Heterogeneity, Stochasticity and Complexity in the Dynamics and Control of Mosquito-Borne Pathogens

R. C. Reiner, David L. Smith
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Abstract

A theory for the transmission dynamics and control of malaria was developed around a set of concepts, quantities, and mathematical models introduced by Ronald Ross. Decades later, Macdonald linked Ross's models to epidemiological and entomological data, developed the concept of the basic reproductive number, R0, and proposed a rudimentary theory of control based on sensitivity to parameters. Here, we review development of the Ross–Macdonald model, present one simple version, and provide an eclectic critique of the theory based on studies conducted more recently. While mosquito populations are logically necessary for mosquito-borne pathogen transmission, the study of transmission since then shows it is noisy, heterogeneous, and complex. Heterogeneity, stochasticity, and complexity represent important challenges for applying theory in context.
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蚊媒病原体动态与控制的异质性、随机性与复杂性
疟疾传播动力学和控制理论是围绕罗纳德·罗斯提出的一系列概念、数量和数学模型发展起来的。几十年后,麦克唐纳将罗斯的模型与流行病学和昆虫学数据联系起来,发展了基本繁殖数R0的概念,并提出了基于参数敏感性的基本控制理论。在这里,我们回顾了罗斯-麦克唐纳模型的发展,提出了一个简单的版本,并根据最近进行的研究对该理论进行了折衷的批评。虽然蚊子种群在逻辑上是蚊媒病原体传播的必要条件,但此后的传播研究表明,它是嘈杂的、异质的和复杂的。异质性、随机性和复杂性是理论应用的重要挑战。
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