2000
DOI: 10.1093/ije/29.1.180
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Mathematical modelling of infection and disease due to Neisseria meningitidis and Neisseria lactamica

Abstract: The role of LC as a natural immunogen against asymptomatic and symptomatic meningococcal infection was consistent with available field data. If the introduction of novel meningococcal vaccines into a population changes the prevalence of MC or LC, this could have a substantial impact on the effectiveness of immunization programmes. This paper demonstrates the potential utility of modelling to estimate these effects.

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Cited by 58 publications
(42 citation statements)
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“…As previously discussed [4], the amalgamation of two studies conducted in different countries in different decades is far from ideal, but it was essential to increase the number of young children in the dataset. Both studies used similar microbiological techniques, and were conducted in countries that have similar meningococcal disease epidemiology.…”
Section: Discussionmentioning
confidence: 99%
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“…As previously discussed [4], the amalgamation of two studies conducted in different countries in different decades is far from ideal, but it was essential to increase the number of young children in the dataset. Both studies used similar microbiological techniques, and were conducted in countries that have similar meningococcal disease epidemiology.…”
Section: Discussionmentioning
confidence: 99%
“…Coen et al [4] suggested that a model in which carriage of N. lactamica conferred temporary immunity against carriage with N. meningitidis was more appropriate than a simple SIS model of carriage. We favoured the SIS approach here for several reasons.…”
Section: Discussionmentioning
confidence: 99%
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“…In comparison to carriage, disease incidence is relatively rare. One of the factors associated with the relatively low disease prevalence is carriage of commensals, such as N. lactamica, in the nasopharyngeal mucosa [7,8]. In support of these studies, we have more recently shown that N. lactamica induces secretion of broadly protective innate IgM [9] and suppresses inflammation during NmB infection of nasopharyngeal cells in vitro using a toll-like receptor 2 (TLR2)-dependent signalling mechanism [10].…”
Section: Introductionmentioning
confidence: 61%