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Epidemics. Indirect transmission and the effect of seasonal pathogen inactivation on infectious disease periodicity

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  • Epidemics. Indirect transmission and the effect of seasonal pathogen inactivation on infectious disease periodicity

    [Source: Epidemics, full page: (LINK). Abstract, edited.]
    Epidemics - Available online 11 January 2013 - In Press, Accepted Manuscript

    Indirect transmission and the effect of seasonal pathogen inactivation on infectious disease periodicity


    Marguerite Robinson<SUP>a</SUP>,Yannis Drossinos<SUP>a</SUP>, Nikolaos I. Stilianakis<SUP>a</SUP><SUP> </SUP><SUP>b</SUP>
    <SUP></SUP>
    <SUP>a</SUP> Joint Research Centre, European Commission, I-21027 Ispra (VA),Italy - <SUP>b</SUP> Department of Biometry and Epidemiology, University of Erlangen-Nuremberg, Erlangen, Germany

    Corresponding author. Present address: Institut Catal? de Ci?ncies del Clima (IC<SUP>3</SUP>), C/ Doctor Trueta 203, 08005 Barcelona, Spain. Tel.: +34 935679977.

    Received 24 August 2012 - Revised 19 November 2012 - Accepted 2 January 2013 - Available online 11 January 2013

    http://dx.doi.org/10.1016/j.epidem.2013.01.001



    Abstract

    The annual occurrence of many infectious diseases remains a constant burden to public health systems. The seasonal patterns in respiratory disease incidence observed in temperate regions have been attributed to the impact of environmental conditions on pathogen survival. A model describing the transmission of an infectious disease by means of a pathogenic state capable of surviving in an environmental reservoir outside of its host organism is presented in this paper. The ratio of pathogen lifespan to the duration of the infectious disease state is found to be a critical parameter in determining disease dynamics. The introduction of a seasonally forced pathogen inactivation rate identifies a time delay between peak pathogen survival and peak disease incidence. The delay is dependent on specific disease parameters and, for influenza, decreases with increasing reproduction number. The observed seasonal oscillations are found to have a period identical to that of the seasonally forced inactivation rate and which is independent of the duration of infection acquired immunity.



    Highlights

    ► A model for indirect disease transmission by a free living pathogen is presented ► The ratio of the pathogen lifespan to the disease infectivity period is important ► The effects of a seasonally forced pathogen inactivation rate were studied ► A time delay exists between peak pathogen survival and peak disease incidence ► The period of oscillation is independent of the duration of acquired immunity



    Keywords

    Influenza; Seasonality; Indirect transmission; Pathogen inactivation


    There are no figures or tables for this document.

    Corresponding author. Present address: Institut Catal? de Ci?ncies del Clima (IC<SUP>3</SUP>), C/ Doctor Trueta 203, 08005 Barcelona, Spain. Tel.: +34 935679977.

    Copyright ? 2013 Published by Elsevier B.V.



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