Table 3 HIV and HCV biological model parameters with uncertainty ranges for fitting algorithm
Biological model parameterValue usedData source
HIV biological model parameters
HIV transmission probability per syringe sharing event0.14–1.41%Reference 3
Cofactor increase in HIV transmission probability during
    Initial period of high viraemia7.5–15References 44–46
    Pre-AIDS period of high viraemia3–6Reference 46
Duration of initial period of high viraemia1.5–2.5 monthsReferences 46, 47
Duration of pre-AIDS period of high viraemia12–24 monthsReference 46
Median duration until severe morbidity or death75–92 monthsIndian estimates used48 49
Effectiveness of cleaning syringes for disinfecting against HIV (mainly water used)52% (37% to 67%)*Reference 50
HCV biological model parameters
HCV transmission probability if HIV negative1.5–14%See supplementary material3 4
HCV transmission probability if HIV positive relative to if HIV negativeRR 1.0–3.7See supplementary material4 33 51
Duration of HCV acute phase of infection3–24 monthsReferences 22, 52, 53
Proportion of HCV-infected subjects that resolve infection:
    Among HIV negatives26% (20% to 50%)Reference 6
    Among HIV positives relative to HIV negativesRR 0.21–0.58References 28, 29, 36, 54
Proportion of resolved infected subjects that become immune:References 23–25, 27, 35
    If HIV negative0–100%
    If HIV positive relative to HIV negativesRR 0.3–0.5Few data25 35
Effectiveness of cleaning syringes for disinfecting against HCV (mainly water used)Assumed same effectiveness as HIVFew data55
  • HCV, hepatitis C virus; RR, relative risk.

  • *Effectiveness estimate if rinsed with water.