A Dynamic Compartmental Model to Explore the Optimal Strategy of Varicella Vaccination: An Epidemiological Study in Jiangsu Province, China

Autor: Xiang Sun, Chenxi Dai, Kai Wang, Yuanbao Liu, Xinye Jin, Congyue Wang, Yi Yin, Zhongxing Ding, Zhenzhen Lu, Weiming Wang, Zhiguo Wang, Fenyang Tang, Kaifa Wang, Zhihang Peng
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Tropical Medicine and Infectious Disease, Vol 8, Iss 1, p 17 (2022)
Druh dokumentu: article
ISSN: 2414-6366
DOI: 10.3390/tropicalmed8010017
Popis: Varicella (chickenpox) is highly contagious among children and frequently breaks out in schools. In this study, we developed a dynamic compartment model to explore the optimal schedule for varicella vaccination in Jiangsu Province, China. A susceptible-infected-recovered (SIR) model was proposed to simulate the transmission of varicella in different age groups. The basic reproduction number was computed by the kinetic model, and the impact of three prevention factors was assessed through the global sensitivity analysis. Finally, the effect of various vaccination scenarios was qualitatively evaluated by numerical simulation. The estimated basic reproduction number was 1.831 ± 0.078, and the greatest contributor was the 5–10 year-old group (0.747 ± 0.042, 40.80%). Sensitivity analysis indicated that there was a strong negative correlation between the second dose vaccination coverage rate and basic reproduction number. In addition, we qualitatively found that the incidence would significantly decrease as the second dose vaccine coverage expands. The results suggest that two-dose varicella vaccination should be mandatory, and the optimal age of second dose vaccination is the 5–10 year-old group. Optimal vaccination time, wide vaccine coverage along with other measures, could enhance the effectiveness of prevention and control of varicella in China.
Databáze: Directory of Open Access Journals