首页|基于异质性动力学模型的乙肝疫苗接种效果评估研究

基于异质性动力学模型的乙肝疫苗接种效果评估研究

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中国是世界上乙肝高负担国家之一,每年新增感染者的数量一直处于较高水平,15岁以上人群的感染占比高达97.5%,而疫苗接种是降低疾病传播风险的最有效途径,有效分析和评估在成年人群体中接种或补种疫苗的作用是非常必要的.在对不同年龄组的新发感染病例数据分析的基础上,我们建立了一个包含多年龄组和疫苗接种的乙肝传播动力学模型,对所选取的时间段内多个年龄组的乙肝新发病例数据进行拟合,得到了模型参数,计算得到基本再生数R0=1.0230,并对R0进行了参数敏感性分析.模拟得到第一年龄组的疫苗接种与R0的负相关性最强,加大疫苗接种比例可以显著减少乙肝的传播.根据不同的疫苗接种免疫方案对乙肝病例数影响结果的探究,得到对25-35岁和40-55岁的人群接种疫苗的效果最好.疫苗接种对于减少乙肝发病数的帮助是巨大的,但如果想要短时间内大幅度降低乙肝的发病率,则需要寻求其它更为有效的控制措施.
Hepatitis B Vaccination Effectiveness Evaluation Study Based on Heterogeneous Dynamic Model
China is one of the countries with high burden of hepatitis B in the world.The number of newly infected people every year has been at a high level.The infection proportion of people over 15 years old is as high as 97.5%.Vaccination is the most effective way to reduce the risk of disease transmission.It is very necessary to effectively analyze and evaluate the role of vaccination or supplementary vaccination in adult groups.On the basis of analyzing the data of new infections in different age groups,we develop a model of hepatitis B transmission dynamics including multiple age groups and vaccination,fit the data of new hepatitis B cases in multiple age groups,obtain the model parameters,and compute the basic regeneration number R0=1.0230,and perform sensitivity analysis on R0;Simulations yield the strongest negative correlation between vaccination and R0 in the first age group,and increasing the proportion of vaccinations significantly reduces hepatitis B transmission.Simulations yield the strongest negative correlation between vaccination and Ro in the first age group,and increasing the proportion of vaccinations significantly reduces hepatitis B transmission.According to simulation results of different vaccination programs on the number of hepatitis B cases,vaccination in the 25-35 and 40-55 age groups can be helpful in reducing the number of hepatitis B cases.However other more effective control measures should be taken to completely control the spread of hepatitis B.

hepatitis Bbasic reproduction numberdata fittingsensitivity analysisvac-cine immunization strategy

代莲娇、程科登、许传青、郭松柏

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北京建筑大学理学院,北京 102616

乙型肝炎 基本再生数 数据拟合 敏感性分析 疫苗免疫策略

2024

数学的实践与认识
中国科学院数学与系统科学研究院

数学的实践与认识

CSTPCD北大核心
影响因子:0.349
ISSN:1000-0984
年,卷(期):2024.54(12)