included in 2003 the implementation of a multi-faceted surveillance system [4]. This system brought together field data on human, avian and entomological infection and deaths. While these monitoring activities were undertaken to better understand the epidemiology of WNV and the level of risk it can represent for the human population, they do not allow for forecasts of the probable propagation of the virus on the territory. Such a forecast, if it proved to be reliable, would allow public health authorities to initiate preventative actions at the right time and places and at the appropriate level of expected risk. Currently, one main control activity is larvicide spraying in urban and rural settings in order to reduce the population of mosquitoes infected with WNV. However, it remains difficult to determine the at-risk zones on a scientific basis and the efficacy of such measures has been challenged [5], not to mention their high cost and environmental impacts. The identification of vulnerable zones and risk levels in due time remains a significant challenge for public health management due to the complexity of the phenomena related to the virus transmission. Multi-agent geosimulation is an artificial intelligence modeling approach which might be used to develop public health management tools in order to anticipate the progression of the disease and to assess various intervention scenarios. This approach makes it possible to simulate the behaviours of thousands of agents in geo-referenced virtual spaces. The MAGS System (Multi-Agent GeoSimulation) recently developed by Dr. Moulin's Groupe de Recherche en Informatique Cognitive at Laval University, can be used to create such simulations in virtual environments generated with georeferenced data obtained from geographic information systems (GIS). These agents are characterized by cognitive capacities such as perception of the environment and its content, autonomous navigation and reasoning [6]. Although one of the first applications of MAGS was related to the simulation of crowd behaviours in urban environments, MAGS is a generic platform allowing the simulation of several types of behaviours in various geo-referenced virtual environments. For example, it has already been used to simulate the behaviour of consumers visiting shopping centers and firemen intervention plans to contain the propagation of forest fires [7]. The main objective of the WNV-MAGS Project reported in this paper, was to develop a system to simulate the behaviours and interactions of populations of indicator birds and of mosquitoes involved in the propagation and transmission of the WNV, taking into account the characteristics of the geographic environment. This simulation takes place in a virtual cartographic world representing a large territory (southern part of the province of Quebec, Canada). The simulation also takes into account various climatic scenarios and regimens of larvicide treatments. In Section 2, we present an overview of the phenomena which are linked to the spread of WNV. Then, we present the conceptual model which was developed after setting some carefully chosen hypotheses. Next, we present the geosimulation of the populations of interest, using agents' roosts to represent the dynamics of the bird populations and an intelligent density map to represent the populations of mosquitoes. Some short-term climate scenarios and the calibration of the system are also presented in this section. In Section 3, we present a conclusion and some new work currently underway. In Section 4 we briefly present the design method used to develop the system, including the conceptual architecture and an overview of the mathematical model formalizing the evolution of relevant populations. We also comment upon the quality and availability of data used to feed the system. Finally, we briefly present the implementation context of the system. Results and discussion Overview Figure Figure11
Regarding the populations of Corvidae, their spatial and temporal characteristics depend on geographic areas and on the periodicity of displacements and grouping. During early spring bird couples spread over the whole territory and remain for few months around their nesting areas. By the end of July, which happens to be the very beginning of human infections in Quebec [3], Corvidae change their social behaviour and regroup in roosts at night. During the day, the birds fly to surrounding areas in search of food, but they go back to the roosts at night [11]. At the end of fall, many of them migrate to warmer areas south of the province [12]. Furthermore, the transmission of WNV to the populations of Corvidae can occur either by mechanical infection (an infection after a direct contact between birds) or through the biting of a healthy Corvidae by an infected mosquito (Figure (Figure11 Since we wanted to simulate the progression of the WNV infection involving a large number of individuals of two main species interacting in a particular geographic region, we selected a geosimulation approach which allows for the study of the spatial and temporal characteristics of the populations' interactions in a virtual geographical environment [6]. However, given the enormous complexity involved in representing such phenomena and the lack of detailed data, we had to raise a number of reasonable simplifying hypotheses with regard to the species of mosquitoes and Corvidae of interest, to the factors influencing the evolution of these populations, the geographical region selected for the analysis, the period of simulation and the space-time scale. These hypotheses led us to identify a set of key parameters to carry out the simulations, based on the epidemiologic and surveillance experience with WNV in North America and more precisely in the province of Quebec [4]. For example, considering the availability of surveillance data, we selected the American crow as the main indicator bird species; and the Culex pipiens and Culex restuans as the main mosquito's species susceptible to bite crows (and possibly humans). Another example is the period of simulation for the WNV propagation: July 1st to October 1st was selected as the critical time window during which human cases have appeared in Quebec so far (Table 1).
Conceptual model The objective of the conceptual model is to introduce a synthetic view of the phenomena of interest while taking into account the above mentioned simplifying hypotheses (Figure (Figure2).2
Geosimulation of the populations According to our conceptual model, the progression of the WNV infection involves a large number of individuals of two main species and their interactions depend on the probabilities of finding sub-populations of these species within the same geographic areas at specific times. We already mentioned the interest of using a multi-agent geosimulation approach in such a context. However, we had to adapt it to take into account the large geographic area of interest and the very large size of the involved populations, especially for Culex. To create the virtual geographic environment representing the studied region (Figure (Figure3),3
Intelligent density map The populations of Culex do not move much and they are present practically everywhere in the selected territory [3,14]. Because of the extremely large number of individual mosquitoes, we represent sub-populations of mosquitoes as characteristics of the virtual geographic environment and we use what we call an "intelligent density map" that represents the distribution of Culex sub-populations over the different reference areas depending on the geographic characteristics and the locations of favourable habitats for mosquitoes. This intelligent density map is a kind of cellular automaton associated with rules that enable the system to simulate the evolution of the different categories of mosquitoes (larvae, adults, healthy, infected, etc.) in each reference area under the conditions that influence the mosquitoes' life cycle (temperature and precipitations). The system gets these conditions either from actual meteorological data (from specific databases: see Section 4.3) or from the parameters set in scenarios that the user wants to explore. This map contains the polygons representing all the municipalities of the Quebec province (the reference areas). On the user's screen, the color of each municipality changes according to the relative densities of the Culex populations (ratios of healthy, and infected adults) computed by the simulator (Figure (Figure44
Agents' roosts A roost synthesizes the behaviour of a group of crows. It is modeled by an agent having some initial characteristics such as the number of individuals, the position of the roost on the map, and the maximum radius of its expansion area. These characteristics are computed using various field data as presented in Section 4.3. Moreover, this agent inherits from all the functionalities of MAGS agents. For example, it uses some behaviour rules in order to model how crows scatter around the roost. In addition, an operating range parameter is computed for each roost in order to estimate the maximum distances covered by the crows when they search for food during the day. Each roost agent is implemented as a particle system [15] which simulates the way crows spread around a roost during the day. Hence, such particle systems behave as agents, as described above. Each particle represents one or several crows, depending on the number of individuals attached to the roost. In Figure Figure55
Interaction between the two main populations The interaction between the two main populations is a very important functionality of our system, since it is the way of representing the evolution of the infection. Indeed, while traveling in the geographic space, one or several crows represented by a particle can cross areas in which Culex mosquitoes are located. Consequently, there is a probability that some of these crows will be bitten. Technically, in order to determine the probabilities of encounters between mosquitoes and crows, the corresponding particle takes into account the characteristics of the Culex population associated with each reference area of the 'intelligent density map' over which it travels. Therefore, the system can estimate the number of infected individuals, based on the likelihood that a number of individual crows be bitten by mosquitoes and be infected with WNV (using the equations of the mathematical model described in Section 4.2). Moreover, the user can visualize the extent of the spread of WNV on the map in different ways. The system can either change the color of the particles representing the infected crows or the color of the polygon representing a municipality containing a high density of infected Culex. The influence of other bird species Our initial simulations involved the two main species of American crows and Culex pipiens/restuans that we selected and that enabled us to apply Wonham's mathematical model [16] (see Figure 12a Hence, we proposed an extension of this model which enables us to model several species of birds and to take into account the impact of the temperature in terms of cumulated degree-days which influence some parameters of the model (see Figure 12b We thus introduced in the WNV-MAGS system another 'global' population of birds, that we called "generic birds" (Common Raven, Blue Jay, American Robin, House Sparrow, European starling and Mourning Dove) which are resident in the municipalities and known to carry WNV [17]. This population of generic birds appears in the mathematical model with similar equations as those used for the crows (each bird population is represented by a different index j in the equations: see Figure 12b Using various short-term climate scenarios In our system, multi-agent geosimulation is at the heart of a decision support tool. Hence, our approach is somewhat different from more traditional simulations used for prediction purposes [19]. The WNV-MAGS System simulates the WNV epidemics and enables a user to specify scenarios in order to explore various situations including climate change and different intervention strategies. The user may choose one among four different scenarios which influence the dynamics of the Culex population (Figure (Figure6).6
Calibration of the system The qualitative results of the model which represent the distribution of the populations were satisfactory. Indeed, the resulting curves reflect the biological behaviours of the studied species according to the opinion of the consulted domain experts (from GDG and UQTR). However, the quantitative data needed to be calibrated in order to be used in real-life situations. In fact, we calibrated the model by comparing simulation results and field observations (ISPHM-WNV data [4]). We evaluated the ratio between the real populations of mosquitoes and the samples of mosquitoes captured in traps (absolute densities) as well between crows and the collected dead crows. Regarding the populations of Culex, we used Reisen's work [21,22] to estimate the mosquito density ratio. A captured mosquito was considered to represent a population of 300 Culex over one km2. Since we did not have data for all regions, we only calibrated simulation results for some key municipalities where human infections had occurred. It appeared thereafter that there was a significant difference between the data generated by the model and those obtained from the field. Hence, we tuned up the initial settings of the simulation (e.g. the initial percentage of infected Culex or infected crows, distance between sumps, emerged Culex per sump, percentage of sumps containing larvae, etc) as well as some parameters of the mathematical model (e.g. mosquitoes biting rate of crows per capita, WNV transmission probabilities from Culex to crows of from crows to Culex, etc). These changes have helped us to quantitatively calibrate the model for the processed municipalities. Figure Figure8a8a
Regarding the populations of crows, we used the results presented by David and colleagues [23] in order to determine whether the numbers of dead birds sighted and tested for WNV are representative of the true bird mortality. We also used the index trend obtained from the ÉPOQ database [24] and from the North American Breeding Bird Survey [25] to adjust the population of crows as well as the population of generic birds. Moreover, changes in the population of crows have been calibrated using field data collection of dead birds and their analyses in the laboratory, as it was done for the population of Culex. Figure Figure99
Then, we looked at real data for Laval Municipality for 2003, the year for which we have the most complete data set. We created the temperature scenario for 2003 and launched the simulation. Figure 10a
In order to improve precision and validate our models and the simulation parameters, we will carry out the simulation on a different data set. We are currently collecting data (for mosquitoes and crows) for the city of Ottawa. We expect to get a more complete data set, since measurements have been more frequent and regular in the Ottawa region (Canada) over the past 6 years. This work is in progress. Conclusion and future work In this paper, we presented a system that simulates the interactions of the populations of mosquitoes and birds which are involved in the propagation and transmission of the WNV. Moreover, we used a multi-agent geosimulation approach which takes into account the influence of the geographic characteristics of the various regions, thanks to the use of GIS data. For example, we determined the geo-referenced co-ordinates of crows' roosts in order to locate them on the map and we were able to develop rules which control the expansion/contraction of roosts over space and time. We also pre-processed climate data in a GIS in order to feed it to the simulation. We also used the geographic characteristics and the location of favourable habitats for mosquitoes in order to represent the populations of Culex using an intelligent density map. Consequently, we were able to implement the interactions between the mosquitoes' and birds' populations which can cause an outbreak of the virus and epidemic propagation of the disease. Even if other works [26,27] also used GIS data to simulate the spread of the WNV, they did not offer a decision support system as we do. In contrast, our system enables users to simulate the propagation of WNV under various short-term climate scenarios and allows for local parameterization. This approach may be useful for practical decision-making. For instance, it has been shown [28] that the number of degree-days below -5°C in the winter and the number of degree-days greater than 25°C in the summer may contribute to a highly epidemic emergence of the virus during the summer under specific climatic conditions. Consequently, our system may be used to predict such an epidemic if we simulate the propagation of the WNV using a scenario in which seasonal forecasts of climatic data are favourable for the emergence of the virus [29]. By assessing the simulation results and comparing the outcomes of different intervention scenarios, the users of the WNV-MAGS System can make more informed decisions about the actions to be taken such as the application of larvicides or the stepping up of personal protection measures. An important limit of this kind of approach is the lack of field data. As we have already shown in this paper, a good calibration and validation of the models depends on the availability of a large variety of data sets (related to mosquitoes and to different species of birds). There is also a difficulty in estimating the parameters needed in the mathematical model, which would require in some cases that additional field studies be carried out by entomologists and ornithologists. In addition, the potential effects of changing resistance and immunity in wild birds remain unknown and need to be studied by domain experts. Obviously, they have not been included in our models yet. If we were able to collect sufficient data about the WNV spread in different regions during the past years, we could develop scenarios and simulations whose results could be compared to recorded field data. Consequently, we would be able to further validate the system and adjust the various parameters that are used for the simulations, taking into account the specificities of the considered regions and species. Nonetheless, the system can already be used to compare different scenarios involving variations of the climatic data in relation to the potential spread of WNV in particular regions. As we have shown, the system can also be used to estimate the influence of human intervention based on larvicide application. However, since it still remains difficult to get accurate weather forecasts over long periods (several months), public health authorities will have to take into account this inherent limitation of meteorological science when developing intervention plans using such a tool. Our MAGS approach and tool can be used not only to simulate the propagation of the WNV, but they can also be adapted to various other vector-borne diseases. We are currently working on the simulation of Lyme disease in Quebec. Moreover, the tool and approach can be extended to take into account the specificities of other similar diseases (e.g. SARS) in other geographic areas. Methods In order to develop the WNW-MAGS System, we applied an 'Agile' [30] analysis and design method which favours the collaboration with domain specialists and users, as well as quick adaptations of the software under development. We also applied classical knowledge engineering techniques [31] in order to acquire domain knowledge from the specialized literature and from domain experts (entomologists and ornithologists) after many work sessions. We then went through an exploration phase of the field by gathering the maximum useful information in order to understand all the phenomena which are related to the spread of WNV. We present in this section the conceptual architecture which is used as a basis of the simulation system. We also present the mathematical model which was chosen and adapted in order to compute the dynamics of the populations involved in the transmission of the WNV. We also present a subset of the relevant data which is used to feed the system. Finally, we present the implantation of the system. Conceptual architecture Based on the requirement specifications and using the conceptual model of the phenomena (see Figure Figure22 The architecture is divided into four parts. The first part (processes P1 to P4) deals with data preparation, including the extraction of data from all the required databases. The second part (processes P5 and P6) computes the evolution of populations using the mathematical model presented in Section 4.2. The third part (processes P7 and P8) deals with the interactions between the sub-populations of crows and the sub-populations of Culex. It reflects the interactions between the agents' roosts and the intelligent density map. The last part (processes P9 to P12) is responsible for the management of scenarios, as well as for the display, analyses and calibration of the results. We used different databases (as presented in Section 4.3) in order to initialize the populations of Culex and crows at time t0 (beginning of the simulation). We used these populations to compute the dynamics of crows, the dynamics of Culex and the interactions between the two populations while increasing the time by one step, at time t. Then, we get the new populations at time t+1 (taking into account the state changes of the sub-populations of mosquitoes and crows reflecting the infection spread and deaths) and the system triggers again the same processes to simulate the joint evolution of the two populations. The simulation results can then be displayed on the map. Domain specialists can also calibrate the simulation using the WNV surveillance data (that we have pre-processed). The user can manipulate the results and create various scenarios. Then, the simulation results can be assessed and compared. Mathematical model We need to compute the evolution of the populations of Culex and the populations of crows in order to simulate their interactions using the geosimulation system. To this end, we selected the model proposed by Wonham and colleagues [16] to compute the dynamics of the two populations. This model is based on 8 differential equations (Figure 12a Preparation of data We already mentioned that our approach takes advantage of GIS data in order to properly locate the agents' roost in space. Indeed, we used the Geomedia GIS software in order to handle the geo-referenced data of the DMTI Spatial (CanMap Streetfiles) and the digital maps of INSPQ. Using this data, we created the bitmap from which the MAGS platform generates the simulation environment. This bitmap contains polygons representing a list of 945 municipalities (out of a total of 1476 for the whole province of Quebec) being part of the ecumene (inhabited part of the studied region) of the geographical area of interest. Moreover, this bitmap is also used by the intelligent density map presented earlier (see Figure Figure33 In addition, we had to pre-process all the data needed to feed the system (see processes P1 to P4 of the conceptual architecture in Figure Figure11,11 Considering the Culex population, we computed the number of individuals of the initial population, estimating the number of adults that emerge from the larvae laid down in sumps (which we supposed to be the main reservoirs of mosquitoes in urban and sub-urban areas). To this end, we developed a Visual Basic application in order to query the geo-referenced databases in Geomedia and to compute the total length of roads for each municipality of interest. We then computed the number of sumps in each municipality by using the total length of roads (Table 4). We assumed that there is an average of one sump for each 30 linear meters of road. This average distance conforms to the standards used by the Ministère des transports du Québec (MTQ) when they install sumps. However, the user of the WNV-MAGS system can modify this value, since it can vary in relation to the considered regions such as urban and rural areas. We also assumed that there are only 20% of sumps containing larvae. This default value can also be modified by the user as well as the average number of Culex adults which emerge from a sump at the beginning of a simulation. These numbers were obtained by consulting data provided by the SOPFIM Company [34] in relation to the monitoring of larval and adult Culex in certain Quebec regions during the summer of 2005.
Furthermore, we used a DLL which enables us to integrate the climate data into the system. This DLL represents one of the functionalities of the BIOSIM software [35]. We used it to interpolate values for temperature and precipitations at certain precise locations on the territory, taking into account the data of the four neighbouring weather stations and the elevation data. This computation can be done using either real data or the Canadian Climate Normals [20] which are produced over several years. Implementation of the system After the data preparation, we implemented the system using the MAGS platform which is developed in C++. This simulator includes several modules performing various tasks. It contains a controller to manage the threads of application (Processes Module), a user Interface and a module managing the simulation environment (Environment Module). In addition to these modules, MAGS contains a module in charge of data display, modules to specify agents' populations and agents' behaviours, and a module simulating particle systems. In order to simulate the propagation of the WNV, we added a module which simulates an epizooty (Epizootic Manager) which has been developed in a generic way in order to be easily extended to simulate epizooties different from WNV (Figure (Figure1313
Abbreviations CHUQ: Centre hospitalier universitaire de Québec; DLL: Dynamically-linked library; ÉPOQ: Étude des populations d'oiseaux du Québec; GDG: GDG Environnement; Contrôle biologique des insectes piqueurs; GIS: Geographic information system; INSPQ: Institut national de santé publique du Québec; ISPHM-WNV: Integrated system for public health monitoring of West Nile Virus; MAGS: Multi-agent geosimulation; MSSS: Ministère de la santé et des services sociaux; MTQ: Ministère des transports du Québec; RSS: Régions socio-sanitaires; SOPFIM: Société de protection des forêts contre les insectes et maladies; UQTR: Université du Québec à trois-rivières; WNV: West Nile virus. Competing interests The authors declare that they have no competing interests. Authors' contributions MB was in charge of the development and implementation of the system, and was responsible for the writing of the paper, BM was the project leader, involved in the development of the system and in the decision-making process. He participated in the writing and revision of the paper, PG was our public health expert and involved in the development of the system and in the decision-making process. He participated in the writing and revision of the paper. All authors read and approved the final manuscript. Acknowledgements Thanks to: Christian Back (GDG Environnement, Trois-Rivieres); Jacques Boisvert and Jean-Pierre Bourassa (UQTR); Germain Lebel, Daniel Bolduc, Bernard Doyon and Yolaine Labbé (INSPQ); Robert Chénard (SOPFIM); André Cyr, (Département de Biologie, Université de Sherbrooke); Normand David (Regroupement QuébecOiseaux, Montreal); Pierre-André Noël and Louis J. Dubé, (Laval University, Quebec); Daniel Gingras (formely at INSPQ); Jacques Larivée (Cégep de Rimouski); Jacques Régnière and Saint-Amant Rémi (Centre de foresterie des Laurentides, Quebec). This project was funded by the Ministère de la Santé et des Services sociaux du Québec (MSSS) and the INSPQ. Moreover, it forms part of the MUSCAMAGS Project, directed by Bernard Moulin and funded by GEOIDE, the Canadian network of centers of excellence in geomatics. References
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