Micro and macro population effects in disease transmission: the case of varicella
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Published version
Author(s)
Type
Journal Article
Abstract
Profiles of varicella-zoster virus (VZV) seroprevalence have shown large variability in European countries in which vaccination has not been implemented. Differences in micro and macro population structures (e.g. household and municipality, respectively) may explain such variability, which is the focus of a population-based study of varicella in 12 000 children from 7800 French households in Corsica. The cumulative incidence was 89% at age 11 years, as the median age at infection was 5 years in first-born children, but decreased to 3·9 years in younger siblings. Hazard of infection in households increased as the first-born child initially enrolled in primary school. Age at infection was higher in less populated areas. Household attack rates increased with age (55% in <6 months, >90% in >3 years) and household secondary attack rate was ∼70%. Several levels of population structure independently affect age at varicella infection.
Date Issued
2010-04
Date Acceptance
2009-08-25
Citation
Epidemiology and Infection, 2010, 138 (4), pp.482-490
ISSN
0950-2688
Publisher
Cambridge University Press (CUP)
Start Page
482
End Page
490
Journal / Book Title
Epidemiology and Infection
Volume
138
Issue
4
Copyright Statement
© Cambridge University Press 2009.
Identifier
https://www.cambridge.org/core/journals/epidemiology-and-infection/article/micro-and-macro-population-effects-in-disease-transmission-the-case-of-varicella/5B702B146DF2CCC0B5CBC15CB91E9AC6
Subjects
1117 Public Health and Health Services
Epidemiology
Publication Status
Published
Date Publish Online
2009-10-02