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Volume

5 Number 0401

ISSN 1979-3898

Journal of

Theoretical and Computational

Studies

Simple Dynamics in a Vector-Borne Disease Model

A.K. Supriatna and E. Soewono

J. Theor. Comput. Stud. 5 (2008) 0401

Received: July 7th, 2008; Accepted for publication: September 8th, 2008

Published by

Indonesian Theoretical Physicist Group Indonesian Computational Society

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Journal of Theoretical and Computational Studies

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J. Theor. Comput. Stud. Volume 5(2008) 0401

Simple Dynamics in a Vector-Borne Disease Model

Asep K. Supriatna

Department of Mathematics, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang Km 21, Jatinangor 45363, Indonesia

Edy Soewono

Industrial and Financial Mathematics Group, Institut Teknologi Bandung, Jl. Ganesha 10, Bandung 40132, Indonesia

Abstract : In this paper we review a simple model of an infectious disease transmission. In general the rate of incidences can be model by mass action principle, so that its functional is bilinear. In some circumstances, disease transmission might be more complicated involving different species, for example in the case of the transmission of the disease required a vector (vector-borne disease), such as in malaria and dengue infection cases, the rate of incidences takes a nonlinear functional form. In this paper we show the conditions needed for the endemic equilibrium in the model to exist and to be stable. The analysis reveals that there is a simple transcritical bifurcation in the dynamics of the model, despite the complex interaction of the disease transmission.

Keywords : Epidemic model, host-vector transmission, basic reproduction number, population dynamics

E-mail : aksupriatna@bdg.centrin.net.id

Received: July 7th, 2008; Accepted for publication: September 8th, 2008

1 INTRODUCTION

Despite recognized as an abstract science, mathemat-ics has proved to be useful in helping to solve many problems arising in daily life and problems from other disciplines, such as industrial, environmental, and bi-ological sciences (see [17, 16] and the reference therein for examples). The inter-relations between mathemat-ics and other disciplines not merely have given bene-fits to the disciplines served by mathematics, but in many cases, there also fruitfulness to mathematics it-self. There are some mathematical concepts and theo-ries inspired from these inter-relations. Sometimes the intimate connection between mathematics and other discipline gives rise to a new discipline, such as mathe-matical bio-economics [5], mathemathe-matical conservation theory [4] and mathematical epidemiology [1]. In this paper we will review an application of mathematics in controlling the transmission of an infectious disease.

The first documented work on the application of mathematics in controlling an infectious disease dates back to the 18th century when Daniel Bernoulli used a mathematical method to evaluate the effectiveness of the techniques of variolation against smallpox [2]. Among the aims of his work was to influence the

pub-lic health authority in deciding the effectiveness of the infectious disease control at the time. He showed that the techniques of inoculation practiced by the society could increase the number of survivors per year or increase the average life expectancy in an epi-demic episode, if it is implemented universally to the whole population (known as a universal inoculation method). Current review on his work can be found in [9].

Early scientists postulated that the course of an epi-demic depends on the rate of contact between suscep-tible and infected individuals. Generally, they model this phenomenon through the mass action principle. Among them is Ross [15], a medical doctor who served as a colonel in the British Army. He used this prin-ciple, identified the main factors in malaria transmis-sion, calculated the number of new infection, and con-cluded that no need to eradicate all of the mosquitoes to eradicate malaria, because there exists a critical density of mosquito, below which the disease will van-ish. This result is usually known as the mosquito the-orem or the theory of critical level density. His work is then generalized extensively by Kermack and McK-endrick [11]. Current review on their work can be found in [8, 10, 3].

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2 Simple Dynamics in a Vector-Borne...

A concept similar to the theory of critical level den-sity is introduced by McDonald [14] who coined it as the basic reproduction rate. In a modern notation this concept is symbolized by R0 and is defined as

the expected number of secondary cases produced, in a completely susceptible population, by a typical in-fected individual during its entire period of infectious-ness [7, 6]. In the following sections we will discuss a simple epidemic model and show that in some circum-stances nonlinearity may often occur as a result of a complex epidemiological phenomenon.

2 SIMPLE EPIDEMIC MODELS

2.1 A model without demographic parameter

A fairly simple epidemic model is an SIR model in which we divide the population into three compart-ments, namely the susceptible (S), infected (I) and recover (R) sub-populations. Here we assume that the total population (N) is constant withN =S+I+R. If it is further assumed that the force of infection isβ

and removal rate isγthen the dynamics of the disease transmission is given by

dS

Note from (2) that in the beginning of the epidemic, there will be a build up of infection rises to an out-break only ifS0 > ρ = γ/β, otherwise the epidemic

will die out. Hence, S0 = ρ is a threshold density

of susceptible. Hereγ/β is the relative removal rate. This threshold can be reformulated as follows. The conditionS0> ρ=γ/β is equivalent to βγS0 >1. In

this regard,R0= βγS0is called the basic reproduction

number of the system. If the value of this basic repro-duction number is more than one, then the number of infected population increases, otherwise the number of infected population decreases.

The general solution of the system can be found in the SI-plane by looking at the equation dI

dS = βIS−γI

−βIS = −1 + ρ/S. Next, by considering N0 =

S0 +I0 , the solution through (S0, I0) is given by

I = N −S+ρln S

S0, having its maximum infection

Imax = N −ρ+ρln(ρ/S0) at S = ρ.

Further-more, it can be shown that I(∞) = 0 and S(∞) >

0 found as the smallest positive root of equation

N −S(∞) +ρlog [S(∞)/S0] = 0. This means that

eventually the disease will die out leaving a portion of uninfected population, regardless the value of the initial conditions (see Figure 1 for illustration).

The general solution of the system can also be found in the SR-plane by looking at the equation dS

dR =

through (S0, I0). If the initial infection is relatively

low,I0≈0 then considering the steady state solution

of (1)-(3), we haveR≈2ρ(1−ρ/S0). Furthermore, if sidering the intensity of the epidemic is measured by

R(∞) the expressionR≈2εmeans that the epidemic has succeeded in reducing the density of susceptible from the initial conditionρ+εto the final condition

ρ−ε. This is known as the Kermack-McKendrick threshold theorem.

2.2 A model with demographic parameters

To increase realism, demographic parameters, such as birth rate and death rate, are incorporated into the model in the previous section. Suppose that the birth rate is a constant B, and the death rate is propor-tional to the population density, with the constant of proportionalityµ. Hence, the system becomes

dS

Now, from (5), there will be a build up of infec-tion rises to an outbreak only if S0 > ρµ = (γ +

µ)/β, otherwise the epidemic will die out. In ei-ther case, ei-there are two equilibrium solutions possible to occur, endemic-free equilibrium state (S∗

0, I0∗) =

³

B µ,0

´

and endemic equilibrium state (S∗

1, I1∗) =

. However, the endemic

equilib-rium state only appears when³SB∗

1 −µ

´

>0 or equiv-alently its basic reproduction number is more than one, that is R0 = µ(γ+µ) > 1. This basic

reproduc-tion number is also a threshold for stability, in the sense that the endemic equilibrium state exists and is stable if R0 > 1 while the endemic-free equilibrium

is unstable, otherwise the endemic equilibrium state does not exist while the endemic-free equilibrium state is stable.

Note that the condition of R0 > 1 is a sufficient

condition for the endemic equilibrium to occur, while the inclusion demographic parameterBis a necessary condition. Meanwhile, the inclusion of demographic

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3 Simple Dynamics in a Vector-Borne...

0,2 0

In(t)

S(t) 1

1 0,8

0,6

0,8 0,4

0,2

0,6 0

0,4

Figure1: The trajectory of theSIRsystem without de-mographic parameter in theSI-plane. It shows that even-tually the disease will die out regardless the value of the initial conditions. The parameter values in the figure are

γ= 0.3 andβ= 1 with various initial values ofS andI.

parameter µ changes the value of the threshold den-sity of susceptible. An illustration of the solutions for various initial conditions can be seen in Figure 2.

3 A MODEL FOR VECTOR-BORNE DIS-EASE TRANSMISSION

Many diseases required a vector to spread. For exam-ple mosquitoes are responsible in dengue and malaria transmission. In regards to the transmission of a vector-borne disease, the previous models ignore the presence of vectors in spreading the disease. In this section we generalize the previous model with demo-graphic parameters to include a vector in the model. Let us assume SH(t) be the density of susceptible

human population, IH(t) be the density of infected

human population,RH(t) be the density of removed

and immune human population, SV(t) be the

den-sity of susceptible vector population, andIV(t) be the

density of infected vector population. The governing equations for the transmission of the disease in the presence of demographic parameters are

dSH

dt =B−βHIVSH−µHSH, (7) dIH

dt =βHIVSH−IH(γH+µH), (8) dRH

dt =γHIH−µHRH, (9)

0,2 0

In(t)

S(t) 1

1 0,8

0,6

0,8 0,4

0,2

0,6 0

0,4

Figure 2: The trajectory of the SIRsystem in the SI -plane with the inclusion of demographic parameters and

R0 >1. It shows that the disease will be endemic

even-tually. The parameter values in the figure are the same as in figure 1 with additionsB = 0.08 and µ= 0.1. The resulting basic reproduction number isR0= 2 indicating

the endemicity of the disease.

dSV

dt =BV −βVIHSV −µVSV, (10) dIV

dt =βVIHSV −µVIV, (11)

where, as before, we also assumeSH+IH+RH=NH

andSV +IV =NV.

Following [12], we further assume that the vector dynamics runs on a much faster time scale than the human dynamics. Hence the vector population can be considered to be at its equilibrium with the respect to the changes in human population. Equilibrium solu-tions for the vector is given by S∗

V = B

V

βVIH+µV and

I∗

V =

BVβVIH

µV(βVIH+µV). Substituting these values to the human dynamics yields approximation equations to the original vector-borne disease transmission

dSH

dt =B−

βHBVβVIHSH

µV (βVIH+µV)

−µHSH, (12)

dIH

dt =

βHBVβVIHSH

µV (βVIH+µV)

−IH(γH+µH), (13)

dRH

dt =γHIH−µHRH. (14)

Compared to the direct transmission model, in which the incidence rate is a bilinear function, here the

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4 Simple Dynamics in a Vector-Borne...

Figure3: The trajectory of theSIRsystem for the host-vector model in theSI-plane with various initial values of

SandI. The parameter values in the figure areγH= 0.3,

βH = 1, BH = 0.08,µH = 0.1, βV = 1, BV = 0.1, and

µV = 0.5. The basic reproduction number is R0 = 0.8

indicating the vanishing of the disease.

dence rate

is the endemic-free equilibrium solution. The endemic equilibrium solution is given byp∗

e(SHe∗ , IHe∗ ) It is easy to see that the nonlinear incidence rate

f(SH, IH) = µβHVB(βVVβIVHI+HµSVH) has the following

proper-Figure4: The trajectory of theSIRsystem for the host-vector model in theSI-plane with various initial values of

S and I, with the same parameters as in figure 3 except a lower vector mortality rate, i.e. µV = 0.1. The

result-ing basic reproduction number is R0 = 20 indicating the

endemicity of the disease.

Next, following [13], we derive lemmas relating the basic reproduction number R0 with the properties of

the nonlinear incidence ratef(SH, IH) at the equlibria

of (12)-(14).

Lemma 3.1: At the endemic-free equilibrium state

p∗

Proof: In relation to the incidence rate in (15), the basic reproduction number in (19) can be written as

R0 = BBVβVβH

Hence, the proof of the lemma is clear. ¤

Lemma 3.2: At the endemic equilibrium statep∗

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5 Simple Dynamics in a Vector-Borne...

Proof: We observe, from (13), that the en-demic equilibrium state satisfies f(S∗

He, IHe∗ ) = value theorem guarantees that there is a pointIH1∈

(0, I∗ then again by the mean value theorem there exist a pointIH0∈(IH1, IHe∗ ) such that

In the following section we will investigate the sta-bility of these equilibria in relation to the basic repro-duction numberR0.

3.1 Stability of the equilibrium states

The stability results are summarized in the following theorems.

Theorem 1:If R0 <1 then the endemic-free equi-librium p∗

0 = (SH∗0, IH∗0) of the system (12)-(14) is locally asymptotically stable, otherwise it is unstable.

Proof: The stability of the endemic-free equilibrium is easily identified through the investigation of the Ja-cobian matrix M of the system (12)-(14). At the endemic-free equilibrium, we have the characteristic equationλ2+a

1λ+a2= 0, with

a1=−trace(M) =µH+ (γH+µH) (1−R0),

a2= det(M) =µH(γH+µH) (1−R0).

This means that the endemic-free equilibrium is stable if R0 < 1 and is unstable if R0 > 1. The

endemic-free equilibrium undergoes a transcritical bifurcation atR0= 1. ¤

Stability of the endemic equilibrium state is clear from the following theorem.

Theorem 2: If R0 >1 then the endemic equilib-rium P∗

e = (SHe∗ , IHe∗ ) of the system (12)-(14) exists

and is locally asymptotically stable.

Proof: It is obvious by (17) the endemic equilibrium exists only if R0 > 1. The stability of the endemic

equilibrium state is investigated by observing the Ja-cobian matrix M of the system (12)-(14). At this equilibrium state, we have the characteristic equation

λ2+a

a2 >0 which confirms that the endemic equilibrium

state is asymptotically stable. ¤

ACKNOWLEDGMENTS

Financial support was provided by The Royal Nether-lands Academy of Arts and Sciences (KNAW). Earlier version of the paper was presented in the Workshop of Nonlinear Phenomena, Bandung 11 December 2007.

JTCS

REFERENCES

[1] R.M. Anderson and R.M. May, Infectious Dis-eases of Human: Dynamics and Control, Oxford University Press (1991).

[2] S. Blower,Rev. Med. Virol., 14(2004) 275. [3] F. Brauer,Math. Biosc.198(2005) 119.

[4] M.A. Burgman, S. Ferson and H.R. Akcakaya,

Risk Assessment in Conservation Biology, Chap-man & Hall, London (1994).

[5] C.W. Clark, Mathematical Bioeconomics: The optimal Management of Renewable Resources, Wiley Interscience, New Jersey (1990).

[6] O. Diekmann and J.A.P Heesterbeek, Mathemat-ical Epidemiology of Infectious Diseases: Model Building, Analysis and Interpretation, John Wi-ley & Son, Chichester (2000).

[7] O. Diekmann, J.A.P. Heesterbeek and J.J. Metz,

J. Math. Biol.28(1990) 365.

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6 Simple Dynamics in a Vector-Borne...

[8] O. Diekmann, J.A.P. Heesterbeek and J.J. Metz,

The legacy of Kermack and McKendrick (1995) 95-115.

[9] K. Dietz and J.A.P. Heesterbeek, Math. Biosc. 180(2002) 1.

[10] H. Inaba, Kermack and McKendrick revisited: The variable susceptibility model for infectious diseases, Technical Paper, University of Tokyo (2000) 11.

[11] W.O. Kermack and A.G. McKendrick,Proc. Roy. Soc. Med.A115(1927) 700.

[12] J.C. Koella and R. Antia,Malaria J.2(2003) 1. [13] A. Korobeinikov and P.K. Maini, Math. Med.

Biol. 22(2005) 113.

[14] G. McDonald,Trop. Dis. Bull.49(1952) 813. [15] R. Ross,The Prevention of Malaria, John

Mur-ray, London (1911).

[16] E. Soewono and A.K. Supriatna,Paradox of vac-cination predicted by a simple dengue disease model, Industrial Mathematics, M.C. Joshi, A.K. Pani and S.V. Sabnis Eds., Narosa Publ. House, New Delhi, (2006) 459.

[17] A.K. Supriatna and H.P. Possingham, Bull. Math. Biol.60(1998) 49.

Presented at Workshop on Nonlinear Phenomena 2K7, Sumedang, Indonesia, December 11th, 2007.

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