Subthreshold and superthreshold coexistence of pathogen variants: the impact of host age-structure
Maia Martcheva1, Sergei S Pilyugin, Robert D Holt
1Department of Mathematics, University of Florida, 358 Little Hall, PO Box 118105, Gainesville, FL 32611-8105, USA. maia@math.ufl.edu
Abstract:
It is well known that in the most general epidemic models with multiple pathogen variants a competitive exclusion principle is valid, such that the variant with the highest reproduction number eliminates the rest. Mechanisms such as super-infection, coinfection, and cross-immunity can lead to pathogen polymorphism where multiple strains coexist. It is also known that variability of infectivity with host age can destabilize the endemic equilibrium and cause oscillations. In this article we show that the hosts' chronological age can itself lead to coexistence of microparasites in the most basic model where competitive exclusion will occur without the age structure. Moreover, the host age-structure leads to multiple subthreshold dominance equilibria, and both weakly and strongly subthreshold coexistence. We find that the two pathogens cannot cooperate to persist subthreshold if neither one of them can persist subthreshold by itself. If, however, one of them can persist subthreshold by itself, it can cause the two pathogens to coexist in a strongly subthreshold equilibrium. The second strain that persists subthreshold through the mediation of the first always has a lower virulence. Our results show that age structure in infectivity can permit the coexistence of competing pathogens when the incidence is of proportionate mixing type (frequency-dependent transmission) and at least one of the strains is virulent.
Insights
Host age structure can enable multiple microparasite strains to coexist, even when competitive exclusion would normally occur. This occurs in basic models with frequency-dependent transmission and at least one virulent strain.
Area of Science:
- Epidemiology
- Mathematical Biology
- Population Dynamics
Background:
- Competitive exclusion principle typically limits pathogen variants to one dominant strain.
- Super-infection, coinfection, and cross-immunity can allow pathogen polymorphism.
- Host age-related infectivity can destabilize endemic equilibria, causing oscillations.
Purpose of the Study:
- To investigate how host chronological age influences microparasite coexistence in basic epidemic models.
- To explore the emergence of subthreshold dominance and coexistence equilibria due to age structure.
- To determine conditions under which age structure facilitates pathogen coexistence.
Main Methods:
- Mathematical modeling of microparasite dynamics incorporating host age structure.
- Analysis of frequency-dependent transmission (proportionate mixing).
- Examination of subthreshold equilibria and conditions for pathogen persistence.
Main Results:
- Host age structure can drive coexistence of competing microparasites, overriding competitive exclusion.
- Age structure leads to multiple subthreshold dominance and coexistence equilibria (weak and strong).
- Coexistence is facilitated if at least one strain is virulent and can persist subthreshold, with the second strain having lower virulence.
Conclusions:
- Host age structure is a critical factor promoting pathogen diversity in simple epidemic models.
- Frequency-dependent transmission combined with age structure allows for novel coexistence mechanisms.
- Virulence and subthreshold persistence mediated by age structure are key to understanding pathogen coexistence.
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