Public involvement in Ebola Virus Disease (EVD) prevention efforts is key to reducing disease outbreaks. Targeted education through practical health information to particular groups and sub-populations is crucial to controlling the disease. In this paper, we study the dynamics of Ebola virus disease in the presence of public health education with the aim of assessing the role of behavior change induced by health education to the dynamics of an outbreak. The power of behavior change is evident in two outbreaks of EVD that took place in Sudan only 3 years apart. The first occurrence was the first documented outbreak of EVD and produced a significant number of infections. The second outbreak produced far fewer cases, presumably because the population in the region learned from the first outbreak. We derive a system of ordinary differential equations to model these two contrasting behaviors. Since the population in Sudan learned from the first outbreak of EVD and changed their behavior prior to the second outbreak, we use data from these two instances of EVD to estimate parameters relevant to two contrasting behaviors. We then simulate a future outbreak of EVD in Sudan using our model that contains two susceptible populations, one being more informed about EVD. Our finding show how a more educated population results in fewer cases of EVD and highlights the importance of ongoing public health education.
Most hosts harbor multiple pathogens at the same time in disease epidemiology. Multiple pathogens have the potential for interaction resulting in negative impacts on host fitness or alterations in pathogen transmission dynamics. In this paper we develop a mathematical model describing the dynamics of HIV-malaria coinfection. Additionally, we extended our model to examine the role treatment (of malaria and HIV) plays in altering populations' dynamics. Our model consists of 13 interlinked equations which allow us to explore multiple aspects of HIV-malaria transmission and treatment. We perform qualitative analysis of the model that includes positivity and boundedness of solutions. Furthermore, we evaluate the reproductive numbers corresponding to the submodels and investigate the long term behavior of the submodels. We also consider the qualitative dynamics of the full model. Sensitivity analysis is done to determine the impact of some chosen parameters on the dynamics of malaria. Finally, numerical simulations illustrate the potential impact of the treatment scenarios and confirm our analytical results.
This study investigates the effects of vaccination and treatment on the spread of HIV/AIDS. The objectives are (i) to derive conditions for the success of vaccination and treatment programs and (ii) to derive threshold conditions for the existence and stability of equilibria in terms of the effective reproduction number R. It is found, firstly, that the success of a vaccination and treatment program is achieved when R 0t < R 0 , R 0t < R 0v and γeR V T (σ) < R UT (α), where R 0t and R 0v are respectively the reproduction numbers for populations consisting entirely of treated and vaccinated individuals, R 0 is the basic reproduction number in the absence of any intervention, R UT (α) and R V T (σ) are respectively the reproduction numbers in the presence of a treatment (α) and a combination of vaccination and treatment (σ) strategies. Secondly, that if R < 1, there exists a unique disease free equilibrium point which is locally asymptotically stable, while if R > 1 there exists a unique locally asymptotically stable endemic equilibrium point, and that the two equilibrium points coalesce at R = 1. Lastly, it is concluded heuristically that the stable disease free equilibrium point exists when the conditions R 0t < R 0 , R 0t < R 0v and γeR V T (σ) < R UT (α) are satisfied.
Temperature is one of the integral environmental drivers that strongly affect the distribution and density of tsetse fly population. Precisely, ectotherm performance measures, such as development rate, survival probability and reproductive rate, increase from low values (even zero) at critical minimum temperature, peak at an optimum temperature and then decline to low levels (even zero) at a critical maximum temperature. In this study, a fractional-order Trypanosoma brucei rhodesiense model incorporating vector saturation and temperature dependent parameters is considered. The proposed model incorporates the interplay between vectors and two hosts, humans and animals. We computed the basic reproduction number and established results on the threshold dynamics. Meanwhile, we explored the effects of vector control and screening of infected host on long-term disease dynamics. We determine threshold levels essential to reducing the basic reproduction number to level below unity at various temperature levels. Our findings indicate that vector control and host screening could significantly control spread of the disease at different temperature levels.
The 2014–2016 West African outbreak of Ebola Virus Disease (EVD) was the largest and most deadly to date. Contact tracing, following up those who may have been infected through contact with an infected individual to prevent secondary spread, plays a vital role in controlling such outbreaks. Our aim in this work was to mechanistically represent the contact tracing process to illustrate potential areas of improvement in managing contact tracing efforts. We also explored the role contact tracing played in eventually ending the outbreak. We present a system of ordinary differential equations to model contact tracing in Sierra Leonne during the outbreak. Using data on cumulative cases and deaths, we estimate most of the parameters in our model. We include the novel features of counting the total number of people being traced and tying this directly to the number of tracers doing this work. Our work highlights the importance of incorporating changing behavior into one’s model as needed when indicated by the data and reported trends. Our results show that a larger contact tracing program would have reduced the death toll of the outbreak. Counting the total number of people being traced and including changes in behavior in our model led to better understanding of disease management.
In this paper, we propose and analyze a fuzzy model for the health risk challenges associated with alcoholism. The fuzziness gets into the system by assuming uncertainty condition in the measure of influence of the risky individual and the additional death rate. Specifically, the fuzzy numbers are defined functions of the degree of peer influence of a susceptible individual into drinking behavior. The fuzzy basic risk reproduction number R0f is computed by means of Next-Generation Matrix and analyzed. The analysis of R0f reveals that health risk associated with alcoholism can be effectively controlled by raising the resistance of susceptible individuals and consequently reducing their chances of initiation of drinking behavior. When perceived respectable individuals in the communities are involved in health education campaign, the public awareness about prevailing risks increases rapidly. Consequently, a large population proportion will gain protection from initiation of drinks which would accelerate their health condition into more risky states. In a situation where peer influence is low, the health risks are likely to be reduced by natural factors that provide virtual protection from alcoholism. However, when the perceived most influential people in the community engage in alcoholism behavior, it implies an increase in the force of influence, and as such, the system will be endemic.
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