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Published on: May 10, 2022
A model of bi-mode transmission dynamics of hepatitis C with optimal control
Mudassar Imran1, Hassan Rafique, Adnan Khan
1Lahore University of Management Sciences, Sector U DHA, Lahore, Pakistan, mudassar.imran@lums.edu.pk.
Insights
This study models hepatitis C virus (HCV) transmission, finding disease eradication depends on the basic reproduction number. An optimal quarantine strategy is developed to minimize persistent HCV infections.
Area of Science:
- Epidemiology
- Mathematical Biology
- Public Health
Background:
- Hepatitis C virus (HCV) poses a significant public health challenge.
- Dominant transmission routes include unsafe blood transfusions and intravenous drug use.
- Mathematical modeling is crucial for understanding disease dynamics and control.
Purpose of the Study:
- To develop and analyze a deterministic mathematical model for HCV transmission.
- To identify key factors determining HCV eradication or persistence.
- To design and evaluate an optimal quarantine strategy for minimizing chronic infections.
Main Methods:
- Deterministic modeling of HCV transmission dynamics.
- Analysis of disease-free and endemic equilibria based on the basic reproduction number (R(c)).
- Uncertainty and sensitivity analyses of model parameters.
- Application of Pontryagin's Maximum Principle for optimal quarantine control.
Main Results:
- HCV eradication is achieved when the basic reproduction number (R(c)) is less than 1.
- Disease persistence is observed when R(c) is greater than 1.
- An optimal time-dependent quarantine strategy effectively minimizes persistent HCV infections.
Conclusions:
- The basic reproduction number (R(c)) is a critical determinant of HCV's epidemiological fate.
- Mathematical modeling provides valuable insights into HCV transmission and control.
- Optimal quarantine strategies can significantly reduce the burden of chronic hepatitis C infections.
Abstract:
In this paper, we present a rigorous mathematical analysis of a deterministic model for the transmission dynamics of hepatitis C. The model is suitable for populations where two frequent modes of transmission of hepatitis C virus, namely unsafe blood transfusions and intravenous drug use, are dominant. The susceptible population is divided into two distinct compartments, the intravenous drug users and individuals undergoing unsafe blood transfusions. Individuals belonging to each compartment may develop acute and then possibly chronic infections. Chronically infected individuals may be quarantined. The analysis indicates that the eradication and persistence of the disease is completely determined by the magnitude of basic reproduction number R(c). It is shown that for the basic reproduction number R(c) < 1, the disease-free equilibrium is locally and globally asymptotically stable. For R(c) > 1, an endemic equilibrium exists and the disease is uniformly persistent. In addition, we present the uncertainty and sensitivity analyses to investigate the influence of different important model parameters on the disease prevalence. When the infected population persists, we have designed a time-dependent optimal quarantine strategy to minimize it. The Pontryagin's Maximum Principle is used to characterize the optimal control in terms of an optimality system which is solved numerically. Numerical results for the optimal control are compared against the constant controls and their efficiency is discussed.
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