RESUMEN
Primary schools constitute a key risk group for the transmission of infectious diseases, concentrating great numbers of immunologically naive individuals at high densities. Despite this, very little is known about the social patterns of mixing within a school, which are likely to contribute to disease transmission. In this study, we present a novel approach where scientific engagement was used as a tool to access school populations and measure social networks between young (4-11 years) children. By embedding our research project within enrichment activities to older secondary school (13-15) children, we could exploit the existing links between schools to achieve a high response rate for our study population (around 90% in most schools). Social contacts of primary school children were measured through self-reporting based on a questionnaire design, and analysed using the techniques of social network analysis. We find evidence of marked social structure and gender assortativity within and between classrooms in the same school. These patterns have been previously reported in smaller studies, but to our knowledge no study has attempted to exhaustively sample entire school populations. Our innovative approach facilitates access to a vitally important (but difficult to sample) epidemiological sub-group. It provides a model whereby scientific communication can be used to enhance, rather than merely complement, the outcomes of research.
Asunto(s)
Relaciones Interpersonales , Instituciones Académicas , Apoyo Social , Adolescente , Niño , Preescolar , Enfermedades Transmisibles/epidemiología , Enfermedades Transmisibles/transmisión , Transmisión de Enfermedad Infecciosa , Femenino , Humanos , Masculino , Factores Sexuales , Reino UnidoRESUMEN
We examine a generalised SIR model for the infection dynamics of four competing disease strains. This model contains four previously-studied models as special cases. The different strains interact indirectly by the mechanism of cross-immunity; individuals in the host population may become immune to infection by a particular strain even if they have only been infected with different but closely related strains. Several different models of cross-immunity are compared in the limit where the death rate is much smaller than the rate of recovery from infection. In this limit an asymptotic analysis of the dynamics of the models is possible, and we are able to compute the location and nature of the Takens-Bogdanov bifurcation associated with the presence of oscillatory dynamics observed by previous authors.
Asunto(s)
Enfermedades Transmisibles/inmunología , Modelos Inmunológicos , HumanosRESUMEN
We present and investigate a new model for cross-immunity. Past models classify hosts according to their infection history. Here we represent hosts through their status: their current ability to respond to strains. This framework allows a different, a wider, and a more biologically interpretable range of forms of cross-immunity to be studied. Using this new form of cross-immunity we then consider a previously studied case of four strains, each of which confers partial immunity to two of the others. In this interesting special case, with applications to the genetic maintenance of strain diversity, we can make substantial analytical progress. We present methods for exploiting the symmetries of the system to show that only a particular invariant subspace need be considered for characterizing the dynamics of the whole system. A complete bifurcation structure is given for this subspace. In contrast to systems previously studied, this system does not exhibit sustained oscillations for any set of parameter values.