基于年龄异质模型的中国结核病传播现状分析
Chuanqing Xu1, Kedeng Cheng1, Yu Wang1
1School of Science, Beijing University of Civil Engineering and Architecture, 100044, China.
Mathematical biosciences and engineering : MBE
|December 5, 2023
概括
在中国,结核病的传播受到年龄的重大影响. 针对老年人的干预措施,如减少感染和改善康复,可以制结核病的传播,并可能更快地实现世卫组织的目标.
科学领域:
- 流行病学 流行病学
- 数学建模的数学建模
- 公共卫生 公共卫生
背景情况:
- 结核病 (TB) 在中国是一个重大的公共卫生挑战,自2004年以来,每年有超过80万例报告病例.
- 对2004-2018年结核病发病率数据的分析显示,在不同年龄的人口结构中存在不同的模式.
研究的目的:
- 调查年龄异质性对中国结核病传播动态的影响.
- 评估中国是否能够实现世界卫生组织的结核病终结战略目标.
主要方法:
- 开发一个数学模型来模拟结核病传播,并结合特定年龄因素.
- 使用非线性最小平方进行参数估计,并计算基本复制数 (R0).
- 进行了灵敏度分析,以确定各种参数对R0.0的影响.
主要成果:
- 基本繁殖数 (R0) 计算为0.8017,表明控制的潜力.
- 模拟结果强调,减少新感染和提高老年人群的康复率对于控制结核病至关重要.
- 目前的控制措施表明,中国将达到世卫组织的目标,即到2049年减少90%的新病例,而不是目标年.
结论:
- 针对老年人群的结核病干预措施对于中国有效的疾病控制至关重要.
- 如果减少老年人接触率,在理论上可以实现到2035年世界卫生组织消除结核病战略的目标,尽管在实践中具有挑战性.
- 中国需要大幅加快结核病控制工作,才能在预计的时间表内实现全球结核病消除目标.
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