Abstract
The aim of this paper is to study the impact of introducing a partially protective vaccine on the dynamics of infection in SIRS models where primary and secondary infections are distinguished. We investigate whether a public health strategy based solely on vaccinating a proportion of newborns can lead to an effective control of the disease. In addition to carrying out the qualitative analysis, the findings are further explained by numerical simulations. The model exhibits backward bifurcation for certain values of the parameters. In these cases the standard basic reproduction number (obtained by inspection of the uninfected state) is not significant. The key threshold is the reinfection level which depends on the relative transmissibility (susceptibility) of secondary, with respect to primary, infected (susceptible) individuals and the relative loss of immunity of vaccinated, with respect to recovered, individuals. If one or all of these ratios decrease, then the threshold increases which increases the possibility to contain the infection by vaccination. The analysis shows further that symptomatic infections can be eliminated by vaccination solely.
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Acknowledgments
The authors would like to thank the editor as well as the anonymous referees very much for their invaluable and comprehensive comments which helped in improving the paper. Also, many thanks to the Odo Diekmann group who read the manuscript in their journal club for their comments that helped to improve it.
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Appendix
Appendix
Proof of Proposition 5
We write the quadratic equation (26) as
We first define the following quantities
Now we evaluate
and hence
Also,
Recall \( \mathcal A =B_1^2\). Hence,
\(\square \)
Direction of bifurcation
To get the direction of bifurcation at the uninfected equilibrium, we use the implicit function theorem
We find that \(F_\kappa \) at \(\lambda =0\) is equal to \(C_\kappa = - C_1 <0\). Hence the direction of bifurcation is given by the sign of \(F_\lambda \) which is the value of \(B\) at \(\kappa =\kappa _v\). This expression is (see below), up to a positive factor,
Proof of formula (42)
At \(\kappa = \kappa _v\), then
Since \((1-p)(q\alpha +\mu )X_1 + r g p b \sigma (\alpha +\mu )>0\), then the sign of \(B\) depends on the sign of
which is formula (42). \(\square \)
Proof of formula (36)
where
Inequality (43) is rewritten as
where
Thus \(p\) lies between \( \frac{-\xi _2 \pm \sqrt{\xi _2^2 - \xi _1\xi _3}}{\xi _1}\) \(\square \)
i.e., \( \frac{-[\kappa ^2 g^2 \phi _1\phi _2 - \kappa g X_1(\alpha +\mu )\eta _2] \pm \sqrt{\xi _2^2 - \xi _1\xi _3}}{\kappa ^2 g^2 \phi _2^2}.\)
As the upper root involves \(+\sqrt{\xi _2^2 - \xi _1\xi _3}>1\), we need to consider only the lower root. Hence
The term under the square root is
where
Note that
where
Thus
Now, we evaluate \(G_3\). We have
and
Hence,
Note that
Thus,
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Safan, M., Kretzschmar, M. & Hadeler, K.P. Vaccination based control of infections in SIRS models with reinfection: special reference to pertussis. J. Math. Biol. 67, 1083–1110 (2013). https://doi.org/10.1007/s00285-012-0582-1
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DOI: https://doi.org/10.1007/s00285-012-0582-1
Keywords
- Two stage SIRS model
- Backward bifurcation
- Vaccination coverage
- Eradication effort
- Reinfection
- Controllability