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性传播对寨卡病毒动态变化的影响。

The effect of sexual transmission on Zika virus dynamics.

作者信息

Saad-Roy C M, Ma Junling, van den Driessche P

机构信息

Department of Mathematics and Statistics, University of Victoria, Victoria, BC, V8W 2Y2, Canada.

出版信息

J Math Biol. 2018 Dec;77(6-7):1917-1941. doi: 10.1007/s00285-018-1230-1. Epub 2018 Apr 25.

DOI:10.1007/s00285-018-1230-1
PMID:29696377
Abstract

Zika virus is a human disease that may lead to neurological disorders in affected individuals, and may be transmitted vectorially (by mosquitoes) or sexually. A mathematical model of Zika virus transmission is formulated, taking into account mosquitoes, sexually active males and females, inactive individuals, and considering both vector transmission and sexual transmission from infectious males to susceptible females. Basic reproduction numbers are computed, and disease control strategies are evaluated. The effect of the incidence function used to model sexual transmission from infectious males to susceptible females is investigated. It is proved that for such functions that are sublinear, if the basic reproduction [Formula: see text], then the disease dies out and [Formula: see text] is a sharp threshold. Moreover, under certain conditions on model parameters and assuming mass action incidence for sexual transmission, it is proved that if [Formula: see text], there exists a unique endemic equilibrium that is globally asymptotically stable. However, under nonlinear incidence, it is shown that for certain functions backward bifurcation and Hopf bifurcation may occur, giving rise to subthreshold equilibria and periodic solutions, respectively. Numerical simulations for various parameter values are displayed to illustrate these behaviours.

摘要

寨卡病毒是一种可导致受感染个体出现神经紊乱的人类疾病,它可通过媒介(蚊子)传播或性传播。构建了一个寨卡病毒传播的数学模型,该模型考虑了蚊子、有性活动的男性和女性、非活动个体,并兼顾了媒介传播以及从感染男性到易感女性的性传播。计算了基本再生数,并评估了疾病控制策略。研究了用于模拟从感染男性到易感女性性传播的发病率函数的影响。结果证明,对于此类次线性函数,如果基本再生数[公式:见原文],那么疾病会消亡,且[公式:见原文]是一个尖锐阈值。此外,在模型参数的某些条件下,并假设性传播的质量作用发病率,结果证明如果[公式:见原文],则存在唯一的地方病平衡点,该平衡点是全局渐近稳定的。然而,在非线性发病率情况下,结果表明对于某些函数可能会出现反向分支和霍普夫分支,分别产生亚阈值平衡点和周期解。展示了针对各种参数值的数值模拟,以说明这些行为。

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本文引用的文献

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Mathematical model of Zika virus with vertical transmission.具有垂直传播的寨卡病毒数学模型。
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Zika virus dynamics: When does sexual transmission matter?寨卡病毒动力学:性传播何时重要?
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Differential Responses of Human Fetal Brain Neural Stem Cells to Zika Virus Infection.人类胎儿脑神经元干细胞对寨卡病毒感染的不同反应
天气季节性和性传播对寨卡热传播的影响。
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Estimate of the reproduction number of the 2015 Zika virus outbreak in Barranquilla, Colombia, and estimation of the relative role of sexual transmission.2015年哥伦比亚巴兰基亚寨卡病毒疫情的繁殖数估计及性传播相对作用的评估
Epidemics. 2016 Dec;17:50-55. doi: 10.1016/j.epidem.2016.10.003. Epub 2016 Oct 17.
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Sex, Mosquitoes and Epidemics: An Evaluation of Zika Disease Dynamics.性别、蚊子与流行病:寨卡病动态评估
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Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016.更新:2016 年 9 月,针对可能接触过寨卡病毒的人群,提供寨卡病毒孕前咨询和预防性行为传播的临时指导——美国。
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