Glass K, Wood J L N, Mumford J A, Jesset D, Grenfell B T
Department of Zoology, University of Cambridge, UK.
Epidemiol Infect. 2002 Jun;128(3):491-502. doi: 10.1017/s0950268802006829.
This paper demonstrates that a simple stochastic model can capture the features of an epidemic of equine influenza in unvaccinated horses. When the model is modified to consider vaccinated horses, we find that vaccination dramatically reduces the incidence and size of epidemics. Although occasional larger outbreaks can still occur, these are exceptional. We then look at the effects of vaccination on a yard of horses, and in particular at the relationship between pre-challenge antibody level and quantity of virus shed when challenged with the virus. While on average, a high antibody level implies that less virus will be shed during the infectious period, we identify a high degree of heterogeneity in the response of horses with similar pre-challenge antibody levels. We develop a modified model that incorporates some heterogeneity in levels of infectivity, and compare this with the simpler model.
本文表明,一个简单的随机模型能够捕捉未接种疫苗马匹中马流感疫情的特征。当对该模型进行修改以纳入接种疫苗的马匹时,我们发现接种疫苗可显著降低疫情的发病率和规模。尽管偶尔仍可能发生较大规模的疫情爆发,但这些情况较为罕见。然后,我们研究了疫苗接种对一群马匹的影响,特别是在受到病毒攻击时,攻击前抗体水平与病毒排出量之间的关系。虽然平均而言,高抗体水平意味着在感染期内排出的病毒较少,但我们发现,具有相似攻击前抗体水平的马匹的反应存在高度异质性。我们开发了一个纳入感染性水平方面一些异质性的改进模型,并将其与更简单的模型进行比较。