Mathematically modelling the spread of hepatitis C in injecting drug users

被引:17
|
作者
Corson, S. [1 ]
Greenhalgh, D. [1 ]
Hutchinson, S. [1 ,2 ]
机构
[1] Univ Strathclyde, Dept Math & Stat, Glasgow G1 1HX, Lanark, Scotland
[2] Hlth Protect Scotland, Glasgow G3 7LN, Lanark, Scotland
基金
英国工程与自然科学研究理事会;
关键词
hepatitis C; injecting drug users; IDUs; HCV elimination; mathematical modelling; HUMAN-IMMUNODEFICIENCY-VIRUS; TRANSMISSION; INFECTION; PREVALENCE; IMPACT; REINFECTION; PERSISTENCE; HIV/AIDS; GLASGOW; NEEDLES;
D O I
10.1093/imammb/dqr011
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Mathematical modelling can provide valuable insights into the biological and epidemiological properties of infectious diseases as well as the potential impact of intervention strategies employed by health organizations worldwide. In this paper, we develop a deterministic, compartmental mathematical model to approximate the spread of the hepatitis C virus (HCV) in an injecting drug user (IDU) population. Using analytical techniques, we find that the model behaviour is determined by the basic reproductive number R-0, where R-0 = 1 is a critical threshold separating two different outcomes. If R-0 <= 1 and HCV is initially present in the population, we find that the system will reach a disease-free equilibrium where HCV has been eliminated in all IDUs and needles. If R-0 > 1, then there is a unique positive endemic equilibrium which we show is locally stable. We then use simulations to verify our analytical results and examine the effect of different parameter values and intervention measures on HCV prevalence estimates.
引用
收藏
页码:205 / 230
页数:26
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