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中国麻疹的季节性传播动态

Seasonal transmission dynamics of measles in China.

作者信息

Huang Jicai, Ruan Shigui, Wu Xiao, Zhou Xuelei

机构信息

School of Mathematics and Statistics, Central China Normal University, Wuhan, 430079, People's Republic of China.

Department of Mathematics, University of Miami, Coral Gables, FL, 33146, USA.

出版信息

Theory Biosci. 2018 Nov;137(2):185-195. doi: 10.1007/s12064-018-0271-8. Epub 2018 Sep 27.

Abstract

Measles, a highly contagious infection caused by the measles virus, is a major public health problem in China. The reported measles cases decreased dramatically from 2004 to 2012 due to the mandatory measles vaccine program started in 2005 and the goal of eliminating measles by 2012. However, after reaching its lowest level in 2012, measles has resurged again since 2013. Since the monthly data of measles cases exhibit a seasonally fluctuating pattern, based on the measles model in Earn et al. (Science 287:667-670, 2000), we propose a susceptible, exposed, infectious, and recovered model with periodic transmission rate to investigate the seasonal measles epidemics and the effect of vaccination. We calculate the basic reproduction number [Formula: see text], analyze the dynamical behavior of the model, and use the model to simulate the monthly data of measles cases reported in China. We also carry out some sensitivity analysis of [Formula: see text] in the terms of various model parameters which shows that measles can be controlled and eventually eradicated by increasing the immunization rate, improving the effective vaccine management, and enhancing the awareness of people about measles.

摘要

麻疹是由麻疹病毒引起的一种高度传染性疾病,在中国是一个重大的公共卫生问题。由于2005年启动的强制性麻疹疫苗接种计划以及到2012年消除麻疹的目标,2004年至2012年期间报告的麻疹病例大幅下降。然而,在2012年达到最低水平后,麻疹自2013年起再次出现反弹。由于麻疹病例的月度数据呈现出季节性波动模式,基于Earn等人(《科学》287:667 - 670,2000)的麻疹模型,我们提出了一个具有周期性传播率的易感、暴露、感染和康复模型,以研究季节性麻疹流行情况以及疫苗接种的效果。我们计算了基本再生数[公式:见正文],分析了该模型的动力学行为,并使用该模型模拟了中国报告的麻疹病例月度数据。我们还针对[公式:见正文]对各种模型参数进行了一些敏感性分析,结果表明,通过提高免疫接种率、改善有效的疫苗管理以及增强人们对麻疹的认识,麻疹是可以得到控制并最终根除的。

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