Orellano Pablo, Vezzani Darío, Quaranta Nancy, Cionco Rodolfo, Reynoso Julieta, Salomon Oscar
CONICET, Universidad Tecnológica Nacional, Argentina, Send correspondence to Pablo Orellano,
CONICET, Universidad Nacional del Centro de la Provincia de Buenos Aires, Argentina.
Rev Panam Salud Publica. 2018 Feb 19;41:e120. doi: 10.26633/RPSP.2017.120.
To assess the potential occurrence of Zika transmission throughout Argentina by the mosquito Aedes aegypti considering the basic reproduction number (R0).
A model originally developed for dengue was adapted for Zika. R0 was estimated as a function of seven parameters, three of them were considered temperature-dependent. Seasonal Zika occurrence was evaluated in 9 locations representing different climatic suitability for the vector. Data of diary temperatures were extracted and included in the model. A threshold of R0 = 1 was fixed for Zika occurrence. Sensitivity analyses were performed to evaluate the uncertainty around the results.
Zika transmission has the potential to occur in all studied locations at least in some moment of the year. In the northern region, transmission might be possible throughout the whole year or with an interruption in winter. The maximum R0 was estimated in 6.9, which means an average of 7 secondary cases from a primary case. The probabilistic sensitivity analysis showed that during winter the transmission can only be excluded in the southern fringe of geographic distribution of the vector and in part of central Argentina.
Zika virus has the potential to be transmitted in Argentina throughout the current geographic range of the mosquito vector. Although the transmission would be mainly seasonal, the possibility of winter transmission cannot be excluded in northern and central Argentina, meaning that there is a potential endemic maintenance of the disease.
考虑基本再生数(R0),评估埃及伊蚊在阿根廷全境传播寨卡病毒的潜在可能性。
将最初用于登革热的模型改编用于寨卡病毒。R0被估计为七个参数的函数,其中三个参数被认为与温度有关。在代表该媒介不同气候适宜性的9个地点评估了寨卡病毒的季节性发生情况。提取了日温度数据并纳入模型。将R0 = 1设定为寨卡病毒发生的阈值。进行了敏感性分析以评估结果的不确定性。
寨卡病毒传播至少在一年中的某些时候有可能在所有研究地点发生。在北部地区,全年或冬季中断时可能发生传播。估计最大R0为6.9,这意味着平均每个原发病例有7个继发病例。概率敏感性分析表明,在冬季,仅在该媒介地理分布的南部边缘和阿根廷中部部分地区可以排除传播。
寨卡病毒有可能在阿根廷目前蚊媒的地理范围内传播。虽然传播主要是季节性的,但在阿根廷北部和中部不能排除冬季传播的可能性,这意味着该疾病有可能维持地方性流行。