Stability analysis and application of a mathematical cholera model

Optimal Control Analysis of Cholera Dynamics in the Presence of Asymptotic Transmission

Many mathematical models have explored the dynamics of cholera but none have been used to predict the optimal strategies of the three control interventions (the use of hygiene promotion and social mobilization; the use of treatment by drug/oral re-hydration solution; and the use of safe water, hygiene, and sanitation). The goal here is to develop (deterministic and stochastic) mathematical models of cholera transmission and control dynamics, with the aim of investigating the effect of the three control interventions against cholera transmission in order to find optimal control strategies. The reproduction number Rp was obtained through the next generation matrix method and sensitivity and elasticity analysis were performed. The global stability of the equilibrium was obtained using the Lyapunov functional. Optimal control theory was applied to investigate the optimal control strategies for controlling the spread of cholera using the combination of control interventions. The Pontryagin’s maximum principle was used to characterize the optimal levels of combined control interventions. The models were validated using numerical experiments and sensitivity analysis was done. Optimal control theory showed that the combinations of the control intervention influenced disease progression. The characterisation of the optimal levels of the multiple control interventions showed the means for minimizing cholera transmission, mortality, and morbidity in finite time. The numerical experiments showed that there are fluctuations and noise due to its dependence on the corresponding population size and that the optimal control strategies to effectively control cholera transmission, mortality, and morbidity was through the combinations of all three control interventions. The developed models achieved the reduction, control, and/or elimination of cholera through incorporating multiple control interventions.

Stochastic models of infectious diseases in a periodic environment with application to cholera epidemics

Seasonal variation affects the dynamics of many infectious diseases including influenza, cholera and malaria. The time when infectious individuals are first introduced into a population is crucial in predicting whether a major disease outbreak occurs. In this investigation, we apply a time-nonhomogeneous stochastic process for a cholera epidemic with seasonal periodicity and a multitype branching process approximation to obtain an analytical estimate for the probability of an outbreak. In particular, an analytic estimate of the probability of disease extinction is shown to satisfy a system of ordinary differential equations which follows from the backward Kolmogorov differential equation. An explicit expression for the mean (resp. variance) of the first extinction time given an extinction occurs is derived based on the analytic estimate for the extinction probability. Our results indicate that the probability of a disease outbreak, and mean and standard derivation of the first time to disease extinction are periodic in time and depend on the time when the infectious individuals or free-living pathogens are introduced. Numerical simulations are then carried out to validate the analytical predictions using two examples of the general cholera model. At the end, the developed theoretical results are extended to more general models of infectious diseases.

Network Analysis to Identify the Risk of Epidemic Spreading

Several epidemics, such as the Black Death and the Spanish flu, have threatened human life throughout history; however, it is unclear if humans will remain safe from the sudden and fast spread of epidemic diseases. Moreover, the transmission characteristics of epidemics remain undiscovered. In this study, we present the results of an epidemic simulation experiment revealing the relationship between epidemic parameters and pandemic risk. To analyze the time-dependent risk and impact of epidemics, we considered two parameters for infectious diseases: the recovery time from infection and the transmission rate of the disease. Based on the epidemic simulation, we identified two important aspects of human safety with regard to the threat of a pandemic. First, humans should be safe if the fatality rate is below 100%. Second, even when the fatality rate is 100%, humans would be safe if the average degree of human social networks is below a threshold value. Nevertheless, certain diseases can potentially infect all nodes in the human social networks, and these diseases cause a pandemic when the average degree is larger than the threshold value. These results indicated that certain infectious diseases lead to human extinction and can be prevented by minimizing human contact.

Modelling the aqueous transport of an infectious pathogen in regional communities: application to the cholera outbreak in Haiti

A mathematical model is developed to describe the dynamics of the spread of a waterborne disease among communities located along a flowing waterway. The model is formulated as a system of reaction-diffusion-advection partial differential equations in this spatial setting. The compartments of the model consist of susceptible, infected, and recovered individuals in the communities along the waterway, together with a term representing the pathogen load in each community and a term representing the spatial concentration of pathogens flowing along the waterway. The model is applied to the cholera outbreak in Haiti in 2010.

Consumer-resource coexistence as a means of reducing infectious disease

Maintaining sustainable ecosystems are important for all the inhabitants of earth. Also, an important component of sustainable ecosystems is the maintenance of healthy coexistence of consumers and their resources which can include diseases in the species involved. We formulate a model, where the resources are plants, to explore how consumer-resource coexistence could of itself limit the spread of infectious diseases. The important mathematical features of the model are discussed using the basic reproduction number and the consumption number. The results show an association between species coexistence and a decrease in ecosystem resource disease. The possible importance of these results are discussed.

Global threshold dynamics of an SVIR model with age-dependent infection and relapse

A susceptible-vaccinated-infectious-recovered epidemic model with infection age and relapse age has been formulated. We first address the asymptotic smoothness of the solution semiflow, existence of a global attractor, and uniform persistence of the model. Then by constructing suitable Volterra-type Lyapunov functionals, we establish a global threshold dynamics of the model, which is determined by the basic reproduction number. Biologically, it is confirmed that neglecting the possibility of vaccinees getting infected will over-estimate the effect of vaccination strategies. The obtained results generalize some existing ones.

Optimal treatment strategy of an avian influenza model with latency

Avian influenza, caused by influenza A viruses, has received worldwide attention over recent years. In this study, we formulate a mathematical model for avian influenza that includes human–human transmission and incorporates the effects of infection latency and treatments. We investigate the essential dynamics of the model through an equilibrium analysis. Meanwhile, we explore effective treatment strategies to control avian influenza outbreaks using optimal control theory. Our results show that strategically deployed medical treatments can significantly reduce the numbers of exposed and infection persons.

Analyzing transmission dynamics of cholera with public health interventions

Cholera continues to be a serious public health concern in developing countries and the global increase in the number of reported outbreaks suggests that activities to control the diseases and surveillance programs to identify or predict the occurrence of the next outbreaks are not adequate. These outbreaks have increased in frequency, severity, duration and endemicity in recent years. Mathematical models for infectious diseases play a critical role in predicting and understanding disease mechanisms, and have long provided basic insights in the possible ways to control infectious diseases. In this paper, we present a new deterministic cholera epidemiological model with three types of control measures incorporated into a cholera epidemic setting: treatment, vaccination and sanitation. Essential dynamical properties of the model with constant intervention controls which include local and global stabilities for the equilibria are carefully analyzed. Further, using optimal control techniques, we perform a study to investigate cost-effective solutions for time-dependent public health interventions in order to curb disease transmission in epidemic settings. Our results show that the basic reproductive number (R0) remains the model's epidemic threshold despite the inclusion of a package of cholera interventions. For time-dependent controls, the results suggest that these interventions closely interplay with each other, and the costs of controls directly affect the length and strength of each control in an optimal strategy.

The stability analysis of an SVEIR model with continuous age-structure in the exposed and infectious classes

In this paper, an Susceptible-Vaccines-Exposed-Infectious-Recovered model with continuous age-structure in the exposed and infectious classes is investigated. These two ages are assumed to have arbitrary distributions that are represented by age-specific rates leaving the exposed and the infectious classes. We investigate the global dynamics of this model in the sense of basic reproduction number via constructing Lyapunov functions. The asymptotic smoothness of solutions and uniform persistence of the system is shown from reformulating the system as a system of Volterra integral equations.

Analysis of cholera epidemics with bacterial growth and spatial movement

In this work, we propose novel epidemic models (named, susceptible-infected-recovered-susceptible-bacteria) for cholera dynamics by incorporating a general formulation of bacteria growth and spatial variation. In the first part, a generalized ordinary differential equation (ODE) model is presented and it is found that bacterial growth contributes to the increase in the basic reproduction number, [Formula: see text]. With the derived basic reproduction number, we analyse the local and global dynamics of the model. Particularly, we give a rigorous proof on the endemic global stability by employing the geometric approach. In the second part, we extend the ODE model to a partial differential equation (PDE) model with the inclusion of diffusion to capture the movement of human hosts and bacteria in a heterogeneous environment. The disease threshold of this PDE model is studied again by using the basic reproduction number. The results on the threshold dynamics of the ODE and PDE models are compared, and verified through numerical simulation. Additionally, our analysis shows that incorporating diffusive spatial spread does not produce a Turing instability when [Formula: see text] associated with the ODE model is less than the unity.

Incorporating heterogeneity into the transmission dynamics of a waterborne disease model

We formulate a mathematical model that captures the essential dynamics of waterborne disease transmission to study the effects of heterogeneity on the spread of the disease. The effects of heterogeneity on some important mathematical features of the model such as the basic reproduction number, type reproduction number and final outbreak size are analysed accordingly. We conduct a real-world application of this model by using it to investigate the heterogeneity in transmission in the recent cholera outbreak in Haiti. By evaluating the measure of heterogeneity between the administrative departments in Haiti, we discover a significant difference in the dynamics of the cholera outbreak between the departments.

Modelling cholera in periodic environments

We propose a deterministic compartmental model for cholera dynamics in periodic environments. The model incorporates seasonal variation into a general formulation for the incidence (or, force of infection) and the pathogen concentration. The basic reproduction number of the periodic model is derived, based on which a careful analysis is conducted on the epidemic and endemic dynamics of cholera. Several specific examples are presented to demonstrate this general model, and numerical simulation results are used to validate the analytical prediction.

On the global stability of a generalized cholera epidemiological model

In this paper, we conduct a careful global stability analysis for a generalized cholera epidemiological model originally proposed in [J. Wang and S. Liao, A generalized cholera model and epidemic/endemic analysis, J. Biol. Dyn. 6 (2012), pp. 568-589]. Cholera is a water- and food-borne infectious disease whose dynamics are complicated by the multiple interactions between the human host, the pathogen, and the environment. Using the geometric approach, we rigorously prove the endemic global stability for the cholera model in three-dimensional (when the pathogen component is a scalar) and four-dimensional (when the pathogen component is a vector) systems. This work unifies the study of global dynamics for several existing deterministic cholera models. The analytical predictions are verified by numerical simulation results.

A generalized cholera model and epidemic-endemic analysis

The transmission of cholera involves both human-to-human and environment-to-human pathways that complicate its dynamics. In this paper, we present a new and unified deterministic model that incorporates a general incidence rate and a general formulation of the pathogen concentration to analyse the dynamics of cholera. Particularly, this work unifies many existing cholera models proposed by different authors. We conduct equilibrium analysis to carefully study the complex epidemic and endemic behaviour of the disease. Our results show that despite the incorporation of the environmental component, there exists a forward transcritical bifurcation at R (0)=1 for the combined human-environment epidemiological model under biologically reasonable conditions.