Complexity of the Basic Reproduction Number (R0)
Complexity of the Basic Reproduction Number (R0)
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DOI:
10.3201/eid2501.171901
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发表时间:
2019-01-01
影响因子:
11.8
通讯作者:
Jacobsen, Kathryn H.
中科院分区:
文献类型:
--
作者:
Delamater, Paul L.;Street, Erica J.;Jacobsen, Kathryn H.
The basic reproduction number (R-0), also called the basic reproduction ratio or rate or the basic reproductive rate, is an epidemiologic metric used to describe the contagiousness or transmissibility of infectious agents. R-0 is affected by numerous biological, sociobehavioral, and environmental factors that govern pathogen transmission and, therefore, is usually estimated with various types of complex mathematical models, which make R-0 easily misrepresented, misinterpreted, and misapplied. R-0 is not a biological constant for a pathogen, a rate over time, or a measure of disease severity, and R-0 cannot be modified through vaccination campaigns. R-0 is rarely measured directly, and modeled R-0 values are dependent on model structures and assumptions. Some R-0 values reported in the scientific literature are likely obsolete. R-0 must be estimated, reported, and applied with great caution because this basic metric is far from simple.