Vaccination of both newborns and susceptibles is included in a transmission model for a disease that confers immunity. The interplay of the vaccination strategy together with the vaccine efficacy and waning is studied. In particular, it is shown that a backward bifurcation leading to bistability can occur. Under mild parameter constraints, compound matrices are used to show that each orbit limits to an equilibrium. In the case of bistability, this global result requires a novel approach since there is no compact absorbing set.
One year into the global COVID-19 pandemic, the focus of attention has shifted to the emergence and spread of SARS-CoV-2 variants of concern (VOCs). After nearly a year of the pandemic with little evolutionary change affecting human health, several variants have now been shown to have substantial detrimental effects on transmission and severity of the virus. Public health officials, medical practitioners, scientists, and the broader community have since been scrambling to understand what these variants mean for diagnosis, treatment, and the control of the pandemic through nonpharmaceutical interventions and vaccines. Here we explore the evolutionary processes that are involved in the emergence of new variants, what we can expect in terms of the future emergence of VOCs, and what we can do to minimise their impact.
Some analytical results are given for a model that describes the propagation of a disease in a population of individuals who travel between n cities. The model is formulated as a system of 2n 2 ordinary differential equations, with terms accounting for disease transmission, recovery, birth, death, and travel between cities. The mobility component is represented as a directed graph with cities as vertices and arcs determined by outgoing (or return) travel. An explicit formula that can be used to compute the basic reproduction number, {\cal R}_0 , is obtained, and explicit bounds on {\cal R}_0 are determined in the case of homogeneous contacts between individuals within each city. Numerical simulations indicate that {\cal R}_0 is a sharp threshold, with the disease dying out if {\cal R}_0 1 .
We formulate an SIS epidemic model on two patches. In each patch, media coverage about the cases present in the local population leads individuals to limit the number of contacts they have with others, inducing a reduction in the rate of transmission of the infection. A global qualitative analysis is carried out, showing that the typical threshold behavior holds, with solutions either tending to an equilibrium without disease, or the system being persistent and solutions converging to an endemic equilibrium. Numerical analysis is employed to gain insight in both the analytically tractable and intractable cases; these simulations indicate that media coverage can reduce the burden of the epidemic and shorten the duration of the disease outbreak.
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