Roop-O Pariyaporn, Chinviriyasit Wirawan, Chinviriyasit Settapat
Department of Mathematics, King Mongkut's University of Technology Thonburi 126 Pracha Uthit Rd., Bang Mod, Thung Khru, Bangkok 10140, Thailand.
Math Biosci. 2015 Jul;265:47-64. doi: 10.1016/j.mbs.2015.04.008. Epub 2015 Apr 24.
This paper addresses the effect of the choice of the incidence function for the occurrence of backward bifurcation in two malaria models, namely, malaria model with standard incidence rate and malaria model with nonlinear incidence rate. Rigorous qualitative analyzes of the models show that the malaria model with standard incidence rate exhibits the phenomenon of backward bifurcation whenever a certain epidemiological threshold, known as the basic reproduction number, is less than unity. The epidemiological consequence of this phenomenon is that the classical epidemiological requirement of making the reproductive number less than unity is no longer sufficient, although necessary, for effectively controlling the spread of malaria in a community. For the malaria model with nonlinear incidence rate, it is shown that this phenomenon does not occur and the disease-free equilibrium of the model is globally-asymptotically stable whenever the reproduction number is less than unity. When the associated basic reproduction number is greater than unity, the models have a unique endemic equilibrium which is globally asymptotically stable under certain conditions. The sensitivity analysis based on the mathematical technique has been performed to determine the importance of the epidemic model parameters in making strategies for controlling malaria.
本文探讨了两种疟疾模型中发生率函数的选择对后向分岔出现的影响,这两种模型分别是具有标准发生率的疟疾模型和具有非线性发生率的疟疾模型。对这些模型进行的严格定性分析表明,只要某个被称为基本再生数的特定流行病学阈值小于1,具有标准发生率的疟疾模型就会出现后向分岔现象。这种现象的流行病学后果是,尽管使再生数小于1是控制社区疟疾传播的必要条件,但这一经典流行病学要求已不再充分。对于具有非线性发生率的疟疾模型,结果表明只要再生数小于1,这种现象就不会发生,并且该模型的无病平衡点是全局渐近稳定的。当相关的基本再生数大于1时,这些模型有一个唯一的地方病平衡点,在某些条件下该平衡点是全局渐近稳定的。已经基于数学技术进行了敏感性分析,以确定流行病模型参数在制定疟疾控制策略中的重要性。