Global Change and Infectious Disease—Biology 173 Fall 2012 Professor Fred Cohan 1 Date Sept. 4 Subject Primer on ecology and evolution of infectious diseases: diversity of pathogens; proteins and DNA; natural selection; evolutionary trees. Reading: (Wolfe 2011), Ch. 1*; (Sadava 2011), pp. 465-472*; (Madigan and Martinko 2006), pp. 21-36‡; (Ridley 2006), pp. 6-10‡; (Klug 2006), pp. 5-7‡; (Futuyma 2005), pp. 247-252‡. In our textbook, Wolfe gives a general introduction to the diversity of pathogens. The Sadava text explains the concept of evolutionary trees. Madigan and Martinko discuss the differences between bacteria and viruses. Klug covers the basic of molecular biology, which you’ll need to understand how evolutionary trees can be made from DNA or protein sequences. Futuyma introduces natural selection, so that you’ll understand that any organism can become more optimally adapted to its environment. Globalization and infectious disease 2 Sept. Overview of course; Globalization and infectious disease in human history. 6 Reading: (Diamond 1997), Chapter 11*; (Shchelkunov 2009)†. Diamond’s chapter introduces the concept of evolution of transmissibility in pathogens, and why certain pathogens were more likely to evolve in Old World human populations than in the New World. Shchelkunov discusses the geographic and animal sources of smallpox. 3 Sept. Globalization and infectious disease in human history: Plagues of antiquity, 11 medieval Europe, and the conquests of the early Homogenocene (continued). Reading: (Thucydides 1972), pp. 151-156†; (Papagrigorakis et al. 2006)†; (Diamond 1997), Chapter 11*; (Rosen 2007), pp. 1-11, 185-223†; (Kupferschmidt 2012a)†; (Morelli et al. 2010)*; (Bray and Buller 2004). Thucydides provided a contemporary account of the Plague of Athens. Papagrigorakis et al. present an analysis of fossil DNA from the mass burials of the Plague of Athens to identify the microbe responsible. Rosen explains the role of Plague in bringing the collapse of the Roman Empire in the 6th century, also why the Plague was limited to the Mediterranean region. Haensch et al. obtained DNA from human skeletons from Black Death burials, and mapped the Plague bacteria to the phylogeny of currently existing Plague organisms, establishing a route of geographic spread. The Morelli article is a genomic analysis reconstructing the history of the Black Death of the 14th century, including the source region and transmission routes. Pay particularly close attention to Figure 2 (from which the order of geographic spread was determined) and Table 1 (which associates each step of spread with a known historical event). Diamond discusses the devastation brought about by the introduction of Old World diseases into the New World, and why the effects of disease were so asymmetrical (a topic to which we will return in a few lectures). Bray and Buller discuss the evolution of smallpox virus and its origins, as well as the disease itself. 4 Sept. 13 Student pick: (ProMED-mail 2012), Sept. 11, URL: http://www.promedmail.org/?p=2400:1000 (W. Johnston); http://www.cnn.com/2012/10/09/us/california-squirrel-plague/index.html (D. Kleckner) (plague is found in squirrels at a popular California campsite). Globalization and human infectious disease today. I. HIV and West Nile Virus. Reading: for I: (Wolfe 2011), Ch. 6*; (Gao et al. 1999)†; (Hahn et al. 2000)†; (Bailes et al. 2003)†; (Worobey et al. 2008)†; (Peeters et al. 2002)†; (Zimmer 2011), p. 6469 †; (Walters 2003), Ch. 6†; (Lanciotti et al. 1999)†; (Kilpatrick 2011)†. Wolfe’s chapter “One World” puts the rapid global spread of HIV into the context of how modern transportation has led to the catastrophe of global pandemics in a diversity of organisms. Gao et al. give the phylogenetic evidence for the origins of HIV in humans from multiple infections from chimpanzees; more recent and extensive data are given by Hahn et al. Bailes et al. demonstrate that the SIV of chimpanzees originated as a hybrid between the SIV’s of two monkey species that are common prey of chimpanzees. Worobey discusses phylogenetic evidence that the modern plague of HIV began through infection from chimpanzees around 1900, with rapid spread within humans from Kinshasa around 1960. Peeters et al. demonstrate the dangers of future human infections from SIV’s from the bushmeat markets of Cameroon. The Zimmer and Walters chapters give an introduction to the spread of West Nile Virus from North Africa to a pandemic across the entire North American continent. Lanciotti et al. provide the phylogenetic evidence for the geographic source of WNV in the western hemisphere. Kilpatrick discusses the ecological and evolutionary changes that have occurred in WNV in its brief time in the New World. 5 Sept. Student picks: (Achenbach et al. 2012), Sept. 12, URL: http://wapo.st/SFRyVU (C. Doyle); (Technabob 2010), Feb. 13, URL: http://technabob.com/blog/2010/02/13/killing-mosquitoes-with-laser-beams/ (E. Hazelett); (DuBois 2012), Sept. 10, URL: http://www.popsci.com/science/article/2012-09/predicting-monkey-vaccinebehavior-could-improve-hiv-antiviral-development (E. Grund); (Boyle 2012a), Sept. 27, URL: http://www.popsci.com/science/article/2011-09/disarming-hiv-couldprotect-immune-system-and-potentially-lead-vaccine (E. Grund); (DuBois 2012), Sept. 14, URL: http://www.huffingtonpost.com/2012/09/15/oregon-plaguewoman-disease-cat_n_1887053.html (S. Jack); http://www.reuters.com/article/2012/09/23/us-virus-whoidUSBRE88M0FV20120923 (T. McAlear); http://www.promedmail.org/?p=2400:1000: (novel Coronavirus) (W. Johnston); (Fox 2012), URL: http://vitals.nbcnews.com/_news/2012/09/27/14127587-newvirus-in-africa-looks-like-rabies-acts-like-ebola?lite (S. Cohan) Globalization and human infectious disease today. II; Globalization and agricultural 18 infectious disease. Reading: (Wolfe 2011), Ch. 8*; (LeBreton et al. 2007)†; (Keim and Wagner 2009, Kupferschmidt 2012b)†; (Mann 2011), p. 220-231, Ch. 7†; (Kupferschmidt 2012a)†; (Fisher et al. 2012)*. Wolfe discusses several changes in agricultural industry that increase the likelihood of a dangerous new pandemic sweeping through humanity: bushmeat hunting in areas never before accessed by human hunters; immunosuppression of many who handle bushmeat; the huge densities of agricultural animals and their access to pathogens from outside the stockyards; feeding diseased animals to other animals; and the exotic pet industry. LeBreton et al. present data on how frequently immunosuppressed people are potentially exposed to viruses through bushmeat butchering. With the London Olympics soon to occur after its publication, the Kupferschmidt (2012b) article discusses the likelihood of global-local-global infection events, and compares Olympics and Hajj transmission opportunities. Keim and Wagner trace the worldwide historical spread of three bacterial pathogens. Fisher et al. make a compelling case that fungal diseases are emerging in nature and agriculture at an alarming and increasing rate, that fungal diseases are much more likely to cause extinctions than other pathogens, and they discuss the reasons why. Kupferschmidt (2012a) gives a digest of the Fisher et al. article, but you’ve got to read the amazingly scary article by Fisher. Also, don’t ignore the very useful truckload of references at the end of Fisher’s article. The section in Mann’s book 1493 is a gripping account of the Irish potato blight, along with an explanation of how changing agricultural practices in the early 19th century led to the blight. Student picks: (Boyle 2012a), July 3, URL: http://www.popsci.com/science/article/2012-07/loner-bats-may-survive-deadlywhite-nose-syndrome-study-says (E. Grund); (Boyle 2012b), Sept. 14, URL: http://www.popsci.com/science/article/2012-09/touring-worlds-first-manmadebatcave-built-wild-bats (E. Grund); (Gorman 2012), Sept. 24, URL: http://www.nytimes.com/2012/09/25/science/in-tennessee-building-a-bat-cave-tobattle-a-plague.html?pagewanted=1&hp (B. Packer); (King 2012), September 14, URL: http://news.sciencemag.org/sciencenow/2012/09/plight-of-thebumblebee.html (G. Castanon). The sources of emerging infectious diseases 6 Sept. Sources of human diseases in our history. I. The roles of hunting and savannah 20 living in early human disease history. Reading: (Wolfe 2011), Chapters 2-3*; (McNeil 2011)†; (Wrangham and ConklinBrittain 2003)†; (Liu et al. 2010)†. Wolfe’s Chapter 2 presents the fateful evolutionary transition in the chimp-human lineage (after it separated from the lines leading to gorillas and other great apes, but before humans and chimps diverged as separate lineages) toward hunting. His 7 emphasis, of course, is on how hunting yields a superhighway of infection opportunities. What is really interesting about this chapter is that the entire story of hunting and disease transmission is couched in the context of the history of HIV, first in monkeys, then in their predators (chimps), and then in the chimps’ predators (humans). Chapter 3 deals with the transition of the human-only lineage to the savannah (leaving the chimps and other primates behind), with the consequences of microbial cleansing of our species, i.e., depletion of the pool of our pathogens; he also deals with the effect of cooking on diminishing our pathogen pool; moreover, the nearby animals of the savannah were less likely to make us sick, since they were not our close relatives. While humans likely lost many of our pathogens in the move to the savannah, still the apes maintained a repository of horrible diseases, some of which they would pass on to us as our paths crossed again. The Wrangham article discusses the evidence for very early invention of cooking, and the evolutionary effects of cooking. Liu et al. provide evidence that, indeed, the human malaria parasite recently emerged into our species from gorillas. Sept. Sources of human diseases in our history. II. The role of agriculture. 25 Reading: (Diamond 1997), Ch. 11* (already read); (Wolfe et al. 2007)*; Wolfe, Ch. 4*; (Mindell 2006), Ch. 3†; (Pearce-Duvet 2006)†; (Diamond 2002)†; (Bouckaert et al. 2012)‽; (Parrish et al. 2008). Diamond’s chapter 11 gives a very nice introduction for how to think about natural selection in pathogens and their strategies for transmitting themselves efficiently from host to host, something we will return to in lecture 11. The chapter also nicely introduces the epidemiology of acute diseases and why they are diseases of crowds (something we’ll look at more quantitatively in the following lecture) and cannot be sustained in small bands of hunter gatherers. The chapter also describes the kinds of diseases that can be maintained in small populations (chronic and zoonotic diseases). Diamond presents the reasons why early farmers (and worse, city dwellers) were so prone to diseases: their filthy lifestyle (and not leaving camp frequently as do nomads) and the diseases they acquired from their domestic animals. And then to top it all off, world trade routes. Diamond explains the evolutionary stages by which a zoonotic disease improves its ability to transmit itself through a human population, to which we will return in lecture 9. All in all, the Diamond chapter is a terrific introduction to the idea that our social structures have a great impact on our diseases, which will be the topic of Professor Johnston’s guest lecture. Finally, Diamond discusses why the native Americans did not develop crowd diseases from their domestic animals. The Wolfe article re-evaluates the hypotheses raised by Diamond a decade later; this article will also be useful reading for lecture 9, on how zoonotic microbes make the evolutionary jump to becoming human pathogens. In a statistical analysis of the most significant pathogens from temperate and tropical sources, Wolfe et al. show that the temperate-origin diseases tend to be the crowd epidemic diseases, while none of the tropical-origin diseases are in this category. Wolfe et al. chart the origins of our epidemic pathogens, finding the most coming 8 9 from domestic animals, then some from apes and rodents, and some origins yet to be identified. Wolfe’s chapter puts the origins of domestication in greater historical and biological perspective, and gives the reasons why any exercise in domestication (whether by humans or ants) is likely to result in parasites and pathogens. Wolfe claims (reasonably I think) that nearly all of the pathogens of our domesticated animals that can infect humans have already done so, but there are exceptions, e.g., Nipah virus. Mindell’s chapter discusses the importance of phylogenetic thinking in public health (identifying unknown disease organisms and finding their closest relatives) and in unraveling the history of our diseases. PearceDuvet presents a careful phylogenetic analysis of whether we actually acquired many of our agricultural-era diseases from our domesticated animals, and she concludes that in most cases the data are not conclusive. For example, without more extensive sampling of animals that may harbor close relatives of our diseases, it is difficult to rule out whether the domesticated animals may simply have been conduits of transmission of diseases hosted normally by wild animals. Diamond’s 2002 paper is a wide-ranging short review of why agriculture developed in certain localities and why agriculture led to the acquisition of new acute-disease pathogens. Parrish et al. discuss the various challenges for a virus to move from a zoonotic to an organism that is efficiently transmitted among humans, with emphasis on influenza as a lineage that has recurrently made its way into humanity from waterfowl (retro-assigned). Boukaert et al. show how a phylogenetic approach to finding a species origin can be used in reconstructing the history of languages. Sept. The mathematics of epidemics or why city living is bad for you 27 Guest lecture by Prof. Danny Krizanc, Math & Computer Science Dept. Oct. 4 Reading: (Black 1966)*; (Cliff and Haggett 1995)†; Wikipedia on Epidemic Modeling (http://en.wikipedia.org/wiki/Epidemic_model)*. Black’s article is often cited because it is one of the only empirical investigations into the minimal population size required to sustain an acute epidemic disease in humans. The article shows that in very small human populations, measles is almost always absent and needs to be re-introduced from elsewhere. The Cliff and Haggett article re-evaluates the study of Black, estimating the minimum host population size from a regression of percent endemicity on population size. Cliff and Haggett also extend the theory of island biogeography (especially the part relating the number of species in a region to the region’s size) to the number of diseases that can be maintained on an island. Review session for Exam 1: Monday, Oct. 1, 8-10 PM, Exley 150 Exam 1 on Lectures 1-8, Tuesday Oct. 2, in class How pathogens jump host species Reading: (Wolfe et al. 2007)*; (Woolhouse and Gaunt 2007)*; (Woolhouse et al. 2005)†; (Veyrier et al. 2009)†; (Allison et al. 2012)†;(Wolfe 2011), Ch. 5*; (Anonymous 2009)†, URL: http://www.who.int/mediacentre/factsheets/fs262/en/ ; (Jackson and Charleston 2004). Wolfe et al. (2007), which we have already read, 10 Oct. 9 has a section on the stages from being an occasional zoonosis to being a fully human pathogen—Figure 1 is widely cited and is one of the only technical figures Wolfe included in our textbook. Woolhouse and Gaunt provide a somewhat simpler version of the steps toward becoming a human pathogen, and they discuss sources of new human viruses. Woolhouse et al. discuss some interesting examples of host jumps. (We don’t need to focus on their modeling.) Veyrier et al. use a genomic analysis to show the role of horizontal genetic transfer in providing new proteins for infecting new host species. Allison et al. show the potential importance of “bridge hosts,” which can facilitate adaptation from one host to another; in this case, the bridge host was raccoons, on the way from cats to dogs for canine parvovirus. This also illustrates the importance of changes in existing genes in yielding adaptation to a new host (in contrast to acquisition of new genes). Jackson and Charleston use a phylogenetic approach to show how we can identify viruses that easily jump hosts versus those that don’t. The WHO fact sheet details transmission of Nipah virus, which apparently was able to sustain itself within humans for some time before the R0 became too low. How pathogens jump host species (continued); Diseases can get everywhere, but where they will thrive? Reading: (Jones et al. 2008); (Quammen 2012b), Chs. 1-7; (Parmesan and Yohe 2003)*; (Purse et al. 2005)†; (Peterson et al. 2002)†; (Batalden et al. 2007)†; (Peterson et al. 2008)*; (Levine et al. 2007)†; (Peterson 2009)*; (Mayr 1989). The Jones et al. paper shows that the number of zoonoses coming from wildlife is much greater than from any other animal source; also they estimate the risk of a future EID event for each point on the globe, based on past environmental determinants of EID events. The Chs. 1-7 section from David Quammen’s new book shows (among many other interesting things) the importance of testing for antibodies in wild animals for estimating the percent of animals with past or present infection by a given pathogen. Quammen’s Ch. 10 deals with the issue of anthroponoses (diseases that are passed from humans to other animals), which is particularly poignant in the case of introduction of human diseases to endangered species of gorillas, by way of ecotourism. Mayr outlines the kinds of human infectious diseases that are typically transmitted from humans to their pets. Parmesan and Yohe present a meta-analysis of many studies and make the case that global warming has changed the geographic distributions and seasonal timing of activity of many wild species. The paper also discusses the difference between the biological slant on such analyses (has there been a statistically significant climatic effect so far?) versus the economic slant (OK, so there’s an effect, but is it thus far been important?). The Purse et al. paper discusses the poleward movement of Bluetongue Virus from North Africa into Southern Europe; the troubling aspect is that, while the virus is transmitted by an insect vector native to North Africa (which is moving into Europe), transmission in northern Europe will not depend on the African vector—it can be transmitted by insects already native to Europe. Peterson et al. (2002) introduces for us the concepts and algorithms of Ecological Niche Modeling. This approach (here applied to predicted changes in animal geographic distributions in Mexico over the next several decades) measures the physical characteristics (relative humidity, temperature, sun exposure, etc.) of where a species is currently found, and then predicts where in the world (and in the future if we like) the species could be expected to prosper. Batalden et al. demonstrate a limitation of Ecological Niche Modeling (by way of analyzing future monarch butterfly distributions): animals do not eat rainfall and sun exposure, etc.—they can only live where their resource species can be found. Peterson et al. (2008) predicts where West Nile should be able to thrive in North America, based on current distributions and the physical properties of where they already are. Levine et al. introduce another issue limiting Ecological Niche Modeling (relating to monkeypox)—that while a pathogen might be able to thrive in a particular place based on the physical attributes of the place, it (or its hosts) might not be able to get there. Peterson (2009) predicts the future geographic distribution of malaria in Africa. While the total number of people within the geographic range of malaria will remain the same (fewer people in the tropics, more in South Africa), the introduction of malaria to a new region with no experience with malaria will be extremely dangerous. 11 Oct. 11 Student pick: http://www.youtube.com/watch?v=50Po7hnzaPs&feature=youtu.be&a (T. Robbins) Evolution of virulence (and niceness) Reading: (Ewald 1993)*; (Walther and Ewald 2004)†;(Ariën et al. 2007)*; (Ariën et al. 2005)†; (Knell 2004, Ariën et al. 2005)†. The Ewald paper is a very brief synopsis of Ewald’s 1994 blockbuster book Evolution of Infectious Disease. The Scientific American article explains Ewald’s hypotheses about how the mode of transmission of a pathogen, as well as the pathogen’s survival in the environment (outside of hosts), should be expected to determine the level of virulence. The more recent Walther and Ewald paper gives some data supporting the Ewald hypotheses regarding the effect of persistence in the environment on virulence evolution. The Ariën 2007 paper explains two ways that natural selection may have favored lower virulence in HIV-1: that lower rates of opportunity for sexual transmission may select for less virulent viruses (the Ewald hypothesis) and that higher levels of immune diversity in a human population may result in lower virulence. Ariën in 2005 gives evidence that historical HIV viruses were less virulent than more recent ones, in head-to-head competition experiments. Knell offers evidence that there was an extremely rapid evolution of lower virulence in syphilis shortly after it was introduced to Europe in the 16 th century. FALL BREAK—OCTOBER 16 Antibiotics and human health 12 Oct. 18 13 Oct. 23 The rise and fall of antibiotics; the biology underlying phage therapy Reading: (Levy 1992), Chs. 1-2†; (Klein et al. 2007)†; (Sommer et al. 2009)†; (Groopman 2012)*; (Spellberg 2009), Ch. 5†; (Bulletin of the World Health Organization) http://www.who.int/bulletin/volumes/89/2/11-030211/en/ ; (Walters 2003), Ch. 3†; (Nathan 2012), URL: http://www.nytimes.com/2012/12/10/opinion/teaming-up-to-make-newantibiotics.html?hp ; (Zimmer 2011), “The enemy of my enemy”†; (Synnott et al. 2009)†. Levy’s chapters give an introduction to antibiotics and the promise that they once showed for solving all problems with bacterial infections. Groopman’s New Yorker article is a chilling account of what has happened to antibiotic therapy in recent decades, owing to bacterial evolution of antibiotic resistance. Klein makes a case that addressing the proliferation of methicillin resistance, particularly in S. aureus, should be a national priority. Sommer et al. discuss the ubiquity of antibiotic resistance genes unknown to science, beginning with a search within our own guts. The Spellberg chapter and the Bulletin of the WHO report describe how little progress has been made on development of new antibiotics in recent decades; Nathan describes a novel paradigm (following the bacterial model of sharing information, in this case among pharmaceutical companies) to develop new antibiotics. (The Nathan article is retro-recommended, FYI.) So, all this leads us to a search for alternative therapies …. Zimmer’s chapter on phage therapy is a great introduction to phage therapy to a general audience, and should prepare you for the more technical accounts that follow (in the next lecture). Synnott et al. illustrate how the phage infecting a given bacterial strain can be isolated. Student pick: http://www.newser.com/story/152647/superbug-killed-6-at-nihhospital-last-year.html (T. McAlear). ESSAY 1 IS DUE IN CLASS—OCTOBER 23 The promise and challenge of phage therapy; Global change and the human microbiome Reading: Phage therapy: (Sulakvelidze et al. 2001)*; (Housby and Mann 2009)†; (Mattey and Spencer 2008)†; (Bull et al. 2002)†. Human microbiome: (Specter 2012)*; (Gordon 2012)†; (Hvistendahl 2012)†;(Hanski et al. 2012)†; (Grady 2012)† URL: http://www.nytimes.com/2012/03/20/health/gut-infections-are-growing-muchmore-lethal.html?_r=1&pagewanted=all ; (Ayres et al. 2012)†; (Kamada et al. 2012)†; (Caricilli et al. 2011)†; (Hvistendahl 2012)†; (Wu et al. 2012)†; (Grady 2013), URL: http://www.nytimes.com/2013/01/17/health/disgusting-maybe-buttreatment-works-study-finds.html?hp ; (Kelly 2013);(van Nood et al. 2013). Phage therapy: Sulakvelidze et al. present a detailed account of the history of development of phage therapy in the Eastern Bloc during the Cold War, and make a thorough comparison of the relative advantages of phage and antibiotic therapy. Housby and Mann also present a history of phage therapy, along with an account of where major western pharmaceutical companies are now in the development of phage therapy. Mattey and Spencer discuss the challenges that must be overcome to fully develop phage therapy. Bull et al. re-enact a classical experiment to show the conditions under which phage therapy is more efficacious than antibiotic therapy. Human microbiome: Specter explains in his New Yorker article why a scorched earth policy of extermination of bacteria in our bodies would not be a good thing. Gordon provides a not-too-technical introduction to the concept of microbiome health. Hvistendahl’s news article “My microbiome and me” is about Liping Zhao’s investigation of traditional Chinese medicine’s effects on improving the human gut microbiome. Hanski et al. consider the importance of other kinds of global change (beyond antibiotics) on the human microbiome, such as the effects of the animal diversity levels around us on the health of our microbiomes. Grady’s NY Times article explains how we become much more likely to become sick with a bacterial infection and with norovirus if we’ve recently taken antibiotics. Similarly, Kamada et al. show that a germ-free mouse is much less likely to be infected with a gut pathogen than a mouse with a full gut community. Caricilli et al. show an extremely interesting interaction between the genetics of a mouse and its microbiome. Wu et al. show the effects of diet on the microbiome in humans, and show that this is a long-term effect (i.e., greater than 10 days). The Grady article in the NY Times gives recent evidence for the efficacy of fecal transplants in treating Clostridium difficile infections; this is also reported on by Kelly. The original article is by van Nood. Student pick: (Smith 2012), URL: http://www.nytimes.com/2012/09/19/dining/forgastronomists-a-go-to-microbiologist.html?pagewanted=1&src=dayp (S. Aracena); http://www.genomeweb.com/sequencing/ucb-harvard-collaborate-humanmicrobiome-research (study of immunomodulatory organisms in the human microbiome; M. Hartsoe); http://www.sciencemag.org/content/338/6106/450.1.full?sa_campaign=Email/snt w/26-October-2012/10.1126/science.338.6106.450-a (identification of six gut bacteria that can cure an infection by diarrhea-producing Clostridium difficile; S. Kopac); http://jcm.asm.org/content/50/10/3258.abstract (patients with Crohn’s disease, a form of inflammatory bowel disease, have markedly different communities compared to healthy people; S. Kopac). Land use, climate change, and infectious disease 14 Oct. Forest fragmentation, change in land use, and disease 25 Reading: (Walters 2003)†, Ch.4; (Keesing et al. 2006)†; (LoGiudice et al. 2003)†; (Keesing et al. 2009)†; (Vittor et al. 2006)†; (Guerra et al. 2006)*; (Kuo et al. 2012)†. The Walters chapter gives an extremely accessible account of Richard Ostfeld’s work on why Lyme disease is such a problem now, owing to changes in land use (in particular, forest fragmentation). The 2006 Keesing article addresses generally how species diversity among hosts affects the chance of a human picking up an infection. You should pay particular attention to the part dealing with Lyme disease. LoGiudice et al. show that the white-footed mouse (Peromyscus) is an excellent transmitter of Lyme disease (by way of ticks that feed on the mice), and that Peromyscus tends to be in highest density in small forest fragments. In 2009, Keesing et al. show that most of the small mammals tend to reduce the tick population by efficiently grooming themselves, while the Peromyscus mice tends to increase the tick population. Vittor et al. show that the rate at which humans are bitten by a particular malaria-carrying mosquito species is much greater at deforested than at forested sites in the Peruvian Amazon. More generally, Guerra et al. analyze worldwide how deforestation influences the rate of malaria transmission. Kuo et al. demonstrate that abandonment of rice paddies in Taiwan increases opportunities for opportunities for transmission of disease through chiggers and ticks. In future issues of this class, I will discuss how recent changes in land use in central Africa may have led to human outbreaks of various hemorrhagic fever viruses (including Ebola), versus alternative hypotheses that Ebola and Lassa have long been with us (Gire et al. 2012). Viewing of Hurricane Sandy (lecture canceled) 15 Oct. 30 16 Nov. Climatology and the prediction of warmer and freakier weather worldwide 1 Guest lecture by Prof. Dana Royer, Dept. of Earth & Environmental Sciences Reading: (Barnosky et al. 2012)*; (Schiermeier 2007)†; (Monastersky 2009)*; (Patel 2006)†; (Sherwood 2011)†; (Solomon et al. 2010)†; CNN article on Sandy and climate change: http://www.cnn.com/2012/10/31/us/sandy-climatechange/index.html?hpt=hp_t1 ; (Sun et al. 2012). Student pick: http://www.nytimes.com/2012/11/02/nyregion/bloombergendorses-obama-saying-hurricane-sandy-affected-decision.html?hp&_r=0 (A. Isaacson). Nov. 1, 8 PM I’ve retro-assigned the Solomon article posted by Professor Yohe. This article nicely deals with the long-term nature of the effects of greenhouse gases, a topic emphasized by Prof. Royer in his lecture. I’ve also retro-assigned the Sun et al. article, which describes the greenhouse earth of the early Triassic (250 million years ago) as having tropical oceans so hot that they were lethal to most animals and plants. Showing of Contagion at Wesleyan Film Series for our class (attendance required) Reading: (Lipkin 2011), URL: http://www.nytimes.com/2011/09/12/opinion/thereal-threat-of-contagion.html ; (Bray and Buller 2004), URL: http://movies.nytimes.com/2011/09/09/movies/contagion-steven-soderberghsplague-paranoia-review.html?pagewanted=all&_r=0 ; (Quammen 2012b), Ch. 4*. The review by Lipkin is particularly interesting for our purposes, as Lipkin is a professional pathogen hunter and was a paid consultant for the film. He argues that while the work is fiction, the threats shown in the movie are real. Quammen’s Chapter 4 presents the story of SARS, which is eerily like our movie. Review session for Exam 2, Monday, Nov. 5, 8-10 PM, in Exley 150 Exam 2 on Lectures 9-16, Tuesday Nov. 6, in class 17 Nov. Discussion of Contagion; Global climate change and disease 8 Reading: (Parmesan and Yohe 2003); (Hopp and Foley 2001); (Hales et al. 2002); (Peterson et al. 2005); (Tanser et al. 2003); (Daniel et al. 2009); (Lindgren and Gustafson 2001); (Kovats et al. 2004); (Lowen et al. 2007); (Stenseth et al. 2006); (Dearing and Dizney 2010). Parmesan and Yohe provide a meta-analysis of changes in phenology and in geographic distribution of many species previously studied. The most important part of the paper, for our purposes, is Table 1 on changes in phenology and geographic distribution. Hopp and Foley present a map of geographic distributions showing the huge geographic extent over which the dengue mosquito lives but where dengue is not yet present (including the Deep South of the US). They make a case that absolute humidity predicts the distribution of Aedes aegypti mosquitoes, and provide experimental evidence for increased survival of the mosquitoes at higher humidities. Hales et al. predict the future geographic distribution of Aedes aegypti assuming absolute humidity as the major determinant. Peterson et al. provide a more inclusive (i.e., more parameters included) model of dengue distribution in Mexico. Daniel et al. present evidence for the appearance of TBEV at elevations above 1000 meters for the first time in the Czech Republic, and argue that this is due to global warming. Lindgren et al. discuss the weather determinants for high incidence of TBEV in Sweden, and argue that global warming will increase the incidence of TBEV. Kovats et al. show how Salmonella-based food poisoning increases with temperature, and how the functional response of food poisoning rates to temperature varies across countries. Lowen et al. provide a compelling argument for why influenza is transmitted at higher rates in cooler seasons, and gives us reason to cheer for one health-benefiting effect of global warming. Stenseth et al. identify the weather parameter values that predict high incidence of plague in Kazakhstan; this analysis, applied to tree ring data on historical weather patterns, predicts a high incidence of plague in Kazakhstan at the time of the 14 th century Black Death and the 19th century Third Pandemic. Dearing and Dizney discuss the effects of increasing El Niño events (predicted with global climate change) on Hanta virus outbreaks, such as seen with the Sin Nombre virus outbreak in the Four Corners region of the US. More issues related to global climate change will be discussed in lecture 21. Social causes and effects of infectious disease in a changing world 18 Nov. Wealth, health, and democracy in East Asia and Latin America 13 Guest lecture by Prof. James McGuire, Professor of Government Reading: (McGuire 2010), Chs. 1† and 11*. Student pick: URL: http://www.cnn.com/2012/11/13/health/infant-mortalitymississippi/index.html?hpt=he_t3 . This focuses on infant mortality caused by various factors, including infectious disease, in Mississippi; you don’t have to be in a developing country for poverty to have huge effects on infant mortality. (M. Delgado). 19 Nov. How culture and infrastructure affect the spread of infectious disease 15 Guest lecture by Prof. William Johnston, Professor of History Reading: (Barr et al. 2001)*; (Farmer et al. 2011)*; (Farmer and Ivers 2012)†; (Plucinski et al. 2011)†; (Talavera and Perez 2009)†. 20 Nov. How we can mitigate infectious disease threats caused by global climate change 20 Guest lecture by Prof. Gary Yohe, Professor of Economics Reading: (Solomon et al. 2010)†; (Luber and Knowlton 2013)*; (Smith and Woodward 2012)* Thanksgiving break—Thursday Nov. 22 21 Nov. Various global changes and infectious disease (including some effects of climate 27 change not yet discussed) A. More on global warming and infectious disease Reading: (Lindgren et al. 2012)*; (Woodruff et al. 2007)†; (Gould and Higgs 2009)†. Lindgren et al. discuss the emergence of various tropical diseases in Europe, as a result of both climate change and increased rates of transfer of diseases across continents. Woodruff et al. discuss the expansion of the range of dengue under models of future climates. Gould and Higgs attribute many unexpected range expansions of tropical diseases into Europe to global warming and precipitate change. B. Effects of weather extremes on infectious disease Reading: (Yohe 2012)†, URL: http://www.sbs.com.au/news/article/1706329/Hurricane-Sandy-the-new-normal ; (Peeples 2012)†, URL: http://www.huffingtonpost.com/2012/10/29/hurricanesandy-flood-rats-disease-new-york_n_2041474.html; (Hunter 2003)†; (Chase and Knight 2003); (Cuevas et al. 2007)†; (Curriero et al. 2001)†. Gary Yohe discusses why Hurriane Sandy should be considered the harbinger of weather to come, but argues that Sandy is not the new normal; weather will actually get much worse. The news article by Peeples discusses how rats are being displaced from their underground haunts by Hurricane Sandy and are infesting homes in New York (featuring Rick Ostfeld). Maps of flooding of NYC and environs: http://www.nytimes.com/newsgraphics/2012/1120-sandy/survey-of-the-floodingin-new-york-after-the-hurricane.html?hp . Hunter et al. discuss the effects of extreme flooding on water-borne infectious disease. Curriero et al. discuss how extreme precipitation events are associated with water-borne disease outbreaks in the US. Chase and Knight describe the effects of climate-change-induced drought on infectious disease. Cuevas et al. set up a kind of ecological niche modeling for Neisseria-caused meningitis, and find an effect of drought on infection rates; they they predict higher rates of infection into the future. C. Economic vs. biological approaches to predicting our biological future Reading: (Parmesan and Yohe 2003)*. Parmesan and Yohe discuss some of the differences between the economist’s versus biologists’ ways of knowing that an environmental factor has been responsible for causing past change. I would also like to discuss (not in this paper) the differences between economists’ versus biologists’ ways of predicting the biological future. D. Effects of AIDS and antibiotics on the emergence of new bacterial diseases Reading: (Okoro et al. 2012)*; (Anonymous 2012)†, URL: http://newyork.cbslocal.com/2012/09/27/city-health-officials-investigating-deadlybacterial-meningitis-outbreak-among-hiv-positive-men/ (K. Deane). The (anonymous) CBS report describes one instance of the fallout of the global AIDS epidemic—that there is a rash of new diseases that can infect immunocompromised people. Similarly, the Okoro et al. study shows that a strain of Salmonella, which normally cannot be transmitted directly between people, has evolved into a directly transmitted pathogen, at least in immunocompromised AIDS patients. E. Epidemics caused by various effects of modernity Reading: (Pollack and Tavernise 2012)†, URL: http://www.nytimes.com/2012/11/22/health/documents-show-fdas-failures-inmeningitis-outbreak.html?hp&_r=0; (Gayer et al. 2007)†; (Cirillo 2009)†; (Harris 2012), URL: http://www.nytimes.com/2012/11/25/world/asia/indian-prostitutesnew-autonomy-imperils-aids-fight.html?pagewanted=all&_r=0 . The NY Times article by Pollack and Tavernise discusses how recent bad practices in drug formulation by a small drug manufacturer have led to a nation-wide outbreak of bacterial meningitis. Gayer discusses the problem of war in infectious disease, including the effects of collapsed infrastructure. Note that this problem may be particularly acute if a new spillover disease emerges in a war-torn region. Cirillo discusses the effect of a 19th century war on infectious disease—that dysentery caused more US soldier deaths in the war with Mexico than gunshot. The New York Times article by Harris discusses an effect of cell phone use on infectious disease: it threatens to reduce significant gains in controlling AIDS in India because prostitutes can work more independently, outside of brothels. Beyond single-species effects of disease 22 Nov. The effects of changing disease patterns on biological diversity and ecosystem 29 functioning Reading: (Collinge et al. 2008)*; (Wolfe 2011)*, p. 115-118; (Kupferschmidt 2012a)†; (Fisher et al. 2012)†; (King 2012)†, Sept. 14, URL: http://news.sciencemag.org/sciencenow/2012/09/plight-of-the-bumblebee.html (G. Castanon); http://www.sfgate.com/science/article/Explosive-growth-in-suddenoak-death-3934216.php (N. Kosman-Wiener); (Grünwald et al. 2012)†. Collinge et al. start with the concept of the keystone species, a species with a disproportionate effect on community stability, such that local extinction of the species would have catastrophic rippling effects through the community and ecosystem. They then discuss the possibilities of such extinctions through infectious disease. The Science news article by Kupferschmidt discusses the ability of some fungal pathogens to extinguish multiple species; Fisher focuses on the potential ecosystem effects of such extinctions. King discusses the pathogen that is ravaging through native bumblebee populations in North America. (The bumble bee plays a vital agricultural role in pollination of many crops and flowers.) The Grünwald article on Sudden Oak Death describes rapid spread of this disease across many trees of North America and Europe and describes the disease as a member of the eukaryotic group Chromalveolata (not a fungus). Bioinformatic analyses of infectious disease in a changing world Dec. Essay 2 is due in class 4 23 Dec. Discovering the geographic and zoonotic origins of new human diseases; the role of 4 information technology in detecting the next epidemic (part 1) Reading on detecting zoonotic origins: (Haydon et al. 2002)*; (Yip et al. 2009)*; (Liu et al. 2010)†; (McMullan et al. 2012)†; (Grard et al. 2012)†. Reading on information technology: (Quammen 2012a)†; (Achtman et al. 2012)†; (Kopac and Cohan 2011)*; (Wiedenbeck and Cohan 2011)†; (Streicker and Pedersen 2012)‽. Reading on detecting zoonotic origins. Haydon et al. present an overview of what it takes to identify a zoonotic reservoir species. Yip et al. present the challenges (and success) of locating the zoonotic reservoir for SARS and SARS-like viruses; they also indicate the great potential for a future epidemic from an as-yet-unknown coronavirus. Liu et al. present a huge survey of Plasmodium sampled from a huge number of apes and monkeys, along with a phylogenetic analysis pointing to human Plasmodium falciparum as a monophyletic lineage within the gorilla parasites. The trick here wasn’t so much how to do the phylogenetic analysis once all the DNA samples were in hand. Rather, it was how to sample Plasmodium from thousands of great apes. Not so easy—see how it was done! It would be easy to ignore all the incomplete findings about zoonotic sources because the full discovery of a zoonotic virus and its natural host (and vectors when applicable) is a much more glamorous story. Check out the report by Laura McMullan et al. It has the drama of a case study, as told for example by David Quammen, but more in the deadpan style of Joe Friday of Dragnet (“just the facts, ma’am”). While this was a huge discovery, there is so much more sleuth work to be done. You’ll see in the Grard paper that sometimes we don’t isolate the virus itself. Grard et al. present the virus genome (although not the virus) that caused the hemorrhagic fever epidemic in central Africa in 2009. It is distantly related from any other human-infecting member of the Rhabdovirus family. Readings on information technology. The Quammen article discusses the inevitability of the “next big one,” meaning the next utterly awful human pandemic. This is just to remind us, once again, that we need to be thinking about how to anticipate and quickly discover and contain any new dangerous, newly emerging pathogen. Achtman et al. introduce us to a problem in discovering the total diversity within a closely related group of bacterial pathogens—that the most common approach to classifying closely related bacterial diversity, involving immunity types (serotypes) is not up to the task. They show how a multilocus sequencing approach can accurately yield an accounting of the closest relatives of a known pathogen. Kopac and Cohan present an approach our lab has developed to find all the ecologically important diversity within a group of closely related bacteria. As we explain, this approach provides the advantage that we can discover ecologically distinct groups of bacteria before we even know what is ecologically distinct about them. This allows us to hypothesize close relatives of a pathogen that might have different disease-causing properties. The Wiedenbeck and Cohan paper provides some figures and further explanations that might be helpful. Streicker and Pedersen present a positive (and amusing) review of Quammen’s book Spillover. 24 Dec. Early warning systems for emergent infectious diseases—the Global Viral 6 Forecasting Initiative; the role of information technology in stopping the next pandemic (part 2). Reading: (Wolfe 2011), Ch. 9*, 10*, and 12†; (Paneth 2004)†; (Wolfe 2009)†; (Cohan 2012)†; (Cohan 2011)‽. Student pick: http://www.nytimes.com/2012/07/15/sunday-review/the-ecologyof-disease.html?pagewanted=all (R. Rubenstein). This summarizes much of what we’ve covered in class, and will introduce our section on bioinformatic approaches to predict and monitor emergence of infectious diseases. In Ch. 9, Wolfe discusses how we need to get beyond dumb luck in discovering the next epidemic among the great apes, and to invent a systematic approach that quickly find any new epizootic among our closest relatives. In Ch. 10 he lays out various ways that we can effectively monitor new epizootic diseases before they become human pandemics. Ch. 12 wraps things up. My articles discuss the importance, in this age of big data, of imagining how our data could possibly be used not just by our own laboratories but by future researchers. (The point is made most effectively in my Moneyball piece, but you might like the Koufax article just for fun.) Review session-Wednesday, December 12, 8-10 PM, in 107 Shanklin (please note: this is not our usual classroom) Final exam—Thursday, December 13, 2-5 PM, in 150 Exley Science Center (our classroom). Bonus Jan. What is it about bats? topic 1 Reading: (Quammen 2012b), Ch. VII, “Celestial Hosts”; (Plowright et al. 2011); (Cliff and Haggett 1995); (McNeil 2013); (Olival et al. 2013) There came a time in our course when we couldn’t help but ask, “What is it about bats?” We saw that bats were the reservoirs for Hendra, SARS, and Nipah, and it turns out that it just gets worse. Over the break, I’ve made some progress toward finishing David Quammen’s new book Spillover, and he has a wonderful chapter on the role of bats in emerging viruses of humans. First, we see that added to the list of chiropteranoses (my invention for a bat zoonosis; you heard it here first) is Marburg for sure, and likely its close relative Ebola. Next, we see some extremely intriguing theory for why bats are responsible for so many human diseases and why only now. One aspect of this is the huge size of many bat populations, and their extremely high densities. This means that SIR diseases can do just fine within bat species. Then the chapter gets into the question of why now there have been so many diseases emerging into humans from bats. An interesting hypothesis is being developed and tested by Raina Plowright. (Here I found her article and included it.) The idea is that in previous times bats lived in contiguous forest, with much dispersal of bats across a huge set of highly connected populations. This would have led to a low level of endemic disease everywhere. Then as forests became fragmented, and human habitations and farms offered a great source of food, bat populations became highly fragmented as well, with little migration between bat populations associated with different cities. In this model, a large number of susceptible bats would accumulate in any given locality until a migrating infected bat reignites the infection. Then there would be a huge number of bats at one time that could potentially infect humans. Making the situation worse is that the bats are largely living in close proximity to humans. Here you might re-read the Cliff and Haggett paper to look at the effect of population size on the magnitude of waves of infection. In the next offering of the course, I will definitely set aside an entire lecture to deal with the role of bats in human disease, along with the ecological and epidemiological theory. The McNeil Times article and the Olival article present data that the Ebola Virus is in bats in Bangladesh. This indicates what has been suspected, that bats can transport a virus for which they are a reservoir immense distances. * Required reading ‡ Required reading if you do not already know the material † Recommended reading. You should read at least one of these for each session. ‽ Just for fun. Text: Wolfe, N. 2011. The Viral Storm: The Dawn of a New Pandemic Age. Times Books, New York. Office hours In our office hours, you are welcome to ask questions about lectures, class discussions, readings, and other issues relating to the course material. Fred Cohan (Professor) Office hours: Monday 2:30-3:30 in my office (Shanklin 207), and by appointment Weekly review sessions: Friday, 2:15-3:15, in Exley 113 fcohan@wesleyan.edu x3482 Sarah Kopac (Graduate teaching assistant) skopac@wesleyan.edu Monday 10:00-11:00 Shanklin 208 Jacob Herman (Graduate teaching assistant) jherman@wesleyan.edu Thursday 11:00-12:00 Shanklin 312 Adele Bubnys (Undergraduate teaching assistant) abubnys@wesleyan.edu Tuesday 2:30-3:30 Hall-Atwater 227 Ethan Grund (Undergraduate teaching assistant) egrund@wesleyan.edu Wednesday 10:00-11:00 Hall-Atwater 265A Alexandra Coluzzi (Undergraduate teaching assistant) acoluzzi@wesleyan.edu Tuesday 12:00-1:00 Exley 137 Course requirements We will have two exams during lecture period, on October 2 and November 6. These exams will be principally short answer, multiple-choice, and fill-in-blank questions. The exams will be based on lecture material, class discussions, and required readings. Our comprehensive final exam (covering material from the whole semester) will be on the registrar-assigned date. This exam will include questions in the format of our three in-class exams, plus essay questions. Two short essays will be due on October 23 and December 4. Each essay will answer a question dealing with lecture material, class discussions, or assigned readings. The essays must be typed and submitted as a paper copy. Detailed instructions for each essay are provided on the class web site under “Essay assignments.” You will be required to participate in class. This will include answering questions in class with your clickers. (These are hand-held radio transmitters that allow you to answer multiplechoice questions in class. You will be responsible for keeping your clicker in good repair and equipped with charged batteries.) Also, you are encouraged to participate in class discussions. Reading assignments will be posted on our class’s WesFiles web site. Access to the site will be provided in an upcoming email. Here are the credits for each assignment: Exam 1 Essay 1 Exam 2 Essay 2 Final exam Participation (through discussion contributions and clickers) 150 points 150 points 150 points 150 points 250 points 50 points Policy on accommodations for disabilities It is the policy of Wesleyan University to provide reasonable accommodations to students with documented disabilities. Students, however, are responsible for registering with Disabilities Services, in addition to making requests known to me in a timely manner. If you require accommodations in this class, please make an appointment with me as soon as possible, so that appropriate arrangements can be made. The procedures for registering with Disabilities Services can be found at www.wesleyan.edu/deans/disability-students.html . Readings Achenbach, J., D. Brown, and L. H. Sun. 2012. Does the West Nile outbreak signal an epidemic of viral epidemics? Yes and no. Washington Post. 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