RT Journal Article SR Electronic T1 Increased frequency of travel may act to decrease the chance of a global pandemic JF bioRxiv FD Cold Spring Harbor Laboratory SP 404871 DO 10.1101/404871 A1 R.N. Thompson A1 C.P. Thompson A1 O. Pelerman A1 S. Gupta A1 U. Obolski YR 2018 UL http://biorxiv.org/content/early/2018/08/31/404871.abstract AB The high frequency of modern travel has led to concerns about a devastating pandemic since a lethal pathogen strain could spread worldwide quickly. Many historical pandemics have arisen following pathogen evolution to a more virulent form. However, some pathogen strains invoke immune responses that provide partial cross-immunity against infection with related strains. Here, we consider a mathematical model of successive outbreaks of two strains – a low virulence strain outbreak followed by a high virulence strain outbreak. Under these circumstances, we investigate the impacts of varying travel rates and cross-immunity on the probability that a major epidemic of the high virulence strain occurs, and the size of that outbreak. Frequent travel between subpopulations can lead to widespread immunity to the high virulence strain, driven by exposure to the low virulence strain. As a result, major epidemics of the high virulence strain are less likely, and can potentially be smaller, with more connected subpopulations. Cross-immunity may be a factor contributing to the absence of a global pandemic as severe as the 1918 influenza pandemic in the century since.