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1.
J Math Biol ; 73(2): 305-33, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26676356

RESUMO

One of the characteristics of HBV transmission is the age structure of the host population and the vertical transmission of the disease. That is the infection is transmitted directly from infected mother to an embryo, fetus, or baby during pregnancy or childbirth (the perinatal infection). We formulated an age-structured model for the transmission dynamics of HBV with differential infectivity: symptomatic and asymptomatic infections. The model without intervention strategies is completely analyzed. We compute the basic reproduction number which determines the outcome of the disease. We also compute equilibria and study their stability. The sensitivity analysis of the initial model parameters is performed (to determine the impact of control-related parameters on outbreak severity). Using optimal control theory, we determine the cost-effective balance of three interventions methods which minimizes HBV-related deaths as well as the costs associated with intervention.


Assuntos
Hepatite B/prevenção & controle , Hepatite B/transmissão , Modelos Biológicos , Fatores Etários , Feminino , Hepatite B/economia , Hepatite B/terapia , Vírus da Hepatite B , Humanos , Recém-Nascido , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Gravidez , Complicações Infecciosas na Gravidez/prevenção & controle , Terapêutica/economia , Terapêutica/normas
2.
Comput Math Methods Med ; 2011: 398476, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22007263

RESUMO

This paper deals with the problem of optimal control for the transmission dynamics of tuberculosis (TB). A TB model that considers the existence of a new class (mainly in the African context) is considered: the lost to follow up individuals. Based on the model formulated and studied in the work of Plaire Tchinda Mouofo, (2009), the TB control is formulated and solved as an optimal control theory problem using the Pontryagin's maximum principle (Pontryagin et al., 1992). This control strategy indicates how the control of the lost to follow up class can considerably influence the basic reproduction ratio so as to reduce the number of lost to follow up. Numerical results show the performance of the optimization strategy.


Assuntos
Tuberculose/terapia , Tuberculose/transmissão , África , Algoritmos , Controle de Doenças Transmissíveis , Seguimentos , Saúde Global , Humanos , Perda de Seguimento , Modelos Estatísticos , Modelos Teóricos , Dinâmica Populacional , Pobreza , Saúde Pública
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