Sequential modelling of the effects of mass drug treatments on anopheline-mediated lymphatic filariasis infection in Papua New Guinea.

Sequential modelling of the effects of mass drug treatments on anopheline-mediated lymphatic filariasis infection in Papua New Guinea.
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DOI:
10.1371/journal.pone.0067004
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Michael E
Michael E
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Singh BK;Bockarie MJ;Gambhir M;Siba PM;Tisch DJ;Kazura J;Michael E

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Lymphatic filariasis (LF) has been targeted by the WHO for global eradication leading to the implementation of large scale intervention programs based on annual mass drug administrations (MDA) worldwide. Recent work has indicated that locality-specific bio-ecological complexities affecting parasite transmission may complicate the prediction of LF extinction endpoints, casting uncertainty on the achievement of this initiative. One source of difficulty is the limited quantity and quality of data used to parameterize models of parasite transmission, implying the important need to update initially-derived parameter values. Sequential analysis of longitudinal data following annual MDAs will also be important to gaining new understanding of the persistence dynamics of LF. Here, we apply a Bayesian statistical-dynamical modelling framework that enables assimilation of information in human infection data recorded from communities in Papua New Guinea that underwent annual MDAs, into our previously developed model of parasite transmission, in order to examine these questions in LF ecology and control. Biological parameters underlying transmission obtained by fitting the model to longitudinal data remained stable throughout the study period. This enabled us to reliably reconstruct the observed baseline data in each community. Endpoint estimates also showed little variation. However, the updating procedure showed a shift towards higher and less variable values for worm kill but not for any other drug-related parameters. An intriguing finding is that the stability in key biological parameters could be disrupted by a significant reduction in the vector biting rate prevailing in a locality. Temporal invariance of biological parameters in the face of intervention perturbations indicates a robust adaptation of LF transmission to local ecological conditions. The results imply that understanding the mechanisms that underlie locally adapted transmission dynamics will be integral to identifying points of system fragility, and thus countermeasures to reliably facilitate LF extinction both locally and globally.
DOI: 10.4269/ajtmh.1998.59.606
发表时间: 1998-10-01
影响因子: 3.3
作者:
Chan, MS;Srividya, A;Bundy, DAP
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发表时间: 2011
期刊: PloS one
影响因子: 3.7
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发表时间: 2011-06-01
期刊: ENVIRONMETRICS
影响因子: 1.7
作者:
Dowd, Michael
通讯作者: Dowd, Michael