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Transmission Dynamics and Control of Severe Acute Respiratory Syndrome by Marc Lipsitch, Ted Cohen, Ben Cooper, James M. Robins, Stefan Ma, Lyn James,

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Presentation on theme: "Transmission Dynamics and Control of Severe Acute Respiratory Syndrome by Marc Lipsitch, Ted Cohen, Ben Cooper, James M. Robins, Stefan Ma, Lyn James,"— Presentation transcript:

1 Transmission Dynamics and Control of Severe Acute Respiratory Syndrome by Marc Lipsitch, Ted Cohen, Ben Cooper, James M. Robins, Stefan Ma, Lyn James, Gowri Gopalakrishna, Suok Kai Chew, Chorh Chuan Tan, Matthew H. Samore, David Fisman, and Megan Murray Science Volume 300(5627):1966-1970 June 20, 2003 Published by AAAS

2 Fig. 1. Quantitative epidemiology of SARS as reported from Singapore. Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS

3 Fig. 2. Estimated values of the reproductive number for SARS in the absence of specific control measures for a range of serial intervals from 4 to 15 days (SOM Text). Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS

4 Fig. 3. Marginal posterior distribution of R under the Bayesian procedure (11) for Y(41 days) = 425 based on 1000 simulations for each candidate value of R. The most notable feature of the posterior distribution is the considerable right skew, so that although the 90% credible interval spans (1.5, 7.7), the mode is about 2.2 and the expected value is 3.5. Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS

5 Fig. 4. The probability of an outbreak of SARS in a susceptible population for a range of values of R, approximated by the probability of nonextinction of a branching process (22) in which the number of secondary cases is given by a negative binomial distribution with a mean of R and a variance-to-mean ratio ranging from 1 (for which the negative binomial reduces to the Poisson distribution) to 20 [from left to right: 1 (black), 2 (green), 4 (blue), 10 (magenta), 20 (red)] after the introduction of (A) a single infectious case, (B) 5 infectious cases, (C) 20 infectious cases, and (D) 100 infectious cases. Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS

6 Fig. 5. Mathematical model for SARS transmission. Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS

7 Fig. 6. Modeled public-health impact of interventions against SARS including isolation and quarantine. Marc Lipsitch et al. Science 2003;300:1966-1970 Published by AAAS


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