Herd immunity

群体免疫
  • 文章类型: Journal Article
    Since the emergence of COVID-19, the forecasting of new daily positive cases and deaths has been one of the essential elements in policy setting and medical resource management worldwide. An essential factor in forecasting is the modeling of susceptible populations and vaccination effectiveness (VE) at the population level. Owing to the widespread viral transmission and wide vaccination campaign coverage, it becomes challenging to model the VE in an efficient and realistic manner, while also including hybrid immunity which is acquired through full vaccination combined with infection. Here, the VE model of hybrid immunity was developed based on an in vitro study and publicly available data. Computational replication of daily positive cases demonstrates a high consistency between the replicated and observed values when considering the effect of hybrid immunity. The estimated positive cases were relatively larger than the observed value without considering hybrid immunity. Replication of the daily positive cases and its comparison would provide useful information of immunity at the population level and thus serve as useful guidance for nationwide policy setting and vaccination strategies.
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  • 文章类型: Journal Article
    截至2022年5月,人类猴痘(MPOX)疾病的新爆发在多个国家。2022年人类MPOX疾病传播超过109例,将疑似病例排除至2022年底。截至同一日期,2022年人类MPOX的死亡人数超过200例。人类MPOX并不是一种新的疾病,这种疾病曾经在非洲大陆的一些国家流行。尽管如此,这种疾病于2022年开始在世界许多国家传播。5月,英国记录了首例2022年人类MPOX病例。在那个日期之后,这种疾病开始在其他一些国家流行,比如美国,西班牙,和巴西。2022年人类MPOX是一种由病毒引起的病毒性疾病,MPOX病毒,这种病毒会在病人的皮肤上引起皮疹和损伤,以及在病人的嘴里。多种有效指标用于2022年人类MPOX的研究,例如人类MPOX(HIhMPOX)的群体免疫,人类MPOX的基本繁殖数(BRNhMPOX),和人MPOX的感染期。本研究的重点是对牛群免疫的研究,和2022年全球多个国家爆发人类MPOX的基本繁殖数。本研究采用了敏感室S的半分析方法,感染隔间I,恢复室R(SIR)大流行模型,包括用于研究群体免疫的死亡率,和2022年人类MPOX病的基本繁殖数。发现2022年人类MPOX疾病的群体免疫平均值等于0.2194,即多个国家为21.94%,相当于美国的35.52%,西班牙为30.99%。此外,发现2022年人类MPOX疾病的基本繁殖数的平均值在多个国家等于1.2810。从这些值可以得出结论,必须以有效的方式对全部易感人群的21.94%进行免疫接种,以防止疾病的传播。此外,基于以前的值,结论是,2022年MPOX疾病的状况正在作为大流行传播。
    As of May 2022, a new outbreak of the human monkeypox (MPOX) disease appeared in multiple countries, where the 2022 human MPOX disease spread to more than 109 cases, excluding the suspected cases up to the end of 2022. The deaths of the 2022 human MPOX exceeded 200 cases up to the same date. The human MPOX is not a new disease, this disease was once endemic in some countries on the African continent. Despite this, this disease began to spread in a number of countries around the world in 2022. The first case of the 2022 human MPOX was recorded in the United Kingdom in May. After that date, this disease began to become a pandemic in a number of other countries, such as the United States, Spain, and Brazil. The 2022 human MPOX is a type of viral disease caused by a viral virus, the MPOX virus, and this virus causes rashes and lesions over the skin of the patient, as well as in the mouth of the patient. Multiple effective indicators are employed for the study of the 2022 of the human MPOX, such as the herd immunity of the human MPOX (HIhMPOX), the basic reproduction number of the human MPOX (BRNhMPOX), and the infection period of the human MPOX. This study focuses on the study of the herd immunity of, and the basic reproduction number of the 2022 outbreak of human MPOX in multiple countries around the world. This study employed the semianalytical method of the Susceptible compartment S, Infectious compartment I, Recovered compartment R (SIR) pandemic model including the mortality for the study of the herd immunity, and the basic reproduction number of the 2022 human MPOX disease. It is found that the average value of the herd immunity for the human MPOX disease in 2022 equals to 0.2194, that is, 21.94% for multiple countries, and equals to 35.52% for the United States, and 30.99% for Spain. Also, it is found that the average value of the basic reproduction number of the 2022 human MPOX disease equals to 1.2810 for multiple countries. It is concluded from these values that 21.94% of the total susceptible population has to be immunized in an effective way to prevent the spreading of the disease. Also, based on the previous values, it is concluded that the status of the 2022 MPOX disease is spreading as a pandemic.
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  • 文章类型: Journal Article
    非洲猪瘟(ASF)是由ASF病毒(ASFV)引起的高度传染性疾病,其在家猪中具有高致死率,导致高社会经济影响。越南的生猪业务最近首次受到ASF的影响。因此,这项研究旨在开发一种疾病动态模型,以解释ASFV如何在越南猪种群中传播,并提出预防未来爆发所需的保护性疫苗覆盖率。疫情数据是从越南第一波ASF疫情中的十个私人小规模农场收集的。使用三种方法估计基本繁殖数(R0),包括指数增长法,最大似然法,和攻击率方法。平均R0值估计为1.49(95CI:1.05-2.21),1.58(95CI:0.92-2.56),和1.46(95CI:1.38-1.57),分别。根据最坏的情况,猪群中的所有猪都将在50天内被感染并被移走。我们建议,一旦获得商业批准的ASF疫苗,就在每个农场接种至少80%的猪。然而,仍然鼓励提高小规模农场的生物安全水平,以防止病毒的引入。
    African swine fever (ASF) is a highly contagious disease that is caused by the ASF virus (ASFV) with a high fatality rate in domestic pigs resulting in a high socio-economic impact. The pig business in Vietnam was recently affected by ASF for the first time. This study thus aimed to develop a disease dynamic model to explain how ASFV spreads in Vietnamese pig populations and suggest a protective vaccine coverage level required to prevent future outbreaks. The outbreak data were collected from ten private small-scale farms within the first wave of ASF outbreaks in Vietnam. Three methods were used to estimate the basic reproduction number (R0), including the exponential growth method, maximum likelihood method, and attack rate method. The average R0 values were estimated at 1.49 (95%CI: 1.05-2.21), 1.58 (95%CI: 0.92-2.56), and 1.46 (95%CI: 1.38-1.57), respectively. Based on the worst-case scenario, all pigs in a herd would be infected and removed within 50 days. We suggest vaccinating at least 80% of pigs on each farm once a commercially approved ASF vaccine is available. However, an improvement in biosecurity levels in small-scale farms is still greatly encouraged to prevent the introduction of the virus.
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  • 文章类型: Journal Article
    对于像COVID-19这样的流行病,大量人群无症状,未经测试的感染,模型预测通常与仅通过实验室测试确认的病例报告的数据不兼容。此外,大多数隔室模型都可以从感染中即时恢复,与观察相反。使用观察到的数据调整此类模型以获得未知的感染率是一个不适定的问题。这里,我们从第一个原理推导出一个流行病学模型,该模型在新感染(N)和恢复(R)人群之间存在延迟.为了克服模型和案例数据不兼容的挑战,我们求解观测量的比率,并表明log(N(t)/R(t))应遵循一条直线。这个简单的预测工具在使用中国和意大利的数据验证的后记中是准确的。在传统流行病学中,当大部分人口被感染,从而实现“群体免疫”时,流行病就会减弱。对于一种高度传染性和致命的疾病,没有人类干预或疫苗,群体免疫不是一个可行的目标。甚至在疫苗问世之前,中国和韩国的社会措施抑制了这一流行病,感染人口的比例不到5%。社会行为的影响应该并被纳入我们的模型中。
    For epidemics such as COVID-19, with a significant population having asymptomatic, untested infection, model predictions are often not compatible with data reported only for the cases confirmed by laboratory tests. Additionally, most compartmental models have instantaneous recovery from infection, contrary to observation. Tuning such models with observed data to obtain the unknown infection rate is an ill-posed problem. Here, we derive from the first principle an epidemiological model with delay between the newly infected (N) and recovered (R) populations. To overcome the challenge of incompatibility between model and case data, we solve for the ratios of the observed quantities and show that log(N(t)/R(t)) should follow a straight line. This simple prediction tool is accurate in hindcasts verified using data for China and Italy. In traditional epidemiology, an epidemic wanes when much of the population is infected so that \'herd immunity\' is achieved. For a highly contagious and deadly disease, herd immunity is not a feasible goal without human intervention or vaccines. Even before the availability of vaccines, the epidemic was suppressed with social measures in China and South Korea with much less than 5% of the population infected. Effects of social behaviour should be and are incorporated in our model.
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  • 文章类型: Case Reports
    The COVID-19 pandemic caused by SARS CoV-2 is a worldwide emergency, and is taking a substantial toll on human health, lives, and the global economy. Due to the novelty of this virus, no SARS CoV-2-specific treatments or licensed vaccines are available though few vaccines are undergoing clinical trials. Therefore, continued research into an effective vaccine is an urgent necessity. The reinfection of recovered patients is one of the major concerns of healthcare providers worldwide. Health authorities are currently seeking evidence of protection from reinfection in recovered individuals. This is the first case report in Saudi Arabia on a patient who was diagnosed as COVID-19-positive; recovered; and after successful recovery was protected against reinfection.
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  • 文章类型: Letter
    Since 2017, 10 vaccines are compulsory for newborns in Italy and unvaccinated children are not admitted to kindergartens. Recently the Italian Government announced the perspective of reforming the law about the compulsory vaccination. A debated started about the presence, in the same class of the schools, of unvaccinated and immunocompromised children. Cancer is the one of the most important cause of immunodepression among children: after the chemoterapy, there is a period of 13-23 months in which the cancer survivors have to come back at the school and at to the \"normal life\" (even for psychological exigency) but remain at risk of infectious disease for the immunodepression. The most important chance to protect this subgroup of patients remains the herd immunity.
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  • 文章类型: Journal Article
    We estimated the direct, indirect and total effects of the 13-valent pneumococcal conjugate vaccine (PCV13) on invasive pneumococcal disease (IPD) in children. A population-based cohort study followed children aged between 2.5 and 59 months between 2001 and 2014 in Navarra, Spain. IPD incidence was compared by PCV status and period. All cases diagnosed from July 2010 to December 2014 and eight matched controls per case were analysed to estimate the adjusted direct effect of PCV13. A total of 120,980 children were followed and 206 IPD cases were detected. Compared with unvaccinated children in the baseline period (2001-2004), overall IPD incidence in 2011-2014 (76% average PCV coverage) declined equally in vaccinated (total effect: 76%; hazard ratio (HR): 0.24; 95% confidence interval (CI): 0.14-0.40) and unvaccinated children (indirect effect: 78%; HR: 0.22; 95% CI: 0.09-0.55). IPD incidence from non-PCV13 serotypes increased among vaccinated children (HR: 2.84; 95% CI: 1.02-7.88). The direct effect of one or more doses of PCV13 against vaccine serotypes was 95% (odds ratio: 0.05; 95% CI: 0.01-0.55). PCV13 was highly effective in preventing vaccine-serotype IPD. The results suggest substantial and similar population-level vaccine benefits in vaccinated and unvaccinated children through strong total and indirect effects.
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