Fig. 4.
The effect of reduced infected immigration on the burden of CRS in a stochastic situation. Stochastic simulations showing bi-weekly rubella incidence in the presence of some immigration of infected individuals [(a) left panel, on average three infected immigrants per year] or reduced immigration of infected individuals [(a) right panel, on average 0·3 infected immigrants per year]. Panel (b) shows the numbers of CRS cases/1000 live births [medians (inner horizontal bar), 25% and 75% quantiles (box) and 0·975 and 0·025 quantiles (outer lines) across 10 simulations], and corresponding levels in the deterministic situation (red asterisks). All simulations had a birth rate of 12/1000 and R0 = 6 (set since the effect is expected to be strongest in communities with low transmission and/or birth rate) and population size of 50 000; burdens were assessed across 40 years.