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. 2020 Apr 21;17(4):e1003068. doi: 10.1371/journal.pmed.1003068

Fig 2. Summary diagram of the dynamic model used to fit the seroepidemiology of HBV in Uganda.

Fig 2

The naïve (grey rounded boxes) and vaccinated (blue rounded boxes) subpopulations are divided into 3 relevant age groups: infant (0–1 years), child (1–6 years), and older (+6 years). This allows us to consider a relationship between the likelihood of developing chronic or acute infection with age (represented by the thickness of the grey and blue arrows). Individuals can acquire infection in any age group. When acutely infected (yellow rounded box), individuals may clear infection and recover (green rounded box). When chronically infected, individuals can be HBeAg positive (purple rounded box) and transit to become HBeAg negative (red rounded box), after which they may recover (green rounded box). Interventions (light blue squared boxes) target different epidemiological states and transitions (orange circles). Vertical transmission can occur from infected mothers to newborns. Protection mediated by infant vaccination is age dependent due to waning and is assumed to lower susceptibility to infection. Parameters are listed in S1 Table. Artwork supported by figures created with BioRender.com. anti-HBc, antibody to hepatitis B core antigen; HBeAg, hepatitis B e-antigen; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; PMTCT, prevention of mother to child transmission; T&T, Test and Treat.