Choi Sunhwa, Jung Eunok, Lee Seok-Min
Department of Mathematics, Konkuk University, 120 Neungdong-ro, Gwngjin-gu, Seoul 143-701, Republic of Korea.
Department of Liberal Arts, College of Engineering, Hongik University, 94 Wausan-ro, Mapo-gu, Seoul 121-791, Republic of Korea.
J Theor Biol. 2015 Sep 7;380:256-70. doi: 10.1016/j.jtbi.2015.05.022. Epub 2015 May 27.
In this paper, we developed a dynamic model of smoking-tuberculosis (TB) transmission in South Korea, and investigated the effects of control strategies on the number of incidence of TB using optimal control theory. Model parameters regarding TB and smoking are estimated through least-squares fitting to real data. We considered three TB controls (distancing, case-finding, and case-holding) and two smoking controls (distancing and quitting), in order to minimize the number of exposed and infectious individuals and the cost of control. Numerical simulations for the various control strategies highlight that implementing the smoking controls, not with TB controls, can effectively reduce the incidence of TB transmission.
在本文中,我们建立了韩国吸烟与结核病(TB)传播的动态模型,并运用最优控制理论研究了控制策略对结核病发病率的影响。通过对实际数据进行最小二乘拟合来估计与结核病和吸烟相关的模型参数。为了使暴露和感染个体的数量以及控制成本最小化,我们考虑了三种结核病控制措施(保持社交距离、病例发现和病例隔离)和两种吸烟控制措施(保持社交距离和戒烟)。针对各种控制策略的数值模拟结果表明,实施吸烟控制措施而非结核病控制措施能够有效降低结核病传播的发病率。