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. 2022 May 19;18(5):e1010118. doi: 10.1371/journal.pcbi.1010118

Table 2. Values of the different parameters.

Parameter Symbol and value
Known parameters *
Delay from infection to mature cyst τ0 = 3 months i.e., 13 weeks (fixed) [34]
Period from cyst maturity to lesion disappearance or calcification (τ1 + τ2, driven by a 2-part distribution)–parenchymal lesions only τ1 (duration of the 1st substage) is given by a Gamma distribution:
Probabilityofτ1=(τ0+τ1)α1βαeβ(τ0+τ1)1Γ(α)
with all times in years and α = 2.94, β = 0.83, then taking the maximum of the resulting τ1 and 1 week to avoid 0 or negative values. τ1 derives from the analysis of estimated timeframes from infection to first symptoms in [35]. τ2 (duration of the 2nd substage, from the end of the 1st substage to cyst death), is given by an exponential distribution which parameter is the average weekly death rate of a cyst: 2.6% (plausible range: 1.8–3.8%). See [3645] and S1 Text
Probability for a parenchymal lesion to calcify vs. resolve without calcification pcalc = 32% (plausible range: 25–38%)–see [3642,4446] and Fig D in S1 Text and S1 Text
Probability of seizure recurrence after disappearance of a parenchymal lesion associated with epilepsy s = 10%—see [39, 40] and S2 Text
Probability of seizure recurrence within 3 years (or more) of antiepileptic treatment rsuccess = 46.7% [38.6%-54.4%] [47] - see details in S2 Text
Treatment gap for active epilepsy (% untreated among those needing treatment) ge = 75%—based on [48] and dataset in S1 Data
Case fatality rate (per year) for individuals with NCC-related active epilepsy dae = 0.138% [0.069–0.584%] [33]
Weekly likelihood for unsuccessfully treated or untreated calcified parenchymal lesions associated with epilepsy to be associated with a seizure ω = 0.05 –see explanation of the computation of this figure in S2 Text
Delay from cyst maturity to first symptoms, for extra-parenchymal lesions τ1 (duration of the 1st substage) is given by a Gamma distribution:
Probabilityofτ1=(τ0+τ1)α1βαeβ(τ0+τ1)1Γ(α)
with all times in years and α = 17.21, β = 1.10, then taking the maximum of the resulting τ1 and 1 week to avoid 0 or negative values. τ1 derives from the analysis of estimated timeframes from infection to first symptoms in [35].
Delay from first ICH symptoms to treatment tdelay: 37% of cases delay treatment by less than 1 month, 36% by 1–6 months, 10% by 6–12 months, and 19% by over 1 year–see [4953] and S2 Text and Table C in S2 Text
Probability of treatment, per treatment type, for ICH/hydrocephalus     - No treatment: notreat = 90%-100% (95% used in simulations)
Medical treatment only, nosurg = 20% of treated patients.
Surgical treatment (e.g., cyst excision, shunt): 80% of treated patients–see [50, 54, 55] and S2 Text
Average number of surgeries/shunt revisions per surgical case     - Nsurgeries = 1.2 (plausible range: 1.0 to 2.3) per surgical case—see [49, 53, 5662] and S2 Text
Case fatality rate (total) for individuals with NCC-related ICH/hydrocephalus     - Medical treatment only: simplified to 0% (failed treatment followed by surgery falls under “surgical treatment”).
    - Surgical treatment: dsurgery = 18.3% [15.4–21.2%] in 2000, with a 3.6% [2.5–4.7%] decrease in risk per decade e.g., death rate = 11% in 2020 and 36% in 1950, 10% risk today [49, 56, 57, 6366] & Figs A and B in S3 Text and S3 Text
    - No treatment: duntreated: at least 36% (rate for treated cases in the 1950s).
Tuning parameters
Risk of self-contamination for a T. solium tapeworm carrier h χ
Risk of contamination of household members by a T. solium tapeworm carrier that prepares household food h χ a
Coefficient reflecting the strength of environmental contamination risks h σ
Probability for a single parenchymal lesion to be associated with epilepsy at the mature non-calcified stage π e
Probability for a single parenchymal lesion to be associated with epilepsy at the calcified stage π ec
Share of individuals with epilepsy at the mature non calcified stage that continues having active epilepsy at the calcified stage π ae
% of new lesions that are extra-parenchymal** Ξ
Likelihood of ICH associated with a single parenchymal lesion For non-calcified mature lesions: πi

* All parameters representing time are ultimately expressed in weeks, and rounded to the nearest integer.

** Ignoring extra-parenchymal lesions that are asymptomatic during their whole lifespan.

Value not directly taken from the reference but obtained through process explained in S1 Text, S2 Text or using data in S1 Data.