Table X.
Model Inputs for the Madura Outbreak Model
Model input (symbol) | Best estimate | Source | Notes |
---|---|---|---|
| |||
Number of subpopulations | 1 | Focus on rural population of Madura | |
Relative population size compared to all of Indonesia | 0.00405 | 61, 100 | Ratio of rural population of Madura (∼920,000) to all of Indonesia (∼227 million) in 2005 |
Number of age groups | 9 | 0–2 months; 3–11 months; 1; 2; 3; 4; 5–9; 10–14; ≥ 15* years | |
Number of mixing age groups | 3 | 0–4; 5–14; ≥ 15 years | |
Year when model run-up starts | 1950 | ||
Year when R0 seasonality starts | 1970 | ||
Year when die-out first allowed | 1980 | ||
Average basic reproductive number (R0) (PV1) | 9 | Fitted within range for middle tier (Table III) | |
Proportional change in R0 due to seasonality () | 0.2 | 13 | Somewhat less seasonality than in temperate climate countries |
Day of seasonal peak in R0(pd) | 95 (April 5) | Based on model calibration | |
Proportion of contacts reserved for individuals within the same mixing age group () | 0.35 | For simplicity, assume equal values for each mixing age group | |
Proportion of transmissions via oropharyngeal route () | 0.3 | 19 | Based on approximate average of mean expert assessments for community and close contacts for type 1 in high R0 settings(19) |
Per-dose take rate (tr) (PV1) | |||
- tOPV | 0.45a | ||
- mOPV | 0.66 | ||
Routine coverage with 3 or more doses by 1 year of age | Time series 1980–2007 | 76, 100 | See Appendix A4 for values used |
Characterization of routine tOPV vaccination, 1981–2007 | 100 | Partial coverage based on convenience sample in rural areas; in the absence of separate estimates for the birth dose coverage, we model the cumulative effect of all four doses (scheduled at birth and 1, 2, and 3 months of age) at age 3 months | |
- Cumulative effect of all 4 primary doses at age (months) | 3 | ||
- Coverage with 1 dose given < 4 | 0.13 | ||
- Coverage with 2 doses given < 4 | 0.13 | ||
- Coverage with 3 doses given < 4 | 0.07 | ||
Characterization of tOPV campaigns 1995–2002 | 100 | Dates of rounds reflect approximate average times of campaigns in Indonesia as reported to WHO; see Appendix A4 for effective per-round impact assumptions by year in the absence of good data | |
- Day of first round | 240 (August 28) | ||
- Day of second round | 280 (October 7) | ||
- Duration of each round (day) | 7 | ||
- Effective per-round impact () | Varies | ||
- Target age groups | 0–4 years | ||
Characterization of outbreak response, 2005 | 100 | ||
- Vaccine, by round (rounds 1–2;3) | tOPV;mOPV1 | ||
- Day of first round | 242 (August 30) | ||
- Day of second round | 270 (September 27) | ||
- Day of third round | 334 (November 30) | ||
- Duration of each round (days) | 7 | ||
- Effective per-round impact () (round 1;2;3) | 0.81;0.88;0.85 | ||
- Target age groups for all rounds | 0–4 years |
Acronyms: mOPV1 = monovalent oral poliovirus vaccine type 1; PV1 = poliovirus type 1; tOPV = trivalent OPV; WHO = World Health Organization
Age groups marked with an asterisk indicate age groups that count towards determining the fraction of newborns who receive maternal antibodies, based on the immune fraction in those age groups (see Appendix A1).
For runs to verify behavior of other serotypes, we use take rates for tOPV of 0.7 and 0.4 for type 2 and 3, respectively.