Abstract

The paper describes some preliminary attempts to formulate simple mathematical models of the transmission dynamics of HIV infection in homosexual communities. In conjunction with a survey of the available epidemiological data on HIV infection and the incidence of AIDS, the models are used to assess how various processes influence the course of the initial epidemic following the introduction of the virus. Models of the early stages of viral spread provide crude methods for estimating the basic reproductive rate of the virus, given a knowledge of the incubation period of the disease (AIDS) and the initial doubling time of the epidemic. More complex models are formulated to assess the influence of variation in the incubation period and heterogeneity in sexual activity. The latter factor is shown to have a major effect on the predicted pattern of the epidemic; high levels of heterogeneity decrease its magnitude. Areas of biological uncertainty, future research needs, and public health implications are discussed.

Keywords

Incubation periodTransmission (telecommunications)Basic reproduction numberHuman immunodeficiency virus (HIV)VirologyEpidemiologyVirusIncidence (geometry)DiseaseBiologyPublic healthDemographySexual transmissionEnvironmental healthImmunologyMedicineIncubationPopulationComputer scienceMathematicsInternal medicine

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Publication Info

Year
1986
Type
article
Volume
3
Issue
4
Pages
229-263
Citations
499
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Roy M. Anderson, Graham F. Medley, Robert M. May et al. (1986). A Preliminary Study of the Transmission Dynamics of the Human Immunodeficiency Virus (HIV), the Causative Agent of AIDS. Mathematical Medicine and Biology A Journal of the IMA , 3 (4) , 229-263. https://doi.org/10.1093/imammb/3.4.229

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DOI
10.1093/imammb/3.4.229