Abstract
蔡全才,姜庆五,徐勤丰,程翔,郭强,孙庆文,赵根明.定量评价SARS干预措施效果的传播动力学模型[J].Chinese journal of Epidemiology,2005,26(3):153-158
定量评价SARS干预措施效果的传播动力学模型
To develop a model on severe acute respiratory syndrome epidemics to quantitatively evaluate the effectiveness of intervention measures
Received:August 25, 2004  
DOI:
KeyWord: 严重急性呼吸综合征  流行模型  干预措施  效果评价
English Key Word: Severe acute respiratory syndrome  Epidemic model  Intervention measures  Evaluation of effectiveness
FundProject:教育部防治“非典”科技攻关课题资助项目(No.10)上海市科委“非典”防治专项科研基金(NK2003-002)
Author NameAffiliationE-mail
CAI Quan-cai Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032, China  
JIANG Qing-wu Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032, China qwjiang@shmu.edu.cn 
XU Qin-feng Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032, China  
CHENG Xiang Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032, China  
GUO Qiang 第二军医大学数理教研室,训练部  
SUN Qing-wen 第二军医大学数理教研室,训练部  
ZHAO Gen-ming 第二军医大学数理教研室,训练部  
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Abstract:
      目的 建立一种可以用于严重急性呼吸综合征(SARS)干预措施效果定量评价的传播动力学模型。方法 根据SARS流行规律,以传染病 SEIR流行模型为基础,增设病例管理人群和控制措施相关参数,从而建立起 SARS的传播动力学模型。以北京市 2003 年 SARS流行为实例,说明所建模型在干预措施效果定量评价上的应用。结果 所建立的模型可以随时调整干预措施相关参数。通过干预情景假定,可以模拟各种干预措施情况下SARS的流行过程,从而对干预措施效果做出定量评价。实例研究发现,该模型可以较好地模拟北京市2003年SARS流行过程北京市2003年4月20日前后采取的措施对SARS疫情控制起到了关键性的作用。结论 所建立的 SARS流行模型是可靠和稳定的,可以用于SARS干预措施效果的定量评价。
English Abstract:
      Objective To build an epidemic model of severe acute respiratory syndrome (SARS) to be used to quantitatively evaluate the effectiveness of intervention measures. Methods Following the nature of SARS epidemics ,an epidemic model of SARS based on SEIR model of infectious disease was built ,in which case management group was set up and some parameters related to control measures were included.As an example,data gathered from Beijing was fitted to illustrate its application to quantitatively evaluate the intervention measures. Results In the newly developed model of epidemics ,parameters related to control measures could easily be modified. When scenario assumption was used ,a model on SARS outbreak under various circumstances of intervention measures could be set.Thus,quantitative evaluation of intervention measures could perfectly be caried out.Pilot study revealed that the fitness existed in modeling the outbreak of SARS in Beijing and the intervention measures implemented around April 20 ,2003,had major contribution to the control of SARS. Conclusion The model of SARS epidemics seemed to be stable and reliable to be used to evaluate the effectiveness of intervention measures implemented during the SARS outbreak in a quantitative way.
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