This work aims mainly to study the controllability of pertussis infection in the presence of waning and natural booster of pertussis immunity and to study their impact on the overall dynamics and disease outcomes. Therefore, an SIVRWS (Susceptible-Infected-Vaccinated-Recovered-Waned-Susceptible) model for pertussis infection spread in a demographically stationary, homogeneous, and fully symmetric mixing population is introduced. The model has been mathematically analyzed, where both equilibrium and stability analyses have been established, and uniform persistence of the model has been shown. The conditions on model parameters that ensure effective control of the infection have been derived. The effects of the interplay between waning and boosting pertussis immunity by re-exposure to Bordetella pertussis and vaccination on the dynamics have been investigated. The analytical results have been numerically confirmed and explained. The analysis reveals that ignoring the natural booster of immunity overestimates the endemic prevalence of the infection. Moreover, ignoring the differential susceptibility between secondary and primary susceptible individuals overestimates the critical vaccination coverage required to eliminate the infection. Moreover, the shorter the period of immunity acquired by either vaccination or experiencing natural infection, the higher the reproduction number and the endemic prevalence of infection, and therefore, the higher the effort needed to eliminate the infection.
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ROLE OF REPEAT INFECTION IN THE DYNAMICS OF A SIMPLE MODEL OF WANING AND BOOSTING IMMUNITY
Some infectious diseases produce lifelong immunity while others only produce temporary immunity. In the case of short-lived immunity, the level of protection wanes over time and may be boosted upon re-exposure, via infection or vaccination. Previous work developed a simple model capturing waning and boosting immunity, known as the Susceptible-Infectious-Recovered-Waned-Susceptible (SIRWS) model, which exhibits rich dynamical behavior including supercritical and subcritical Hopf bifurcations among other structures. Here, we extend the bifurcation analyses of the SIRWS model to examine the influence of all parameters on these bifurcation structures. We show that the bistable region, involving both a stable fixed point and a stable limit cycle, exists only for a small region of biologically realistic parameter space. Furthermore, we contrast the SIRWS model with a modified version, where immune boosting may involve the occurrence of a secondary infection. Analysis of this extended model shows that oscillations and bistability, as found in the SIRWS model, depend on strong assumptions about infectivity and recovery rate from secondary infection. Understanding the dynamics of models of waning and boosting immunity is important for accurately assessing epidemiological data.
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- Award ID(s):
- 1853495
- PAR ID:
- 10464966
- Date Published:
- Journal Name:
- Journal of Biological Systems
- Volume:
- 29
- Issue:
- 02
- ISSN:
- 0218-3390
- Page Range / eLocation ID:
- 303 to 324
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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