Simulación del nivel de eliminación de sarampión y rubéola según la estratificación e interacción social

Translated title of the contribution: Simulating measles and rubella elimination levels according to social stratification and interaction

Doracelly Hincapié-Palacio, Juan Ospina-Giraldo, Rubén D. Gómez-Arias, Anthony Uyi-Afuwape, Gerardo Chowell-Puente

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective The study was aimed at comparing measles and rubella disease elimination levels in a homogeneous and heterogeneous population according to socioeconomic status with interactions amongst low- and high-income individuals and diversity in the average number of contacts amongst them. Methods Effective reproductive rate simulations were deduced from a susceptibleinfected-recovered (SIR) mathematical model according to different immunization rates using measles (1980 and 2005) and rubella (1998 and 2005) incidence data from Latin-America and the Caribbean. Low- and high-income individuals' social interaction and their average number of contacts were analysed by bipartite random network analysis. MAPLE 12 (Maplesoft Inc, Ontario Canada) software was used for making the simulations. Results The progress made in eliminating both diseases between both periods of time was reproduced in the socially-homogeneous population. Measles (2005) would be eliminated in high- and low-income groups; however, it would only be achieved in rubella (2005) if there were a high immunity rate amongst the low-income group. If the average number of contacts were varied, then rubella would not be eliminated, even with a 95 % immunity rate. Conclusion Monitoring the elimination level in diseases like measles and rubella requires that socio-economic status be considered as well as the population's interaction pattern. Special attention should be paid to communities having diversity in their average number of contacts occurring in confined spaces such as displaced communities, prisons, educational establishments, or hospitals.

Translated title of the contributionSimulating measles and rubella elimination levels according to social stratification and interaction
Original languageSpanish
Pages (from-to)103-115
Number of pages13
JournalRevista de Salud Publica
Volume12
Issue number1
StatePublished - Jan 1 2010

Keywords

  • Basic reproduction number
  • Computer simulation
  • Measles
  • Rubella
  • Socio economic status
  • Theoretical model

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Hincapié-Palacio, D., Ospina-Giraldo, J., Gómez-Arias, R. D., Uyi-Afuwape, A., & Chowell-Puente, G. (2010). Simulación del nivel de eliminación de sarampión y rubéola según la estratificación e interacción social. Revista de Salud Publica, 12(1), 103-115.