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. 2019 Nov 28;37(50):7396–7407. doi: 10.1016/j.vaccine.2018.02.067

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
a

Only Garnett modeled symptomatic and asymptomatic reactivation separately and a latent (i.e., no shedding) phase.

b

Target population in Garnett and Lou also HSV-1 negative.

c

After 10 or 30 years.

d

Cumulative incidence over ten years.