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Internat. J. Math. & Math. Sci.                                                                 347
VOL. 17 NO. 2 (!994) 347-356



                AN SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS

                                       B.B. MUKHOPADHYAY

                               Department of Community Medicine
                            Burdwan Medical College, Burdwan 713 104
                                        West Bengal, India
                                                 and
                                           P.K. TAPASWI

                                          Embryology Unit
                                     Indian Statistical Institute
                                       Calcutta 700 035, India

                 (Received October 3, 1991 and in revised form October 5, 1992)



ABSTRACT. An epidemiological model of the dynamics of Japanese Encephalitis (J.E.) spread
coupling the SIRS (Susceptible/Infected/Removal/Susceptible) models of J.E. spread in the
reservoir population and in the human population has been proposed. The basic reproductive
rate R(0)in the coupled system has been worked out. Using Aron’s results (cf. [1] and [2]), it has
been observed that the disease-free system is stable in this coupled system also, if R(0) is less
than unity, and if R(0) is greater than unity, the disease-free system is unstable and there exists a
unique stable endemic equilibrium.
     The model also shows that in contrast to Aron’s observations, loss of immunity is
independent of the rate of exposure to the disease. This observation sheds light on the control
measure of J.E. by vaccination. Passive immunization, i.e., administration of antibody at
recurrent intervals is the correct method of vaccination to eradicate the disease.

KEY WORDS AND PHRASES. SIRS model, Japanese encephalitis, basic reproduction rate,
stability analysis, control measure.
1980 AMS SUBJECT CLASSIFICATION CODE. 92A17.

1.   INTRODUCTION.
     Japanese Encephalitis (J.E.) is a mosquito borne disease where infection is transmitted from
reservoir population (pig, cattle, equine, bird, etc.) to susceptible human population through a
particular species of mosquito (Culex Vishnui). Man is the dead end of infection and as such
harboring of infection from man to man is not possible. Immunity in both reservoir and human
populations appear to be sustained by continual exposure. The present paper investigates into
the epidemiological effect of boosting immunity in J.E. and the qualitative dynamics of the
epidemiological model. Since transmission from man to man does not occur, man does not act as
a carrier in J.E. On the other hand, the reservoir population (infective and immune carriers) not
exhibiting the clinical symptoms, act as active hosts permitting transmission to both animal and
348                        B.B. MUKHOPADHYAY AND P.K. TAPASWI

human susceptibles. Thus in J.E. some proportion of immune reservoir population also acts as
infective (active carrier), and the constraint that the degree of infectivity reduces with the
increase of immunity status in them has been incorporated in this model following Aron (el. [1]
d [21).
2. MATHEMATICAL MODEL OF J.E.
     Both human and reservoir populations are classified into three categories, namely
susceptible, infected and removal classes. Let x l, x2 and x3 be the proportion of susceptibles,
infected and removed respectively in human population and Yl’ Y2 and Y3 be those for reservoir
populations. The removed class includes both recovered (immune) and dead by J.E. The
dynamical system representing the epidemic spread in human and reservoir populations are then
given by the following rate equations
                                  dx
                                   d--f-       Pl PlXl         hlXl + flx3
                                  dx 2
                                   dt          hlZl       PlX2- 71z2
                                  dx 3
                                   dt          71x2- PlX3- flz3
                                  dY
                                   d-- 1’2            h2Yl     P2Yl + f 2Y3
                                  dY 2
                                   d-T      h2Y           P2Y2 72Y2
                                  dY3                                                        (2.1)
where

                                           xl(t + x2(t + x3(t
                                           Yl(t) + Y2(t) + y3(t)                             (2.2)




                                                      _
and                                        h

is the effective exposure rate for man and

                                               h2 =/32(kY2 + k2 Y3
is the exposure rate in reservoir population

                                  0_       k_ k           1;   0_   kt_ k_ 1.
1 is the birth and death rate in man, so that the population size remains the same. B is the
rate at which the human susceptibles become sick by mass action contact between susceptible
man and infective reservoir populations. /: and :’ are the proportions of infected and immune
reservoir respectively who are infective to man. Sick human individuals enter the removal class
(recovered and dead) at the rate 71 and immune individuals (i.e., the recovered portion of the
removal class z3) become susceptibles at the rate I1, 11 being a function of hi, and as derived by
hron 1] is                                            (h + )r
                                                  (hi + Pl)e                                 (2.4)
                                   fl(hl)                    +
                                                      -e -(hl Pl)rl

r  being the unit of years in which immunity in man lasts unless reexposure occurs during that
time interval. The function fl(hl) is a monotonically decreasing function of h (cf. [1]; see also
SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS                                    349


[2]). The  rate constants P2’ 2 and 7 2 in reservoir population stand for the same connotations as
for the corresponding rate constants in man. k and k’ are the proportions of infected and
immune reservoirs respectively who are infective to the reservoir population. We also have
similar expression for )’2(h2) as in (2.4),
                                                          +
                                           (h2 + p2)e -(h2 P2)r2                                   (2.5)
                                    f2(h2)              +
                                               -e -(h2 P2)r2

r 2 is the unit of years in which immunity in the reservoir           population lasts unless reexposure
occurs during that time period.
    It may be noted that    h  involves second order term whereas h 2 involves first order term
only. this is apparent from the mode of transmission of the disease which is unlike malaria.
Transmission of J.E. in man takes place by the interaction of the susceptible human populations
and infected or carrier reservoir population (mediated by vector population), whereas
transmission of J.E. in reservoir population occurs by direct contact (through vector) amongst
thelnselves.
     Considering that the proportion of infective reservoir population effective for infecting the
susceptible man is usually higher than or at most equal to that effective for infecting the
reservoir population itself, we can assume ] >_ t and ]’ > ’. Moreover, because of persistently
boosted acquired immunity in the reservoir population, the transmission rates 81 and 82 satisfy
the inequality relation, 81 >_ 82. Hence

                                   81(k]//2 + k]//3) > 82(k//2 + k’//3).                           (2.6)
     Again, since hl, the exposure rate in man can at most be equal to h 2, the exposure rate in
the reservoir population, and also z < 1, we can take as a particular case

                                  81(k]//2 + k]//3)Zl 82(k//2 + k//3)
                                            i.e., h     h2    h.                                   (2.7)
When equality holds in (2.6) we have rl 1, under which circumstances the disease process
cannot start at all and hence, a requisite condition for the spread of the epidemic is that the
inequality condition in (2.6) must be satisfied.
3. EUILIBRIA OF MODEL.
     For a particular h, the equilibrium values of//2, //3 and x l, x2, x 3 are
                                                h(p2 + f2(h))                                      (3.1)
                            Y2    (/2 + 72)(P2 + f2 (h)) + h(P2 + 72 + f2 (h))
                            //3
                                                        h72                                        (3.2)
                              (P2 + 72)(P2 + f2 (h)) + h(P2 + 3’2 + f2 (h))
                                      (Pl + fl(h))(Pl + 71)                                        (3.3)
                           Zl (Pl 4- "},l)(Pl 4- fl(h) 4- h) 4- hfl(h
                                           h(Ul + fl(h))                                           (3.4)
                           :2 (Pl + 71)(Pl + fl (h) + h) + hfl(h

                           3
                                                  71h                                              (3.5)
                                  (Pl + 71)(Pl + fl (h) + h)+ hfl(h
and therefore
350                                 B.B. MUKHOPADHYAY AND P.K. TAPASWI

                                h{(2 + f(h)) + k’7/(l + 71)(/ + fl(h))                                (3.6)
      (kY2 + k’Y3)l {(P2 + 72)(P2 + f2 + h) + hf 2(h)}{(pl + 71)(Pl + fl(h) + h) + hf l(h)

                                effective reservoir of infection for man.
Again from (2.2) and (2.6)           we    have



Now the equilibria exist when the two relations (3.6) and
                                                           (klY2 + k{Y3)Xl   ll" (3.7)
                                                                   are satisfied simultaneously and
                                                                                                      (3.7)

equilibria points are the points of intersection of the graphs of equations (3.6) and (3.7).
Whenever h-O, Y2-Y3=O and x2=x3=0 and this is characterized by the disease free
equilibrium. If h # 0, i.e., when disease is present, then following [2] we obtain the condition for
an equilibrium as
                                                                 R(h)                                 (3.8)
where
                                    R(h)
                                               [’       fl kl (2 + "f 2( h + k{72
                                                (g2 + 112(h))(g2 + 3’2) + h(g2 + 112 (h) + 72)


                                           [   /1
                                                        (Pl + 71)(Pl + fl(h))
                                                  +/l(h))(/l + 71)+ h(l + fl (h) + 71)         .]     (3.9)

which contains the dynamics of both the systems, man and reservoir populations in contrast to
Aron’s model where only one system (only human population) was considered. Each of the
bracketed terms in RHS of (3.9) is similar to equation (3.6) of Aron [2] and hence as shown by
him is a decreasing function of h. Thus in our case also R(h) is a decreasing function in h.
     If R(0) > 1, a unique equilibrium exists with disease present. If R(0) < 1, the only equilibrium
is the disease-free state. Thus R(0) is the basic factor which determines the qualitative dynamics
of the model. If R(0)< 1, the disease-free equilibrium (zero equilibrium) is locally stable
(appendix A) and there is no other equilibrium. On the other hand if R(0)> 1, the zero
equilibrium is unstable (appendix B). Thus R(0) is the number of cases of infection in human
susceptibles generated by a single infective individual in the reservoir populations through
mosquito bite. In other words, R(0) is the basic reproductive rate in the model. The disease will
be present in the human population when R(0) > 1.
Now
                                                    R(0)
                                                           1{k(112(0) + 2) + k’3’2}                  (3.10)
                                                              ( + 112(o))( + )
where
                                                                                    -(h + /-t2)r 2
                                                                        (h + u2)e
                                    f2(O)--/mo f2(h)=lim
                                                      h-.o                     _(h+/2)2              (3.11)
Again
                                                           lk           lk           3’2             (3.12)
                                            R(0)
                                                      =/2 + 3’2 + (it2 +/2(0))(tt2 + 3’2)
where
             1/=       -transmission from the infected reservoir to the human population,
            /12 + 72

                               period of unboosted immunity in human,
                    112(0)
and
              "r2            probability of surviving period of infective state of the reservoirs to become
           /2 + 72            immune.
SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS                               351

Figure clearly demonstrates the condition for existence of the non-zero equilibrium. If R(0) > 1,
the slope of the curve (1) exceeds the slope of the line (2) at the beginning, and after a certain
value of h, the latter exceeds the former, so that the two curves intersect two times, once at the
origin (disease free state) and secondly at a point in the positive orthant.
4. CONTROL OF THE DISEASE.
     Since J.E. is a communicable disease, it can be controlled by two ways-(i) by reducing
transmission 81 which can be achieved by controlling the vector populations (mosquitoes) and (ii)
by immunizing the human susceptibles and gradually increasing the proportion of coverage of
vaccination (v). The ultimate goal is to reduce /(0) so that R(0)< which will result in
eradication of the disease. Let Zlc and v be the threshold values for transmission rate and
vaccination coverages respectively where Zlc and vc are determined by Aron [1] and Anderson
and May   [3].
                                         (2 + (0)) +
                                lc(1-Vc) (/2 + 72)(/2 + (0))
                                                       f2   ’                                  (4.1)

where for eradication the conditions required to be satisfied
                                                                 ar:e  v > v c and /1 >/lc" Table
shows the effect of reduction of transmission on the level of vaccination. It can be observed that
increasing the level of vaccination in human means that less effort for reduction of transmission is
required to eradicate the disease.
      Now, if the infectivity k is constant, then increasing the infectivity of the immune reservoir
population (carrier) does not in contrast to Aron’s findings, significantly increase the equilibrium
levels of infection (Figure 2). The dynamics of J.E. spread is thus qualitatively different from
that of the malaria epidemic and eventually poses less difficulty in eradication by vaccination.
     Figure 3 shows the two curves for different combination of values for k and k’ do not
intersect at a non-zero point and, in fact, each curve is a multiple of another. This implies that,
in J.E. loss of immunity (I1) in man is independent of the exposure rate. This is also a
characteristic property of J.E., in contrast to the model given by Aron. Thus from our results
(Figure 3), it indicates that boostering of immunity against J.E. is feasible only by passive
immunization, i.e., direct administration of J.E. antibody in man at recurrent intervals.
Acquired immunity by the attack of the disease does not persist for a long time by continued
exposure to the bites of infected mosquitoes.
5. CONCLUSION.
     The J.E. model presented here is an extension of the SIRS model by coupling the dynamics
of the disease in two populations, the reservoir and the human populations. The reservoir
population does not itself show any pathological symptom of the disease but acts as an
intermediate host medium to pass over the infection to man through a vector population
(mosquito). Infection of J.E. cannot spread from man to man or to any other animals, that is to
say, man is the dead end of infection.
     We have assumed that the effective reservoir of infection (hl) for man is proportional to the
proportion of human susceptibles. The higher (lesser) is the proportion of susceptibles in a
human population, the higher (lesser) is the effective reservoir of infection. In other words, in a
human population where the number of susceptibles is zero, the effective reservoir of infection
will be eventually nil.
     It is also assumed, as in Aron ([1] and [2]), that irnmunes are no more infective than those
who are infected both in the reservoir and human populations. The dynamic model of J.E.
352                               B.B. MUKHOPADHYAY AND P.K. TAPASWI

spread in reservoir population is same as that of Aron. The reservoir system is also independent
of the human system but not the reverse. Aron’s system has a stable disease-free equilibrium
(h=0, y2=0, y3=0) if R(0)<I and a non-zero equilibrium (disease present) if R(0)> 1.
Substituting this result in the coupled system we have obtained similar results on stability
properties of J.E. spread in disease by vaccination. In contrast to Aron’s results we have
observed that in J.E. the loss of immunity in man is independent of the rate of exposure to the
disease. This implies that active immunization (direct administration of antigen in the form of
live attenuated virus) does not give immunity or prolong acquired immunity in man.
Vaccination by passive immunization (i.e., direct administration of serum containing antibody to
man) at fixed intervals, on the other hand, will ensure control of the disease.
      APPENDIX A. STABILITY OF ZERO EQUILIBRIUM.
     Linearizing the system about the zero equilibrium (2                  0, x 3    0, /2   0, /3   0), we get the
biquadratic characteristic equation

                                        (A2 +01’ + 1 )(A2 +02A + 2)         0                                 (A.1)
where

                                             o    2 + I + h + f (h)                                           (A.2)
                                          ! (.I + + )(. +/())                                                 (A.3)
                                         02 2"2 + 2 2 + h +                                                   (A.4)
                                 2 (P2 + f2(h))(P2 + 72 + h -/2k) 72(/2k              h)                      (A.5)
The roots of (A.1) having negative real parts, the           zero equilibrium is      locally stable if and only if
01, 1’ 02 and 2 are all positive.
      Now   01   and   1   arealways positive. The condition that 2 > 0,/(0)< 1, where/(0) is given
in equation      (3.10).    Again R(0)< 1= 2 > 0. Hence if R(0)> 1, the zero equilibrium is locally
unstable.
      APPENDIX B. STABILITY OF NONZERO EQUILIBRIUM.
     Linearizing the system about the non-zero equilibrium                      (z2’ z3’ v2 and v3),   we   get the
biquadratic characteristic equation

                                        (A 2 + aiA + r/1)(A2 + a2A + r/2    0                                 (B.1)
where

                       2Pl + 3" + h +/l(h) + l(kY2 + kY3)(1
                                                         z3)-/lfl(h)(klY2 + kY3)z3
                                                                   2                                          (B.2)
            1 {Pl + 1 + h + l(ky2 + k)(1 z2- 3)}{Pl + fl (h) Dlf(h)(kY2 + kY3)3}
                  + {71 + lf(h)(ky2 + ktY3)z3}{h + l(kY2 + ktY3)(1 z 2 z3)                                    (B.3)
                     a 2 2,2 + 72 + h + f2(h) + 2f(h)kv3 2k(1                                                 (B.4)
                                                                  V2 V3)
                   2 {P2 + 72 + h- 2k(1 V2 V3)}{P2 + f2 (h) + 2f2(h)k2v3
                             + (72 2f(h)kY3)(h 2k (1 2 93))"                                                  (B.5)
We s that the equilibrium rate of exposure h is the function of z 1, u2 d v3 defined in
equation (2.2) d (2.3). The rts of equation (B.1) having negative reM pts, the non-zero
equilibrium is locMly stable if d only if l al, 1’ a2 d 2 e positive.
    We note that, a > 0 ways, since        < f(h) < O.
SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS                                  353

    After canceling few common terms ql may be written as

              ’11
                           + 71l(ky 2 + k"
                                         lY3)(1-z 2 z3)+(u +/l(h))(#l +71 +h)+71h.
Therefore
                     [as      < fl(h) < O]

From (2.3), (2.7) and f’2(h)>          -1 we   have

                                               h   >/32k’y 3 >/32k’2’f’2(h)1/3                          (B.6)

Again from (3.1), (3.2), (2.3) and (2.7) we have
                                                            2u2(.2 + 2)                                 (B.7)
                                    2(         2- 3)        ( + k’Py3,<P2 +72
                                                                    2

    O, always holds when a non-zero equilibrium exists.
    ’12 may be written as

            ’12     (P2 + 72 + h fl2k(1 Y2 Y3))/32f’2(h)k’2PY3

                               +/32k(1/2 + 1/3)(P2 + f2 (h)) + 132f’2(h)k’21/32k(l   1/2   !/3)

                                h2f’2(h)k’21/3 + {h72 72/32k’ + (P2 + 72 + h)(P2 + f2 (h))

                             -/32k(P2 + f2 (h))} + 7232k(1/2 + 1/3)                                     (B.S)

Since the equilibrium point must satisfy             (3.8) which again implies

                                            /2{k(#2 + f2(h))+ k72}
                                    (P2 + 72)(P2 + f2 (h)) + h(P2 + 72 + f2 (h))
the term within curly brackets is zero.
     Again, from (3.1) and (3.2) we have

                                          72(Y2 + Y3) Y3(P2 + 72 + f2 (h))"
The remaining terms in         (B.8)   may be written as

                             -h2f2(h)Y3(k2- k)+/32k’Y3(72 + #2){(1 + f’2(h)+ f2(h)}

                                               +/32k(y 2 + Y3)(#2 + f2(h))

                           + 132f(h)kU3(1 1/2 Y3)C/2k{ /2k (1 1/2 Y3);32f(h)k’1/3                       (B.9)

The last two terms in (B.9) cancel each other and therefore ’12>0 since,                          k>k    and
   < f2(h) < 0. Thus whenever the non-zero equilibrium exists, it is stable.
354                           B.B. MUKHOPADHYAY AND P.K. TAPASWI

                                                     TABLE 1
                                        Eradication criteria for J.E.

           Level of vaccination                                       Reduction of Transmission
                        100   v                                          100 (1-   - 1 c)
                         0%                                                    93.9%
                        25%                                                    89.9%
                        50%                                                    81.9%
                        75%                                                    57.9%
                        80%                                                    45.9%
                        85%                                                    25.9%

The eradication criteria are given in (4.1).
The parameters used are/1 l’p2 0.02, r               1,72 0.1,k 1,k        0.6, I2(0        0.99.




                                                                                                    function
           Fig.     Effective reservoir of infection in man,         (klY2+kl yB)
                    of the rate of exposure h, according to (1) eq,uation                     (3.6) and
                    (2) equation (3.7). The parameters used are 13   8, P                             0.02,

                                                      0.1,             1, k      1, k           0.5
                    2     0.2,    "fl   0.7,   "f2           1   2
SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS                                                     355




         Fig.2     Effective reservoir of infection in                man,       (klYz+kl Y3 Xl          as
                  function of the rate of exposure h, according to
                                                                    equation (3.6):
                  (A) k]     I, (B) k    0.5, (C) k]   0. The rest of the parameters

                  used are P             0.02,            0.2,
                                                 P2                    0"7’72=0"I’ ’I z2=l,                kl=l.




                             0
                                                      h


     Fig.3   Effective reservoir of irfectfon in man,
                                                                    (klY2+   k     y3) Xl       as a function
             of the rate of exposure              h according to equation (3.6): (A) k                    l.,
             k        0, (B)
                                 kl’             k            0.5   (C) k          0.5    k             The
             rest of the parameters ueJed are                        0.02,
                                                              I                2         0.2,
                                                                                                 71    0.7,
             72     0.I, z       z        I.
                                     2


                                               REFERENCES
I.      ARON, J.L. Dynamics of acquired
                                               immunity boosted by exposure to
        infection, Math. Biosci., 6._. (1983),
                                               249-259.
2.      ARON, J.L. Acquired Immunity
                                           Dependent upon exposure in
        epide mic model, Math.                                         an. SIRS
                                 Bi!sc_i., _88 (1988),                37-47.
3.       ANDERSON, R.M. AND MAY,                      I{.M.
                                                      Directly transmitted infectious
        diseases: Control by vaccirtlon,
                                         Scienc._.._____ee 21__5 (1982), 1053-1060.

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japanese encephalitis

  • 1. Internat. J. Math. & Math. Sci. 347 VOL. 17 NO. 2 (!994) 347-356 AN SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS B.B. MUKHOPADHYAY Department of Community Medicine Burdwan Medical College, Burdwan 713 104 West Bengal, India and P.K. TAPASWI Embryology Unit Indian Statistical Institute Calcutta 700 035, India (Received October 3, 1991 and in revised form October 5, 1992) ABSTRACT. An epidemiological model of the dynamics of Japanese Encephalitis (J.E.) spread coupling the SIRS (Susceptible/Infected/Removal/Susceptible) models of J.E. spread in the reservoir population and in the human population has been proposed. The basic reproductive rate R(0)in the coupled system has been worked out. Using Aron’s results (cf. [1] and [2]), it has been observed that the disease-free system is stable in this coupled system also, if R(0) is less than unity, and if R(0) is greater than unity, the disease-free system is unstable and there exists a unique stable endemic equilibrium. The model also shows that in contrast to Aron’s observations, loss of immunity is independent of the rate of exposure to the disease. This observation sheds light on the control measure of J.E. by vaccination. Passive immunization, i.e., administration of antibody at recurrent intervals is the correct method of vaccination to eradicate the disease. KEY WORDS AND PHRASES. SIRS model, Japanese encephalitis, basic reproduction rate, stability analysis, control measure. 1980 AMS SUBJECT CLASSIFICATION CODE. 92A17. 1. INTRODUCTION. Japanese Encephalitis (J.E.) is a mosquito borne disease where infection is transmitted from reservoir population (pig, cattle, equine, bird, etc.) to susceptible human population through a particular species of mosquito (Culex Vishnui). Man is the dead end of infection and as such harboring of infection from man to man is not possible. Immunity in both reservoir and human populations appear to be sustained by continual exposure. The present paper investigates into the epidemiological effect of boosting immunity in J.E. and the qualitative dynamics of the epidemiological model. Since transmission from man to man does not occur, man does not act as a carrier in J.E. On the other hand, the reservoir population (infective and immune carriers) not exhibiting the clinical symptoms, act as active hosts permitting transmission to both animal and
  • 2. 348 B.B. MUKHOPADHYAY AND P.K. TAPASWI human susceptibles. Thus in J.E. some proportion of immune reservoir population also acts as infective (active carrier), and the constraint that the degree of infectivity reduces with the increase of immunity status in them has been incorporated in this model following Aron (el. [1] d [21). 2. MATHEMATICAL MODEL OF J.E. Both human and reservoir populations are classified into three categories, namely susceptible, infected and removal classes. Let x l, x2 and x3 be the proportion of susceptibles, infected and removed respectively in human population and Yl’ Y2 and Y3 be those for reservoir populations. The removed class includes both recovered (immune) and dead by J.E. The dynamical system representing the epidemic spread in human and reservoir populations are then given by the following rate equations dx d--f- Pl PlXl hlXl + flx3 dx 2 dt hlZl PlX2- 71z2 dx 3 dt 71x2- PlX3- flz3 dY d-- 1’2 h2Yl P2Yl + f 2Y3 dY 2 d-T h2Y P2Y2 72Y2 dY3 (2.1) where xl(t + x2(t + x3(t Yl(t) + Y2(t) + y3(t) (2.2) _ and h is the effective exposure rate for man and h2 =/32(kY2 + k2 Y3 is the exposure rate in reservoir population 0_ k_ k 1; 0_ kt_ k_ 1. 1 is the birth and death rate in man, so that the population size remains the same. B is the rate at which the human susceptibles become sick by mass action contact between susceptible man and infective reservoir populations. /: and :’ are the proportions of infected and immune reservoir respectively who are infective to man. Sick human individuals enter the removal class (recovered and dead) at the rate 71 and immune individuals (i.e., the recovered portion of the removal class z3) become susceptibles at the rate I1, 11 being a function of hi, and as derived by hron 1] is (h + )r (hi + Pl)e (2.4) fl(hl) + -e -(hl Pl)rl r being the unit of years in which immunity in man lasts unless reexposure occurs during that time interval. The function fl(hl) is a monotonically decreasing function of h (cf. [1]; see also
  • 3. SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS 349 [2]). The rate constants P2’ 2 and 7 2 in reservoir population stand for the same connotations as for the corresponding rate constants in man. k and k’ are the proportions of infected and immune reservoirs respectively who are infective to the reservoir population. We also have similar expression for )’2(h2) as in (2.4), + (h2 + p2)e -(h2 P2)r2 (2.5) f2(h2) + -e -(h2 P2)r2 r 2 is the unit of years in which immunity in the reservoir population lasts unless reexposure occurs during that time period. It may be noted that h involves second order term whereas h 2 involves first order term only. this is apparent from the mode of transmission of the disease which is unlike malaria. Transmission of J.E. in man takes place by the interaction of the susceptible human populations and infected or carrier reservoir population (mediated by vector population), whereas transmission of J.E. in reservoir population occurs by direct contact (through vector) amongst thelnselves. Considering that the proportion of infective reservoir population effective for infecting the susceptible man is usually higher than or at most equal to that effective for infecting the reservoir population itself, we can assume ] >_ t and ]’ > ’. Moreover, because of persistently boosted acquired immunity in the reservoir population, the transmission rates 81 and 82 satisfy the inequality relation, 81 >_ 82. Hence 81(k]//2 + k]//3) > 82(k//2 + k’//3). (2.6) Again, since hl, the exposure rate in man can at most be equal to h 2, the exposure rate in the reservoir population, and also z < 1, we can take as a particular case 81(k]//2 + k]//3)Zl 82(k//2 + k//3) i.e., h h2 h. (2.7) When equality holds in (2.6) we have rl 1, under which circumstances the disease process cannot start at all and hence, a requisite condition for the spread of the epidemic is that the inequality condition in (2.6) must be satisfied. 3. EUILIBRIA OF MODEL. For a particular h, the equilibrium values of//2, //3 and x l, x2, x 3 are h(p2 + f2(h)) (3.1) Y2 (/2 + 72)(P2 + f2 (h)) + h(P2 + 72 + f2 (h)) //3 h72 (3.2) (P2 + 72)(P2 + f2 (h)) + h(P2 + 3’2 + f2 (h)) (Pl + fl(h))(Pl + 71) (3.3) Zl (Pl 4- "},l)(Pl 4- fl(h) 4- h) 4- hfl(h h(Ul + fl(h)) (3.4) :2 (Pl + 71)(Pl + fl (h) + h) + hfl(h 3 71h (3.5) (Pl + 71)(Pl + fl (h) + h)+ hfl(h and therefore
  • 4. 350 B.B. MUKHOPADHYAY AND P.K. TAPASWI h{(2 + f(h)) + k’7/(l + 71)(/ + fl(h)) (3.6) (kY2 + k’Y3)l {(P2 + 72)(P2 + f2 + h) + hf 2(h)}{(pl + 71)(Pl + fl(h) + h) + hf l(h) effective reservoir of infection for man. Again from (2.2) and (2.6) we have Now the equilibria exist when the two relations (3.6) and (klY2 + k{Y3)Xl ll" (3.7) are satisfied simultaneously and (3.7) equilibria points are the points of intersection of the graphs of equations (3.6) and (3.7). Whenever h-O, Y2-Y3=O and x2=x3=0 and this is characterized by the disease free equilibrium. If h # 0, i.e., when disease is present, then following [2] we obtain the condition for an equilibrium as R(h) (3.8) where R(h) [’ fl kl (2 + "f 2( h + k{72 (g2 + 112(h))(g2 + 3’2) + h(g2 + 112 (h) + 72) [ /1 (Pl + 71)(Pl + fl(h)) +/l(h))(/l + 71)+ h(l + fl (h) + 71) .] (3.9) which contains the dynamics of both the systems, man and reservoir populations in contrast to Aron’s model where only one system (only human population) was considered. Each of the bracketed terms in RHS of (3.9) is similar to equation (3.6) of Aron [2] and hence as shown by him is a decreasing function of h. Thus in our case also R(h) is a decreasing function in h. If R(0) > 1, a unique equilibrium exists with disease present. If R(0) < 1, the only equilibrium is the disease-free state. Thus R(0) is the basic factor which determines the qualitative dynamics of the model. If R(0)< 1, the disease-free equilibrium (zero equilibrium) is locally stable (appendix A) and there is no other equilibrium. On the other hand if R(0)> 1, the zero equilibrium is unstable (appendix B). Thus R(0) is the number of cases of infection in human susceptibles generated by a single infective individual in the reservoir populations through mosquito bite. In other words, R(0) is the basic reproductive rate in the model. The disease will be present in the human population when R(0) > 1. Now R(0) 1{k(112(0) + 2) + k’3’2} (3.10) ( + 112(o))( + ) where -(h + /-t2)r 2 (h + u2)e f2(O)--/mo f2(h)=lim h-.o _(h+/2)2 (3.11) Again lk lk 3’2 (3.12) R(0) =/2 + 3’2 + (it2 +/2(0))(tt2 + 3’2) where 1/= -transmission from the infected reservoir to the human population, /12 + 72 period of unboosted immunity in human, 112(0) and "r2 probability of surviving period of infective state of the reservoirs to become /2 + 72 immune.
  • 5. SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS 351 Figure clearly demonstrates the condition for existence of the non-zero equilibrium. If R(0) > 1, the slope of the curve (1) exceeds the slope of the line (2) at the beginning, and after a certain value of h, the latter exceeds the former, so that the two curves intersect two times, once at the origin (disease free state) and secondly at a point in the positive orthant. 4. CONTROL OF THE DISEASE. Since J.E. is a communicable disease, it can be controlled by two ways-(i) by reducing transmission 81 which can be achieved by controlling the vector populations (mosquitoes) and (ii) by immunizing the human susceptibles and gradually increasing the proportion of coverage of vaccination (v). The ultimate goal is to reduce /(0) so that R(0)< which will result in eradication of the disease. Let Zlc and v be the threshold values for transmission rate and vaccination coverages respectively where Zlc and vc are determined by Aron [1] and Anderson and May [3]. (2 + (0)) + lc(1-Vc) (/2 + 72)(/2 + (0)) f2 ’ (4.1) where for eradication the conditions required to be satisfied ar:e v > v c and /1 >/lc" Table shows the effect of reduction of transmission on the level of vaccination. It can be observed that increasing the level of vaccination in human means that less effort for reduction of transmission is required to eradicate the disease. Now, if the infectivity k is constant, then increasing the infectivity of the immune reservoir population (carrier) does not in contrast to Aron’s findings, significantly increase the equilibrium levels of infection (Figure 2). The dynamics of J.E. spread is thus qualitatively different from that of the malaria epidemic and eventually poses less difficulty in eradication by vaccination. Figure 3 shows the two curves for different combination of values for k and k’ do not intersect at a non-zero point and, in fact, each curve is a multiple of another. This implies that, in J.E. loss of immunity (I1) in man is independent of the exposure rate. This is also a characteristic property of J.E., in contrast to the model given by Aron. Thus from our results (Figure 3), it indicates that boostering of immunity against J.E. is feasible only by passive immunization, i.e., direct administration of J.E. antibody in man at recurrent intervals. Acquired immunity by the attack of the disease does not persist for a long time by continued exposure to the bites of infected mosquitoes. 5. CONCLUSION. The J.E. model presented here is an extension of the SIRS model by coupling the dynamics of the disease in two populations, the reservoir and the human populations. The reservoir population does not itself show any pathological symptom of the disease but acts as an intermediate host medium to pass over the infection to man through a vector population (mosquito). Infection of J.E. cannot spread from man to man or to any other animals, that is to say, man is the dead end of infection. We have assumed that the effective reservoir of infection (hl) for man is proportional to the proportion of human susceptibles. The higher (lesser) is the proportion of susceptibles in a human population, the higher (lesser) is the effective reservoir of infection. In other words, in a human population where the number of susceptibles is zero, the effective reservoir of infection will be eventually nil. It is also assumed, as in Aron ([1] and [2]), that irnmunes are no more infective than those who are infected both in the reservoir and human populations. The dynamic model of J.E.
  • 6. 352 B.B. MUKHOPADHYAY AND P.K. TAPASWI spread in reservoir population is same as that of Aron. The reservoir system is also independent of the human system but not the reverse. Aron’s system has a stable disease-free equilibrium (h=0, y2=0, y3=0) if R(0)<I and a non-zero equilibrium (disease present) if R(0)> 1. Substituting this result in the coupled system we have obtained similar results on stability properties of J.E. spread in disease by vaccination. In contrast to Aron’s results we have observed that in J.E. the loss of immunity in man is independent of the rate of exposure to the disease. This implies that active immunization (direct administration of antigen in the form of live attenuated virus) does not give immunity or prolong acquired immunity in man. Vaccination by passive immunization (i.e., direct administration of serum containing antibody to man) at fixed intervals, on the other hand, will ensure control of the disease. APPENDIX A. STABILITY OF ZERO EQUILIBRIUM. Linearizing the system about the zero equilibrium (2 0, x 3 0, /2 0, /3 0), we get the biquadratic characteristic equation (A2 +01’ + 1 )(A2 +02A + 2) 0 (A.1) where o 2 + I + h + f (h) (A.2) ! (.I + + )(. +/()) (A.3) 02 2"2 + 2 2 + h + (A.4) 2 (P2 + f2(h))(P2 + 72 + h -/2k) 72(/2k h) (A.5) The roots of (A.1) having negative real parts, the zero equilibrium is locally stable if and only if 01, 1’ 02 and 2 are all positive. Now 01 and 1 arealways positive. The condition that 2 > 0,/(0)< 1, where/(0) is given in equation (3.10). Again R(0)< 1= 2 > 0. Hence if R(0)> 1, the zero equilibrium is locally unstable. APPENDIX B. STABILITY OF NONZERO EQUILIBRIUM. Linearizing the system about the non-zero equilibrium (z2’ z3’ v2 and v3), we get the biquadratic characteristic equation (A 2 + aiA + r/1)(A2 + a2A + r/2 0 (B.1) where 2Pl + 3" + h +/l(h) + l(kY2 + kY3)(1 z3)-/lfl(h)(klY2 + kY3)z3 2 (B.2) 1 {Pl + 1 + h + l(ky2 + k)(1 z2- 3)}{Pl + fl (h) Dlf(h)(kY2 + kY3)3} + {71 + lf(h)(ky2 + ktY3)z3}{h + l(kY2 + ktY3)(1 z 2 z3) (B.3) a 2 2,2 + 72 + h + f2(h) + 2f(h)kv3 2k(1 (B.4) V2 V3) 2 {P2 + 72 + h- 2k(1 V2 V3)}{P2 + f2 (h) + 2f2(h)k2v3 + (72 2f(h)kY3)(h 2k (1 2 93))" (B.5) We s that the equilibrium rate of exposure h is the function of z 1, u2 d v3 defined in equation (2.2) d (2.3). The rts of equation (B.1) having negative reM pts, the non-zero equilibrium is locMly stable if d only if l al, 1’ a2 d 2 e positive. We note that, a > 0 ways, since < f(h) < O.
  • 7. SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS 353 After canceling few common terms ql may be written as ’11 + 71l(ky 2 + k" lY3)(1-z 2 z3)+(u +/l(h))(#l +71 +h)+71h. Therefore [as < fl(h) < O] From (2.3), (2.7) and f’2(h)> -1 we have h >/32k’y 3 >/32k’2’f’2(h)1/3 (B.6) Again from (3.1), (3.2), (2.3) and (2.7) we have 2u2(.2 + 2) (B.7) 2( 2- 3) ( + k’Py3,<P2 +72 2 O, always holds when a non-zero equilibrium exists. ’12 may be written as ’12 (P2 + 72 + h fl2k(1 Y2 Y3))/32f’2(h)k’2PY3 +/32k(1/2 + 1/3)(P2 + f2 (h)) + 132f’2(h)k’21/32k(l 1/2 !/3) h2f’2(h)k’21/3 + {h72 72/32k’ + (P2 + 72 + h)(P2 + f2 (h)) -/32k(P2 + f2 (h))} + 7232k(1/2 + 1/3) (B.S) Since the equilibrium point must satisfy (3.8) which again implies /2{k(#2 + f2(h))+ k72} (P2 + 72)(P2 + f2 (h)) + h(P2 + 72 + f2 (h)) the term within curly brackets is zero. Again, from (3.1) and (3.2) we have 72(Y2 + Y3) Y3(P2 + 72 + f2 (h))" The remaining terms in (B.8) may be written as -h2f2(h)Y3(k2- k)+/32k’Y3(72 + #2){(1 + f’2(h)+ f2(h)} +/32k(y 2 + Y3)(#2 + f2(h)) + 132f(h)kU3(1 1/2 Y3)C/2k{ /2k (1 1/2 Y3);32f(h)k’1/3 (B.9) The last two terms in (B.9) cancel each other and therefore ’12>0 since, k>k and < f2(h) < 0. Thus whenever the non-zero equilibrium exists, it is stable.
  • 8. 354 B.B. MUKHOPADHYAY AND P.K. TAPASWI TABLE 1 Eradication criteria for J.E. Level of vaccination Reduction of Transmission 100 v 100 (1- - 1 c) 0% 93.9% 25% 89.9% 50% 81.9% 75% 57.9% 80% 45.9% 85% 25.9% The eradication criteria are given in (4.1). The parameters used are/1 l’p2 0.02, r 1,72 0.1,k 1,k 0.6, I2(0 0.99. function Fig. Effective reservoir of infection in man, (klY2+kl yB) of the rate of exposure h, according to (1) eq,uation (3.6) and (2) equation (3.7). The parameters used are 13 8, P 0.02, 0.1, 1, k 1, k 0.5 2 0.2, "fl 0.7, "f2 1 2
  • 9. SIRS EPIDEMIC MODEL OF JAPANESE ENCEPHALITIS 355 Fig.2 Effective reservoir of infection in man, (klYz+kl Y3 Xl as function of the rate of exposure h, according to equation (3.6): (A) k] I, (B) k 0.5, (C) k] 0. The rest of the parameters used are P 0.02, 0.2, P2 0"7’72=0"I’ ’I z2=l, kl=l. 0 h Fig.3 Effective reservoir of irfectfon in man, (klY2+ k y3) Xl as a function of the rate of exposure h according to equation (3.6): (A) k l., k 0, (B) kl’ k 0.5 (C) k 0.5 k The rest of the parameters ueJed are 0.02, I 2 0.2, 71 0.7, 72 0.I, z z I. 2 REFERENCES I. ARON, J.L. Dynamics of acquired immunity boosted by exposure to infection, Math. Biosci., 6._. (1983), 249-259. 2. ARON, J.L. Acquired Immunity Dependent upon exposure in epide mic model, Math. an. SIRS Bi!sc_i., _88 (1988), 37-47. 3. ANDERSON, R.M. AND MAY, I{.M. Directly transmitted infectious diseases: Control by vaccirtlon, Scienc._.._____ee 21__5 (1982), 1053-1060.