Reconstruction of measles dynamics in a vaccinated population

J. Wallinga*, P. Teunis, M. Kretzschmar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Scopus)

Abstract

The evaluation of measles vaccination programmes has been problematic because the change in actual numbers of infections and susceptibles over time cannot be directly observed. In this paper, we present a method for estimating the time series of number of susceptibles and infections, as well as the critical vaccination coverage in a vaccinated population. The proposed method is applied to data on measles outbreaks in The Netherlands. We show that the results are self-consistent and in line with available independent estimates. A potential application of the proposed method lies in detecting the loss of herd immunity and assessing the risk of major outbreaks in vaccinated populations.

Original languageEnglish
Pages (from-to)2643-2650
Number of pages8
JournalVaccine
Volume21
Issue number19-20
DOIs
Publication statusPublished - 2 Jun 2003

Keywords

  • Basic reproduction ratio
  • Host-pathogen dynamics
  • Time series analysis

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