Differential susceptibility epidemic models

We formulate compartmental differential susceptibility (DS) susceptible-infective-removed (SIR) models by dividing the susceptible population into multiple subgroups according to the susceptibility of individuals in each group. We analyze the impact of disease-induced mortality in the situations where the number of contacts per individual is either constant or proportional to the total population. We derive an explicit formula for the reproductive number of infection for each model by investigating the local stability of the infection-free equilibrium. We further prove that the infection-free equilibrium of each model is globally asymptotically stable by qualitative analysis of the dynamics of the model system and by utilizing an appropriately chosen Liapunov function. We show that if the reproductive number is greater than one, then there exists a unique endemic equilibrium for all of the DS models studied in this paper. We prove that the endemic equilibrium is locally asymptotically stable for the models with no disease-induced mortality and the models with contact numbers proportional to the total population. We also provide sufficient conditions for the stability of the endemic equilibrium for other situations. We briefly discuss applications of the DS models to optimal vaccine strategies and the connections between the DS models and predator-prey models with multiple prey populations or host-parasitic interaction models with multiple hosts are also given.This research was partially supported by the Department of Energy under contracts W-7405-ENG-36 and the Applied Mathematical Sciences Program KC-07-01-01.     

变时滞SIS流行病模型的稳定性分析

研究了一类时滞SIS流行病模型,分析了该模型无病平衡点和地方平衡点的存在性,得到了无病平衡点全局指数渐近稳定和地方病平衡点局部指数渐近稳定的充分条件,同时给出了地方病平衡点吸引区域的估计。     

具有年龄结构的接种流行病模型正平衡解的全局稳定性

研究一个具有年龄结构的接种SIS流行病模型正平衡解的稳定性,先利用等价积分方程给出了正平衡解存在的充分条件,再利用迭代方法及函数的单调性,得到了零平衡解与正平衡解全局稳定的充分条件。     

Rational behavioral response and the transmission of STDs

The susceptible-infected (SI) model is extended by allowing for individual optimal choices of self-protective actions against infection, where agents differ with respect to preferences and costs of self-protection. It is shown that a unique endemic equilibrium prevalence exists when the basic reproductive number of a STD is strictly greater than unity, and that the disease-free equilibrium is the unique steady state equilibrium when the basic reproductive number is less than or equal to one. Unlike in models that take individual behavior as given and fixed, the endemic equilibrium prevalence need not vary monotonically with respect to the basic reproductive number. Specifically, with endogenously determined self-protective behavior, a reduction in the basic reproductive number may in fact increase the endemic equilibrium prevalence. The global stability of the endemic steady state is established for the case of a homogeneous population by showing that, for any non-zero initial disease prevalence, there exists an equilibrium path which converges to the endemic steady state.     

Analysis of SIR epidemic models with nonlinear incidence rate and treatment

This paper deals with the nonlinear dynamics of a susceptible-infectious-recovered (SIR) epidemic model with nonlinear incidence rate, vertical transmission, vaccination for the newborns of susceptible and recovered individuals, and the capacity of treatment. It is assumed that the treatment rate is proportional to the number of infectives when it is below the capacity and constant when the number of infectives reaches the capacity. Under some conditions, it is shown that there exists a backward bifurcation from an endemic equilibrium, which implies that the disease-free equilibrium coexists with an endemic equilibrium. In such a case, reducing the basic reproduction number less than unity is not enough to control and eradicate the disease, extra measures are needed to ensure that the solutions approach the disease-free equilibrium. When the basic reproduction number is greater than unity, the model can have multiple endemic equilibria due to the effect of treatment, vaccination and other parameters. The existence and stability of the endemic equilibria of the model are analyzed and sufficient conditions on the existence and stability of a limit cycle are obtained. Numerical simulations are presented to illustrate the analytical results.     

Qualitative analysis of an HIV transmission model.

In 1988, a multiple-group model for HIV transmission with preferred mixing was proposed by Jacquez and coworkers. In the present paper, the work done by Jacquez et al. is extended. It is shown that the stability modulus of the Jacobian matrix at the no-disease equilibrium is a threshold for this model. Furthermore, if the no-disease equilibrium is unstable, the number of infected individuals will remain above a certain positive level regardless of initial levels; that is, the disease will persist uniformly. The stability of the endemic equilibrium in the case of restricted mixing is also studied. A series of sufficient conditions for local and global asymptotic stability of the endemic equilibrium are stated.     

Effects of quarantine in six endemic models for infectious diseases

Thresholds, equilibria, and their stability are found for SIQS and SIQR epidemiology models with three forms of the incidence. For most of these models, the endemic equilibrium is asymptotically stable, but for the SIQR model with the quarantine-adjusted incidence, the endemic equilibrium is an unstable spiral for some parameter values and periodic solutions arise by Hopf bifurcation. The Hopf bifurcation surface and stable periodic solutions are found numerically.     

一类总人口在变化的HIV/AIDS传播的动力学模型

建立了HIV/AIDS传播的具有常数移民和指数出生的SI型模型,其中易感人群按照有无不良行为被分为两组.分别对具双线性传染率和具标准传染率的模型讨论了其无病平衡点和地方病平衡点的存在性,并就某些重要的特殊情况进行了平衡点和稳定性的分析.     

Global Hopf bifurcation analysis of an susceptible-infective-removed epidemic model incorporating media coverage with time delay

An susceptible-infective-removed epidemic model incorporating media coverage with time delay is proposed. The stability of the disease-free equilibrium and endemic equilibrium is studied. And then, the conditions which guarantee the existence of local Hopf bifurcation are given. Furthermore, we show that the local Hopf bifurcation implies the global Hopf bifurcation after the second critical value of delay. The obtained results show that the time delay in media coverage can not affect the stability of the disease-free equilibrium when the basic reproduction number is less than unity. However, the time delay affects the stability of the endemic equilibrium and produces limit cycle oscillations while the basic reproduction number is greater than unity. Finally, some examples for numerical simulations are included to support the theoretical prediction.     

Stability and Bifurcations in an Epidemic Model with Varying Immunity Period

An epidemic model with distributed time delay is derived to describe the dynamics of infectious diseases with varying immunity. It is shown that solutions are always positive, and the model has at most two steady states: disease-free and endemic. It is proved that the disease-free equilibrium is locally and globally asymptotically stable. When an endemic equilibrium exists, it is possible to analytically prove its local and global stability using Lyapunov functionals. Bifurcation analysis is performed using DDE-BIFTOOL and traceDDE to investigate different dynamical regimes in the model using numerical continuation for different values of system parameters and different integral kernels.     

Public avoidance and epidemics: insights from an economic model

In this paper, we present a mathematical model of infectious disease transmission in which people can engage in public avoidance behavior to minimize the likelihood of acquiring an infection. The framework employs the economist's theory of utility maximization to model people's decision regarding their level of public avoidance. We derive the reproductive number of a disease which determines whether an endemic equilibrium exists or not. We show that when the contact function exhibits saturation, an endemic equilibrium must be unique. Otherwise, multiple endemic equilibria that differ in disease prevalence can coexist, and which one the population gets to depends on initial conditions. Even when a unique endemic equilibrium exists, people's preferences and the initial conditions may determine whether the disease will eventually die out or become endemic. Public health policies that increase the recovery rate or encourage self-quarantine by infected people can be beneficial to the community by lowering disease prevalence. However, it is also possible for these policies to worsen the situation and cause prevalence to rise since these measures give people less incentive to engage in public avoidance behavior. We also show that implementing policies that result in a higher level of public avoidance behavior in equilibrium does not necessarily lower prevalence and can result in more infections.     

一类具有时滞和阶段结构的SIS传染病模型的稳定性与持久性

研究一类具有时滞和阶段结构的SIS传染病模型.通过分析特征方程,讨论了系统平衡点的局部稳定性,根据比较定理讨论了无病平衡点的全局稳定性,并证明了当地方病平衡点存在时系统是一致持续生存的.     

一个具有时滞的媒介传播流行病模型中的Hopt分支（英文）

文章研究的是一个具有时滞的媒介传播流行病模型.假定长期的发病率是双线性大规模行动的方式,确定了疾病是否流行的阈值R_0.当R_0≤1时,得到无病平衡点是全局稳定的,即疾病消失;当R_0〉1时,得到地方病平衡点.在具有时滞的微分模型中,时滞与载体转变成传染源的孵化期有关。我们研究了时滞对平衡点稳定性的影响,研究表明,在从寄生源到载体的传播过程中,时滞可以破坏动力系统并且得到了Hopt分支的周期解.     

时滞传染病模型的指数稳定性

利用分析技巧研究了一类SEIRS传染病模型的动力学行为.结论表明如果再生数小于1,则带变时滞的传染病模型的无病平衡点是全局指数渐近稳定的,如果再生数大于1,得到传染病平衡点局部指数稳定的充分条件,同时给出了例子说明结论的有效性.     

Diseases with chronic stage in a population with varying size

An epidemiological model of hepatitis C with a chronic infectious stage and variable population size is introduced. A non-structured baseline ODE model which supports exponential solutions is discussed. The normalized version where the unknown functions are the proportions of the susceptible, infected, and chronic individuals in the total population is analyzed. It is shown that sustained oscillations are not possible and the endemic proportions either approach the disease-free or an endemic equilibrium. The expanded model incorporates the chronic age of the individuals. Partial analysis of this age-structured model is carried out. The global asymptotic stability of the infection-free state is established as well as local asymptotic stability of the endemic non-uniform steady state distribution under some additional conditions. A numerical method for the chronic-age-structured model is introduced. It is shown that this numerical scheme is consistent and convergent of first order. Simulations based on the numerical method suggest that in the structured case the endemic equilibrium may be unstable and sustained oscillations are possible. Closer look at the reproduction number reveals that treatment strategies directed towards speeding up the transition from acute to chronic stage in effect contribute to the eradication of the disease.     

Subcritical endemic steady states in mathematical models for animal infections with incomplete immunity

Many classical mathematical models for animal infections assume that all infected animals transmit the infection at the same rate, all are equally susceptible, and the course of the infection is the same in all animals. However for some infections there is evidence that seropositives may still transmit the infection, albeit at a lower rate. Animals can also experience more than one episode of the infection although those who have already experienced it have a partial immune resistance. Animals who experience a second or subsequent period of infection may not necessarily exhibit clinical symptoms. The main example discussed is bovine respiratory syncytial virus (BRSV) amongst cattle. We consider simple models with vaccination and homogeneous and proportional mixing between seropositives and seronegatives. We derive an expression for the basic reproduction number, R(o), and perform an equilibrium and stability analysis. We find that it may be possible for there to be two endemic equilibria (one stable and one unstable) for R(o)<1 and in this case at R(o)=1 there is a backwards bifurcation of an unstable endemic equilibrium from the infection-free equilibrium. Then the implications for control strategies are considered. Finally applications to Aujesky's disease (pseudorabies virus) in pigs are discussed.     

Analysis of a dengue disease transmission model

A model for the transmission of dengue fever in a constant human population and variable vector population is discussed. A complete global analysis is given, which uses the results of the theory of competitive systems and stability of periodic orbits, to establish the global stability of the endemic equilibrium. The control measures of the vector population are discussed in terms of the threshold condition, which governs the existence and stability of the endemic equilibrium.     

在有限资源条件下的肺结核模型研究

讨论了有限资源下的肺结核模型,得到了基本再生数,考虑了模型的双稳定性,用第二加型复合矩阵研究了模型平衡点的全局渐近稳定性．最后数值模拟验证理论结果．     

一类含分布时滞的流行病模型的研究

提出了一类含分布时滞的流行病模型,利用构造李亚普诺夫泛函的方法,得到了无病平衡点和地方病平衡点全局稳定性的结论,揭示了平均时滞对各类平衡点稳定性的影响。     

Three stage AIDS incubation period: a worst case scenario using addict-needle interaction assumptions

In this paper we develop and analyse a model for the spread of HIV/AIDS amongst a population of injecting drug users. We start off with a brief literature survey and review; this is followed by the derivation of a model which allows addicts to progress through three distinct stages of variable infectivity prior to the onset of full blown AIDS and where the class of infectious needles is split into three according to the different levels of infectivity in addicts. Given the structure of this model we are required to make assumptions regarding the interaction of addicts and needles of different infectivity levels. We deliberately choose these assumptions so that our model serves as an upper bound for the prevalence of HIV under the assumption of a three stage AIDS incubation period. We then perform an equilibrium and stability analysis on this model. We find that there is a critical threshold parameter R(0) which determines the behaviour of the model. If R(0)< or =1, then irrespective of the initial conditions of the system HIV will die out in all addicts and all needles. If R(0)>1, then there is a unique endemic equilibrium which is locally stable if, as is realistic, the time scale on which addicts inject is much shorter than that of the other epidemiological and demographic processes. Simulations indicate that if R(0)>1, then provided that disease is initially present in at least one addict or needle it will tend to the endemic equilibrium. In addition we derive conditions which guarantee this. We also find that under calibration the long term prevalence of disease in our variable infectivity model is always greater than in an equivalent constant infectivity model. These results are confirmed and explored further by simulation. We conclude with a short discussion.