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具有疫苗接种策略的SVIR流行病模型。

SVIR epidemic models with vaccination strategies.

作者信息

Liu Xianning, Takeuchi Yasuhiro, Iwami Shingo

机构信息

Key Laboratory of Eco-environments in Three Gorges Reservoir Region (Ministry of Education), School of Mathematics and Statistics, Southwest University, Chongqing 400715, PR China.

出版信息

J Theor Biol. 2008 Jul 7;253(1):1-11. doi: 10.1016/j.jtbi.2007.10.014. Epub 2007 Oct 18.

Abstract

Vaccination is important for the elimination of infectious diseases. To finish a vaccination process, doses usually should be taken several times and there must be some fixed time intervals between two doses. The vaccinees (susceptible individuals who have started the vaccination process) are different from both susceptible and recovered individuals. Considering the time for them to obtain immunity and the possibility for them to be infected before this, two SVIR models are established to describe continuous vaccination strategy and pulse vaccination strategy (PVS), respectively. It is shown that both systems exhibit strict threshold dynamics which depend on the basic reproduction number. If this number is below unity, the disease can be eradicated. And if it is above unity, the disease is endemic in the sense of global asymptomatic stability of a positive equilibrium for continuous vaccination strategy and disease permanence for PVS. Mathematical results suggest that vaccination is helpful for disease control by decreasing the basic reproduction number. However, there is a necessary condition for successful elimination of disease. If the time for the vaccinees to obtain immunity or the possibility for them to be infected before this is neglected, this condition disappears and the disease can always be eradicated by some suitable vaccination strategies. This may lead to over-evaluating the effect of vaccination.

摘要

疫苗接种对于消除传染病至关重要。为完成一个疫苗接种过程,通常需要分多次接种剂量,且两剂之间必须有一些固定的时间间隔。正在接种疫苗的人群(已开始疫苗接种过程的易感个体)与易感个体和康复个体均不同。考虑到他们获得免疫力所需的时间以及在此之前被感染的可能性,分别建立了两个易感 - 接种 - 感染 - 康复(SVIR)模型来描述连续接种策略和脉冲接种策略(PVS)。结果表明,这两个系统都呈现出严格的阈值动态,这取决于基本再生数。如果这个数小于1,疾病可以被根除。如果它大于1,对于连续接种策略而言,疾病在正平衡点全局渐近稳定的意义上是地方流行的,而对于脉冲接种策略而言疾病是持久的。数学结果表明,接种疫苗通过降低基本再生数有助于疾病控制。然而,成功消除疾病存在一个必要条件。如果忽略了正在接种疫苗的人群获得免疫力所需的时间或在此之前他们被感染的可能性,这个条件就会消失,并且通过一些合适的接种策略疾病总是可以被根除。这可能导致对接种疫苗效果的过度评估。

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