Abstract

Mathematical models that describe the global spread of infectious diseases such as influenza, severe acute respiratory syndrome (SARS), and tuberculosis (TB) often consider a sample of international airports as a network supporting disease spread. However, there is no consensus on how many cities should be selected or on how to select those cities. Using airport flight data that commercial airlines reported to the Official Airline Guide (OAG) in 2000, we have examined the network characteristics of network samples obtained under different selection rules. In addition, we have examined different size samples based on largest flight volume and largest metropolitan populations. We have shown that although the bias in network characteristics increases with the reduction of the sample size, a relatively small number of areas that includes the largest airports, the largest cities, the most-connected cities, and the most central cities is enough to describe the dynamics of the global spread of influenza. The analysis suggests that a relatively small number of cities (around 200 or 300 out of almost 3000) can capture enough network information to adequately describe the global spread of a disease such as influenza. Weak traffic flows between small airports can contribute to noise and mask other means of spread such as the ground transportation.

Highlights

  • Airline networks provide fast transportation every day for goods and people; these connections provide pathways for the spread of diseases [1]

  • We ask the second question: (Q2) Can small samples capture enough network information to adequately describe the global spread of a disease such as influenza, and if so, how should researchers select those samples?

  • We have reviewed a number of published global epidemic models and analyzed the global airline transportation network data with respect to its use in epidemic modeling

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Summary

Introduction

Airline networks provide fast transportation every day for goods and people; these connections provide pathways for the spread of diseases [1]. Air travel is the main form of transportation to remote areas such as small towns in Alaska, Siberia, and certain islands in the Pacific [1]. In these remote areas, public health interventions follow the same airline transportation routes as the spread of disease, meaning these routes to remote areas cannot be ignored. Local transportation patterns might be more critical for the continental spread of influenza, and national grounding of air transport is believed to have little impact on fast disease propagation [8]

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