2010
DOI: 10.1051/mmnp/20105312
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Pre-symptomatic Influenza Transmission, Surveillance, and School Closings: Implications for Novel Influenza A (H1N1)

Abstract: Abstract. Early studies of the novel swine-origin 2009 influenza A (H1N1) epidemic indicate clinical attack rates in children much higher than in adults. Non-medical interventions such as school closings are constrained by their large socio-economic costs. Here we develop a mathematical model to ascertain the roles of pre-symptomatic influenza transmission as well as symptoms surveillance of children to assess the utility of school closures. Our model analysis indicates that school closings are advisable when … Show more

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Cited by 14 publications
(10 citation statements)
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References 41 publications
(45 reference statements)
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“…Furthermor e, viral shedding during the preclinical stage of infection was confirmed to occur in approximately 1-8% of infections [22] and preclinical transmis sion was also recorded in early H1N1 outbreaks [23]. Mathema tical models have demonstrated how preclinical transmission can influence the magnitude of outbreaks in large closed populations , such as schools, workplaces and military facilities, and highlight s the importance of such transmis sion in the decision process [24]. In particular, a greater transmis sion ability during the preclinic al period has been associated with children [25] and this increases the need to understa nd the effects of this state on the disease pathway.…”
Section: An Alternative Modelling Approachmentioning
confidence: 99%
See 1 more Smart Citation
“…Furthermor e, viral shedding during the preclinical stage of infection was confirmed to occur in approximately 1-8% of infections [22] and preclinical transmis sion was also recorded in early H1N1 outbreaks [23]. Mathema tical models have demonstrated how preclinical transmission can influence the magnitude of outbreaks in large closed populations , such as schools, workplaces and military facilities, and highlight s the importance of such transmis sion in the decision process [24]. In particular, a greater transmis sion ability during the preclinic al period has been associated with children [25] and this increases the need to understa nd the effects of this state on the disease pathway.…”
Section: An Alternative Modelling Approachmentioning
confidence: 99%
“…The system (14)- (20) always has a disease-fr ee equilibrium P 0 . An endemic equilibrium b P, given by (21)- (24) and where only the drug-resista nt strain is present in the population, exists when R 2 > 1. Another endemic equilibrium P Ã , given by (25)-(31) and where both drug-sens itive and drug-resistant strains are present, exists when R 1 > 1 and R 1 > R 2 .…”
Section: Basic Reproduction Number and Equilibriamentioning
confidence: 99%
“…3b, which corresponds to a scenario when one or several public places encounter a series of smallpox virus releases. T v = 3 days [30] length of infectious period F i = 28 days [30] infection transmission rate function removal of symptomatic cases R sym ≥ 50% per day [26,35] isolation rate of infectives µ (a) = 0.0,…”
Section: Model Parametersmentioning
confidence: 99%
“…After the outbreak of SARS in 2003, ordinary differential equations models were used in many SARS literatures [2,7,9,10,11,12,14,16,17,19,28,33]. Partial differential equation models with infection-age were developed in [12], [20], and [35]. But as pointed out in [3], most of the previous studies modeled linear contact tracing processes.…”
mentioning
confidence: 99%
“…These interventions have economic costs to individuals and society related to lost work, increased school absenteeism and decreased business revenues [1,2,3,4,5].…”
Section: Introductionmentioning
confidence: 99%