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Characterizing the dynamics of rubella relative to measles: the role of stochasticity

Author(s): Rozhnova, G.; Metcalf, C. Jessica E.; Grenfell, Bryan T.

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Abstract: Rubella is a completely immunizing and mild infection in children. Understanding its behaviour is of considerable public health importance because of congenital rubella syndrome, which results from infection with rubella during early pregnancy and may entail a variety of birth defects. The recurrent dynamics of rubella are relatively poorly resolved, and appear to show considerable diversity globally. Here, we investigate the behaviour of a stochastic seasonally forced susceptible–infected–recovered model to characterize the determinants of these dynamics and illustrate patterns by comparison with measles. We perform a systematic analysis of spectra of stochastic fluctuations around stable attractors of the corresponding deterministic model and compare them with spectra from full stochastic simulations in large populations. This approach allows us to quantify the effects of demographic stochasticity and to give a coherent picture of measles and rubella dynamics, explaining essential differences in the recurrent patterns exhibited by these diseases. We discuss the implications of our findings in the context of vaccination and changing birth rates as well as the persistence of these two childhood infections.
Publication Date: 11-Sep-2013
Electronic Publication Date: 11-Sep-2013
Citation: Rozhnova, G., Metcalf, C. J. E., Grenfell, B. T.. (2013). Characterizing the dynamics of rubella relative to measles: the role of stochasticity. Journal of The Royal Society Interface, 10 (88), 20130643 - 20130643. doi:10.1098/rsif.2013.0643
DOI: doi:10.1098/rsif.2013.0643
ISSN: 1742-5689
EISSN: 1742-5662
Pages: 20130643 - 20130643
Type of Material: Journal Article
Journal/Proceeding Title: Journal of The Royal Society Interface
Version: Final published version. This is an open access article.

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