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Abstract
A central goal of ecology is to explain the diversity of coexisting species. Analogously,
fundamental questions in epidemiology center around coexistence in pathogen communities.
Classical models of strain competition predict variable coexistence dynamics depending
upon the strength of cross-immunity. However, heterogeneity among human
hosts, through variation in population structure and immune responses, can also profoundly
affect coexistence. This dissertation investigates the intersection of immune-mediated
competition and host heterogeneity to explain the dynamics of pathogen diversity
in two viral communities: human papillomavirus (HPV) and influenza A viruses.
We test hypotheses about viral dynamics by fitting mechanistic models to longitudinal
data. We show that the prevalence and coexistence of over 200 genetically distinct
HPV types are maintained by recurring infection within individuals of type-specific highrisk
subpopulations. We then show that the dynamics of immune protection after influenza
infection differ between children and adults, signaling substantial variability in
the population-level selective pressures that shape the diversity of influenza strains.