Disease elimination and re-emergence in differential-equation models

Traditional differential equation models of disease transmission are often used to predict disease trajectories and evaluate the effectiveness of alternative intervention strategies. However, such models cannot account explicitly for probabilistic events, such as those that dominate dynamics when di...

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Bibliographic Details
Published in:Journal of Theoretical Biology
Main Authors: Greenhalgh, Scott, Galvani, Alison P., Medlock, Jan
Format: Text
Language:English
Published: 2015
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655889/
http://www.ncbi.nlm.nih.gov/pubmed/26471072
https://doi.org/10.1016/j.jtbi.2015.09.037
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Summary:Traditional differential equation models of disease transmission are often used to predict disease trajectories and evaluate the effectiveness of alternative intervention strategies. However, such models cannot account explicitly for probabilistic events, such as those that dominate dynamics when disease prevalence is low during the elimination and re-emergence phases of an outbreak. To account for the dynamics at low prevalence, i.e. the elimination and risk of disease re-emergence, without the added analytical and computational complexity of a stochastic model, we develop a novel application of control theory. We apply our approach to analyze historical data of measles elimination and re-emergence in Iceland from 1923 to 1938, predicting the temporal trajectory of local measles elimination and re-emerge as a result of disease migration from Copenhagen, Denmark.