scholarly journals The potential for sexual transmission to compromise control of Ebola virus outbreaks

2016 ◽  
Vol 12 (6) ◽  
pp. 20151079 ◽  
Author(s):  
John E. Vinson ◽  
John M. Drake ◽  
Pejman Rohani ◽  
Andrew W. Park

Recent evidence suggests that sexual contact may give rise to transmission of Ebola virus long after infection has been cleared from blood. We develop a simple mathematical model that incorporates contact transmission and sexual transmission parametrized from data relating to the 2013–2015 West African Ebola epidemic. The model explores scenarios where contact transmission is reduced following infection events, capturing behaviour change, and quantifies how these actions reducing transmission may be compromised by sexual transmission in terms of increasing likelihood, size and duration of outbreaks. We characterize the extent to which sexual transmission operates in terms of the probability of initial infection resolving to sexual infectiousness and the sexual transmission rate, and relate these parameters to the overall case burden. We find that sexual transmission can have large effects on epidemic dynamics (increasing attack ratios from 25% in scenarios without sexual transmission but with contact-transmission-reducing behaviour, up to 80% in equivalent scenarios with sexual transmission).

Mathematics ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 608
Author(s):  
Danielle Burton ◽  
Suzanne Lenhart ◽  
Christina J. Edholm ◽  
Benjamin Levy ◽  
Michael L. Washington ◽  
...  

The 2014–2016 West African outbreak of Ebola Virus Disease (EVD) was the largest and most deadly to date. Contact tracing, following up those who may have been infected through contact with an infected individual to prevent secondary spread, plays a vital role in controlling such outbreaks. Our aim in this work was to mechanistically represent the contact tracing process to illustrate potential areas of improvement in managing contact tracing efforts. We also explored the role contact tracing played in eventually ending the outbreak. We present a system of ordinary differential equations to model contact tracing in Sierra Leonne during the outbreak. Using data on cumulative cases and deaths, we estimate most of the parameters in our model. We include the novel features of counting the total number of people being traced and tying this directly to the number of tracers doing this work. Our work highlights the importance of incorporating changing behavior into one’s model as needed when indicated by the data and reported trends. Our results show that a larger contact tracing program would have reduced the death toll of the outbreak. Counting the total number of people being traced and including changes in behavior in our model led to better understanding of disease management.


2018 ◽  
Author(s):  
Ana Carolina W.G. de Barros ◽  
Kaline G. Santos ◽  
Eduardo Massad ◽  
Flávio Codeço Coelho

ABSTRACTIn 2015 and 2016 South America went through the largest Zika epidemic in recorded history. One important aspect of this epidemic was the impact on newborns due to the effect of Zika on development of the central nervous system leading to severe malformations. Another aspect of the Zika epidemic which became evident from the data was the importance of the sexual route of transmission leading to increased risk for women. Here propose a mathematical model for the transmission of the Zika virus including sexual transmission via all forms of sexual contact, as well as simplified vector transmission, assuming a constant availability of mosquitoes. From this model we derive an expression for ℛ0 which can be used to study and analyze the relative contributions of the different routes of Zika transmission and the male to female sexual transmission route vis-a-vis vectorial transmission. We also fit the model to data from the 2016 Zika epidemic in Rio de Janeiro, to estimate the values of key parameters of the model.


2015 ◽  
Vol 20 (48) ◽  
Author(s):  
Rosalind M Eggo ◽  
Conall H Watson ◽  
Anton Camacho ◽  
Adam J Kucharski ◽  
Sebastian Funk ◽  
...  

Ebola virus can persist in semen after recovery, potentially for months, which may impact the duration of enhanced surveillance required after interruption of transmission. We combined recent data on viral RNA persistence with weekly disease incidence to estimate the current number of semen-positive men in affected West African countries. We find the number is low, and since few reported sexual transmission events have occurred, the future risk is also likely low, although sexual health promotion remains critical.


2019 ◽  
Vol 7 (4) ◽  
pp. 112
Author(s):  
Ana Carolina W. G. de Barros ◽  
Kaline G. Santos ◽  
Eduardo Massad ◽  
Flávio Codeço Coelho

In 2015–2016, South America went through the largest Zika epidemic in recorded history. One important aspect of this epidemic was the importance of sexual transmission in combination with the usual vectorial transmission, with asymmetrical transmissibilities between sexual partners depending on the type of sexual contact; this asymmetry manifested itself in data as an increased risk to women. We propose a mathematical model for the transmission of the Zika virus including sexual transmission via all forms of sexual contact, as well as vector transmission, assuming a constant availability of mosquitoes. From this model, we derive an expression for R 0 , which is used to study and analyze the relative contributions of the male to female sexual transmission route vis-à-vis vectorial transmission. We also perform Bayesian inference of the model’s parameters using data from the 2016 Zika epidemic in Rio de Janeiro.


2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Getachew Teshome Tilahun ◽  
Woldegebriel Assefa Woldegerima ◽  
Aychew Wondifraw

AbstractIn this paper we develop a stochastic mathematical model of cholera disease dynamics by considering direct contact transmission pathway. The model considers four compartments, namely susceptible humans, infectious humans, treated humans, and recovered humans. Firstly, we develop a deterministic mathematical model of cholera. Since the deterministic model does not consider the randomness process or environmental factors, we converted it to a stochastic model. Then, for both types of models, the qualitative behaviors, such as the invariant region, the existence of a positive invariant solution, the two equilibrium points (disease-free and endemic equilibrium), and their stabilities (local as well as global stability) of the model are studied. Moreover, the basic reproduction numbers are obtained for both models and compared. From the comparison, we obtained that the basic reproduction number of the stochastic model is much smaller than that of the deterministic one, which means that the stochastic approach is more realistic. Finally, we performed sensitivity analysis and numerical simulations. The numerical simulation results show that reducing contact rate, improving treatment rate, and environmental sanitation are the most crucial activities to eradicate cholera disease from the community.


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