1. Multiple endemic equilibria in an environmentally-transmitted disease with three disease stages.
- Author
-
Islas JM, Corona-Moreno R, and Velasco-Hernández JX
- Subjects
- Humans, Basic Reproduction Number statistics & numerical data, Endemic Diseases statistics & numerical data, Disease Outbreaks, Models, Biological, Epidemics statistics & numerical data, Mathematical Concepts, Models, Theoretical, Communicable Diseases transmission, Communicable Diseases epidemiology
- Abstract
We construct, analyze and interpret a mathematical model for an environmental transmitted disease characterized for the existence of three disease stages: acute, severe and asymptomatic. Besides, we consider that severe and asymptomatic cases may present relapse between them. Transmission dynamics driven by the contact rates only occurs when a parameter R
∗ >1, as normally occur in directly-transmitted or vector-transmitted diseases, but it will not adequately correspond to a basic reproductive number as it depends on environmental parameters. In this case, the forward transcritical bifurcation that exists for R∗ <1, becomes a backward bifurcation, producing multiple steady-states, a hysteresis effect and dependence on initial conditions. A threshold parameter for an epidemic outbreak, independent of R∗ is only the ratio of the external contamination inflow shedding rate to the environmental clearance rate. R∗ describes the strength of the transmission to infectious classes other than the I-(acute) type infections. The epidemic outbreak conditions and the structure of R∗ appearing in this model are both responsible for the existence of endemic states., Competing Interests: Declaration of competing interest The authors of the manuscript José Manuel Islas, Ruth Corona-Moreno and Jorge X. Velasco-Hernández, declare that they have NO affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript., (Copyright © 2024 Elsevier Inc. All rights reserved.)- Published
- 2024
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