Asymptotic properties of an HIV/AIDS model with a time delay

A mathematical model for HIV/AIDS with explicit incubation period is presented as a system of discrete time delay differential equations and its important mathematical features are analysed. The disease-free and endemic equilibria are found and their local stability investigated. We use the Lyapunov functional approach to show the global stability of the endemic equilibrium. Qualitative analysis of the model including positivity and boundedness of solutions, and persistence are also presented. The HIV/AIDS model is numerically analysed to asses the effects of incubation period on the dynamics of HIV/AIDS and the demographic impact of the epidemic using the demographic and epidemiological parameters for Zimbabwe.     

Impact of optimal control on the treatment of HIV/AIDS and screening of unaware infectives

In this paper, we study the impact of optimal control on the treatment of HIV/AIDS and screening of unaware infectives on the transmission dynamics of the disease in a homogeneous population with constant immigration of susceptibles incorporating use of condom, screening of unaware infectives and treatment of the infected. Initially we consider constant controls and thereafter treat control measures as time dependent control parameters. In the constant controls case, we calculate the basic reproduction number and investigate the existence and stability of equilibria. The model is found to exhibit transcritical bifurcation. For the time dependent controls, we formulate the appropriate optimal control problem and investigate the necessary conditions for the disease control in order to determine the role of unaware infectives in the spread of HIV/AIDS. We observed that unawareness by infectives has a great cost impact on the community. We further investigate the impact of combinations of the strategies in the control of HIV/AIDS. Carrying out cost-effectiveness analysis, we found that the most cost-effective strategy is the combination of all the control strategies.     

一类非线性动力系统的数值分析及控制策略研究

根据艾滋病在新疆的流行特点,建立了一个非线性动力系统的数学模型来研究艾滋病在新疆高危人群中传播的规律.通过查阅大量的统计数据和文献资料,确定了模型中部分参数的具体数值,然后通过数据拟合的方法得到了各个高危人群中的HIV病毒的传染性系数.在模型中,选择2004年底(2005年初)作为系统的初始点,预测了艾滋病未来几年内在新疆的流行趋势.最后,提出并比较遏止艾滋病传播的各项干预措施.     

Modeling sexual transmission of HIV/AIDS in Jiangsu province,China

HIV transmission by sexual activities exhibits a substantial increase and has become a primary transmission mode in China recently. A mathematical model is formulated so as to identify the key processes and parameters that could explain the quick increase in the proportion of heterosexual transmission and further to assist in suggesting control measures urgently. On the basis of surveillance data on a number of people living with HIV/AIDS in Jiangsu province, we parameterize the model and estimate the reproduction number by using the least squares method. The basic reproduction number was estimated to be R₀ = 3.52 for the therapy scenario of heterosexual transmission. The model predicts that the epidemic will peak in 2020. New infections are sensitive to the transmission coefficient, dependent on condom use rate, and the risky activities during the early period, whereas are sensitive to the recruitment rate in the late period of the transmission respectively. Antiviral therapy can either increase or decrease the new infections depending on both the extended life span of treated individuals and the infectiousness of the treated individuals. Hence, effective control measures during different transmission periods can be suggested, and antiretroviral therapy is a contentious issue for disease control. Copyright © 2012 John Wiley & Sons, Ltd.     

A linked risk group model for investigating the spread of HIV

This paper describes a model that simulates the spread of HIV and progression to AIDS. The model is based on classical models of disease transmission. It consists of six linked risk groups and tracks the numbers of infectives, AIDS cases, AIDS related deaths, and other deaths of infected persons in each risk group. Parametric functions are used to represent risk-group-specific and time-dependent average contact rates. Contacts are needle sharing, sexual contacts, or blood product transfers.

An important feature of the model is that the contact rate parameters are estimated by minimizing differences between AIDS incidence and reported AIDS cases adjusted for undercounting biases. This feature results in an HIV epidemic curve that is analogous to one estimated by backcalculation models but whose dynamics are determined by simulating disease transmission. The model exhibits characteristics of both the disease transmission and the backcalculation approaches, i.e., the model:

• reconstructs the historical behavior patterns of the different risk groups,

• includes separate effects of treatment and changes in average contact rates,

• accounts for other mortality risks for persons infected with HIV,

• calculates short-term projections of AIDS incidence, HIV incidence, and HIV prevalence,

• calculates cumulative HIV infections (the quantity calculated by backcalculation approaches) and HIV prevalence (the quantity measured by seroprevalence and sentinel surveys). This latter feature permits the validation of the estimates generated by two distinct approaches.

We demonstrate the use of the model with an application to U.S. AIDS data through 1991.     

A nonlinear AIDS epidemic model with screening and time delay

A nonlinear mathematical model to study the effect of time delay in the recruitment of infected persons on the transmission dynamics of HIV/AIDS is proposed and analyzed. In modeling the dynamics, the population is divided into four subclasses: the susceptibles, the HIV positives or infectives that do not know they are infected, the HIV positives that know they are infected and the AIDS patients. Susceptibles are assumed to become infected via sexual contacts with (both types of) infectives. The model is analyzed using stability theory of delay differential equations. Both the disease-free and the endemic equilibria are found and their stability is investigated. It is shown that the introduction of time delay in the model has a destabilizing effect on the system and periodic solutions can arise by Hopf bifurcation. Numerical simulations are also carried out to investigate the influence of key parameters on the spread of the disease, to support the analytical conclusion and to illustrate possible behavioral scenario of the model.     

Mathematical Analysis of an HIV/AIDS Model: Impact of Educational Programs and Abstinence in Sub-Saharan Africa

We formulate a deterministic HIV/AIDS model to theoretically investigate how counselling and testing coupled with the resulting decrease in sexual activity could affect the HIV epidemic in resource-limited communities. The threshold quantities are determined and stabilities analyzed. Theoretical analysis and numerical simulations support the idea that increase in the number of sexually inactive HIV positive individuals who voluntarily abstain from sex has a positive impact on HIV/AIDS control. Results from this theoretical study suggest that effective counselling and testing have a great potential to partially control the epidemic (especially when HIV positive individuals either willingly withdraw from risky sexual activities or disclose their status beforehand) even in the absence of antiretroviral therapy (ART). Therefore, more needs to be done in resource-limited settings, such as sub-Saharan Africa, as far as the HIV/AIDS epidemic is concerned and a formalized information, education, and communication strategy should be given prominence in educational campaigns.     

Modeling and dynamics of HIV transmission among high-risk groups in Guangzhou city, China

In this paper, a multicompartmental model is formulated to study how HIV is transmitted among different HIV high-risk groups, including MSM (men who have sex with men), FRs (foreigner residents), FSWs (female sex workers), and IDUs (injection drug users). The explicit expression for the basic reproduction number is obtained via the next generation matrix approach. We show that the disease free equilibrium is locally as well as globally asymptotically stable (the disease goes to extinction) when the basic reproduction number is less than unity, and the disease is always present when the basic reproduction number is larger than unity. As an illustration of our theoretical results, we conduct numerical simulations. We also conduct a case study where model parameters are estimated from the demographic and epidemiological data from Guangzhou. Using the parameter estimates, we predict the HIV/AIDS trend for each high-risk group. Furthermore, our study suggests that reducing the transmission routes of the disease and increasing condom use will be useful for control of HIV transmission.     

Study on a HIV/AIDS model with application to Yunnan province,China

This paper presents an epidemic model aiming at the prevalence of HIV/AIDS in Yunnan, China. The total population in the model is restricted within high risk population. By the epidemic characteristics of HIV/AIDS in Yunnan province, the population is divided into two groups: injecting drug users (IDUs) and people engaged in commercial sex (PECS) which includes female sex workers (FSWs), and clients of female sex workers (C). For a better understanding of HIV/AIDS transmission dynamics, we do some necessary mathematical analysis. The conditions and thresholds for the existence of four equilibria are established. We compute the reproduction number for each group independently, and show that when both the reproduction numbers are less than unity, the disease-free equilibrium is globally stable. The local stabilities for other equilibria including two boundary equilibria and one positive equilibrium are figured out. When we omit the infectivity of AIDS patients, global stability of these equilibria are obtained. For the simulation, parameters are chosen to fit as much as possible prevalence data publicly available for Yunnan. Increasing strength of the control measure on high risk population is necessary to reduce the HIV/AIDS in Yunnan.     

SWEIA艾滋病毒传染模型及应用

人类免疫缺陷病毒(HIV)是一种严重威胁生命的病毒,感染艾滋病毒患者一般经历四个阶段:i)艾滋病毒阴性的窗口期(W);ii)阳性的无症状潜伏期(E);iii)有症状期(Ⅰ);以及iv)移除阶段(A).为深入研究艾滋病传播过程,建立SWEIA艾滋病毒传染模型,定义基本再生数,分析无病与地方病平衡点的存在性和局部稳定性,根据2004至2015年中国艾滋病患者数据,采用遗传算法对SWEIA模型中参数进行估计.通过对基本再生数敏感性分析以及模型数值随参数不同而产生的变化,揭示艾滋病窗口期的接触率是影响艾滋病流行的主要原因之一.     

女性吸毒者在HIV/AIDS传播中的作用

利用数学模型,探讨了女性吸毒者在HIV/AIDS传播中的作用.通过理论分析和数值模拟,揭示了女性吸毒者对HIV/AIDS传播和流行的重要作用:当HIV/AIDS在吸毒人群和一般男性人群中流行时,若切断女性吸毒人群和一般男性人群间的传播途径(商业性行为),则疾病不但在一般男性人群中会消亡,在一定的条件下,甚至会在吸毒人群中消亡.     

Two profitless delays for an SEIRS epidemic disease model with vertical transmission and pulse vaccination

Since the investigation of impulsive delay differential equations is beginning, the literature on delay epidemic models with pulse vaccination is not extensive. In this paper, we propose a new SEIRS epidemic disease model with two profitless delays and vertical transmission, and analyze the dynamics behaviors of the model under pulse vaccination. Using the discrete dynamical system determined by the stroboscopic map, we obtain a ‘infection-free’ periodic solution, further, show that the ‘infection-free’ periodic solution is globally attractive when some parameters of the model are under appropriate conditions. Using a new modeling method, we obtain sufficient condition for the permanence of the epidemic model with pulse vaccination. We show that time delays, pulse vaccination and vertical transmission can bring different effects on the dynamics behaviors of the model by numerical analysis. Our results also show the delays are “profitless”. In this paper, the main feature is to introduce two discrete time delays, vertical transmission and impulse into SEIRS epidemic model and to give pulse vaccination strategies.     

A delay SIR epidemic model with pulse vaccination and incubation times

In this paper, a new delay SIR epidemic model with pulse vaccination and incubation times is considered. We obtain an infection-free semi-trivial periodic solution and establish the sufficient conditions for the global attractivity of the semi-trivial periodic solution. By use of new computational techniques for impulsive differential equations with delay, we prove that the system is permanent under appropriate conditions. The results show that time delay, pulse vaccination and nonlinear incidence have significant effects on the dynamics behaviors of the model. Our results are illustrated and corroborated with some numerical experiments.     

Dynamical analysis of public health education on HIV/AIDS transmission

An Human Immunodeficiency Virus/Acquired Immuno‐Deficiency Syndrome (HIV/AIDS) epidemic model for sexual transmission with asymptomatic and symptomatic phase is proposed as a system of differential equations. The threshold and steady state for the model are determined and stabilities of disease free steady state is investigated. We use the model and study the effect of public health education on the spread of HIV/AIDS as a single‐strategy in HIV prevention. The education, including basic reproduction number for the model with public health education, is compared with the basic reproduction number for the HIV/AIDS in the absence of public health education. By comparing these two values, influence of public health education appears. According to property of , threshold proportion of educated adolescents, education rate for susceptible individuals and education efficacy is obtained. Copyright © 2014 John Wiley & Sons, Ltd.     

一类HIV/AIDS流行病模型

结合某市的艾滋病现状给出了相应的传染病动力学模型,研究了其平衡点的稳定性,讨论了流行病的阈值,并对不同的说服率、不同的因病死亡率、不同的传染率分别进行了数值模拟,对该市艾滋病的预防和控制给出了理论上的指导和建议.     

具有商业性行为的女性吸毒者对HIV/AIDS传播的影响

利用数学模型,研究了具有商业性行为的女性吸毒者对HIV/AIDS传播的影响.通过理论分析,讨论了系统的一致持续性和地方病平衡点的存在性,从理论上揭示了女性吸毒者的商业性行为可加强HIV/AIDS的传播和流行.特别地,若无商业性行为且吸毒人群和一般男性人群中均无疾病流行时,商业性行为的存在将会导致两类人群中的疾病均流行起来.这为防控工作的开展提供了重要参考.     

行为改变下的艾滋病流行预测

基于亚洲艾滋病流行模型(Asian Epidemic Model,AEM)基本思想,建立我国艾滋病流行预测模型.利用该模型,估计某地1989—2007年艾滋病流行状况,同时设计不同行为改变方案,预测该地2008—2020年艾滋病流行趋势.     

A nonlinear HIV/AIDS model with contact tracing

A nonlinear mathematical model is proposed and analyzed to study the effect of contact tracing on reducing the spread of HIV/AIDS in a homogeneous population with constant immigration of susceptibles. In modeling the dynamics, the population is divided into four subclasses of HIV negatives but susceptibles, HIV positives or infectives that do not know they are infected, HIV positives that know they are infected and that of AIDS patients. Susceptibles are assumed to become infected via sexual contacts with (both types of) infectives and all infectives move with constant rates to develop AIDS. The model is analyzed using the stability theory of differential equations and numerical simulation. The model analysis shows that contact tracing may be of immense help in reducing the spread of AIDS epidemic in a population. It is also found that the endemicity of infection is reduced when infectives after becoming aware of their infection do not take part in sexual interaction.     

一类具有说服率的HIV/AIDS流行病模型

根据某市艾滋病出现的新特点,即外来人口对艾滋病的影响,给出了相应的传染病动力学模型,并进行了数值模拟.