The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer

A mathematical model for the natural history of human papillomavirus(HPV) is designed and used to assess the impact of a hypotheticalanti-HPV vaccine and Pap cytology screening on the transmissiondynamics of HPV in a population. Rigorous qualitative analysis ofthe model reveals that it undergoes the...

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Main Authors: Tufail Malik, Jody Reimer, Abba Gumel, Elamin H. Elbasha, Salaheddin Mahmud
Format: Article
Language:English
Published: AIMS Press 2013-05-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.1173
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author Tufail Malik
Jody Reimer
Abba Gumel
Elamin H. Elbasha
Salaheddin Mahmud
author_facet Tufail Malik
Jody Reimer
Abba Gumel
Elamin H. Elbasha
Salaheddin Mahmud
author_sort Tufail Malik
collection DOAJ
description A mathematical model for the natural history of human papillomavirus(HPV) is designed and used to assess the impact of a hypotheticalanti-HPV vaccine and Pap cytology screening on the transmissiondynamics of HPV in a population. Rigorous qualitative analysis ofthe model reveals that it undergoes the phenomenon of backwardbifurcation. It is shown that the backward bifurcation is caused bythe imperfect nature of the HPV vaccine or the HPV-induced andcancer-induced mortality in females. For the case when thedisease-induced and cancer-induced mortality is negligible, it isshown that the disease-free equilibrium (i.e., equilibrium in theabsence of HPV and associated dysplasia) is globally-asymptoticallystable if the associated reproduction number is less than unity. Themodel has a unique endemic equilibrium when the reproductionthreshold exceeds unity. The unique endemic equilibrium isglobally-asymptotically stable for a special case, where theassociated HPV-induced and cancer-induced mortality is negligible.Numerical simulations of the model, using a reasonable set ofparameter values, support the recent recommendations by some medicalagencies and organizations in the USA to offer Pap screening on a3-year basis (rather than annually).
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spelling doaj-art-bd2a1ef6beac4afc95d98a048201fd5b2025-01-24T02:26:20ZengAIMS PressMathematical Biosciences and Engineering1551-00182013-05-011041173120510.3934/mbe.2013.10.1173The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancerTufail Malik0Jody Reimer1Abba Gumel2Elamin H. Elbasha3Salaheddin Mahmud4Department of Applied Mathematics and Sciences, Khalifa University of Science, Technology and Research, PO Box 127788, Abu DhabiDepartment of Applied Mathematics and Sciences, Khalifa University of Science, Technology and Research, PO Box 127788, Abu DhabiDepartment of Applied Mathematics and Sciences, Khalifa University of Science, Technology and Research, PO Box 127788, Abu DhabiDepartment of Applied Mathematics and Sciences, Khalifa University of Science, Technology and Research, PO Box 127788, Abu DhabiDepartment of Applied Mathematics and Sciences, Khalifa University of Science, Technology and Research, PO Box 127788, Abu DhabiA mathematical model for the natural history of human papillomavirus(HPV) is designed and used to assess the impact of a hypotheticalanti-HPV vaccine and Pap cytology screening on the transmissiondynamics of HPV in a population. Rigorous qualitative analysis ofthe model reveals that it undergoes the phenomenon of backwardbifurcation. It is shown that the backward bifurcation is caused bythe imperfect nature of the HPV vaccine or the HPV-induced andcancer-induced mortality in females. For the case when thedisease-induced and cancer-induced mortality is negligible, it isshown that the disease-free equilibrium (i.e., equilibrium in theabsence of HPV and associated dysplasia) is globally-asymptoticallystable if the associated reproduction number is less than unity. Themodel has a unique endemic equilibrium when the reproductionthreshold exceeds unity. The unique endemic equilibrium isglobally-asymptotically stable for a special case, where theassociated HPV-induced and cancer-induced mortality is negligible.Numerical simulations of the model, using a reasonable set ofparameter values, support the recent recommendations by some medicalagencies and organizations in the USA to offer Pap screening on a3-year basis (rather than annually).https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.1173cervical cancervaccineendemic equilibrium.backward bifurcationhuman papillomaviruspap cytology screening
spellingShingle Tufail Malik
Jody Reimer
Abba Gumel
Elamin H. Elbasha
Salaheddin Mahmud
The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
Mathematical Biosciences and Engineering
cervical cancer
vaccine
endemic equilibrium.
backward bifurcation
human papillomavirus
pap cytology screening
title The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
title_full The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
title_fullStr The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
title_full_unstemmed The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
title_short The impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
title_sort impact of an imperfect vaccine and pap cytologyscreening on the transmission of human papillomavirus and occurrenceof associated cervical dysplasia and cancer
topic cervical cancer
vaccine
endemic equilibrium.
backward bifurcation
human papillomavirus
pap cytology screening
url https://www.aimspress.com/article/doi/10.3934/mbe.2013.10.1173
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