1.Modelling disease impact: lifespan reduction is greatest for young adults in an exogenous damage model of disease

Authors:Rebecca Tobin, Glen Pridham, Andrew D. Rutenberg

Abstract: We model the effects of disease and other exogenous damage during human aging. While the exogenous damage is repaired at the end of acute disease, propagated secondary damage remains. We consider both short-term mortality effects due to (acute) exogenous damage and long-term mortality effects due to propagated damage within the context of a generic network model (GNM) of individual aging. Across a wide range of disease durations and severities we find that while excess short-term mortality is highest for the oldest individuals, the long-term years of life lost are highest for the youngest individuals. These appear to be universal effects of human disease. We support this conclusion with a phenomenological model coupling damage and mortality. Our results are qualitatively consistent with existing observational studies, though these are mostly limited to short time-horizons. Short-time horizon studies may have significant limitations for understanding the lifetime impacts of disease on both individuals and populations.