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Introduction            Variables                       The Model   Conclusion




               A simple mathematical model for genetic
                effects in pneumococcal carriage and
                             transmission

                                     Francis Mponda



                                    February 12, 2013
Introduction                   Variables   The Model   Conclusion




Outline


         1     Introduction


         2     Variables


         3     The Model
                 Formulation
                 Analysis


         4     Conclusion
Introduction                   Variables               The Model                  Conclusion




Introduction

               Streptococcus pneumoniae (Pneumococcus) is a bacterium
               commonly found in the throat of young children.
               Pneumococcal serotypes can cause a variety of diseases such
               as meningitis and pneumonia
               In 2000, a vaccine was introduced to not only prevent vaccine
               type disease but also to eliminate carriage of the vaccine
               serotypes.
               A key problem with vaccination is that the same sequence types
               are able to manifest in more than one serotype.
               We present a 4-D mathematical model for exploring the
               relationship between sequence types and serotypes where a
               sequence type is able to manifest itself in one vaccine serotype
               and one non-vaccine serotype.
Introduction                     Variables                The Model                 Conclusion




Variables and Parameters
         Variables


                  X : Unvaccinated susceptible to carriage of sequence type 1
                 T1 : Unvaccinated carrying sequence type 1
                 V : Vaccinated susceptible to carriage of sequence type 1
                VT1 : Vaccinated carrying sequence type 1

         Parameters


                L : Constant recruitment rate of susceptible children into X or V
               f : A proportion of children who receive the vaccine
               u : per capita exit rate of children from the population
               β1 : A mass action transmission coefficient
               γ : per capita rate at which carriers become susceptible again
Introduction                 Variables                   The Model   Conclusion


Formulation


Compartmental model

                 L(1 − f )
                   ?             β1 X (T1 + VT1 )
                                                -         Y1
                  X                                 T1
                                                         Y2
                                         γT1
                   ?                                  ?
                  uX                                 uT1
                  Lf
                   ?             β1 V (T1 + VT1 )
                                                -
                  V                                VT1 Y2
                                         γVT1
                   ?                                  ?
                  uV                                 uVT1
               Fig1: Flow diagram for model equations.
Introduction                  Variables                The Model             Conclusion


Formulation


Equations of Change


         Differential equations which describe the progress of the disease are
         as follow:
                    dX
                          =     L(1 − f ) − uX − β1 X (T1 + VT1 ) + γT1
                     dt
                    dT1
                          =     β1 X (T1 + VT1 ) − (γ + u)T1
                     dt
                    dV
                          =     Lf − uV − β1 V (T1 + VT1 ) + γVT1
                     dt
                   dVT1
                          =     β1 V (T1 + VT1 ) − (γ + u)VT1
                    dt
Introduction                        Variables                  The Model                 Conclusion


Analysis


Equilibrium Solutions

                                              dF
           We now solve the system at             = 0 to find the equilibrium solutions
                                               dt
           X , T1 , V , Vˆ . For simplicity, let
           ˆ ˆ ˆ T
                       1


                                         x1 = X + V , x2 = T1 + VT1

           so that our 4-D system reduces to the 2-D system;

                                   x˙1     = L − ux1 − β1 x1 x2 + γx2
                                   x˙2     = β1 x1 x2 − (γ + u)x2

           which can be easily solved to give

                             ∗    ∗         L            γ+u L γ+u
                           (x1 , x2 ) =       ,0   and       , −
                                            u             β1 u   β1
Introduction                       Variables                     The Model              Conclusion


Analysis


Equilibrium Solutions cont’d

           With further manipulation, we get the following two equilibrium states:

                                               L       L
            X , T1 , V , Vˆ 1 =
            ˆ ˆ ˆ T               (1 − f )       , 0, f , 0 ,     the CFE and the CE given by
                                               u       u

                          γ+u                  L γ+u             γ+u          L γ+u
               (1 − f )       , (1 − f )         −         , f       , f        −
                           β1                  u   β1             β1          u   β1
                                                              β1 L
           Physically we require u ≥ γ+u so that R = u(γ+u) ≥ 1. Hence
                                     L
                                         β1
           if R ≤ 1 there is only the CFE whereas for R  1 there is the CFE
           and a unique CE. At the CE we have;

                  ˆ          ˆ                      L γ+u
                  Y1      = pT1 = p (1 − f )          −
                                                    u   β1
                  ˆ                                                          L γ+u
                  Y2      = (1 − p)T1 + Vˆ 1 = (1 − p(1 − f ))
                                   ˆ     T                                     −
                                                                             u   β1
Introduction                    Variables                       The Model       Conclusion


Analysis


Effective reproduction number, Re
           The basic reproduction number, R0 : The expected number of
           secondary cases caused by a ‘typical’ infected individual entering a
           completely susceptible population at equilibrium. Notice, here we are
           calling it Re because vaccination has been included in the model. We
           define the next generation matrix M = (mij ), where mij is the expected
           number of type i infected individuals caused by a single type j
           infected individual entering the CFE during the entire infectious
                       1
           period γ+u . We have

                                            β1 L(1−f )   β1 L(1−f )
                                             u(γ+u)       u(γ+u)
                                  M=           β1 Lf        β1 Lf
                                             u(γ+u)       u(γ+u)

           whose spectral radius, Re , is given as

                                                       β1 L
                                        Re = R =
                                                     u(γ + u)
Introduction                       Variables               The Model                 Conclusion


Analysis


Global stability analysis


           Stability analysis of the model leads to the following observations;
                   if Re ≤ 1 the system approaches the CFE as t −→ ∞
                   if Re  1 the system approaches the CE as t −→ ∞
           which leads to the theorem:
               1   For Re ≤ 1 the system has only the CFE which is G.A.S. as time
                   becomes large.
               2   For Re  1 there are two equilibria, the CFE and a unique CE. If
                   there is no disease initially present the system tends to the CFE.
                   If there is any disease initially present the system goes to the CE
                   as time becomes large.
Introduction                Variables             The Model                  Conclusion




Remarks


         Conclusion
         We have discussed a basic mathematical model for the transmission
         of pneumococcal disease. Simple models such as this provide a
         building block on which more complex and realistic mathematical
         models can be based.
Introduction                  Variables                The Model             Conclusion




Remarks


         Conclusion
         We have discussed a basic mathematical model for the transmission
         of pneumococcal disease. Simple models such as this provide a
         building block on which more complex and realistic mathematical
         models can be based.

         Acknowledgement
         I am very grateful to the following people:
Introduction                  Variables                The Model             Conclusion




Remarks


         Conclusion
         We have discussed a basic mathematical model for the transmission
         of pneumococcal disease. Simple models such as this provide a
         building block on which more complex and realistic mathematical
         models can be based.

         Acknowledgement
         I am very grateful to the following people:
             Prof. Wilson Lamb
Introduction                  Variables                The Model             Conclusion




Remarks


         Conclusion
         We have discussed a basic mathematical model for the transmission
         of pneumococcal disease. Simple models such as this provide a
         building block on which more complex and realistic mathematical
         models can be based.

         Acknowledgement
         I am very grateful to the following people:
             Prof. Wilson Lamb
               Dr. Karen Lamb
Introduction                  Variables                The Model             Conclusion




Remarks


         Conclusion
         We have discussed a basic mathematical model for the transmission
         of pneumococcal disease. Simple models such as this provide a
         building block on which more complex and realistic mathematical
         models can be based.

         Acknowledgement
         I am very grateful to the following people:
             Prof. Wilson Lamb
               Dr. Karen Lamb
         Thanks for your attention, questions are very welcome!!

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Biomathematics

  • 1. Introduction Variables The Model Conclusion A simple mathematical model for genetic effects in pneumococcal carriage and transmission Francis Mponda February 12, 2013
  • 2. Introduction Variables The Model Conclusion Outline 1 Introduction 2 Variables 3 The Model Formulation Analysis 4 Conclusion
  • 3. Introduction Variables The Model Conclusion Introduction Streptococcus pneumoniae (Pneumococcus) is a bacterium commonly found in the throat of young children. Pneumococcal serotypes can cause a variety of diseases such as meningitis and pneumonia In 2000, a vaccine was introduced to not only prevent vaccine type disease but also to eliminate carriage of the vaccine serotypes. A key problem with vaccination is that the same sequence types are able to manifest in more than one serotype. We present a 4-D mathematical model for exploring the relationship between sequence types and serotypes where a sequence type is able to manifest itself in one vaccine serotype and one non-vaccine serotype.
  • 4. Introduction Variables The Model Conclusion Variables and Parameters Variables X : Unvaccinated susceptible to carriage of sequence type 1 T1 : Unvaccinated carrying sequence type 1 V : Vaccinated susceptible to carriage of sequence type 1 VT1 : Vaccinated carrying sequence type 1 Parameters L : Constant recruitment rate of susceptible children into X or V f : A proportion of children who receive the vaccine u : per capita exit rate of children from the population β1 : A mass action transmission coefficient γ : per capita rate at which carriers become susceptible again
  • 5. Introduction Variables The Model Conclusion Formulation Compartmental model L(1 − f ) ? β1 X (T1 + VT1 ) - Y1 X T1 Y2 γT1 ? ? uX uT1 Lf ? β1 V (T1 + VT1 ) - V VT1 Y2 γVT1 ? ? uV uVT1 Fig1: Flow diagram for model equations.
  • 6. Introduction Variables The Model Conclusion Formulation Equations of Change Differential equations which describe the progress of the disease are as follow: dX = L(1 − f ) − uX − β1 X (T1 + VT1 ) + γT1 dt dT1 = β1 X (T1 + VT1 ) − (γ + u)T1 dt dV = Lf − uV − β1 V (T1 + VT1 ) + γVT1 dt dVT1 = β1 V (T1 + VT1 ) − (γ + u)VT1 dt
  • 7. Introduction Variables The Model Conclusion Analysis Equilibrium Solutions dF We now solve the system at = 0 to find the equilibrium solutions dt X , T1 , V , Vˆ . For simplicity, let ˆ ˆ ˆ T 1 x1 = X + V , x2 = T1 + VT1 so that our 4-D system reduces to the 2-D system; x˙1 = L − ux1 − β1 x1 x2 + γx2 x˙2 = β1 x1 x2 − (γ + u)x2 which can be easily solved to give ∗ ∗ L γ+u L γ+u (x1 , x2 ) = ,0 and , − u β1 u β1
  • 8. Introduction Variables The Model Conclusion Analysis Equilibrium Solutions cont’d With further manipulation, we get the following two equilibrium states: L L X , T1 , V , Vˆ 1 = ˆ ˆ ˆ T (1 − f ) , 0, f , 0 , the CFE and the CE given by u u γ+u L γ+u γ+u L γ+u (1 − f ) , (1 − f ) − , f , f − β1 u β1 β1 u β1 β1 L Physically we require u ≥ γ+u so that R = u(γ+u) ≥ 1. Hence L β1 if R ≤ 1 there is only the CFE whereas for R 1 there is the CFE and a unique CE. At the CE we have; ˆ ˆ L γ+u Y1 = pT1 = p (1 − f ) − u β1 ˆ L γ+u Y2 = (1 − p)T1 + Vˆ 1 = (1 − p(1 − f )) ˆ T − u β1
  • 9. Introduction Variables The Model Conclusion Analysis Effective reproduction number, Re The basic reproduction number, R0 : The expected number of secondary cases caused by a ‘typical’ infected individual entering a completely susceptible population at equilibrium. Notice, here we are calling it Re because vaccination has been included in the model. We define the next generation matrix M = (mij ), where mij is the expected number of type i infected individuals caused by a single type j infected individual entering the CFE during the entire infectious 1 period γ+u . We have β1 L(1−f ) β1 L(1−f ) u(γ+u) u(γ+u) M= β1 Lf β1 Lf u(γ+u) u(γ+u) whose spectral radius, Re , is given as β1 L Re = R = u(γ + u)
  • 10. Introduction Variables The Model Conclusion Analysis Global stability analysis Stability analysis of the model leads to the following observations; if Re ≤ 1 the system approaches the CFE as t −→ ∞ if Re 1 the system approaches the CE as t −→ ∞ which leads to the theorem: 1 For Re ≤ 1 the system has only the CFE which is G.A.S. as time becomes large. 2 For Re 1 there are two equilibria, the CFE and a unique CE. If there is no disease initially present the system tends to the CFE. If there is any disease initially present the system goes to the CE as time becomes large.
  • 11. Introduction Variables The Model Conclusion Remarks Conclusion We have discussed a basic mathematical model for the transmission of pneumococcal disease. Simple models such as this provide a building block on which more complex and realistic mathematical models can be based.
  • 12. Introduction Variables The Model Conclusion Remarks Conclusion We have discussed a basic mathematical model for the transmission of pneumococcal disease. Simple models such as this provide a building block on which more complex and realistic mathematical models can be based. Acknowledgement I am very grateful to the following people:
  • 13. Introduction Variables The Model Conclusion Remarks Conclusion We have discussed a basic mathematical model for the transmission of pneumococcal disease. Simple models such as this provide a building block on which more complex and realistic mathematical models can be based. Acknowledgement I am very grateful to the following people: Prof. Wilson Lamb
  • 14. Introduction Variables The Model Conclusion Remarks Conclusion We have discussed a basic mathematical model for the transmission of pneumococcal disease. Simple models such as this provide a building block on which more complex and realistic mathematical models can be based. Acknowledgement I am very grateful to the following people: Prof. Wilson Lamb Dr. Karen Lamb
  • 15. Introduction Variables The Model Conclusion Remarks Conclusion We have discussed a basic mathematical model for the transmission of pneumococcal disease. Simple models such as this provide a building block on which more complex and realistic mathematical models can be based. Acknowledgement I am very grateful to the following people: Prof. Wilson Lamb Dr. Karen Lamb Thanks for your attention, questions are very welcome!!