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模拟蚊帐使用和治疗对疟疾传播动态的影响。

Modeling the Impact of Bed-Net Use and Treatment on Malaria Transmission Dynamics.

作者信息

Gimba Bello, Bala Saminu Iliyasu

机构信息

Department of General Studies, School of Health Technology, Jahun, Nigeria.

Department of Mathematical Sciences, Bayero University Kano, Kano, Nigeria.

出版信息

Int Sch Res Notices. 2017 Aug 1;2017:6182492. doi: 10.1155/2017/6182492. eCollection 2017.

Abstract

We modeled the impact of bed-net use and insecticide treated nets (ITNs), temperature, and treatment on malaria transmission dynamics using ordinary differential equations. To achieve this we formulated a simple model of mosquito biting rate that depends on temperature and usage of insecticides treated bed nets. We conducted global uncertainty and sensitivity analysis using Latin Hypercube Sampling (LHC) and Partial Rank Correlation Coefficient (PRCC) in order to find the most effective parameters that affect malaria transmission dynamics. We established the existence of the region where the model is epidemiologically feasible. We conducted the stability analysis of the disease-free equilibrium by the threshold parameter. We found the condition for the existence of the endemic equilibrium and provided necessary condition for its stability. Our results show that the peak of mosquitoes biting rate occurs at a range of temperature values not on a single value as previously reported in literature. The results also show that the combination of treatment and ITNs usage is the most effective intervention strategy towards control and eradication of malaria transmissions. Sensitivity analysis results indicate that the biting rate and the mosquitoes death rates are the most important parameters in the dynamics of malaria transmission.

摘要

我们使用常微分方程对蚊帐和经杀虫剂处理的蚊帐(ITN)的使用、温度以及治疗对疟疾传播动态的影响进行了建模。为实现这一点,我们构建了一个简单的蚊子叮咬率模型,该模型取决于温度和经杀虫剂处理的蚊帐的使用情况。我们使用拉丁超立方抽样(LHC)和偏秩相关系数(PRCC)进行了全局不确定性和敏感性分析,以便找出影响疟疾传播动态的最有效参数。我们确定了该模型在流行病学上可行的区域的存在性。我们通过阈值参数对无病平衡点进行了稳定性分析。我们找到了地方病平衡点存在的条件,并为其稳定性提供了必要条件。我们的结果表明,蚊子叮咬率的峰值出现在一定温度值范围内,而不是如先前文献所报道的单一值。结果还表明,治疗与ITN的使用相结合是控制和消除疟疾传播的最有效干预策略。敏感性分析结果表明,叮咬率和蚊子死亡率是疟疾传播动态中最重要的参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/5557023/f8803263591d/ISRN2017-6182492.001.jpg

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