A two-strain TB model with multiplelatent stages

A two-strain tuberculosis (TB) transmission model incorporating antibiotic-generated TB resistant strains and long and variable waiting periods within the latently infected class is introduced. The mathematical analysis is carried out when the waiting periods are modeled via parametrically frie...

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Main Authors: Azizeh Jabbari, Carlos Castillo-Chavez, Fereshteh Nazari, Baojun Song, Hossein Kheiri
Format: Article
Language:English
Published: AIMS Press 2016-04-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2016017
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author Azizeh Jabbari
Carlos Castillo-Chavez
Fereshteh Nazari
Baojun Song
Hossein Kheiri
author_facet Azizeh Jabbari
Carlos Castillo-Chavez
Fereshteh Nazari
Baojun Song
Hossein Kheiri
author_sort Azizeh Jabbari
collection DOAJ
description A two-strain tuberculosis (TB) transmission model incorporating antibiotic-generated TB resistant strains and long and variable waiting periods within the latently infected class is introduced. The mathematical analysis is carried out when the waiting periods are modeled via parametrically friendly gamma distributions, a reasonable alternative to the use of exponential distributed waiting periods or to integral equations involving ``arbitrary'' distributions. The model supports a globally-asymptotically stable disease-free equilibrium when the reproduction number is less than one and an endemic equilibriums, shown to be locally asymptotically stable, or l.a.s., whenever the basic reproduction number is greater than one. Conditions for the existence and maintenance of TB resistant strains are discussed. The possibility of exogenous re-infection is added and shown to be capable of supporting multiple equilibria; a situation that increases the challenges faced by public health experts. We show that exogenous re-infection may help established resilient communities of actively-TB infected individuals that cannot be eliminated using approaches based exclusively on the ability to bring the control reproductive number just below $1$.
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spelling doaj-art-2bf93f3d1e6449de909a08c4956cac882025-01-24T02:36:34ZengAIMS PressMathematical Biosciences and Engineering1551-00182016-04-0113474178510.3934/mbe.2016017A two-strain TB model with multiplelatent stagesAzizeh Jabbari0Carlos Castillo-Chavez1Fereshteh Nazari2Baojun Song3Hossein Kheiri4Department of Applied Mathematics, Faculty of Mathematical Sciences, University of Tabriz, TabrizSimon A Levin Mathematics, Computational and Modeling Sciences Center, Arizona State University, PO Box 871904, Tempe, AZ 85287Simon A Levin Mathematics, Computational and Modeling Sciences Center, Arizona State University, PO Box 871904, Tempe, AZ 85287Department of Mathematical Sciences, Montclair State University, 1 Normal Avenue, Montclair, NJ 07043Department of Applied Mathematics, Faculty of Mathematical Sciences, University of Tabriz, TabrizA two-strain tuberculosis (TB) transmission model incorporating antibiotic-generated TB resistant strains and long and variable waiting periods within the latently infected class is introduced. The mathematical analysis is carried out when the waiting periods are modeled via parametrically friendly gamma distributions, a reasonable alternative to the use of exponential distributed waiting periods or to integral equations involving ``arbitrary'' distributions. The model supports a globally-asymptotically stable disease-free equilibrium when the reproduction number is less than one and an endemic equilibriums, shown to be locally asymptotically stable, or l.a.s., whenever the basic reproduction number is greater than one. Conditions for the existence and maintenance of TB resistant strains are discussed. The possibility of exogenous re-infection is added and shown to be capable of supporting multiple equilibria; a situation that increases the challenges faced by public health experts. We show that exogenous re-infection may help established resilient communities of actively-TB infected individuals that cannot be eliminated using approaches based exclusively on the ability to bring the control reproductive number just below $1$.https://www.aimspress.com/article/doi/10.3934/mbe.2016017reproduction numberstabilityequilibriaresistant tuberculosistuberculosis models.gamma distributionepidemiological models
spellingShingle Azizeh Jabbari
Carlos Castillo-Chavez
Fereshteh Nazari
Baojun Song
Hossein Kheiri
A two-strain TB model with multiplelatent stages
Mathematical Biosciences and Engineering
reproduction number
stability
equilibria
resistant tuberculosis
tuberculosis models.
gamma distribution
epidemiological models
title A two-strain TB model with multiplelatent stages
title_full A two-strain TB model with multiplelatent stages
title_fullStr A two-strain TB model with multiplelatent stages
title_full_unstemmed A two-strain TB model with multiplelatent stages
title_short A two-strain TB model with multiplelatent stages
title_sort two strain tb model with multiplelatent stages
topic reproduction number
stability
equilibria
resistant tuberculosis
tuberculosis models.
gamma distribution
epidemiological models
url https://www.aimspress.com/article/doi/10.3934/mbe.2016017
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