Advancing the Model



Recurrent Epidemics

The key difference when modeling a recurring epidemic is that when infected people recover, they become susceptible again (rather than immune or dead), such as is the case with the common cold. With this modification, the previous equations become

where now since R = 0.
Plugging in , we get

For convenience, let the quantity
So the solution for I is

From that solution, as t -> infinity,

So

This model therefore gives the same equilibrium position as the chicken pox model, the non-recurrent epidemic model. This fact seems to suggest that the recurrence of a disease does not affect its equilibrium position, which seems illogical. The difference here is that the population of infected people in the two cases is not the same. In the recurrent epidemic, the same number of total people are infected at the equilibrium, but some of them have been infected one or more times before. The non-recurrent epidemic infects more different people, but still the same total number.
A factor that is not considered by the non-recurrent model is that of vaccination. Each person who is vaccinated against the disease is effectively removed from the population being modeled. Then, though the equilibrium value does not change fractionally, the total population is smaller, so the total number of people infected at equilibrium is smaller. (Ref 3)

Modelling AIDS

Anderson's Original Model

The first mathematical model of the AIDS epidemic was published in 1986 by Anderson et al. The most serious characteristic of the virus was then considered to be the length of time during which noticeable symptoms had not yet developed. This model therefore measured the rate at which HIV-infected persons acquired AIDS.
In the population being considered, initially all people have HIV but have not yet acquired AIDS. It is assumed, however, that all members of the population will eventually acquire AIDS.
We will let the fraction of the population of persons with HIV but no AIDS symptoms be described by H(t) and the fraction of that with AIDS by A(t). Then

where c(t) is the rate of conversion between HIV and AIDS.
In order to fulfill the assumption that all members of the population acquire AIDS, A(t) must be an increasing function, so A’ must be positive. c(t) must therefore be positive. We will assume that c(t) = ct where c is a positive constant.
Solving the differential equations yields

We can then see that as , and , as assumed. The best fit value of c has been determined statistically to be approximately 0.237 per yr.
This model, though useful for determining the expected latency period of HIV, does not give any information about the spread of HIV throughout an uninfected population. To be more helpful for public health officials and medical professionals, models of infection rates would need to be developed. This is just what Anderson’s revised model did. (Ref 3)

Anderson's Revised Model (Isolation)

Anderson’s revised model of the HIV epidemic was published in 1989. Due to the status of the epidemic at the time, it only considers a male population.
A constant immigration rate B of susceptibles is assumed. The size of the total population is given by N(t). X(t) gives the number of susceptibles at any time. Y(t) gives the number of infectious males. A(t) gives the number of AIDS patients. Z(t) gives the number of uninfectious seropositives. This last portion of the population includes those who have isolated themselves from the rest of the population.
Without the presence of any infection (no AIDS deaths), the equilibrium population is assumed to be , where u is the rate of natural death. d is taken to be the rate at which AIDS patients die. is defined to be the probability of acquiring infection from a randomly chosen partner, where b is the transmission probability. v is defined as the rate of conversion from HIV to AIDS, and c is the average number of sexual partners per person.
is defined as the proportion of seropositives who are infectious.
Finally, it is assumed that there is a uniform mixing of the populations.

The rates of change of each segment of the population can then be modeled:

If the number of secondary infections resulting from a primary infection is greater than one, an epidemic ensues. The threshold value would then be bc/v.
Making the substitution

we get a nonlinear system. In order to find the solution to the system, each equation can be linearized by making the substitution X = X* + x (and the equivalent for each variable), where X* represents the nominal value and x the incremental value. The operating point can be found by setting all incremental values to zero. After much algebra, one gets this set of values:

Then, one uses the Taylor series approximations of the nonlinear elements of the equations to linearize them.
Taylor series expansion:

Next, one substitutes and subtracts off all nominal values to obtain equations in terms of only incremental values. These equations can then be solved to find the time-varying solution.
In this case, it is found that X, Y, Z, A, and N are oscillatory and tend towards zero. (Ref 3)
It is important to note that, originally, all of the constants used were based on case studies of HIV patients and data collected from several cities in the United States. These constants can therefore be adjusted with the insight of additional data for a more accurate model.

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