Antiviral treatment for pandemic influenza: assessing potential repercussions using a seasonally forced SIR model.
Identifieur interne : 000F21 ( PubMed/Corpus ); précédent : 000F20; suivant : 000F22Antiviral treatment for pandemic influenza: assessing potential repercussions using a seasonally forced SIR model.
Auteurs : S. Towers ; K. Vogt Geisse ; Y. Zheng ; Z. FengSource :
- Journal of theoretical biology [ 1095-8541 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- chemical , adverse effects : Antiviral Agents.
- chemical , therapeutic use : Antiviral Agents.
- drug therapy : Influenza, Human.
- epidemiology : Influenza, Human.
- prevention & control : Pandemics.
- transmission : Influenza, Human.
- Disease Susceptibility, Humans, Influenza A Virus, H1N1 Subtype, Models, Biological, Seasons.
Abstract
When resources are limited, measures to control an incipient influenza pandemic must be carefully considered. Because several months are needed to mass-produce vaccines once a new pandemic strain has been identified, antiviral drugs are often considered the first line of defense in a pandemic situation. Here we use an SIR disease model with periodic transmission rate to assess the efficacy of control strategies via antiviral drug treatment during an outbreak of pandemic influenza. We show that in some situations, and independent of drug-resistance effects, antiviral treatment can have a detrimental impact on the final size of the pandemic. Antiviral treatment also has the potential to increase the size of the major peak of the pandemic, and cause it to occur earlier than it would have if treatment were not used. Our studies suggest that when a disease exhibits periodic patterns in transmission, decisions of public health policy will be particularly important as to how control measures such as drug treatment should be implemented, and to what end (i.e.; towards immediate control of a current epidemic peak, or towards potential delay and/or reduction of an anticipated autumn peak).
DOI: 10.1016/j.jtbi.2011.08.011
PubMed: 21867715
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pubmed:21867715Le document en format XML
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<author><name sortKey="Vogt Geisse, K" sort="Vogt Geisse, K" uniqKey="Vogt Geisse K" first="K" last="Vogt Geisse">K. Vogt Geisse</name>
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<author><name sortKey="Feng, Z" sort="Feng, Z" uniqKey="Feng Z" first="Z" last="Feng">Z. Feng</name>
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<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza, Human (drug therapy)</term>
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<front><div type="abstract" xml:lang="en">When resources are limited, measures to control an incipient influenza pandemic must be carefully considered. Because several months are needed to mass-produce vaccines once a new pandemic strain has been identified, antiviral drugs are often considered the first line of defense in a pandemic situation. Here we use an SIR disease model with periodic transmission rate to assess the efficacy of control strategies via antiviral drug treatment during an outbreak of pandemic influenza. We show that in some situations, and independent of drug-resistance effects, antiviral treatment can have a detrimental impact on the final size of the pandemic. Antiviral treatment also has the potential to increase the size of the major peak of the pandemic, and cause it to occur earlier than it would have if treatment were not used. Our studies suggest that when a disease exhibits periodic patterns in transmission, decisions of public health policy will be particularly important as to how control measures such as drug treatment should be implemented, and to what end (i.e.; towards immediate control of a current epidemic peak, or towards potential delay and/or reduction of an anticipated autumn peak).</div>
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<Abstract><AbstractText>When resources are limited, measures to control an incipient influenza pandemic must be carefully considered. Because several months are needed to mass-produce vaccines once a new pandemic strain has been identified, antiviral drugs are often considered the first line of defense in a pandemic situation. Here we use an SIR disease model with periodic transmission rate to assess the efficacy of control strategies via antiviral drug treatment during an outbreak of pandemic influenza. We show that in some situations, and independent of drug-resistance effects, antiviral treatment can have a detrimental impact on the final size of the pandemic. Antiviral treatment also has the potential to increase the size of the major peak of the pandemic, and cause it to occur earlier than it would have if treatment were not used. Our studies suggest that when a disease exhibits periodic patterns in transmission, decisions of public health policy will be particularly important as to how control measures such as drug treatment should be implemented, and to what end (i.e.; towards immediate control of a current epidemic peak, or towards potential delay and/or reduction of an anticipated autumn peak).</AbstractText>
<CopyrightInformation>Copyright © 2011 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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