TABLE 1.
PARAMETERS FOR TRANSMISSION MODEL OF TB
Parameter | Baseline Value (Uncertainty Range) | References |
TB incidence, per 100,000 per year* | 112 (101–128) | 4 |
Endogenous reactivation rate, per year | 0.0005 (0.0001–0.001) | 2, 21, 22 |
Proportion of recent infections resulting in rapid progression | 0.14 (0.08–0.25) | 2, 23 |
Reduction in TB rapid progression probability in people with latent TB infection† | 0.5 (0.1–0.8) | 2, 23–25 |
TB mortality rate, per year | 0.2 (0.15–0.3) | 2, 4 |
Spontaneous cure rate, per year | 0.2 (0.15–0.25) | 2, 19, 20 |
Life expectancy, yr | 65 (55–75) | 26 |
Relapse rate, per year | 0.001 (0–0.002) | 2, 27 |
Total duration of TB infectiousness, yr | 1.5 (1.0–2.0) | 4 |
Definition of abbreviation: TB = tuberculosis.
The model fits a transmission rate to TB incidence, first by determining the transmission rate that would produce an equilibrium incidence of 128 per 100,000 per year, then reducing that rate by a value sufficient to generate a 1.3% annual decline in TB incidence (i.e., 112 per 100,000 after 10 years), the global estimate (4). The baseline value of this transmission parameter is five infections per infectious person-year.
This parameter reflects the partial immunologic protection provided by initial TB infection (i.e., latent infection) against primary progression to active TB on reexposure to Mycobacterium tuberculosis.