Trujillo-Salazar Carlos A, Toro-Zapata Hernán D, Muñoz-Loaiza Aníbal
Universidad del Quindío, Armenia, Colombia,
Rev Salud Publica (Bogota). 2013 Nov-Dec;15(6):943-56.
A mathematical model was constructed for modelling transmission dynamics and the evolution of an infectious disease in a prison setting, considering asymptomatic infectious people, symptomatic infectious people and isolated infectious people. The model was proposed as a nonlinear differential equation system for describing disease epidemiology. The model's stability was analysed for including a preventative control strategy which would enable finding a suitable basic reproduction number-based control protocol. A cost function related to the system of differential equations was formulated to minimise infectious populations and intervention costs; such function was minimised by using the Pontryagin maximum principle which determines optimum preventative control strategies by minimising both infectious populations and associated costs. A numerical analysis of the model was made, considering preventative control effectiveness levels and different control weighting constants. Conclusions were drawn. The basic reproduction number characterises system stability and leads to determining clear control criteria; a preventative control threshold was defined, based on the controlled basic reproduction number which enabled deducing that disease control requires uniform preventative control involving high rates of effectiveness.
构建了一个数学模型,用于模拟监狱环境中传染病的传播动态和演变,该模型考虑了无症状感染者、有症状感染者和隔离感染者。该模型被提出作为一个用于描述疾病流行病学的非线性微分方程系统。对该模型的稳定性进行了分析,其中包括一种预防控制策略,该策略能够找到合适的基于基本再生数的控制方案。制定了一个与微分方程系统相关的成本函数,以最小化感染人群和干预成本;通过使用庞特里亚金极大值原理来最小化该函数,该原理通过最小化感染人群和相关成本来确定最佳预防控制策略。对该模型进行了数值分析,考虑了预防控制有效性水平和不同的控制加权常数,并得出了结论。基本再生数表征了系统稳定性,并有助于确定明确的控制标准;基于受控基本再生数定义了一个预防控制阈值,由此可以推断出疾病控制需要统一的、具有高有效性的预防控制。