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应用易感-暴露-感染-移除-不可检出-易感模型估计 COVID-19 再感染的概率。

Estimation of the Probability of Reinfection With COVID-19 by the Susceptible-Exposed-Infectious-Removed-Undetectable-Susceptible Model.

机构信息

Department of Mathematics, Nasarawa State University Keffi, Keffi, Nigeria.

出版信息

JMIR Public Health Surveill. 2020 May 13;6(2):e19097. doi: 10.2196/19097.

Abstract

BACKGROUND

With the sensitivity of the polymerase chain reaction test used to detect the presence of the virus in the human host, the worldwide health community has been able to record a large number of the recovered population.

OBJECTIVE

The aim of this study was to evaluate the probability of reinfection in the recovered class and the model equations, which exhibits the disease-free equilibrium state for the coronavirus disease.

METHODS

The model differential equation was evaluated for the disease-free equilibrium for the case of reinfection as well as the existence and stability criteria for the disease, using the model proportions. This evaluation shows that the criteria for a local or worldwide asymptotic stability with a basic reproductive number (R=0) were satisfied. Hence, there is a chance of no secondary reinfections from the recovered population, as the rate of incidence of the recovered population vanishes (ie, B=0).

RESULTS

With a total of about 900,000 infected cases worldwide, numerical simulations for this study were carried out to complement the analytical results and investigate the effect that the implementation of quarantine and observation procedures has on the projection of further virus spread.

CONCLUSIONS

As shown by the results, the proportion of the infected population, in the absence of a curative vaccination, will continue to grow worldwide; meanwhile, the recovery rate will continue slowly, which means that the ratio of infection rate to recovery rate will determine the death rate that is recorded. Most significant for this study is the rate of reinfection by the recovered population, which will decline to zero over time as the virus is cleared clinically from the system of the recovered class.

摘要

背景

由于聚合酶链反应检测用于检测人类宿主中病毒存在的敏感性,全球卫生界已经能够记录大量已康复人群。

目的

本研究的目的是评估已康复人群中再次感染的概率和模型方程,该方程展示了冠状病毒病的无病平衡点。

方法

使用模型比例评估了再次感染情况下无病平衡点的模型微分方程,以及疾病存在和稳定性标准。该评估表明,满足局部或全球渐近稳定性的标准(R=0)。因此,由于已康复人群的发病率趋于零(即 B=0),从已康复人群中再次发生二次感染的可能性很小。

结果

全球约有 90 万例感染病例,对该研究进行了数值模拟,以补充分析结果,并研究检疫和观察程序的实施对进一步病毒传播预测的影响。

结论

结果表明,在没有治愈性疫苗的情况下,感染人群的比例将继续在全球范围内增长;同时,恢复率将继续缓慢增长,这意味着感染率与恢复率的比率将决定记录的死亡率。本研究最重要的是已康复人群的再次感染率,随着病毒从已康复人群的系统中临床清除,该比率将随时间下降至零。

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