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Table 1 Overview of assumptions and pre-set parameters

From: Feasibility of eliminating visceral leishmaniasis from the Indian subcontinent: explorations with a set of deterministic age-structured transmission models

Parameters

Valuea

Source

Human birth rate (per 1000 capita, αH)

21 (Indian crude birth rate in 2011)

[32]

Human mortality rate (μH)

Age-dependent (Indian mortality rates in 2011)

[33]

Average duration of late recovered stage (years, 1/ρRHC)

2 or 5

Pre-set

Average duration of symptomatic untreated stage (days, 1/ρIHS)

30 (fitting) and 45 (predicting)

Unpublished data

Average duration of symptomatic treatment 1 (days, 1/ρ IHT1)

30 (fitting) and 2.5 (predicting)

[34]

Average duration of symptomatic treatment 2 (days, 1/ρ IHT2)

30 (fitting) and 10 (predicting)

[35]

Average duration of putatively recovered stage (months, 1/ρ IHT )

21

[36]

Average duration of PKDL (years, 1/ρ IHL )

5 (models 1 and 2) and 15 (model 3)

Expert opinion (EH and MB)

Infectiveness of symptomatic untreated cases (p IHS )

1.0

Reference value

Infectiveness of patients under treatment 1 and 2 (p IHT1, p IHT2)

0.5

Expert opinion (EH and MB)

Infectiveness of PKDL cases (p IHL )

0.5 (models 1 and 2 only; estimated for model 3)

Expert opinion (EH and MB)

Fraction of untreated symptomatic cases that spontaneously, putatively recover (f p )

0.03

[25]

Excess mortality rate among untreated symptomatic cases (per day, μK)

1/150

Assumption

Excess mortality rate among treated symptomatic cases (per day, μ KT )

1/150 + 1/600 = 1/120 (fitting) and 1/150 (predicting)

[34, 35]

Fraction of failed first-line treatments (f F )

0.05

[37]

Fraction of putatively recovered cases that develop PKDL (f L )

0.05 (set such that models 1 and 2 predicted a prevalence of PKDL between 4.4 and 7.8 per 10,000 capita in India)

[10, 38]

Average life expectancy of the sandfly (days, 1/μ F )

14

[39]

Average duration of incubation period in sandflies (days, 1/ρ EF )

5

[62]

Sandfly biting rate (per day, β)

1/4

[63]

Transmission probability sandfly to human (p H )

1.0b

Reference value

  1. The parameter values listed here are the same for all three models and their sub-variants, unless indicated otherwise
  2. aParameter values marked with “fitting” only apply to the KalaNet study setting and were therefore only used when fitting the models to the KalaNet data; related to this, different parameter values were used when predicting the impact of IRS (indicated by “predicting”)
  3. bThe probability that a susceptible person becomes infected when bitten by an infectious sandfly is assumed to be 1; potential overestimation is compensated by the estimated sandfly density per human