RESUMO
Schistosomiasis, a vector-borne chronically debilitating infectious disease, is a serious public health concern for humans and animals in the affected tropical and sub-tropical regions. We formulate and theoretically analyze a deterministic mathematical model with snail and bovine hosts. The basic reproduction number [Formula: see text] is computed and used to investigate the local stability of the model's steady states. Global stability of the endemic equilibrium is carried out by constructing a suitable Lyapunov function. Sensitivity analysis shows that the basic reproduction number is most sensitive to the model parameters related to the contaminated environment, namely: shedding rate of cercariae by snails, cercariae to miracidia survival probability, snails-miracidia effective contact rate and natural death rate of miracidia and cercariae. Numerical results show that when no intervention measures are implemented, there is an increase of the infected classes, and a rapid decline of the number of susceptible and exposed bovines and snails. Effects of the variation of some of the key sensitive model parameters on the schistosomiasis dynamics as well as on the initial disease transmission threshold parameter [Formula: see text] are graphically depicted.
Assuntos
Doenças dos Bovinos , Esquistossomose , Animais , Número Básico de Reprodução , Bovinos , Cercárias , Modelos Teóricos , CaramujosRESUMO
To mitigate the spread of schistosomiasis, a deterministic human-bovine mathematical model of its transmission dynamics accounting for contaminated water reservoirs, including treatment of bovines and humans and mollusciciding is formulated and theoretically analyzed. The disease-free equilibrium is locally and globally asymptotically stable whenever the basic reproduction number [Formula: see text], while global stability of the endemic equilibrium is investigated by constructing a suitable Lyapunov function. To support the analytical results, parameter values from published literature are used for numerical simulations and where applicable, uncertainty analysis on the non-dimensional system parameters is performed using the Latin Hypercube Sampling and Partial Rank Correlation Coefficient techniques. Sensitivity analysis to determine the relative importance of model parameters to disease transmission shows that the environment-related parameters namely, [Formula: see text] (snails shedding rate of cercariae), [Formula: see text] (probability that cercariae shed by snails survive), c (fraction of the contaminated environment sprayed by molluscicides) and [Formula: see text] (mortality rate of cercariae) are the most significant to mitigate the spread of schistosomiasis. Mollusciciding, which directly impacts the contaminated environment as a single control strategy is more effective compared to treatment. However, concurrently applying mollusciciding and treatment will yield a better outcome.
Assuntos
Esquistossomose , Animais , Número Básico de Reprodução , Bovinos , Humanos , Modelos Biológicos , Modelos Teóricos , Esquistossomose/epidemiologia , Esquistossomose/prevenção & controleRESUMO
BACKGROUND: Lymphatic filariasis is a globally neglected tropical parasitic disease which affects individuals of all ages and leads to an altered lymphatic system and abnormal enlargement of body parts. METHODS: A mathematical model of lymphatic filariaris with intervention strategies is developed and analyzed. Control of infections is analyzed within the model through medical treatment of infected-acute individuals and quarantine of infected-chronic individuals. RESULTS: We derive the effective reproduction number, [Formula: see text] and its interpretation/investigation suggests that treatment contributes to a reduction in lymphatic filariasis cases faster than quarantine. However, this reduction is greater when the two intervention approaches are applied concurrently. CONCLUSIONS: Numerical simulations are carried out to monitor the dynamics of the filariasis model sub-populations for various parameter values of the associated reproduction threshold. Lastly, sensitivity analysis on key parameters that drive the disease dynamics is performed in order to identify their relative importance on the disease transmission.
Assuntos
Técnicas de Apoio para a Decisão , Filariose Linfática/terapia , Modelos Teóricos , Quarentena/estatística & dados numéricos , Filariose Linfática/transmissão , HumanosRESUMO
Ring vaccination can be a highly effective control strategy for an emerging disease or in the final phase of disease eradication, as witnessed in the eradication of smallpox. However, the impact of behavioural dynamics on the effectiveness of ring vaccination has not been explored in mathematical models. Here, we analyze a series of stochastic models of voluntary ring vaccination. Contacts of an index case base vaccinating decisions on their own individual payoffs to vaccinate or not vaccinate, and they can also imitate the behaviour of other contacts of the index case. We find that including imitation changes the probability of containment through ring vaccination considerably. Imitation can cause a strong majority of contacts to choose vaccination in some cases, or to choose non-vaccination in other cases-even when the equivalent solution under perfectly rational (non-imitative) behaviour yields mixed choices. Moreover, imitation processes can result in very different outcomes in different stochastic realizations sampled from the same parameter distributions, by magnifying moderate tendencies toward one behaviour or the other: in some realizations, imitation causes a strong majority of contacts not to vaccinate, while in others, imitation promotes vaccination and reduces the number of secondary infections. Hence, the effectiveness of ring vaccination can depend significantly and unpredictably on imitation processes. Therefore, our results suggest that risk communication efforts should be initiated early in an outbreak when ring vaccination is to be applied, especially among subpopulations that are heavily influenced by peer opinions.
Assuntos
Vacinação em Massa/métodos , Animais , Doenças Transmissíveis/imunologia , Busca de Comunicante , Surtos de Doenças/prevenção & controle , Humanos , Controle de Infecções/métodos , Controle de Infecções/estatística & dados numéricos , Vacinação em Massa/estatística & dados numéricos , Conceitos Matemáticos , Modelos Imunológicos , Processos EstocásticosRESUMO
BACKGROUND: There is an urgent need to understand how the provision of information influences individual risk perception and how this in turn shapes the evolution of epidemics. Individuals are influenced by information in complex and unpredictable ways. Emerging infectious diseases, such as the recent swine flu epidemic, may be particular hotspots for a media-fueled rush to vaccination; conversely, seasonal diseases may receive little media attention, despite their high mortality rate, due to their perceived lack of newness. METHODS: We formulate a deterministic transmission and vaccination model to investigate the effects of media coverage on the transmission dynamics of influenza. The population is subdivided into different classes according to their disease status. The compartmental model includes the effect of media coverage on reporting the number of infections as well as the number of individuals successfully vaccinated. RESULTS: A threshold parameter (the basic reproductive ratio) is analytically derived and used to discuss the local stability of the disease-free steady state. The impact of costs that can be incurred, which include vaccination, education, implementation and campaigns on media coverage, are also investigated using optimal control theory. A simplified version of the model with pulse vaccination shows that the media can trigger a vaccinating panic if the vaccine is imperfect and simplified messages result in the vaccinated mixing with the infectives without regard to disease risk. CONCLUSIONS: The effects of media on an outbreak are complex. Simplified understandings of disease epidemiology, propogated through media soundbites, may make the disease significantly worse.
Assuntos
Surtos de Doenças , Influenza Humana/transmissão , Meios de Comunicação de Massa , Modelos Teóricos , Humanos , Influenza Humana/epidemiologia , Modelos ImunológicosRESUMO
Rift Valley Fever is a vector-borne disease mainly transmitted by mosquito. To gain some quantitative insights into its dynamics, a deterministic model with mosquito, livestock, and human host is formulated as a system of nonlinear ordinary differential equations and analyzed. The disease threshold [Formula: see text] is computed and used to investigate the local stability of the equilibria. A sensitivity analysis is performed and the most sensitive model parameters to the measure of initial disease transmission [Formula: see text] and the endemic equilibrium are determined. Both [Formula: see text] and the disease prevalence in mosquitoes are more sensitive to the natural mosquito death rate, d(m). The disease prevalence in livestock and humans are more sensitive to livestock and human recruitment rates, [Formula: see text] and [Formula: see text], respectively, suggesting isolation of livestock from humans is a viable preventive strategy during an outbreak. Numerical simulations support the analytical results in further exploring theoretically the long-term dynamics of the disease at the population level.
Assuntos
Interações Hospedeiro-Parasita , Modelos Teóricos , Febre do Vale de Rift/transmissão , Vírus da Febre do Vale do Rift/isolamento & purificação , HumanosRESUMO
We formulate and analyze a mathematical model for malaria with treatment and the well-known three levels of resistance in humans. The model incorporates both sensitive and resistant strains of the parasites. Analytical results reveal that the model exhibits the phenomenon of backward bifurcation (co-existence of a stable disease-free equilibrium with a stable endemic equilibrium), an epidemiological situation where although necessary, having the basic reproduction number less than unity, it is not sufficient for disease elimination. Through quantitative analysis, we show the effects of varying treatment levels in a high transmission area with different levels of resistance. Increasing treatment has limited benefits in a population with resistant strains, especially in high transmission settings. Thus, in a cost-benefit analysis, the rate of treatment and percentage to be treated become difficult questions to address.
Assuntos
Antimaláricos/uso terapêutico , Resistência a Medicamentos , Malária/tratamento farmacológico , Modelos Teóricos , Animais , Número Básico de Reprodução , Simulação por Computador , Culicidae , Erradicação de Doenças , Humanos , Malária/economia , Malária/epidemiologia , Malária/transmissão , Plasmodium/efeitos dos fármacos , Dinâmica Populacional , Resultado do TratamentoRESUMO
We formulate a realistic demographic model that captures the pattern of inheritance of the S gene, which is responsible for the most common genetic defect, namely, sickle-cell anaemia (SCA), using general pair formations. The model equation is implicitly solved via the Laplace transform technique, while the existence of a unique solution is proved by applying the contraction mapping principle. One of the main results is the boundedness of the solution. A fundamental reason for the persistence of SCA is probably due to the role played by the selective advantage of the abnormal S gene over the normal haemoglobin A in tropical regions, and the fact that carriers are more fertile and survive longer (a property known as hybrid vigor), because they are essentially asymptomatic. We also discuss possible public health policies.