BorisVSchmid
Joined 11 years ago
Joined 11 years ago
To twist the analogy back to Alzheimer - all these scientists still agreed on the patient-level diagnosis of Alzheimer.
To make that claim for a single paper I would 1. have to be able to reproduce their p-value, and 2. spend enough time with the model to understand how/what assumptions were unfairly tweaked to get to that p-value.
Just running your own implementation of a model on your own dataset and getting an insignificant or different p-value is not enough. You might just have implemented the model wrongly.
I hope things like https://clojuriststogether.org/ or possibly patreon will make clojure open source projects more sustainable for developers.
If it is about the manifestation of the disease (the clinical symptoms), those we only know from historical descriptions and that is not something a model can change :-). So yeah, many infected people would still have had buboes. Buboes are also the expected result from plague acquired from fleas (whether they were human fleas or rat fleas).
What might be less known is that there is a pretty high chance (10-20%) that a person suffering from bubonic plague progresses to pneumonic plague. That basically is a death warrant for that person, but it also means that he/she might spread the disease further through air-droplets. If the conditions are right, you might get a pneumonic plague epidemic intermingled with a bubonic plague epidemic. Model-wise, that is one scenario we haven't looked into, but we have seen something like that play out in Madagascar last year.
I also put a popular science summary of the paper online here: https://medium.com/@boris.schmid/human-ectoparasites-and-the...
https://www.reddit.com/r/news/comments/7qopqf/black_death_sp...
We didn't use all of the cities for which we had outbreaks, but selected nine that covered a large part of the time period, and a large geographic region. Here is the list:
Givry, France, 1348. Florence, Italy, 1400. Barcelona, Spain, 1490. London, England, 1563-1564. Eyam, England, 1666. Gdansk, Poland, 1709. Stockholm, Sweden, 1710-1711. Moscow, Russia, 1771. Malta, Malta, 1813.
That said, there are some long-standing questions in plague research, one of which is why the first and second plague pandemic were that much more lethal than the third plague pandemic. Prior to the aDNA work, people speculated that medieval plague was a different pathogen altogether, but that hypothesis has been put to rest now. An alternative theory has been that plague could spread through human ectoparasites, and we found a novel way to test that theory. That resulted in this paper.
One of the groups that is doing most of the research on body lice as vectors of plague is the group of Didier Raoult. Michelle Ziegler made a nice summary of that work here:
https://contagions.wordpress.com/2016/11/17/the-case-for-lou...
Xavier Didelot did some work on testing mixed models for two cities, 17th century Eyam and 19th century Cairo. He did have to further simplify the models though - there are some restrictions on how many floating parameters you can have while the models are trying to converge to the parameter set that results in the best match with the observations.
Epidemiological analysis of the Eyam plague outbreak of 1665–1666: http://rspb.royalsocietypublishing.org/content/283/1830/2016...
Model-based analysis of an outbreak of bubonic plague in Cairo in 1801: http://rsif.royalsocietypublishing.org/content/14/131/201701...
https://impactstory.org/u/0000-0003-0452-623X/activity
http://www.pnas.org/content/112/10/3020.abstract