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预测疟疾传播阻断疫苗的公共卫生影响。

Predicting the public health impact of a malaria transmission-blocking vaccine.

机构信息

Medical Research Council Centre for Global Infections Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.

Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso.

出版信息

Nat Commun. 2021 Mar 8;12(1):1494. doi: 10.1038/s41467-021-21775-3.

Abstract

Transmission-blocking vaccines that interrupt malaria transmission from humans to mosquitoes are being tested in early clinical trials. The activity of such a vaccine is commonly evaluated using membrane-feeding assays. Understanding the field efficacy of such a vaccine requires knowledge of how heavily infected wild, naturally blood-fed mosquitoes are, as this indicates how difficult it will be to block transmission. Here we use data on naturally infected mosquitoes collected in Burkina Faso to translate the laboratory-estimated activity into an estimated activity in the field. A transmission dynamics model is then utilised to predict a transmission-blocking vaccine's public health impact alongside existing interventions. The model suggests that school-aged children are an attractive population to target for vaccination. Benefits of vaccination are distributed across the population, averting the greatest number of cases in younger children. Utilising a transmission-blocking vaccine alongside existing interventions could have a substantial impact against malaria.

摘要

阻断疟疾在人类和蚊子之间传播的疫苗正在进行早期临床试验。这种疫苗的效果通常通过膜喂养实验进行评估。了解这种疫苗的现场效果需要了解受感染的野生自然吸血蚊子的严重程度,因为这表明阻断传播将有多困难。在这里,我们使用在布基纳法索收集的自然感染蚊子的数据,将实验室估计的活动转化为现场估计的活动。然后,利用传播动力学模型来预测疫苗接种与现有干预措施一起产生的公共卫生影响。该模型表明,学龄儿童是接种疫苗的一个有吸引力的目标人群。接种疫苗的好处在人群中分布,使年龄较小的儿童避免了最多的病例。结合现有干预措施使用阻断传播的疫苗可能会对疟疾产生重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/7940395/d6d881b4c316/41467_2021_21775_Fig1_HTML.jpg

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