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Simulation and Modelling



                      Notes         and) infectious, and any other value of h that the host is not currently infected. For h < –WN, the
                                    host’s immunity to re-infection is declining, as explained below. Similarly, –D  < v < 0 indicates
                                                                                                  V
                                    a vector that is infected but not infectious, v <= –D  a vector that is (infected and) infectious, and
                                                                            V
                                    any other value of v a vector that is not currently infected. The basic model does not encompass
                                    the possibility of mosquito immunity. At each successive day of a simulation run, all h and v
                                    values are decremented by 1, advancing them through the appropriate delay, window or decay
                                    periods.
                                    Parasite transmission is represented as a single state-altering interaction between an individual
                                    host and an individual vector. At each time step the model selects a mosquito at random and a
                                    human at random for an interaction. An initial parameter, V , the total number of daily host-
                                                                                      B
                                    vector interactions, sets the number of times this random pair selection is repeated each day.
                                    Only two pairs of host-vector states permit interactions that may directly induce state transitions:
                                    1.   If the mosquito is infectious, then with a probability based on the immune state of the
                                         human, that human changes state and becomes infected, setting h to D ;
                                                                                                  H
                                    2.   If the human is infectious, then with some probability, taken to be 1 in the basic model,
                                         that mosquito changes state and becomes infected, setting v to 0.

                                    In the other possible state combinations there are no transitions: super infection of a human
                                    already infected with a given strain does not reset h, and super infection of a mosquito already
                                    infected with a given strain does not reset v. Hence, in humans, super infections with identical
                                    strains affect neither immune responses nor  gametocyte production, and  in mosquitoes they
                                    simply accumulate, neither accelerating nor delaying the onset of infectiousness. This follows
                                    Macdonald’s conventions, but an advantage of our modeling approach is that virtually any
                                    super infection scheme can  be implemented. Host and  vector populations are sampled with
                                    replacement, so multiple feedings by a single mosquito as well as multiple bites on a single
                                    human may occur within a single day; both phenomena occur in nature.
                                    Any host not previously infected is considered wholly susceptible. The decay of immunity in a
                                    previously-infected host  is represented by a changing probability of re-infection of that host
                                    when bitten by an infectious mosquito. During an infection, i.e., for h greater than –WN, this
                                    probability is considered 0, consistent with the absence of state change noted above; after an
                                    infection is cleared, i.e., when the  host state reaches –WN,  this probability  exponentially,
                                    asymptotically approaches 1. For h less than –WN, we model the probability of infection as 1–
                                    a im (hewn) ; note that with h always more negative than –WN, the exponent is always negative. The
                                    immune half-life, (ln2)/IM, is the number of days required for  this probability  to reach 0.5.
                                    When an infectious mosquito is paired with any human, that human’s probability of acquiring
                                    an infection is calculated, as above, and a uniform random number between 0 and 1 is compared
                                    with that probability. If the random number is less than the calculated probability, then the
                                    human becomes infected,  setting the  host  state  h to  D ;  otherwise the  host state  remains
                                                                                   H
                                    unchanged.
                                    At each time step for each vector, a uniform random number between 0 and 1 is compared with
                                    the probability of death, (1–VS). If the random number is less than that probability, then the
                                    mosquito is removed from the population and replaced with a new mosquito, maintaining the
                                    vector population at constant size. The vector half-life, (ln2)/ (1–VS), is the number of days over
                                    which mortality reduces any given cohort of new mosquitoes by half.
                                    The initial parameters N  and N  fix the host and vector population sizes, respectively. Initially
                                                        H     o
                                    no mosquitoes are infected, and an initial fraction of the host population is infected by setting
                                    each h to a random value between D  and 0. The initial state of each uninfected host is set to a
                                                                  H
                                    large negative value, implying no initial immunity. We coded the models in C++ and ran them
                                    on an IBM-compatible PC under Windows 95.





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