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Biomedical subjects

J P Aparicio

Publications and source records attributed to J P Aparicio.

4 recordsLinked to original sources

Critical response time (time available to implement effective measures for epidemic control): model building and evaluation.

The time available to implement successful control measures against epidemics was estimated. Critical response time (CRT), defined as the time interval within which the number of epidemic cases remains stationary (so that interventions implemented within CRT may be the most effective or least costly), was assessed during the early epidemic phase, when the number of cases grows linearly over time. The CRT was calculated from data of the 2001 foot-and-mouth disease (FMD) epidemic that occurred in Uruguay. Significant regional CRT differences (ranging from 1.4 to 2.7 days) were observed. The CRT may facilitate selection of control measures. For instance, a CRT equal to 3 days would support the selection of measures, such as stamping-out, implementable within 3 days, but rule out measures, such as post-outbreak vaccination, because intervention and immunity building require more than 3 days. Its use in rapidly disseminating diseases, such as FMD, may result in regionalized decision-making.

Animals↗

Population dynamics: Poisson approximation and its relation to the Langevin process.

We discuss how to simulate a stochastic evolution process in terms of difference equations with Poisson distributions of independent events when the problem is naturally described by discrete variables. For large populations the Poisson approximation becomes a discrete integration of the Langevin approximation [T. G. Kurtz, J. Appl. Prob. 7, 49 (1970); 8, 344 (1971)]. We analyze when the latter gives a reasonable representation of the original evolution for finite size systems. A simple example of an epidemic process is used to organize the discussion and to perform statistical tests that underline the goodness of the proposed method.

Poisson Distribution↗

Sustained oscillations in stochastic systems.

Many non-linear deterministic models for interacting populations present damped oscillations towards the corresponding equilibrium values. However, simulations produced with related stochastic models usually present sustained oscillations which preserve the natural frequency of the damped oscillations of the deterministic model but showing non-vanishing amplitudes. The relation between the amplitude of the stochastic oscillations and the values of the equilibrium populations is not intuitive in general but scales with the square root of the populations when the ratio between different populations is kept fixed. In this work, we explain such phenomena for the case of a general epidemic model. We estimate the stochastic fluctuations of the populations around the equilibrium point in the epidemiological model showing their (approximated) relation with the mean values.

Models, Biological↗

Transmission and dynamics of tuberculosis on generalized households.

Tuberculosis (TB) transmission is enhanced by systematic exposure to an infectious individual. This enhancement usually takes place at either the home, workplace, and/or school (generalized household). Typical epidemiological models do not incorporate the impact of generalized households on the study of disease dynamics. Models that incorporate cluster (generalized household) effects and focus on their impact on TB's transmission dynamics are developed. Detailed models that consider the effect of casual infections, that is, those generated outside a cluster, are also presented. We find expressions for the Basic Reproductive Number as a function of cluster size. The formula for R0 separates the contributions of cluster and casual infections in the generation of secondary TB infections. Relationships between cluster and classical epidemic models are discussed as well as the concept of critical cluster size.

Causality↗