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基于天气依赖型流行病学模型和全球敏感性分析框架评估西尼罗河病毒传播风险

Assessment of West nile virus transmission risk from a weather-dependent epidemiological model and a global sensitivity analysis framework.

作者信息

Kioutsioukis Ioannis, Stilianakis Nikolaos I

机构信息

Department of Physics, University of Patras, Greece.

Joint Research Centre (JRC), European Commission, Ispra, VA, Italy; Department of Biometry and Epidemiology, University of Erlangen-Nuremberg, Erlangen, Germany.

出版信息

Acta Trop. 2019 May;193:129-141. doi: 10.1016/j.actatropica.2019.03.003. Epub 2019 Mar 4.

Abstract

West Nile virus (WNV) transmission risk is strongly related to weather conditions due to the sensitivity of the mosquitoes to climatic factors. We assess the WNV transmission risk of humans to seasonal weather conditions and the relative effects of parameters affecting the transmission dynamics. The assessment involves a known epidemiological model we extend to account for temperature and precipitation and a global uncertainty and sensitivity analysis framework. We focus on three relevant quantities, the basic reproduction number (R), the minimum infection rate (MIR), and the number of infected individuals. The highest-priority weather-related WNV transmission risks can be attributed to the birth and death rate of mosquitoes, the biting rate of mosquitoes to birds, and the probability of transmission from birds to mosquitoes. Global sensitivity analysis indicates that these parameters make up a big part of the explained variance in R and MIR. The analysis allows for a dynamic assessment over time capturing the period parameters are more relevant than others. Global uncertainty and sensitivity analysis of WNV transmission risk to humans enable insights into the relative importance of individual parameters of the transmission cycle of the virus facilitating the understanding of the dynamics and the implementation of tailored control strategies.

摘要

由于蚊子对气候因素敏感,西尼罗河病毒(WNV)的传播风险与天气状况密切相关。我们评估了人类感染西尼罗河病毒的风险与季节性天气状况的关系,以及影响传播动态的参数的相对影响。评估涉及一个已知的流行病学模型,我们对其进行了扩展以考虑温度和降水,并采用了一个全球不确定性和敏感性分析框架。我们关注三个相关量,即基本再生数(R)、最小感染率(MIR)和感染个体数量。与天气相关的西尼罗河病毒传播的最高优先级风险可归因于蚊子的出生率和死亡率、蚊子对鸟类的叮咬率以及从鸟类传播到蚊子的概率。全球敏感性分析表明,这些参数在解释R和MIR的方差中占很大一部分。该分析允许对一段时间内的动态进行评估,从而确定哪些参数在哪个时期更为相关。对人类感染西尼罗河病毒风险的全球不确定性和敏感性分析,有助于深入了解病毒传播周期中各个参数的相对重要性,从而有助于理解传播动态并实施针对性的控制策略。

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