Delineating West Nile Virus Transmission Cycles at Various Scales: The Nearest Neighbor Distance-Time Model.

Various approaches are used to identify West Nile virus (WNV) exposure areas, including unusual sightings of infected dead birds, mosquito pools or human cases both prospectively and retrospectively. A significant and largely unmet need in WNV research is to incorporate the temporal characterization of virus spread and locational information of the three components of transmission cycle-i.e., birds (reservoir), mosquitoes (vector), and humans (host)-on a localized scale. Exposure areas containing all three components of the WNV cycle in close proximity have higher potential to amplify an outbreak as compared to exposure areas delineated by a single component. In this paper, we introduce a novel approach, termed 'Nearest Neighbor Distance Time' or NNDT, to identify and retrospectively monitor WNV transmission cycles on various scales in the Twin Cities Metropolitan area of Minnesota. The NNDT model was implemented in a geographic information system using data from the period 2002 to 2006. The results indicated that 2002 and 2003 had three such WNV cycles, followed by one, two, and four respectively in 2004, 2005, and 2006. The NNDT method can be useful in locating chronically exposed areas and generating hypotheses about the transmission of WNV.