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Modelling the Periodic Outbreak of Measles in Mainland China

机译:模拟中国大陆麻疹周期性暴发

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摘要

In mainland China, measles infection reached the lowest level in 2012 but resurged again after that with a seasonally fluctuating pattern. To investigate the phenomenon of periodic outbreak and identify the crucial parameters that play in the transmission dynamics of measles, we formulate a mathematical model incorporating periodic transmission rate and asymptomatic infection with waning immunity. We define the basic reproduction number as the threshold value to govern whether measles infection dies out or not. Fitting the reported measles cases from 2013 to 2016 to our proposed model, we estimate the basic reproduction number R-0 with immunization to be 1.0077. From numerical simulations, we conclude asymptomatic infection does not cause much new infections and the key parameters affecting the transmission of measles are vaccination rate, transmission rate, and recovery rate, which suggests the public to enhance vaccination and protection measures to reduce effective contacts between susceptible and infective individuals and treat infected individuals timely. To minimize the number of infected individuals at a minimal cost, we formulate an optimal control system to design optimal control strategies. Numerical simulations show the effectiveness of optimal control strategies and recommend us to implement the control strategies as soon as possible. In particular, enhancing vaccination is especially effective in lowering the initial outbreak and making disease recurrence less likely.
机译:在中国大陆,麻疹感染在2012年达到最低水平,但此后再次出现季节性波动。为了研究周期性传播的现象,并确定在麻疹传播动态中起作用的关键参数,我们建立了一个包含周期性传播率和免疫力减弱的无症状感染的数学模型。我们将基本繁殖数定义为控制麻疹感染是否消失的阈值。将 2013 年至 2016 年报告的麻疹病例拟合到我们提出的模型,我们估计免疫接种的基本繁殖数 R-0 为 1.0077。通过数值模拟,我们得出结论,无症状感染者不会引起太多新发感染,影响麻疹传播的关键参数是疫苗接种率、传播率和康复率,这表明公众应加强疫苗接种和防护措施,减少易感者和感染者之间的有效接触,及时治疗感染者。为了以最低的成本将感染人数降至最低,我们制定了最佳控制系统,以设计最佳控制策略。数值模拟验证了最优控制策略的有效性,并建议我们尽快实施控制策略。特别是,加强疫苗接种在降低初始疫情和降低疾病复发的可能性方面特别有效。

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