呼吸道感染在癌症环境中的传播模型:系统性审查
Sara N Levintow1, Molly Remch1, Emily P Jones2
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
监狱环境中的传播建模对于控制结核病和SARS-CoV-2等传染病至关重要. 需要加强模型验证和伦理考虑,以便在监狱和监狱中进行有效的公共卫生干预.
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:
- 监狱环境中的传染病爆发带来了独特的挑战.
- 传播模型对于理解和缓解这些疫情至关重要.
- 之前的审查早于SARS-CoV-2大流行期间疫情的显著增加.
研究的目的:
- 在癌症环境中系统审查使用呼吸道感染传播模型的研究.
- 分析模型方法,干预措施及其在SARS-CoV-2大流行之前和期间的影响.
主要方法:
- 在PubMed,Embase,Scopus,CINAHL和PsycInfo (1970-2024) 中进行系统搜索.
- 提取有关疾病,人口,环境,建模方法,参数化,校准,验证,敏感性分析和干预措施的数据.
- 对干预类型,影响和伦理考虑的分析.
主要成果:
- 46项研究符合标准;结核病 (52%) 和SARS-CoV-2 (43%) 是最受模拟的.
- 美国 (33%) 和巴西 (17%) 是主要焦点; 分区模型是最常见的 (80%).
- 测试,治疗,隔离和通风等干预措施大大减少了模拟传播,但有时会忽视道德问题.
结论:
- 疫情增加了对癌症传播动态的关注,主要是针对SARS-CoV-2和结核病.
- 改进模型校准,验证和考虑实用/道德方面的考虑是必不可少的.
- 将模型估计转化为对脆弱的癌症患者群体的切实利益需要进一步关注.
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