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具有传播相关感染的 SEIRS 传染病模型的动力学

On the dynamics of SEIRS epidemic model with transport-related infection.

机构信息

Department of Mathematics, King Mongkut's University of Technology, Thonburi, Bangmod, Thungkru, Bangkok 10140, Thailand; Center of Excellence in Mathematics, CHE, Si Ayutthaya Rd., Bangkok 10400, Thailand; Mathematics and Statistics Program, Faculty of Science and Technology, Songkla Rajabhat University, Songkla, Thailand.

出版信息

Math Biosci. 2013 Oct;245(2):188-205. doi: 10.1016/j.mbs.2013.07.001. Epub 2013 Jul 20.

Abstract

Transportation amongst cities is found as one of the main factors which affect the outbreak of diseases. To understand the effect of transport-related infection on disease spread, an SEIRS (Susceptible, Exposed, Infectious, Recovered) epidemic model for two cities is formulated and analyzed. The epidemiological threshold, known as the basic reproduction number, of the model is derived. If the basic reproduction number is below unity, the disease-free equilibrium is locally asymptotically stable. Thus, the disease can be eradicated from the community. There exists an endemic equilibrium which is locally asymptotically stable if the reproduction number is larger than unity. This means that the disease will persist within the community. The results show that transportation among regions will change the disease dynamics and break infection out even if infectious diseases will go to extinction in each isolated region without transport-related infection. In addition, the result shows that transport-related infection intensifies the disease spread if infectious diseases break out to cause an endemic situation in each region, in the sense of that both the absolute and relative size of patients increase. Further, the formulated model is applied to the real data of SARS outbreak in 2003 to study the transmission of disease during the movement between two regions. The results show that the transport-related infection is effected to the number of infected individuals and the duration of outbreak in such the way that the disease becomes more endemic due to the movement between two cities. This study can be helpful in providing the information to public health authorities and policy maker to reduce spreading disease when its occurs.

摘要

城市间的交通被认为是影响疾病爆发的主要因素之一。为了了解与交通相关的感染对疾病传播的影响,我们构建并分析了一个用于两个城市的 SEIRS(易感者、暴露者、感染者、恢复者)传染病模型。推导出了模型的流行病学阈值,即基本再生数。如果基本再生数小于 1,则疾病无平衡点在局部渐近稳定。因此,疾病可以从社区中消除。如果再生数大于 1,则存在局部渐近稳定的地方平衡点。这意味着疾病将在社区内持续存在。结果表明,即使在没有交通相关感染的情况下,传染病也会在每个隔离区域灭绝,区域间的交通也会改变疾病动态并引发感染爆发。此外,结果表明,如果传染病在每个区域爆发导致地方性流行,交通相关感染会加剧疾病传播,因为患者的绝对和相对数量都会增加。此外,我们还将所构建的模型应用于 2003 年 SARS 爆发的实际数据,以研究两个区域之间疾病传播过程。结果表明,交通相关感染会影响感染个体的数量和疾病爆发的持续时间,从而使疾病由于两个城市之间的流动而变得更加地方性流行。本研究可以为公共卫生当局和决策者提供信息,以减少疾病传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e52c/7094751/0ba96d2595dc/gr1.jpg

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