EPIFIL : A dynamic model of infection and disease in lymphatic filariasis
Identifieur interne : 000A65 ( PascalFrancis/Corpus ); précédent : 000A64; suivant : 000A66EPIFIL : A dynamic model of infection and disease in lymphatic filariasis
Auteurs : M. S. Chan ; A. Srividya ; R. A. Norman ; S. P. Pani ; K. D. Ramaiah ; P. Vanamail ; E. Michael ; P. K. Das ; D. A. P. BundySource :
- The American journal of tropical medicine and hygiene [ 0002-9637 ] ; 1998.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
The lack of a quantitative framework that describes the dynamic relationships between infection and morbidity has constrained efforts aimed at the community-level control of lymphatic filariasis. In this paper, we describe the development and validation of EPIFIL, a dynamic model of filariasis infection intensity and chronic disease. Infection dynamics are modeled using the well established immigration-death formulation, incorporating the acquisition of immunity to infective larvae over time. The dynamics of disease (lymphodema and hydrocele) are modeled as a catalytic function of a variety of factors, including worm load and the impact of immunopathological responses. The model was parameterized using age-stratified data collected from a Bancroftian filariasis endemic area in Pondicherry in southern India. The fitted parameters suggest that a relatively simple model including only acquired immunity to infection and irreversible progression to disease can satisfactorily explain the observed infection and disease patterns. Disease progression is assumed to be a consequence of worm induced damage and to occur at a high rate for hydrocele and a low rate for lymphodema. This suggests that immunopathology involvement may not be a necessary component of observed age-disease profiles. These findings support a central role for worm burden in the initiation and progression of chronic filarial disease.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 98-0519331 INIST |
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ET : | EPIFIL : A dynamic model of infection and disease in lymphatic filariasis |
AU : | CHAN (M. S.); SRIVIDYA (A.); NORMAN (R. A.); PANI (S. P.); RAMAIAH (K. D.); VANAMAIL (P.); MICHAEL (E.); DAS (P. K.); BUNDY (D. A. P.) |
AF : | The Wellcome Trust Centre for the Epidemiology of Infectious Disease, Department of Zoology, University of Oxford/Oxford/Royaume-Uni; Vector Control Research Centre, Medical Complex, Indira Nagar/Pondicherry/Inde |
DT : | Publication en série; Niveau analytique |
SO : | The American journal of tropical medicine and hygiene; ISSN 0002-9637; Coden AJTHAB; Etats-Unis; Da. 1998; Vol. 59; No. 4; Pp. 606-614; Bibl. 48 ref. |
LA : | Anglais |
EA : | The lack of a quantitative framework that describes the dynamic relationships between infection and morbidity has constrained efforts aimed at the community-level control of lymphatic filariasis. In this paper, we describe the development and validation of EPIFIL, a dynamic model of filariasis infection intensity and chronic disease. Infection dynamics are modeled using the well established immigration-death formulation, incorporating the acquisition of immunity to infective larvae over time. The dynamics of disease (lymphodema and hydrocele) are modeled as a catalytic function of a variety of factors, including worm load and the impact of immunopathological responses. The model was parameterized using age-stratified data collected from a Bancroftian filariasis endemic area in Pondicherry in southern India. The fitted parameters suggest that a relatively simple model including only acquired immunity to infection and irreversible progression to disease can satisfactorily explain the observed infection and disease patterns. Disease progression is assumed to be a consequence of worm induced damage and to occur at a high rate for hydrocele and a low rate for lymphodema. This suggests that immunopathology involvement may not be a necessary component of observed age-disease profiles. These findings support a central role for worm burden in the initiation and progression of chronic filarial disease. |
CC : | 002B05E03B4D; 235 |
FD : | Filariose; Système lymphatique; Modèle dynamique; Inde; Wuchereria bancrofti; Brugia malayi |
FG : | Nématodose; Helminthiase; Parasitose; Infection; Asie; Nematoda; Nemathelminthia; Helmintha; Invertebrata |
ED : | Filariosis; Lymphatic system; Dynamic model; India; Wuchereria bancrofti; Brugia malayi |
EG : | Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Nematoda; Nemathelminthia; Helmintha; Invertebrata |
GD : | Indien |
SD : | Filariosis; Sistema linfático; Modelo dinámico; India; Wuchereria bancrofti; Brugia malayi |
LO : | INIST-6817.354000070390930220 |
ID : | 98-0519331 |
Links to Exploration step
Pascal:98-0519331Le document en format XML
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<front><div type="abstract" xml:lang="en">The lack of a quantitative framework that describes the dynamic relationships between infection and morbidity has constrained efforts aimed at the community-level control of lymphatic filariasis. In this paper, we describe the development and validation of EPIFIL, a dynamic model of filariasis infection intensity and chronic disease. Infection dynamics are modeled using the well established immigration-death formulation, incorporating the acquisition of immunity to infective larvae over time. The dynamics of disease (lymphodema and hydrocele) are modeled as a catalytic function of a variety of factors, including worm load and the impact of immunopathological responses. The model was parameterized using age-stratified data collected from a Bancroftian filariasis endemic area in Pondicherry in southern India. The fitted parameters suggest that a relatively simple model including only acquired immunity to infection and irreversible progression to disease can satisfactorily explain the observed infection and disease patterns. Disease progression is assumed to be a consequence of worm induced damage and to occur at a high rate for hydrocele and a low rate for lymphodema. This suggests that immunopathology involvement may not be a necessary component of observed age-disease profiles. These findings support a central role for worm burden in the initiation and progression of chronic filarial disease.</div>
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<ET>EPIFIL : A dynamic model of infection and disease in lymphatic filariasis</ET>
<AU>CHAN (M. S.); SRIVIDYA (A.); NORMAN (R. A.); PANI (S. P.); RAMAIAH (K. D.); VANAMAIL (P.); MICHAEL (E.); DAS (P. K.); BUNDY (D. A. P.)</AU>
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<EA>The lack of a quantitative framework that describes the dynamic relationships between infection and morbidity has constrained efforts aimed at the community-level control of lymphatic filariasis. In this paper, we describe the development and validation of EPIFIL, a dynamic model of filariasis infection intensity and chronic disease. Infection dynamics are modeled using the well established immigration-death formulation, incorporating the acquisition of immunity to infective larvae over time. The dynamics of disease (lymphodema and hydrocele) are modeled as a catalytic function of a variety of factors, including worm load and the impact of immunopathological responses. The model was parameterized using age-stratified data collected from a Bancroftian filariasis endemic area in Pondicherry in southern India. The fitted parameters suggest that a relatively simple model including only acquired immunity to infection and irreversible progression to disease can satisfactorily explain the observed infection and disease patterns. Disease progression is assumed to be a consequence of worm induced damage and to occur at a high rate for hydrocele and a low rate for lymphodema. This suggests that immunopathology involvement may not be a necessary component of observed age-disease profiles. These findings support a central role for worm burden in the initiation and progression of chronic filarial disease.</EA>
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{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= PascalFrancis |étape= Corpus |type= RBID |clé= Pascal:98-0519331 |texte= EPIFIL : A dynamic model of infection and disease in lymphatic filariasis }}
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