Comparison and validation of two mathematical models for the impact of mass drug administration on Ascaris lumbricoides and hookworm infection

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Title: Comparison and validation of two mathematical models for the impact of mass drug administration on Ascaris lumbricoides and hookworm infection
Author(s): Coffeng, LE
Truscott, JE
Farrell, SH
Turner, HC
Sarkar, R
Kang, G
De Vlas, SJ
Anderson, RM
Item Type: Journal Article
Abstract: The predictions of two mathematical models of the transmission dynamics of Ascaris lumbricoides and hookworm infection and the impact of mass drug administration (MDA) are compared, using data from India. One model has an age structured partial differential equation (PDE) deterministic framework for the distribution of parasite numbers per host and sexual mating. The second model is an individual-based stochastic model. Baseline data acquired prior to treatment are used to estimate key transmission parameters, and forward projections are made, given the known MDA population coverage. Predictions are compared with observed post-treatment epidemiological patterns. The two models could equally well predict the short-term impact of deworming on A. lumbricoides and hookworm infection levels, despite being fitted to different subsets and/or summary statistics of the data. As such, the outcomes give confidence in their use as aids to policy formulation for the use of PCT to control A. lumbricoides and hookworm infection. The models further largely agree in a qualitative sense on the added benefit of semi-annual vs. annual deworming and targeting of the entire population vs. only children, as well as the potential for interruption of transmission. Further, this study also illustrates that long-term predictions are sensitive to modelling assumptions about which age groups contribute most to transmission, which depends on human demography and age-patterns in exposure and contribution to the environmental reservoir of infection, the latter being notoriously difficult to empirically quantify.
Publication Date: 6-Mar-2017
Date of Acceptance: 1-Feb-2017
ISSN: 1755-4365
Publisher: Elsevier
Start Page: 38
End Page: 47
Journal / Book Title: Epidemics
Volume: 18
Sponsor/Funder: Bill & Melinda Gates Foundation
Funder's Grant Number: ITDCVH45
Copyright Statement: © 2017 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (
Keywords: Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Soil-transmitted helminths
Mass drug administration
Mathematical modelling
Model comparison
Mass drug administration
Mathematical modelling
Model comparison
Soil-transmitted helminths
1103 Clinical Sciences
1117 Public Health And Health Services
Publication Status: Published
Open Access location:
Appears in Collections:Epidemiology, Public Health and Primary Care

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