Probabilistic modeling for an integrated temporary acquired immunity with norovirus epidemiological data

Owusu-Ansah, E; Barnes, B; Abaidoo, R; Tine, H; Dalsgaard, A; Permin, A; Schou, TW

HERO ID

10758253

Reference Type

Journal Article

Year

2019

Language

English

PMID

31080934

HERO ID 10758253
In Press No
Year 2019
Title Probabilistic modeling for an integrated temporary acquired immunity with norovirus epidemiological data
Authors Owusu-Ansah, E; Barnes, B; Abaidoo, R; Tine, H; Dalsgaard, A; Permin, A; Schou, TW
Volume 4
Page Numbers 99-114
Abstract Integration of acquired immunity into microbial risk assessment for illness incidence is of no doubt essential for the study of susceptibility to illness. In this study, a probabilistic model was set up as dose response for infection and a mathematical derivation was carried out by integrating immunity to obtain probability of illness models. Temporary acquire immunity from epidemiology studies which includes six different Norovirus transmission scenarios such as symptomatic individuals infectious, pre- and post-symptomatic infectiousness (low and high), innate genetic resistance, genogroup 2 type 4 and those with no immune boosting by asymptomatic infection were evaluated. Simulated results on illness inflation factor as a function of dose and exposure indicated that high frequency exposures had immense immunity build up even at high dose levels; hence minimized the probability of illness. Using Norovirus transmission dynamics data, results showed, and immunity included models had a reduction of 2-6 logs of magnitude difference in disease burden for both population and individual probable illness incidence. Additionally, the magnitude order of illness for each dose response remained largely the same for all transmission scenarios; symptomatic infectiousness and no immune boosting after asymptomatic infectiousness also remained the same throughout. With integration of epidemiological data on acquired immunity into the risk assessment, more realistic results were achieved signifying an overestimation of probable risk of illness when epidemiological immunity data are not included. This finding supported the call for rigorous integration of temporary acquired immunity in dose-response in all microbial risk assessments.
Doi 10.1016/j.idm.2019.04.005
Pmid 31080934
Wosid BCI:BCI202000486885
Url https://www.ncbi.nlm.nih.gov/pubmed/31080934
Is Certified Translation No
Dupe Override No
Comments Journal: Infectious Disease Modelling ISSN: 2468-0427
Is Public Yes
Language Text English
Keyword Immunity integrated modeling; Probabilistic modeling; Quantitative risk assessment