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      Efficient Vaccine Distribution Based on a Hybrid Compartmental Model

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          Abstract

          To effectively and efficiently reduce the morbidity and mortality that may be caused by outbreaks of emerging infectious diseases, it is very important for public health agencies to make informed decisions for controlling the spread of the disease. Such decisions must incorporate various kinds of intervention strategies, such as vaccinations, school closures and border restrictions. Recently, researchers have paid increased attention to searching for effective vaccine distribution strategies for reducing the effects of pandemic outbreaks when resources are limited. Most of the existing research work has been focused on how to design an effective age-structured epidemic model and to select a suitable vaccine distribution strategy to prevent the propagation of an infectious virus. Models that evaluate age structure effects are common, but models that additionally evaluate geographical effects are less common. In this paper, we propose a new SEIR (susceptible—exposed—infectious šC recovered) model, named the hybrid SEIR-V model (HSEIR-V), which considers not only the dynamics of infection prevalence in several age-specific host populations, but also seeks to characterize the dynamics by which a virus spreads in various geographic districts. Several vaccination strategies such as different kinds of vaccine coverage, different vaccine releasing times and different vaccine deployment methods are incorporated into the HSEIR-V compartmental model. We also design four hybrid vaccination distribution strategies (based on population size, contact pattern matrix, infection rate and infectious risk) for controlling the spread of viral infections. Based on data from the 2009–2010 H1N1 influenza epidemic, we evaluate the effectiveness of our proposed HSEIR-V model and study the effects of different types of human behaviour in responding to epidemics.

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          Most cited references43

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          Emergence and pandemic potential of swine-origin H1N1 influenza virus.

          Influenza viruses cause annual epidemics and occasional pandemics that have claimed the lives of millions. The emergence of new strains will continue to pose challenges to public health and the scientific communities. A prime example is the recent emergence of swine-origin H1N1 viruses that have transmitted to and spread among humans, resulting in outbreaks internationally. Efforts to control these outbreaks and real-time monitoring of the evolution of this virus should provide us with invaluable information to direct infectious disease control programmes and to improve understanding of the factors that determine viral pathogenicity and/or transmissibility.
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            Optimizing influenza vaccine distribution.

            The criteria to assess public health policies are fundamental to policy optimization. Using a model parametrized with survey-based contact data and mortality data from influenza pandemics, we determined optimal vaccine allocation for five outcome measures: deaths, infections, years of life lost, contingent valuation, and economic costs. We find that optimal vaccination is achieved by prioritization of schoolchildren and adults aged 30 to 39 years. Schoolchildren are most responsible for transmission, and their parents serve as bridges to the rest of the population. Our results indicate that consideration of age-specific transmission dynamics is paramount to the optimal allocation of influenza vaccines. We also found that previous and new recommendations from the U.S. Centers for Disease Control and Prevention both for the novel swine-origin influenza and, particularly, for seasonal influenza, are suboptimal for all outcome measures.
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              Integrative approaches for predicting microRNA function and prioritizing disease-related microRNA using biological interaction networks.

              MicroRNAs (miRNA) play critical roles in regulating gene expressions at the posttranscriptional levels. The prediction of disease-related miRNA is vital to the further investigation of miRNA's involvement in the pathogenesis of disease. In previous years, biological experimentation is the main method used to identify whether miRNA was associated with a given disease. With increasing biological information and the appearance of new miRNAs every year, experimental identification of disease-related miRNAs poses considerable difficulties (e.g. time-consumption and high cost). Because of the limitations of experimental methods in determining the relationship between miRNAs and diseases, computational methods have been proposed. A key to predict potential disease-related miRNA based on networks is the calculation of similarity among diseases and miRNA over the networks. Different strategies lead to different results. In this review, we summarize the existing computational approaches and present the confronted difficulties that help understand the research status. We also discuss the principles, efficiency and differences among these methods. The comprehensive comparison and discussion elucidated in this work provide constructive insights into the matter.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                2016
                27 May 2016
                : 11
                : 5
                : e0155416
                Affiliations
                [1 ]School of Computer Science and Engineering, South China University of Technology, Guangzhou, Guangdong, China
                [2 ]Department of Computing, Hong Kong Baptist University, Kowloon Tong, Hong Kong
                University of Waterloo, CANADA
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: ZY JL XW XZ. Performed the experiments: ZY JL XW XZ. Analyzed the data: ZY JL XW XZ DW GH. Contributed reagents/materials/analysis tools: ZY JL XW XZ DW GH. Wrote the paper: ZY JL XW XZ. Collected data: ZY JL XW XZ.

                Article
                PONE-D-15-25048
                10.1371/journal.pone.0155416
                4883786
                27233015
                8143f5ad-24a6-4bae-843d-674eb08119d4
                © 2016 Yu et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 9 June 2015
                : 28 April 2016
                Page count
                Figures: 13, Tables: 4, Pages: 23
                Funding
                The authors have no support or funding to report.
                Categories
                Research Article
                Biology and Life Sciences
                Immunology
                Vaccination and Immunization
                Vaccines
                Medicine and Health Sciences
                Immunology
                Vaccination and Immunization
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                Medicine and Health Sciences
                Public and Occupational Health
                Preventive Medicine
                Vaccination and Immunization
                Vaccines
                Biology and Life Sciences
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                Biology and life sciences
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                Biology and Life Sciences
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                Viral Vaccines
                Medicine and Health Sciences
                Immunology
                Vaccination and Immunization
                Vaccines
                Viral Vaccines
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                Public and Occupational Health
                Preventive Medicine
                Vaccination and Immunization
                Vaccines
                Viral Vaccines
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