Modeling and analysis of the San Francisco City Clinic Cohort (SFCCC) HIV-epidemic including treatment

We investigate two HIV/AIDS epidemic models.The first model represents the early San Franciscomen having sex with men (MSM) epidemic.We use data from the San Francisco City Clinic Cohort Study (SFCCC), documentingthe onset of HIV in San Francisco (1978-1984).The second model is a ``what-if'...

Full description

Saved in:
Bibliographic Details
Main Authors: Brandy Rapatski, Juan Tolosa
Format: Article
Language:English
Published: AIMS Press 2013-12-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2014.11.599
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We investigate two HIV/AIDS epidemic models.The first model represents the early San Franciscomen having sex with men (MSM) epidemic.We use data from the San Francisco City Clinic Cohort Study (SFCCC), documentingthe onset of HIV in San Francisco (1978-1984).The second model is a ``what-if'' scenario model includingtesting and treatment in the SFCCC epidemic.We use compartmental, population-level models,described by systems ofordinary differential equations.We find the basic reproductive number $R_0$ for each system,and we prove that if $R_0<1 the="" system="" has="" only="" the="" disease-free="" equilibrium="" dfe="" which="" is="" locally="" and="" globally="" stable="" whereas="" if="" r_0="">1$, the DFE is unstable.In addition, when $R_0>1$, both systems have a unique endemic equilibrium (EE).We show that treatment alone would not have stopped the San Francisco MSM epidemic,but would have significantly reduced its impact.
ISSN:1551-0018