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目 录
中文摘要
..................................................................................................................................... I
英文摘要
...................................................................................................................................III
1
引言
.........................................................................................................................................1
1.1
研究背景
...............................................................................................................................1
1.2
国内外研究现状
..................................................................................................................2
1.3
研究目的和意义
..................................................................................................................2
1.4
本文的研究内容及结构安排
..............................................................................................3
2
传染病模型的相关介绍
.........................................................................................................4
2.1
人兽共患传染病
..................................................................................................................4
2.2
传染病模型的基本概念
......................................................................................................4
2.3
传染病数学模型的建立流程及方法
..................................................................................5
2.4
几种常用的传染病传播模型
...............................................................................................7
2.4.1
没有潜伏期的传染病模型
...............................................................................................7
2.4.2
具有潜伏期的传染病模型
...............................................................................................9
2.5
传染病模型的理论知识
....................................................................................................11
3
尼帕病简介
...........................................................................................................................12
3.1
尼帕病的起源与流行现状
................................................................................................12
3.2
尼帕病的流行病学特征
....................................................................................................13
3.2.1
病原及毒株分类
..............................................................................................................13
3.2.2 NiV
的致病机理
..............................................................................................................14
3.2.3 NiV
的天然宿主及感动物
..............................................................................................14
3.2.4
尼帕病的传播途径
.........................................................................................................15
3.3
尼帕病的症状、诊断及治疗
............................................................................................17
4
尼帕病传播模型的建立
.......................................................................................................19
4.1
不具有控制措施的
SEIR
模型的建立
............................................................................. 19
4.1.1 SEIR
模型的建立
............................................................................................................ 19
4.2.2
参数敏感性分析及模型仿真
.........................................................................................21
4.2
考虑隔离和检疫的
SEQIJR
模型
......................................................................................27
4.2.1 SEQIJR
模型的建立
........................................................................................................27
4.2.2
参数敏感性分析
.............................................................................................................29
4.2.3
模型仿真
.........................................................................................................................30
4.3
讨论
....................................................................................................................................31
5
结论
.......................................................................................................................................33
6
参考文献
................................................................................................................................34
7
附录
........................................................................................................................................47
8
致谢
........................................................................................................................................48
9
攻读学位期间发表论文情况
................................................................................................49
山东农业大学硕士学位论文
I
中文摘要
尼帕病(
Nipah vrius desease, NVD
)是由尼帕病毒(
Nipah vrius,NiV
)引起的一种
高度致死性人畜共患病,能够引起已感染动物的呼吸系统和中枢神经系统性症状。
NiV
的天然宿主是果蝠且对其不致病,对猪感染率高达
100%
,但死亡率仅约为
5%-15%
,
而人感染后的死亡率达到
40%-70%
。人类可通过果蝠、已感染猪、马等中间宿主而患病,
也可通过被
Niv
污染的枣椰树汁而感染,并进一步形成了人与人之间的传播。
NiV
具有
传播速度快和发病率高的特点,严重威胁了公共卫生安全。目前我国虽没有尼帕病爆发
的相关报道,但我国有引入和原发尼帕病的可能性,本文通过建立尼帕病传播的数学模
型,定性和定量分析影响尼帕病传播的因子,为我国制定相应的风险应急预案提供建议。
本文在充分研究了尼帕病的流行特点,根据尼帕病的传播机制,在做出合理假设的基础
上建立了不加入控制措施的尼帕病传播模型和加入检疫和隔离措施的尼帕病传播模型,
并计算出描述疾病爆发的基本再生数和控制再生数。然后应用
MATLAB
软件,通过编
程实现对感染人群数量随时间变化规律的仿真,以及基本再生数和控制再生数对模型中
各参数的敏感性,分析其对尼帕病传播的影响以及对控制疾病传播扩散的意义。
通过对模型仿真结果的分析表明,在未加入控制措施时要控制尼帕病在人群中的爆
发:应在人群中应采取能降低尼帕病患者与易感人群有效接触率的相应措施,比如通过
媒体、讲座等方式提高公众对尼帕病的相关认识来主动的减小与已感染患者的有效接
触。同时对已感染者采取积极地治疗措施,提高尼帕病的治愈率,降低死亡率。在动物
中发现尼帕疫情后,应立即采取扑杀措施,迅速控制疫情,防止其传播扩散。而加入控
制措施的模型的仿真结果表明,严格的检疫和隔离措施对于控制尼帕病的传播具有很重
要的作用。因此,我国应建立健全对尼帕病的检疫体系,海关等部门加大对尼帕病的检
疫力度,建立相应的检疫方法和体系,一旦发现疫情应迅速采取严密的隔离措施。同时
在对尼帕感染者的治疗过程中也应采取严格的隔离措施,防止隔离患者传播
NiV
。
关键词:尼帕病;人兽共患病;流行病学特点;
SEIR
模型;
SEQIJR
模型
基于 MATLAB 的尼帕病传播扩散模型的建立
II
Establishment of Diffusion Model of Nipah Disease Based on
MATLAB
Abstract
Nipah vrius desease (NVD) is a highly deadly zoonotic disease caused by the Nipah
vrius (NiV) and can cause respiratory and central nervous system symptoms in infected
animals. The natural host of NiV is the fruit bat and it will not be infected by Niv. The
infection rate for pigs is as high as 100%, but the mortality rate is only about 5%-15% while
the mortality rate of human reaches 40%-70%. Humans can become ill through fruit bats, and
intermediate hosts such as infected pigs and horses. They can also be infected by
Niv-contaminated date palm juice and further form human-to-human transmission. NiV has
the characteristics of rapid propagation and high incidence, which seriously threatens public
health security. Although there is no relevant report on the outbreak of NVD in China at
present, there is a possibility of the introduction of Nipah disease in our country. This article
established a mathematical model for the diffusion model of Nipah Disease ,then qualitatively
and quantitatively analyzed factors affecting the spread of Nipah disease. And it can provide
recommendations for our country to make corresponding risk emergency plans. This paper
fully studied the epidemiological characteristics of Nipah disease, established a Nipah disease
transmission model that did not include control measures, and another model with quarantine
and isolation measures on the basis of reasonable assumptions based on the transmission
mechanism of Nipah disease. And calculate the basic reproduction number and the control
reproduction number that describe whether the disease outbreaks. Then use MATLAB
software to simulate the changing rule of the number of infected people over time, and
analyze the sensitivity of the basic reproduction number and the control reproduction number
to various parameters in the model, analyze it’s influences and significance on the spread
and the control of Nipah disease.
Analysis of model simulation results shows that when Nipah disease outbreaks in the
population where there’s no control measures, appropriate measures should be taken to reduce
the effective exposure rate of Nipah patients to susceptible populations. For example,through
the media, lectures and other ways to increase public awareness of Nipah disease to actively
山东农业大学硕士学位论文
III
reduce the effective contact with infected patients. At the same time, active treatment
measures should be taken for those who have been infected to improve the cure rate of Nipah
disease and reduce the mortality rate. After the Nipah outbreak is found in animals, slaughter
should be taken immediately to quickly control the epidemic and prevent its spread. The
simulation results of models including control measures show that strict quarantine and
isolation measures play an important role in controlling the spread of Nipah disease.
Therefore, China should establish a sound quarantine system for Nipah disease, customs and
other departments to increase the intensity of quarantine inspection of Nipah disease, establish
a corresponding quarantine methods and systems, if it is found that the epidemic should be
quickly taken strict isolation measures. At the same time, strict isolation measures should be
taken during the treatment of Nipah infected people to prevent isolation of patients from
transmitting NiV.
Keywords: Nipah;zoonosis;epidemiological characteristics; SEIR model; SEQIJR model
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