## Figures

## Abstract

### Background

Vector-borne diseases for which transmission occurs exclusively between vectors and hosts can be modeled as spreading on a bipartite network.

### Methodology/Principal Findings

In such models the spreading of the disease strongly depends on the degree distribution of the two classes of nodes. It is sufficient for one of the classes to have a scale-free degree distribution with a slow enough decay for the network to have asymptotically vanishing epidemic threshold. Data on the distribution of *Ixodes ricinus* ticks on mice and lizards from two independent studies are well described by a scale-free distribution compatible with an asymptotically vanishing epidemic threshold. The commonly used negative binomial, instead, cannot describe the right tail of the empirical distribution.

**Citation: **Bisanzio D, Bertolotti L, Tomassone L, Amore G, Ragagli C, Mannelli A, et al. (2010) Modeling the Spread of Vector-Borne Diseases on Bipartite Networks. PLoS ONE 5(11):
e13796.
https://doi.org/10.1371/journal.pone.0013796

**Editor: **Cesar V. Munayco, Direccion General de Epidemiologia, Peru

**Received: **May 27, 2010; **Accepted: **October 6, 2010; **Published: ** November 12, 2010

**Copyright: ** © 2010 Bisanzio et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

**Funding: **The work of D.B. is supported by a Lagrange Fellowship of the ISI Foundation of Torino, Italy. M.G. acknowledges funding by the Ministero dell'Università e della Ricerca Scientifica e Tecnologica, Italy. P.P. acknowledges funding by the Associazione Italiana per la Ricerca sul Cancro (AIRC). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

**Competing interests: ** The authors have declared that no competing interests exist.

## Introduction

Many natural, social and technological systems can be described in terms of self-organized networks of interacting entities. These networks often display topological properties, such as scale-free degree distributions, community structure and small-world phenomenon, which set them apart from simpler networks such as lattices and random networks (see e.g. [1]).

In particular, the spreading of a transmissible disease can be studied by modeling the population as a network of individuals, in which an edge is placed between two individuals if there is the possibility of transmission between them. It was shown [2] that degree distribution of the network has dramatic consequences on the spreading of the disease: while regular lattices and random networks have a non-zero epidemic threshold, that is a critical value of transmission probability under which the disease eventually dies out, such threshold vanishes asymptotically in scale-free networks. The latter degree distribution is characteristic of many real-world networks, including social and computer networks on which human diseases and computer viruses propagate.

In some cases of practical interest modeling the propagation of the disease requires the introduction of a bipartite network [3], in which the nodes (individuals) belong to two mutually exclusive classes and the edges (transmission) can occur exclusively between individuals of different classes. For example, Gómez–Gardeñes et al. [4] studied the spreading of sexually transmitted diseases in heterosexual populations and showed that the bipartite nature of the network must be taken into account to model the behavior of the epidemic threshold.

In this work we introduce another context in which bipartite networks provide the natural framework to study epidemic spreading, namely those vector-borne diseases in which transmission occurs exclusively between vectors and hosts. The aim of this study is twofold: first, we show that the analysis of bipartite networks performed in [4] implies that the epidemic threshold vanishes asymptotically even for bipartite networks in which the degree distribution of one class of nodes is not scale-free, as long as the other class is scale-free with exponent .

Second, we analyze capture data of the tick *Ixodes ricinus* on their hosts. These ticks can transmit the pathogens responsible for Lyme disease (*Borrelia burgdorferi*) and the tick-borne encephalitis (TBE) virus (see [5], [6] for reviews). We show that the distribution of the number of ticks found on hosts indeed follows asymptotically a scale-free distribution compatible with a vanishing epidemic threshold.

## Results

### Epidemics spreading on bipartite networks

#### Analytical results.

Consider a vector-borne disease which can only be transmitted between vectors and hosts, and can thus be modeled on a bipartite network. An edge placed between a host and a vector represents the possibility for the disease to spread from one to the other. Two separate degree distributions can be defined for hosts and vectors.

Gómez–Gardeñes and collaborators [4] recently studied disease spreading on scale-free bipartite graphs as a model of sexually transmitted diseases in heterosexual populations. In a mean-field approach they showed that the epidemic threshold for a bipartite network with nodes falling into classes and is given by(1)

It follows that for the epidemic threshold to vanish asymptotically it is sufficient that the second moment of the degree distribution of *one* class of nodes diverges. Therefore it is enough for the hosts (or vectors) to have a scale-free distribution of contacts (with power-law exponent ) for the epidemic threshold to vanish in the limit of infinite network size.

#### Simulations.

Since these results were obtained in a mean-field approximation, and the simulations corroborating them in [4] were performed in the case where both degree distributions are scale-free, we performed our own simulations in which the hosts have a scale-free degree distribution, but the number of edges touching a vector is Poisson-distributed. We simulated the SIS model on such networks, measuring the dependence of the epidemic threshold on the network size.

The results are shown in Fig. 1. When the degree distribution is scale-free for the host and Poisson for the vectors the epidemic threshold decreases with the network size following a power-law, in agreement with the predictions made using Eq.1. As expected, the epidemic threshold does not depend on the network size when both vectors and host follow the Poisson degree distribution. The conclusion is that the results of Ref. [4] hold also when one of the degree distributions is not scale-free.

The circles represent the epidemic threshold from our simulation, and the lines the predictions obtained with Eq.1. Colors refer to combinations of degree distributions. Blue: Poisson distribution for both hosts and vectors; red: Poisson distribution for vectors, scale-free () for hosts.

As noted in [4] taking into account the bipartite nature of the network is necessary to get the correct scaling behavior of the epidemic threshold. Consider for example the case in which hosts have scale-free degree distribution while the one of the vectors is Poisson. If one were to study the non-bipartite network obtained by projecting on the hosts, one would get a scale-free network of hosts: the theory of epidemic propagation on such network would predict the epidemic threshold to behave as(2)where the expectation values are computed on the projected network (see [7] for a discussion of bipartite network projections). This in turn would lead to a scaling exponent equal to twice the one predicted for the bipartite network.

### A bipartite network model of Lyme disease and Tick-Borne Encephalitis

In this section we show that the results described above apply in particular to the propagation of two tick-borne pathogens, namely the Lyme disease agent *Borrelia burgdorferi* and the TBE virus, since:

- Transmission between vectors requires a common host.
- The degree distribution of the hosts is scale free, with exponent .

It is well established that the main avenue for the transmission of these pathogens between vectors requires a host: the pathogen is either transmitted from a vector to a host and from the latter to another host, or from a vector to another one feeding nearby on the same host (co-feeding) [5], [6], [8]. Both modes of transmission require a host and thus create a bipartite network. The role of transovarial transmission, which is host-independent, is still under discussion, but the consensus seems to be that, by itself, this mode of transmission is not sufficient to maintain the zoonotic agent [9]–[11].

To determine the degree distribution of the bipartite network we analyzed field data on the distribution of the number of ticks (nymphs and larvae) found on hosts (mice and lizards), represented in the model by the degree distribution of host nodes. Exhaustive empirical surveys have shown that macroparasites, and in particular ticks, are aggregated across host populations. This aggregative behavior has important implications for the population and evolutionary dynamics of the parasite and its host [12]–[14].

We used the methods described in [15] to assess whether the distribution of ticks on hosts is indeed described by a power-law. We conducted the analysis separately on the data reported in Ref. [10] and on our own field data [16]. As explained in [15] when fitting an empirical distribution to a power law not only the exponent, but also the cutoff above which the data follow the power-law must be determined. Table 1 shows that a power-law distribution with exponent describes the *right tail* of the distribution better than the commonly used negative binomial distribution in both empirical datasets. The power-law distribution is compatible with both datasets (respectively from the goodness of fit test), while the negative binomial can be excluded (). The empirical data and the best fitting power-law distributions are shown in Fig. 2.

The line represents the power-law distribution with parameters and determined by Maximum Likelihood Estimation.

Let us stress that this applies to the right tail of the distribution: it is instructive to plot the log likelihood ratio of the comparison between power-law and negative binomial as a function of (Fig. 3): the negative binomial does fit the data better than a power-law for low values of , but the tail of the distribution is better described by the power law. This might explain why the negative binomial is commonly used to model the distribution of vectors on hosts. On the other hand, only the right tail of the distribution is relevant to the asymptotic behavior of the epidemic threshold.

Positive (negative) values of imply that the data are better described by the power law (negative binomial) distribution. While the whole distribution is better described by the negative binomial, the power law is a better fit to the large- behavior, which governs the asymptotic behavior of the epidemic threshold.

Therefore we predict that in this system the epidemic threshold will decrease as the network size increases and will vanish in the limit of infinite network size. Figure 4 shows the time-dependence of the fraction of infected nodes in networks of increasing size at the same value of the transmission probability: larger networks are able to sustain the epidemic for longer times; once the network size crosses a critical value, the epidemic is sustained indefinitely.

The networks follow a scale-free degree distribution with for the hosts and a Poisson degree distribution for the vectors. As the number of hosts is increased, the epidemic is sustained for longer times.

## Discussion

The distribution of vectors on hosts plays a fundamental role in the transmission of vector-borne diseases. Since the work of Woolhouse and coauthors [17], the aggregative distribution of ectoparasites on hosts was recognized as a key factor in the transmission of pathogens: “ of host population contributes at least of transmission potential”. This aggregative behavior explains field observations such as those by Perkins and coauthors [18], who observed that the removal of the most-infested mice could reduce the potential transmission by to .

The negative binomial distribution was proposed in 1998 [19] to describe the aggregative nature of the distribution of macroparasites on hosts. Most mathematical models for tick-borne diseases are based on this assumption. This law faithfully describes the leftmost part of the distribution of ticks on hosts. However our analysis shows that the negative binomial fails to describe the right tail of the distribution of ticks on their hosts, which is instead well described by a power-law decay. This implies that the epidemic threshold decreases with the size of the network and vanishes asymptotically. These results are in agreement with the observation [20] that the density of rodent hosts (and the abundance of their food source) is a much stronger predictor of the density of infected nymphs compared to non-network related factors such as weather and density of deers.

Our results were obtained using a bipartite network to model the spread of the disease. Deviations from strict bipartitedness, provided for example by transovarial transmission, do not alter the main conclusion of an asymptotically vanishing epidemic threshold. Indeed the addition of edges to a network can only decrease the epidemic threshold. Therefore if the bipartite network obtained by considering only edges between vectors and hosts is such that the epidemic threshold vanishes asymptotically, all networks obtained from it by adding non-bipartite edges will have the same property.

In conclusion, we have shown that the extreme aggregation of vectors on hosts, described by the power-law decay of the degree distribution, has dramatic consequences on the behavior of the epidemic threshold, and must therefore be taken into account when modeling the spread of those vector-borne diseases that can be described as propagating on a bipartite network.

## Materials and Methods

### Simulations

#### Network generation.

The networks used in the simulations had the same number of vectors and hosts, ranging from to . To generate the networks we first assigned “edge stubs” to the nodes of the two classes according to their respective degree distributions and them randomly joined the stubs to produce the network.

We used a pure power-law distribution as a scale-free distributionwhere(3)and ; and the Poisson distribution(4)for random degree distributions, with .

#### Simulations.

We produced 10 independent realizations of each network. For each realization we simulated the SIS model with recovery probability equal to one and initial fraction of infected nodes equal to 1/2. The system was allowed to thermalize for a number of iteration equal to the number of nodes; then the mean and standard error of the number of infected individuals was computed in successive windows of 1,000 iterations each. We considered the system thermalized when the mean of a window was within one standard error from the mean of the previous one.

By varying the transmission probability we located the epidemic threshold for each network realization with a resolution of in the transmission probability ( in the random-random case). These 10 values were then used to compute the mean value of the epidemic threshold for the network. The error on the epidemic threshold is taken as the greater value between the standard error computed from the 10 realizations and the resolution in transmission probability.

The dynamics simulations shown in Fig. 4 were performed on networks where the degree distribution is scale-free with for the hosts and Poissonian for the vectors.

#### Theoretical predictions.

The theoretical predictions for the size-dependence of the epidemic threshold shown in Fig. 1 are based on Eq.1 applied to the appropriate degree distributions. Two technical issues arise in the computation:

- The finite size behavior of in the scale-free degree distribution is driven by the existence of a cutoff value due to the finite size of the network [21]. can be estimated [22] by requiringwhere is the number of nodes and is the number of nodes with expected in the network: is used in [22], while we found that better agreement with simulation data can be found using a smaller . The data in Fig. 1 are obtained with . To evaluate the theoretical epidemic threshold we cut the degree distributions at .
- For Poisson degree distributions, Eq. (4), and in Eq. (1) must be computed only over nodes with , giving:(5)(6)

### Field data analysis

The “Tuscany” dataset contains infestation data from field work conducted in a natural reserve in Le Cerbaie hills, Pisa province, central Italy. This area is characterized by Mediterranean vegetation, an optimal habitat for ticks and their hosts [23], and previous studies reported the presence of *B. burgdoferi* [24], [25]. The sampling sessions were carried out, monthly, from March to August 2006. Rodents and lizards were captured as described in [25]. Two different hosts were considered, *Apodemus* spp. and *Podarcis* spp. The animals were infested only by immature ticks *Ixodes ricinus*. The number of mice and lizards examined are reported in Table 2.

The “Slovakia” dataset refers to the distribution of larvae and nymphs on mice, obtained from Fig. 3 of Ref. [26]. These data were collected in the area of Bratislava (Slovakia), where TBE and Lyme disease are present.

The power-law(7)is assumed to describe the right tail of the degree distribution, that is the nodes with degree greater then or equal to a minimum . was obtained with the method introduced in [15], [27] and based on the Kolmogorov-Smirnov (KS) statistic. was estimated by maximum likelihood estimation (MLE) performed on the data with . MLE was also used to find the parameters of the negative binomial distribution(8)providing the best fit to the same data.

The goodness-of-fit tests were based on the empirical distributions of the Kolmogorov-Smirnov statistic obtained by Monte Carlo methods as explained in [15]. Power-law and negative binomial distributions were compared using the Vuong test on likelihood ratios.

## Author Contributions

Conceived and designed the experiments: AM MG PP. Performed the experiments: DB. Analyzed the data: DB LB MG PP. Wrote the paper: DB LB MG PP. Data acquisition: LM GA CR AM.

## References

- 1.
Barrat A, Barthélemy M, Vespignani A (2008) Dynamical Processes on Complex Networks. Cambridge University Press.
- 2. Pastor-Satorras R, Vespignani A (2001) Epidemic spreading in scale-free networks. Physical Review Letters 86: 3200–3.
- 3. Newman MEJ (2002) Spread of epidemic disease on networks. Phys Rev E Stat Nonlin Soft Matter Phys 66: 016128.
- 4. Gómez-Gardeñes J, Latora V, Moreno Y, Profumo E (2008) Spreading of sexually transmitted diseases in heterosexual populations. Proceedings of the National Academy of Sciences of the United States of America 105: 1399–404.
- 5.
Gray JS, Kahl O, Lane RS, Stanek G, editors. (2002) Lyme Borreliosis: Biology, Epidemiology and Control. CABI Publishing.
- 6. Lindquist L, Vapalahti O (2008) Tick-borne encephalitis. Lancet 371: 1861–1871.
- 7. Zhou T, Ren J, Medo M, Zhang YC (2007) Bipartite network projection and personal recommendation. Phys Rev E Stat Nonlin Soft Matter Phys 76: 046115.
- 8.
Gern L, Rais O (1996) Efficient transmission of
*Borrelia burgdorferi*between cofeeding*Ixodes ricinus*ticks (Acari: Ixodidae). J Med Entomol 33: 189–192. - 9.
Matuschka FR, Schinkel TW, Klug B, Spielman A, Richter D (1998) Failure of
*Ixodes*ticks to inherit*Borrelia afzelii*infection. Appl Environ Microbiol 64: 3089–3091. - 10. Randolph SE, Craine NG (1995) General framework for comparative quantitative studies on transmission of tick-borne diseases using Lyme borreliosis in europe as an example. J Med Entomol 32: 765–777.
- 11.
Patrican LA (1997) Absence of Lyme disease spirochetes in larval progeny of naturally infected
*Ixodes scapularis*(Acari:Ixodidae) fed on dogs. J Med Entomol 34: 52–55. - 12. Anderson R, May R (1978) Regulation and stability of host-parasite population interactions: I. regulatory processes. The Journal of Animal Ecology 47: 219–247.
- 13.
Nilsson A, Lundqvist L (1978) Host selection and movements of
*Ixodes ricinus*(Acari) larvae on small mammals. Oikos 31: 313–322. - 14.
Bauwens D, Strijbosch H, Stumpel A (1983) The lizards
*Lacerta agilis*and*L. vivipara*as hosts to larvae and nymphs of the tick*Ixodes ricinus*. Holarctic Ecology 6: 32–40. - 15. Clauset A, Shalizi CR, Newman MEJ (2009) Power-law distributions in empirical data. SIAM Review 51: 661–703.
- 16.
Ragagli C, Bertolotti L, Giacobini M, Mannelli A, Bisanzio D, et al. (2010) Transmission dynamics of
*Borrelia lusitaniae*and*Borrelia afzelii*among*Ixodes ricinus*, lizards, and mice in Tuscany, central Italy. Vector Borne Zoonotic Dis. - 17. Woolhouse ME, Dye C, Etard JF, Smith T, Charlwood JD, et al. (1997) Heterogeneities in the transmission of infectious agents: implications for the design of control programs. Proc Natl Acad Sci U S A 94: 338–342.
- 18. Perkins SE, Cattadori IM, Tagliapietra V, Rizzoli AP, Hudson PJ (2003) Empirical evidence for key hosts in persistence of a tick-borne disease. Int J Parasitol 33: 909–917.
- 19. Shaw DJ, Grenfell BT, Dobson AP (1998) Patterns of macroparasite aggregation in wildlife host populations. Parasitology 117(Pt 6): 597–610.
- 20. Ostfeld RS, Canham CD, Oggenfuss K, Winchcombe RJ, Keesing F (2006) Climate, deer, rodents, and acorns as determinants of variation in lyme-disease risk. PLoS Biol 4: e145.
- 21. Pastor-Satorras R, Vespignani A (2002) Epidemic dynamics in finite size scale-free networks. Phys Rev E Stat Nonlin Soft Matter Phys 65: 035108.
- 22. Dorogovtsev SN, Mendes JF, Samukhin AN (2001) Size-dependent degree distribution of a scalefree growing network. Phys Rev E Stat Nonlin Soft Matter Phys 63: 062101.
- 23.
Bisanzio D, Amore G, Ragagli C, Tomassone L, Bertolotti L, et al. (2008) Temporal variations in the usefulness of normalized difference vegetation index as a predictor for
*Ixodes ricinus*(Acari:Ixodidae) in a*Borrelia lusitaniae*focus in Tuscany, central Italy. J Med Entomol 45: 547–555. - 24.
Bertolotti L, Tomassone L, Tramuta C, Grego E, Amore G, et al. (2006)
*Borrelia lusitaniae*and spotted fever group rickettsiae in*Ixodes ricinus*(Acari:Ixodidae) in Tuscany, central Italy. J Med Entomol 43: 159–165. - 25.
Amore G, Tomassone L, Grego E, Ragagli C, Bertolotti L, et al. (2007)
*Borrelia lusitaniae*in immature*Ixodes ricinus*(Acari: Ixodidae) feeding on common wall lizards in Tuscany, central Italy. J Med Entomol 44: 303–307. - 26. Randolph SE, Miklisová D, Lysy J, Rogers DJ, Labuda M (1999) Incidence from coincidence: patterns of tick infestations on rodents facilitate transmission of tick-borne encephalitis virus. Parasitology 118(Pt 2): 177–186.
- 27. Clauset A, Young M, Gleditsch KS (2007) On the frequency of severe terrorist events. Journal of Conict Resolution 51: 58–88.