评估迈阿密的奇孔古尼亚疫情规模和紧急疫苗接种策略:一个探索性建模研究
A M de Roo1,2, M Boer3, G T Vondeling4
1Unit of Global Health, Department of Health Sciences, University Medical Center Groningen, Groningen, The Netherlands. a.m.de.roo@rug.nl.
BMC public health
|November 4, 2025
概括
奇孔古尼亚病毒 (CHIKV) 疫情在迈阿密全年可能发生,与蚊子种群相关的风险更高. 紧急疫苗接种可以显著减少疫情的规模,特别是更高的蚊子对人类的比率.
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:
- 奇孔古尼亚病毒 (CHIKV) 由于病媒传播的疾病扩散,构成了日益严重的全球威胁.
- 迈阿密-戴德县是极易受到CHIKV的感染,原因是当地特有的Aedes aegypti蚊子和国际旅行.
- 在2024年,全球报告了近50万个奇昆古尼亚病例.
研究的目的:
- 为了模拟CHIKV疫情在迈阿密城市的潜在影响.
- 评估紧急疫苗接种作为预防策略的有效性.
主要方法:
- 开发了一个具有SEIR-SEI结构的动态矢量主机模型.
- 场景包括不同的载体-宿主比率 (VHR) 和疫苗接种覆盖率.
- 紧急疫苗接种被模拟为疫情应对措施.
主要成果:
- 迈阿密的CHIKV传播可以全年发生,从5月到8月达到顶峰.
- 疫情发生的可能性和规模强烈依赖于VHR.
- 紧急疫苗接种减少了19%-58%的爆发规模,覆盖率为10%,取决于VHR.
结论:
- 探索性建模为迈阿密的CHIKV爆发动态和缓解策略提供了洞察力.
- 紧急疫苗接种可以成为减少 chikungunya 疫情影响的有效工具.
- 这一框架有助于在亚热带地区为奇昆古尼亚做好准备.
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