Multi-dose vaccination scheme eliminates poliomyelitis in Cameroon: a mathematical modelling approach
摘要
Poliomyelitis is a deadly viral disease caused by various strains and highly contagious. The wild poliovirus (WPV) is the most harmful, attacking the host’s nervous system, leading to paralysis and death within hours. Vaccination remains the main effective prevention measure which protect the population at high risk composed mainly of children under 5 years of age. In Cameroon, a fourth-dose vaccination campaign was introduced to eradicate the disease, and the country was declared polio-free in 2020 by WHO. However, in 2021, two cases were detected again. This paper evaluates the effectiveness of the multi-dose vaccination strategy to eliminate Polio in Cameroon, using mathematical modelling. The study formulates and analyses a compartmental mathematical model with four vaccination classes, focusing on the administration of the oral polio vaccine (OPV) and the inactivated polio vaccine (IPV). Using combined data on reported cases and vaccine coverage, we calibrate and validate the model, estimate the basic reproduction number