Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis

The resurgence of multi-drug-resistant tuberculosis in some partsof Europe and North America calls for a mathematical study to assess theimpact of the emergence and spread of such strain on the global effort to effectively control the burden of tuberculosis. This paper presents a deterministiccompar...

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Main Authors: Abba B. Gumel, Baojun Song
Format: Article
Language:English
Published: AIMS Press 2008-05-01
Series:Mathematical Biosciences and Engineering
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Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2008.5.437
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author Abba B. Gumel
Baojun Song
author_facet Abba B. Gumel
Baojun Song
author_sort Abba B. Gumel
collection DOAJ
description The resurgence of multi-drug-resistant tuberculosis in some partsof Europe and North America calls for a mathematical study to assess theimpact of the emergence and spread of such strain on the global effort to effectively control the burden of tuberculosis. This paper presents a deterministiccompartmental model for the transmission dynamics of two strains of tubercu-losis, a drug-sensitive (wild) one and a multi-drug-resistant strain. The modelallows for the assessment of the treatment of people infected with the wildstrain. The qualitative analysis of the model reveals the following. The modelhas a disease-free equilibrium, which is locally asymptotically stable if a cer-tain threshold, known as the effective reproduction number, is less than unity.Further, the model undergoes a backward bifurcation, where the disease-freeequilibrium coexists with a stable endemic equilibrium. One of the main nov-elties of this study is the numerical illustration of tri-stable equilibria, wherethe disease-free equilibrium coexists with two stable endemic equilibrium whenthe aforementioned threshold is less than unity, and a bi-stable setup, involving two stable endemic equilibria, when the effective reproduction number isgreater than one. This, to our knowledge, is the first time such dynamicalfeatures have been observed in TB dynamics. Finally, it is shown that thebackward bifurcation phenomenon in this model arises due to the exogenousre-infection property of tuberculosis.
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spelling doaj-art-58bf360470de4dc5b7a4d3f0b7f015812025-01-24T01:58:23ZengAIMS PressMathematical Biosciences and Engineering1551-00182008-05-015343745510.3934/mbe.2008.5.437Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosisAbba B. Gumel0Baojun Song1Department of Mathematics, University of Manitoba, Winnipeg, Manitoba, R3T 2N2Department of Mathematics, University of Manitoba, Winnipeg, Manitoba, R3T 2N2The resurgence of multi-drug-resistant tuberculosis in some partsof Europe and North America calls for a mathematical study to assess theimpact of the emergence and spread of such strain on the global effort to effectively control the burden of tuberculosis. This paper presents a deterministiccompartmental model for the transmission dynamics of two strains of tubercu-losis, a drug-sensitive (wild) one and a multi-drug-resistant strain. The modelallows for the assessment of the treatment of people infected with the wildstrain. The qualitative analysis of the model reveals the following. The modelhas a disease-free equilibrium, which is locally asymptotically stable if a cer-tain threshold, known as the effective reproduction number, is less than unity.Further, the model undergoes a backward bifurcation, where the disease-freeequilibrium coexists with a stable endemic equilibrium. One of the main nov-elties of this study is the numerical illustration of tri-stable equilibria, wherethe disease-free equilibrium coexists with two stable endemic equilibrium whenthe aforementioned threshold is less than unity, and a bi-stable setup, involving two stable endemic equilibria, when the effective reproduction number isgreater than one. This, to our knowledge, is the first time such dynamicalfeatures have been observed in TB dynamics. Finally, it is shown that thebackward bifurcation phenomenon in this model arises due to the exogenousre-infection property of tuberculosis.https://www.aimspress.com/article/doi/10.3934/mbe.2008.5.437key words and phrases. multi-drug-resistant tbdynamical systembifurcation analysisepidemic modelmulti-stable steady state.
spellingShingle Abba B. Gumel
Baojun Song
Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
Mathematical Biosciences and Engineering
key words and phrases. multi-drug-resistant tb
dynamical system
bifurcation analysis
epidemic model
multi-stable steady state.
title Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
title_full Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
title_fullStr Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
title_full_unstemmed Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
title_short Existence of multiple-stable equilibria for a multi-drug-resistant model of mycobacterium tuberculosis
title_sort existence of multiple stable equilibria for a multi drug resistant model of mycobacterium tuberculosis
topic key words and phrases. multi-drug-resistant tb
dynamical system
bifurcation analysis
epidemic model
multi-stable steady state.
url https://www.aimspress.com/article/doi/10.3934/mbe.2008.5.437
work_keys_str_mv AT abbabgumel existenceofmultiplestableequilibriaforamultidrugresistantmodelofmycobacteriumtuberculosis
AT baojunsong existenceofmultiplestableequilibriaforamultidrugresistantmodelofmycobacteriumtuberculosis