RESUMEN
In this study, we apply optimal control theory to an immuno-epidemiological model of HIV and opioid epidemics. For the multi-scale model, we used four controls: treating the opioid use, reducing HIV risk behaviour among opioid users, entry inhibiting antiviral therapy, and antiviral therapy which blocks the viral production. Two population-level controls are combined with two within-host-level controls. We prove the existence and uniqueness of an optimal control quadruple. Comparing the two population-level controls, we find that reducing the HIV risk of opioid users has a stronger impact on the population who is both HIV-infected and opioid-dependent than treating the opioid disorder. The within-host-level antiviral treatment has an effect not only on the co-affected population but also on the HIV-only infected population. Our findings suggest that the most effective strategy for managing the HIV and opioid epidemics is combining all controls at both within-host and between-host scales.
Asunto(s)
Analgésicos Opioides , Infecciones por VIH , Humanos , Analgésicos Opioides/uso terapéutico , Modelos Biológicos , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/epidemiología , AntiviralesRESUMEN
COVID-19 is a respiratory disease caused by a recently discovered, novel coronavirus, SARS-COV-2. The disease has led to over 81 million confirmed cases of COVID-19, with close to two million deaths. In the current social climate, the risk of COVID-19 infection is driven by individual and public perception of risk and sentiments. A number of factors influences public perception, including an individual's belief system, prior knowledge about a disease and information about a disease. In this article, we develop a model for COVID-19 using a system of ordinary differential equations following the natural history of the infection. The model uniquely incorporates social behavioral aspects such as quarantine and quarantine violation. The model is further driven by people's sentiments (positive and negative) which accounts for the influence of disinformation. People's sentiments were obtained by parsing through and analyzing COVID-19 related tweets from Twitter, a social media platform across six countries. Our results show that our model incorporating public sentiments is able to capture the trend in the trajectory of the epidemic curve of the reported cases. Furthermore, our results show that positive public sentiments reduce disease burden in the community. Our results also show that quarantine violation and early discharge of the infected population amplifies the disease burden on the community. Hence, it is important to account for public sentiment and individual social behavior in epidemic models developed to study diseases like COVID-19.
Asunto(s)
Líquidos Corporales , COVID-19 , Humanos , SARS-CoV-2 , Costo de Enfermedad , ActitudRESUMEN
The Far North Region of Cameroon, a high risk cholera endemic region, has been experiencing serious and recurrent cholera outbreaks in recent years. Cholera outbreaks in this region are associated with cultural practices (traditional and religious beliefs). In this paper, we introduce a mathematical model of the influence of cultural practices on the dynamics of cholera in the Far North Region. Our model is an SEIR type model with a pathogen class and multiple susceptible classes based on traditional and religious beliefs. Using daily reported cholera cases from three health districts (Kaélé, Kar Hay and Moutourwa) in the Far North Region from June 25, 2019 to August 16, 2019, we estimate parameter values of our model and use Akaike information criterion (AIC) to demonstrate that our model gives a good fit for our data on cholera cases. We use sensitivity analysis to study the impact of each model parameter on the threshold parameter (control reproduction number), Rc, and the number of model predicted cholera cases. Finally, we investigate the effect of cultural practices on the number of cholera cases in the region.
Asunto(s)
Cólera , Camerún/epidemiología , Cólera/epidemiología , Brotes de Enfermedades , Humanos , Modelos TeóricosRESUMEN
We propose and study a mathematical model for malaria-HIV co-infection transmission and control, in which malaria treatment and insecticide-treated nets are incorporated. The existence of a backward bifurcation is established analytically, and the occurrence of such backward bifurcation is influenced by disease-induced mortality, insecticide-treated bed-net coverage and malaria treatment parameters. To further assess the impact of malaria treatment and insecticide-treated bed-net coverage, we formulate an optimal control problem with malaria treatment and insecticide-treated nets as control functions. Using reasonable parameter values, numerical simulations of the optimal control suggest the possibility of eliminating malaria and reducing HIV prevalence significantly, within a short time horizon.
Asunto(s)
Infecciones por VIH/prevención & control , Mosquiteros Tratados con Insecticida , Malaria/prevención & control , Modelos Biológicos , Control de Mosquitos , Coinfección/parasitología , Coinfección/virología , Infecciones por VIH/parasitología , Humanos , Malaria/virologíaRESUMEN
Invasive species cause enormous problems in ecosystems around the world. Motivated by introduced feral cats that prey on bird populations and threaten to drive them extinct on remote oceanic islands, we formulate and analyze optimal control problems. Their novelty is that they involve both scalar and time-dependent controls. They represent different forms of control, namely the initial release of infected predators on the one hand and culling as well as trapping, infecting, and returning predators on the other hand. Combinations of different control methods have been proposed to complement their respective strengths in reducing predator numbers and thus protecting endangered prey. Here, we formulate and analyze an eco-epidemiological model, provide analytical results on the optimal control problem, and use a forward-backward sweep method for numerical simulations. By taking into account different ecological scenarios, initial conditions, and control durations, our model allows to gain insight how the different methods interact and in which cases they could be effective.