Understanding the Transmission Dynamics and Control of HIV Infection: A Mathematical Model Approach

Saheed Ajao, I. Olopade, T. Akinwumi, S. Adewale, A. Adesanya
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Abstract

New challenges like the outbreak of new diseases, government policies, war and insurgency etc. present distortion, delay and denial of persons’ access to ART, thereby fuelling the spread and increasing the burden of HIV/AIDS. A mathematical model is presented to study the transmission dynamics and control of HIV infection. The qualitative and quantitative analyses of the model are carried out. It is shown that the disease-free equilibrium of the model is globally asymptotically stable whenever the basic reproduction number is less than unity. It is also shown that a unique endemic equilibrium exists whenever the basic reproduction number exceeds unity and that the model exhibits a forward bifurcation. Furthermore, the Lyapunov function is used to show that the endemic equilibrium is globally asymptotically stable for a special case of the model whenever the associated basic reproduction number is greater than unity. The model is calibrated to the data on HIV/AIDS prevalence in Nigeria from 1990 to 2019 and it represents reality. The numerical simulations on the global stability of disease-free equilibrium and endemic equilibrium justify the analytic results. The fraction of the detected individuals who stays in the treatment class plays a significant role as it influences the population of the latently-infected individuals and AIDS class by preventing individuals from progressing into the AIDS class.
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理解HIV感染的传播动力学和控制:一种数学模型方法
新的挑战,如新疾病的爆发、政府政策、战争和叛乱等,造成扭曲、拖延和拒绝人们获得抗逆转录病毒治疗,从而助长了艾滋病毒/艾滋病的蔓延并增加了其负担。提出了一个研究HIV感染传播动力学和控制的数学模型。对模型进行了定性和定量分析。证明了当基本繁殖数小于1时,该模型的无病平衡点是全局渐近稳定的。结果表明,当基本繁殖数超过1时,存在唯一的地方性平衡,模型呈现正向分岔。进一步,利用Lyapunov函数证明了当相关的基本繁殖数大于1时,模型的局部平衡点是全局渐近稳定的。该模型是根据尼日利亚1990年至2019年艾滋病毒/艾滋病流行率的数据进行校准的,它代表了现实。对无病平衡和地方病平衡的全局稳定性进行了数值模拟,验证了分析结果。检测到的个体中留在治疗组的比例发挥着重要作用,因为它通过阻止个体进入艾滋病组而影响潜在感染个体和艾滋病组的人口。
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