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Esper Georges Kallas

Publications and source records attributed to Esper Georges Kallas.

2 recordsLinked to original sources

A New Method to Predict the Effect of an Intervention in the Host Population to Reduce the Magnitude of an Outbreak of a Vector-Borne Infection

In this paper, we propose a new model to estimate the impact of an intervention on human hosts of a vector-borne infection, such as dengue, which occurs in yearly outbreaks of different magnitudes. The model applies to these outbreaks and, in fact, is independent of their intensity, that is, it does not require the steady-state assumption. The model takes as input the officially reported age-dependent number of cases of a vector-borne infection. It is deterministic and does not account for stochasticity. Our objective is to estimate the impact of the intervention (the efficacy), and we rely on the observed fact that the age distribution of the proportion of cases of the infections transmitted by the same vector is independent of both the intensity of transmission and the geographic area studied, at least for Brazilian regions. This finding is highlighted in the main text and forms the basis of our calculations. A hypothetical intervention is simulated using a dengue vaccine, which allows the determination of the optimal strategy for a vaccination campaign.

q-bio.PE↗

Age-dependent distribution of officially reported cases of vector-borne infections

OBJECTIVE: To propose a new approach to analyze the age-distribution of reported cases for vector-transmitted infections. METHODS: Using officially reported number of cases of dengue, Zika, chikungunya, malaria and leishmaniasis for distinct geographical areas, in different periods. Data were treated in special but well-known procedure, transforming the raw data into a density age-dependent distribution and fitting a special continuous function to it. RESULTS: We found that the proportion of age-dependent cases with respect to the total number of cases in a given year (or any transmission season) is probably determined by the ecological interactions between vectors and hosts. The age-distribution of the proportion of cases for the three Aedes-related infections are essentially the same independently of the magnitude of the outbreak and the geographical region considered. On the other hand, for the infections transmitted by other vectors, the age-distributions of the proportion of cases are entirely different. CONCLUSIONS: During specific outbreaks, the ratio between the age distribution of the proportion of officially reported cases and the total number of cases for Aedes transmitted infections such as dengue, chikungunya and zika is independent of the size of the outbreak, the size of the studied population, the period when the outbreak occurs; and the geographical region considered. Our results also suggest that the age-distribution of cases is mainly due to the interaction between vectors and their hosts.

q-bio.PE↗