Endemic threshold results in an age-duration-structured population model for HIV infection

In this paper we consider an age-duration-structured population model for HIV infection in a homosexual community. First we investigate the invasion problem to establish the basic reproduction ratio R(0) for the HIV/AIDS epidemic by which we can state the threshold criteria: The disease can invade into the completely susceptible population if R(0)>1, whereas it cannot if R(0)<1. Subsequently, we examine existence and uniqueness of endemic steady states. We will show sufficient conditions for a backward or a forward bifurcation to occur when the basic reproduction ratio crosses unity. That is, in contrast with classical epidemic models, for our HIV model there could exist multiple endemic steady states even if R(0) is less than one. Finally, we show sufficient conditions for the local stability of the endemic steady states.     

On the global stability of the logistic age-dependent population growth

We study an age-dependent population equation with a nonlinear death rate of logistic type. The global asymptotic stability of the null solution is investigated when R(0)<1. If R(0)>1 we get the existence of a nontrivial steady state that becomes asymptotically stable itself, while the null solution is unstable. The rate of decay is estimated.Supported in part by CNR-GNAFA     

The Ross-Macdonald model in a patchy environment

We generalize to n patches the Ross-Macdonald model which describes the dynamics of malaria. We incorporate in our model the fact that some patches can be vector free. We assume that the hosts can migrate between patches, but not the vectors. The susceptible and infectious individuals have the same dispersal rate. We compute the basic reproduction ratio R(0). We prove that if R(0)1, then the disease-free equilibrium is globally asymptotically stable. When R(0)>1, we prove that there exists a unique endemic equilibrium, which is globally asymptotically stable on the biological domain minus the disease-free equilibrium.     

Global dynamics of an epidemiological model with age of infection and disease relapse

In this paper, an epidemiological model with age of infection and disease relapse is investigated. The basic reproduction number for the model is identified, and it is shown to be a sharp threshold to completely determine the global dynamics of the model. By analysing the corresponding characteristic equations, the local stability of a disease-free steady state and an endemic steady state of the model is established. By means of suitable Lyapunov functionals and LaSalle's invariance principle, it is verified that if the basic reproduction number is less than unity, the disease-free steady state is globally asymptotically stable, and hence the disease dies out; if the basic reproduction number is greater than unity, the endemic steady state is globally asymptotically stable and the disease becomes endemic.     

An age-structured within-host HIV-1 infection model with virus-to-cell and cell-to-cell transmissions

In this paper, a within-host HIV-1 infection model with virus-to-cell and direct cell-to-cell transmission and explicit age-since-infection structure for infected cells is investigated. It is shown that the model demonstrates a global threshold dynamics, fully described by the basic reproduction number. By analysing the corresponding characteristic equations, the local stability of an infection-free steady state and a chronic-infection steady state of the model is established. By using the persistence theory in infinite dimensional system, the uniform persistence of the system is established when the basic reproduction number is greater than unity. By means of suitable Lyapunov functionals and LaSalle's invariance principle, it is shown that if the basic reproduction number is less than unity, the infection-free steady state is globally asymptotically stable; if the basic reproduction number is greater than unity, the chronic-infection steady state is globally asymptotically stable. Numerical simulations are carried out to illustrate the feasibility of the theoretical results.     

A mathematical model for Chagas disease with infection-age-dependent infectivity

In this paper we develop a mathematical model for Chagas disease with infection-age-dependent infectivity. The effects of vector and blood transfusion transmission are considered, and the infected population is structured by the infection age (the time elapsed from infection). The authors identify the basic reproduction ratio R0 and show that the disease can invade into the susceptible population and unique endemic steady state exists if R0 > 1, whereas the disease dies out if R0 is small enough. We show that depending on parameters, backward bifurcation of endemic steady state can occur, so even if R0 < 1, there could exist endemic steady states. We also discuss local and global stability of steady states.     

A Within-Host Virus Model with Periodic Multidrug Therapy

This paper is devoted to the investigation of the effects of periodic drug treatment on a standard within-host virus model. We first introduce the basic reproduction ratio for the model, and then show that the infection free equilibrium is globally asymptotically stable, and the disease eventually disappears if $\mathcal{R}_{0} < 1$ , while there exists at least one positive periodic state and the disease persists when $\mathcal{R}_{0}>1$ . We also consider an optimization problem by shifting the phase of these drug efficacy functions. It turns out that shifting the phase can certainly affect the stability of the infection free steady state. A numerical study is performed to illustrate our analytic results.     

一类带有肝炎B病毒感染的数学模型的全局稳定性分析（英文）

本文主要分析了一类具有肝炎B病毒感染且带有治愈率的典型的数学模型（HBV）.通过稳定性分析,得到了该模型的无病平衡点与地方病平衡点全局稳定的充分条件,并且证明了当基本再生数R0〈1, HBV感染消失;当R0〉1,HBV感染持续.     

A Malaria Transmission Model with Temperature-Dependent Incubation Period

Malaria is an infectious disease caused by Plasmodium parasites and is transmitted among humans by female Anopheles mosquitoes. Climate factors have significant impact on both mosquito life cycle and parasite development. To consider the temperature sensitivity of the extrinsic incubation period (EIP) of malaria parasites, we formulate a delay differential equations model with a periodic time delay. We derive the basic reproduction ratio \(R_0\) and establish a threshold type result on the global dynamics in terms of \(R_0\), that is, the unique disease-free periodic solution is globally asymptotically stable if \(R_0<1\); and the model system admits a unique positive periodic solution which is globally asymptotically stable if \(R_0>1\). Numerically, we parameterize the model with data from Maputo Province, Mozambique, and simulate the long-term behavior of solutions. The simulation result is consistent with the obtained analytic result. In addition, we find that using the time-averaged EIP may underestimate the basic reproduction ratio.     

Discrete-time models with mosquitoes carrying genetically-modified bacteria

We formulate a homogeneous model and a stage-structured model for the interactive wild mosquitoes and mosquitoes carrying genetically-modified bacteria. We establish conditions for the existence and stability of fixed points for both models. We show that a unique positive fixed point exists and is asymptotically stable if the two boundary fixed points are both unstable. The unique positive fixed point exists and is unstable if the two boundary fixed points are both locally asymptotically stable. Using numerical examples, we demonstrate the models undergoing a period-doubling bifurcation.     

Dynamics of an epidemic model with non-local infections for diseases with latency over a patchy environment

In this paper, with the assumptions that an infectious disease in a population has a fixed latent period and the latent individuals of the population may disperse, we formulate an SIR model with a simple demographic structure for the population living in an n-patch environment (cities, towns, or countries, etc.). The model is given by a system of delay differential equations with a fixed delay accounting for the latency and a non-local term caused by the mobility of the individuals during the latent period. Assuming irreducibility of the travel matrices of the infection related classes, an expression for the basic reproduction number R₀{\mathcal{R}_0} is derived, and it is shown that the disease free equilibrium is globally asymptotically stable if R₀ < 1{\mathcal{R}_0 < 1} , and becomes unstable if ${\mathcal{R}_0 > 1}${\mathcal{R}_0 > 1} . In the latter case, there is at least one endemic equilibrium and the disease will be uniformly persistent. When n = 2, two special cases allowing reducible travel matrices are considered to illustrate joint impact of the disease latency and population mobility on the disease dynamics. In addition to the existence of the disease free equilibrium and interior endemic equilibrium, the existence of a boundary equilibrium and its stability are discussed for these two special cases.     

Global dynamics of a reaction and diffusion model for Lyme disease

This paper is devoted to the mathematical analysis of a reaction and diffusion model for Lyme disease. In the case of a bounded spatial habitat, we obtain the global stability of either disease-free or endemic steady state in terms of the basic reproduction number R?. In the case of an unbounded spatial habitat, we establish the existence of the spreading speed of the disease and its coincidence with the minimal wave speed for traveling fronts. Our analytic results show that R? is a threshold value for the global dynamics and that the spreading speed is linearly determinate.     

Global dynamics of a staged-progression model with amelioration for infectious diseases

We analyze the global dynamics of a mathematical model for infectious diseases that progress through distinct stages within infected hosts with possibility of amelioration. An example of such diseases is HIV/AIDS that progresses through several stages with varying degrees of infectivity; amelioration can result from a host's immune action or more commonly from antiretroviral therapies, such as highly active antiretroviral therapy. For a general n-stage model with constant recruitment and bilinear incidence that incorporates amelioration, we prove that the global dynamics are completely determined by the basic reproduction number R(0). If R(0)≤1, then the disease-free equilibrium P(0) is globally asymptotically stable, and the disease always dies out. If R(0)>1, P(0) is unstable, a unique endemic equilibrium P* is globally asymptotically stable, and the disease persists at the endemic equilibrium. Impacts of amelioration on the basic reproduction number are also investigated.     

Global dynamics of an SEIR epidemic model with saturating contact rate

Heesterbeek and Metz [J. Math. Biol. 31 (1993) 529] derived an expression for the saturating contact rate of individual contacts in an epidemiological model. In this paper, the SEIR model with this saturating contact rate is studied. The basic reproduction number R0 is proved to be a sharp threshold which completely determines the global dynamics and the outcome of the disease. If R0 < or =1, the disease-free equilibrium is globally stable and the disease always dies out. If R0 > 1, there exists a unique endemic equilibrium which is globally stable and the disease persists at an endemic equilibrium state if it initially exists. The contribution of the saturating contact rate to the basic reproduction number and the level of the endemic equilibrium is also analyzed.     

Global stability of models of humoral immunity against multiple viral strains

We analyse, from a mathematical point of view, the global stability of equilibria for models describing the interaction between infectious agents and humoral immunity. We consider the models that contain the variables of pathogens explicitly. The first model considers the situation where only a single strain exists. For the single strain model, the disease steady state is globally asymptotically stable if the basic reproductive ratio is greater than one. The other models consider the situations where multiple strains exist. For the multi-strain models, the disease steady state is globally asymptotically stable. In the model that does not explicitly contain an immune variable, only one strain with the maximum basic reproductive ratio can survive at the steady state. However, in our models explicitly involving the immune system, multiple strains coexist at the steady state.     

On a temporal model for the Chikungunya disease: modeling, theory and numerics

Reunion Island faced two episodes of Chikungunya, a vector-borne disease, in 2005 and in 2006. The latter was of unprecedented magnitude: one third of the population was infected. Until the severe episode of 2006, our knowledge of Chikungunya was very limited. The principal aim of our study is to propose a model, including human and mosquito compartments, that is associated to the time course of the first epidemic of Chikungunya. By computing the basic reproduction number R(0), we show there exists a disease-free equilibrium that is locally asymptotically stable if the basic reproduction number is less than 1. Moreover, we give a necessary condition for global asymptotic stability of the disease-free equilibrium. Then, we propose a numerical scheme that is qualitatively stable and present several simulations as well as numerical estimates of the basic reproduction number for some cities of Reunion Island. For the episode of 2005, R(0) was less than one, which partly explains why no outbreak appeared. Using recent entomological results, we investigate links between the episode of 2005 and the outbreak of 2006. Finally, our work shows that R(0) varied from place to place on the island, indicating that quick and focused interventions, like the destruction of breeding sites, may be effective for controlling the disease.     

Evolutionary implications for interactions between multiple strains of host and parasite

The interaction between multiple parasite strains within different host types may influence the evolutionary trajectories of parasites. In this article, we formulate a deterministic model with two strains of parasites and two host types in order to investigate how heterogeneities in parasite virulence and host life-history may affect the persistence and spread of diseases in natural systems. We compute the reproductive number of strain i (R(i)) independently, as well as the (conditional) "invasion" reproductive number for strains i (R(i)(j), j not equal i) when strain j is at a positive equilibrium. We show that the disease-free equilibrium is locally asymptotically stable if R(i)<1 for both strains and is unstable if R(i)>1 for one stain. We establish the criterion R(i)(j)>1 for strain i to invade strain j. Subthreshold coexistence driven by coinfection is possible even when R(i) of one strain is below 1. We identify conditions that determine the evolution of parasite specialism or generalism based on the life-history strategies employed by hosts, and investigate how host strains may influence parasite persistence.     

Computation of threshold conditions for epidemiological models and global stability of the disease-free equilibrium (DFE)

One goal of this paper is to give an algorithm for computing a threshold condition for epidemiological systems arising from compartmental deterministic modeling. We calculate a threshold condition T(0) of the parameters of the system such that if T(0)<1 the disease-free equilibrium (DFE) is locally asymptotically stable (LAS), and if T(0)>1, the DFE is unstable. The second objective, by adding some reasonable assumptions, is to give, depending on the model, necessary and sufficient conditions for global asymptotic stability (GAS) of the DFE. In many cases, we can prove that a necessary and sufficient condition for the global asymptotic stability of the DFE is R(0)< or =1, where R(0) is the basic reproduction number [O. Diekmann, J.A. Heesterbeek, Mathematical Epidemiology of Infectious Diseases: Model Building, Analysis and Interpretation, Wiley, New York, 2000]. To illustrate our results, we apply our techniques to examples taken from the literature. In these examples we improve the results already obtained for the GAS of the DFE. We show that our algorithm is relevant for high dimensional epidemiological models.     

Threshold dynamics in an SEIRS model with latency and temporary immunity

A disease transmission model of SEIRS type with distributed delays in latent and temporary immune periods is discussed. With general/particular probability distributions in both of these periods, we address the threshold property of the basic reproduction number \(R_0\) and the dynamical properties of the disease-free/endemic equilibrium points present in the model. More specifically, we 1. show the dependence of \(R_0\) on the probability distribution in the latent period and the independence of \(R_0\) from the distribution of the temporary immunity, 2. prove that the disease free equilibrium is always globally asymptotically stable when \(R_0<1\) , and 3. according to the choice of probability functions in the latent and temporary immune periods, establish that the disease always persists when \(R_0>1\) and an endemic equilibrium exists with different stability properties. In particular, the endemic steady state is at least locally asymptotically stable if the probability distribution in the temporary immunity is a decreasing exponential function when the duration of the latency stage is fixed or exponentially decreasing. It may become oscillatory under certain conditions when there exists a constant delay in the temporary immunity period. Numerical simulations are given to verify the theoretical predictions.     

Qualitative analysis of models with different treatment protocols to prevent antibiotic resistance

This paper is concerned with the qualitative analysis of two models [S. Bonhoeffer, M. Lipsitch, B.R. Levin, Evaluating treatment protocols to prevent antibiotic resistance, Proc. Natl. Acad. Sci. USA 94 (1997) 12106] for different treatment protocols to prevent antibiotic resistance. Detailed qualitative analysis about the local or global stability of the equilibria of both models is carried out in term of the basic reproduction number R₀. For the model with a single antibiotic therapy, we show that if R₀ < 1, then the disease-free equilibrium is globally asymptotically stable; if R₀ > 1, then the disease-endemic equilibrium is globally asymptotically stable. For the model with multiple antibiotic therapies, stabilities of various equilibria are analyzed and combining treatment is shown better than cycling treatment. Numerical simulations are performed to show that the dynamical properties depend intimately upon the parameters.