Table 1.
Polio Transmission Model Parameters
Model Parameters | Descriptions | Values |
---|---|---|
i | Waning stage | 1 … n |
j | Age group | 1 … m |
n | Total immune stages | 10 |
m | Total age groups | 34 |
b | Birth rate into population | 0.025a |
c | Effective contact rate | 40–200/yearb |
βi | Relative susceptibility for immune stage, i | 0–1c,d |
θi | Relative contagiousness for immune stage, i | 0–1c,e |
γi | Recovery rate for immune stage, i | 10–40/yearc,f |
ωi | Rate of immune state change | 0, 0.2, or 2/yearg |
φj | Effective vaccination rate | 0–3/year |
ε | Relative contagiousness OPV:WPV | 0.15–0.45h |
κ | Relative recovery rate OPV:WPV | 2.25–6.25h |
μj | Age-dependent death rates | −i |
Abbreviations: OPV, oral polio vaccine; WPV, wild poliovirus.
a The birth rate, b, was set in relation to the death rate, μj, so that the population size is constant.
b The effective contact rate, c, was assigned by using previously established R0 values (26), along with our derived transmission model calculation of R0 (Table 2).
c Immunity responses to susceptibility, contagiousness, and duration of contagiousness were assigned across their ranges of values by using an exponential function (see Web Appendix 4.1 for more details).
d The immunity parameter for susceptibility, βi, attenuates the infectivity of an effective contact on the susceptible population, where 1 defines no reduction (no immunity) and 0 defines no susceptibility (full immunity).
e The measure of contagiousness, θi, attenuates the force of infection due to the infected population, where 1 defines full contagiousness (no immunity) and 0 defines no contagiousness (full immunity).
g See Web Appendix 4.2 and Web Table 1.
h We attenuate the effect of OPV transmission by reducing contagiousness and duration of illness by using parameters ɛ and κ, respectively. The κ value was set relatively to ɛ, and values were determined by using sensitivity analysis and known relative transmissibility of OPV (26).
i −, refer to Web Appendix 3.