Canals L Mauricio
Departamento de Medicina, Facultad de Medicina, Universidad de Chile, Chile.
Rev Chilena Infectol. 2021 Aug;38(4):495-499. doi: 10.4067/S0716-10182021000400495.
The concept of herd immunity is briefly reviewed, showing that some popularized ideas do not correspond to the original concept. The relationship with the basic and effective reproductive numbers is established. It is pointed out that the threshold for the herd effect does not indicate the number of individuals that will be infected in an epidemic. The relationship with the effective vaccination threshold and its relationship with the effectiveness of the vaccine are established. The reducing effect of the herd immunity threshold produced by the heterogeneity of transmission and mixing in the population and the existence of isolated subpopulations are analyzed, which could be important and could explain the low levels of post-epidemic seroprevalence in some places helping to mitigate new outbreaks.
简要回顾了群体免疫的概念,表明一些广为流传的观点与原始概念并不相符。建立了与基本繁殖数和有效繁殖数的关系。指出群体效应阈值并不表明在疫情中将会感染的个体数量。建立了与有效疫苗接种阈值的关系及其与疫苗效力的关系。分析了人群中传播和混合的异质性以及孤立亚群的存在所产生的群体免疫阈值降低效应,这可能很重要,并可以解释一些地方疫情后血清阳性率较低的情况,有助于减轻新的疫情爆发。