Table 2.
Characteristics of the 8 different models (see Fig. 1, Supplement Table S1).
Characteristic | No. of studies | Reference number (s) |
---|---|---|
Modelling framework | ||
Deterministic compartmental model | 7 | [33], [34], [35], [36], [37], [39], [40] |
Stochastic individual-based model | 1 | [38] |
Population | ||
Sex: No differentiation between the sexes (1-sex) | 5 | [33], [34], [36], [37], [39] |
Males and females represented separately (2-sex) | 3 | [35], [38], [40] |
Duration of sexual activity: Short | 4 | [33], [36], [37], [40] |
Long | 6 | [34], [35], [36], [37], [38], [39] |
Age-structured | 1 | [38] |
Heterogeneous sexual activity classes | 3 | [35], [38], [39] |
Setting: Sub-Saharan Africa | 2 | [38], [39] |
North America | 4 | [35], [36], [37], [40] |
Unspecified | 2 | [33], [34] |
HSV-2 prevalence: Low (15–25%) | 6 | [34], [35], [36], [37], [38], [40] |
High (35–60%) | 4 | [33], [36], [38], [39] |
Model calibration to specific setting: None | 1 | [34] |
1 manual fit | 4 | [33], [35], [39], [40] |
2 manual fits | 1 | [38] |
Sensitivity analysis | 2 | [36], [37] |
HSV-2 natural history | ||
Initial infection explicitly modeled | 4 | [33], [35], [38], [39] |
Recurrent heterogeneous infectivity stages (i.e., reactivation = symptomatic and/or asymptomatic shedding) | 7a | [33], [34], [35], [36], [37], [38], [39] |
Recurrence of symptoms reduces sexual activity | 1 | [35] |
Symptoms/reactivation frequency declines with infection time | 2 | [35], [38] |
HSV-2 treatment or HIV treatment | 0 | – |
Vaccine characteristics | ||
Therapeutic vaccine | 2 | [33], [37] |
Prophylactic vaccine (with or without breakthrough effects) | 7 | [33], [34], [35], [36], [38], [39], [40] |
Duration of vaccine effects: Lifelong | 5 | [33], [35], [38], [39], [40] |
Finite | [34], [36], [37], [38] | |
Target population | ||
Female-only | 3 | [35], [38], [40] |
Gender neutral | 7 | [33], [34], [35], [36], [37], [38], [39] |
HSV-2 negative | 7b | [33], [34], [35], [36], [38], [39], [40] |
HSV-2 positive | 2 | [33], [37] |
Before sexual debut | 6 | [34], [35], [36], [38], [39], [40] |
After sexual debut | 6 | [33], [34], [35], [37], [38], [39] |
Vaccination strategies × target population | ||
Routine vaccination (with and without catch-up):Before sexual debut - HSV-2 negative | 6 | [34], [35], [36], [38], [39], [40] |
Sexually active - HSV-2 negative | 1 | [33] |
Sexually active - HSV-2 positive | 1 | [37] |
Mass vaccination: HSV-2 negative | 1 | [39] |
HSV-2 positive | 1 | [33] |
Health outcomes modeled | ||
HSV-2 frequency: Incidence ratec | 3 | [35], [38], [39] |
Riskd | 3 | [36], [37], [39] |
Prevalence | 6 | [33], [34], [35], [38], [39], [40] |
HIV-1 incidence | 1 | [38] |
Health economic outcomes | 0 | – |
Neonatal transmission | 0 | – |
Only Garnett modeled symptomatic and asymptomatic reactivation separately and a latent (i.e., no shedding) phase.
Target population in Garnett and Lou also HSV-1 negative.
After 10 or 30 years.
Cumulative incidence over ten years.