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. Author manuscript; available in PMC: 2013 May 27.
Published in final edited form as: Bull Math Biol. 2013 Feb 2;75(3):523–542. doi: 10.1007/s11538-013-9818-5

Modeling the Spatial Spread of Rift Valley Fever in Egypt

Daozhou Gao 1, Chris Cosner 2, Robert Stephen Cantrell 2, John C Beier 3, Shigui Ruan 4
PMCID: PMC3664403  NIHMSID: NIHMS473434  PMID: 23377629

Abstract

Rift Valley fever (RVF) is a severe viral zoonosis in Africa and the Middle East that harms both human health and livestock production. It is believed that RVF in Egypt has been repeatedly introduced by the importation of infected animals from Sudan. In this paper, we propose a three-patch model for the process by which animals enter Egypt from Sudan, are moved up the Nile, and then consumed at population centers. The basic reproduction number for each patch is introduced and then the threshold dynamics of the model are established. We simulate an interesting scenario showing a possible explanation of the observed phenomenon of the geographic spread of RVF in Egypt.

Keywords: Rift Valley fever, Patch model, Egypt, Basic reproduction number, Threshold dynamics

1 Introduction

Rift Valley fever (RVF) is a viral zoonosis of domestic animals (such as cattle, sheep, camels, and goats) and humans caused by the RVF virus (RVFV), a member of the genus Phlebovirus in the Bunyaviridae family. Initially identified in the Rift Valley of Kenya in 1931 (Daubney et al. 1931), outbreaks of RVF have been reported in sub-Saharan Africa, Egypt, Saudi Arabia, and Yemen (Abdo-Salem et al. 2011b). These result in significant economic losses due to high mortality and abortion in livestock. The virus is transmitted primarily by the bites of infected female mosquitoes. Several mosquito species of the genera Culex or Aedes are known vectors and some Aedes spp. can also transmit the virus vertically (mother-to-offspring). Humans can also become infected by direct/indirect contact with the blood or organs of infected animals, but they cannot transmit it (WHO 2010). To date, two types of vaccines are available for veterinary use (Ikegami and Makinob 2009), but there is no licensed vaccine for humans. Outbreaks of RVF in East Africa are typically associated with rainfall events (Linthicum et al. 1999; Anyamba et al. 2009). Heavy rainfall is believed to induce outbreaks by raising water levels in low-lying areas sufficiently to allow the hatching of Aedes spp. eggs, which can persist during dry periods. Since Aedes mosquitoes can transmit RVF vertically, the newly hatched mosquitoes can induce an outbreak once they mature (Favier et al. 2006). However, vertical transmission has not been demonstrated in some countries with substantial outbreaks of RVF. For example, the study of field-collected mosquitoes suggests that Culex pipiens is the main vector of RVFV in Egypt (Meegan et al. 1980). An alternative hypothesis is that in such regions outbreaks may occur when the disease is introduced by the importation of infected animals (Gad et al. 1986; Abdo-Salem et al. 2011a, 2011b) or by the use of live virus vaccines (Kamal 2011) together with suitable conditions for transmission, specifically high mosquito densities and the presence of large numbers of host animals (Abdo-Salem et al. 2011a, 2011b).

Mathematical models have become an important tool in identifying disease transmission processes, assessing infection risk and prevalence, and optimizing control strategies. However, so far little has been done to model and analyze the RVF transmission dynamics (Métras et al. 2011). Gaff et al. (2007) proposed a compartmental model to explore the mechanisms of RVFV circulation including Aedes and Culex mosquitoes and livestock population, in which each adult mosquito population is divided into classes containing susceptible, exposed and infectious individuals and the livestock population is classified as susceptible, exposed, infectious, and recovered. To account for vertical transmission in Aedes mosquitoes, compartments for uninfected and infected eggs are also included. Meanwhile, only uninfected eggs are included for Culex mosquitoes. They derived the basic reproduction number to assess the stability of the disease-free equilibrium and performed sensitivity analysis to determine the most significant model parameters for disease transmission. Mpheshe et al. (2011) modified the model in Gaff et al. (2007) to reduce egg classes of mosquitoes, include human population and exclude vertical transmission in mosquitoes. They gave conditions for the stability of the disease-free equilibrium and persistence of the disease. Sensitivity indices of the basic reproduction number and the endemic equilibrium were evaluated to study the relative importance of different factors responsible for RVF transmission and prevalence. It is believed that RVFV is introduced to a disease-free area by insects carried by wind and animal movements through trade (Métras et al. 2011). Xue et al. (2012) presented a network-based metapopulation model incorporating Aedes and Culex mosquitoes, livestock and human populations. They tested the model with data from an outbreak of RVF in South Africa and analyzed the sensitivity of the model to its parameters. Recently, Chamchod et al. (2012) proposed a simple but innovative model to investigate the emergence of RVF outbreaks, and epizootic and enzootic cycles of RVFV. Many aspects of their investigation have not been addressed in previous modeling studies. For example, they considered the effect of vaccination on the transmission dynamics of RVFV. However, these models either do not include spatial effects or are too complicated for rigorous mathematical analysis.

The main purpose of this paper is to propose a mathematically tractable model with spatial dynamics that can capture the hypothesis that Rift Valley fever outbreaks in Egypt might arise when the importation of large numbers of animals from Sudan coincides with high mosquito densities and there is an introduction of the infection during that period through importation of infected animals, use of live virus vaccines, or some other mechanism. In the next section, we develop a three-patch epidemic model to describe the spatial spread of RVF in Egypt. In Sect. 3, the basic reproduction number for each patch is calculated and the threshold dynamics of the model will be established. Moreover, the existence and stability of the endemic equilibrium are discussed. In Sect. 4, we simulate an interesting scenario showing possible explanation to the observed phenomenon of the geographic spread of RVF in Egypt. A brief discussion is given in Sect. 5.

2 The Model

The first outbreak of RVF in Egypt occurred in the Nile Valley and Delta in 1977 (Hoogstraal et al. 1979). This was the first RVF outbreak recorded outside traditionally affected areas in sub-Saharan Africa. Due to a combination of a lack of experience in dealing with RVF patients and insufficient public health programs, the outbreak caused at least thousands of human infections and hundreds of human deaths (Meegan 1979). Since then, Egypt has been experiencing continued RVF outbreaks among domestic animals, which indicates that the RVFV has become enzootic in Egypt. The imported animals from Sudan and the Horn of Africa were usually not vaccinated against RVFV. Travel time from north-central Sudan, where RVF was epizootic, to livestock markets in southern Egypt (Aswan Province), is less than 5 days, approximating the incubation period of RVFV in sheep (Gad et al. 1986; Abd el Rahim et al. 1999). So it is hypothesized that the recurrence of epizootics is mainly caused by the continuous importation of infected animals from Sudan and failure of the locally applied RVF vaccination program (Kamal 2011).

Egypt is an arid country with most of the population concentrated along the Nile, in the Delta and near the Suez Canal. The imported animals enter southern Egypt from northern Sudan, are moved up the Nile, and then consumed at population centers. At certain times, large numbers of animals are imported for holiday feasts. Vertical transmission of RVF has not been shown to occur in Egypt (Meegan et al. 1980). For simplicity, we restrict our focus to the disease transmission between domestic animals and mosquitoes, and ignore the age-dependent differential susceptibility and mortality in livestock. To capture the idea that more mosquitoes lead to more transmission, it seems most natural to use mass-action transmission terms. The movement timescale of animals is relatively short, so we assume that there is no host reproduction during the journey. Therefore, the density of hosts is determined by movement, mortality, and the rate at which they are introduced, which could be set to depend on demand. We assume that there is no movement for the vector population because of their limited mobility. We assume also that the mosquito population has logistic growth to maintain an equilibrium vector population. For epidemiology, we use a simple SIRS model for hosts and an SI model for vectors.

Based on the above assumptions, we propose a three-patch model (Sudan-Nile-feast) with animals movement from patch 1 to patch 2 and then from patch 2 to patch 3:

{dS1dt=rα1S1V1μS1+ζR1cd1S1,dI1dt=α1S1V1(μ+γ+δ)I1cd1I1,dR1dt=γI1(μ+ζ)R1cd1R1,dU1dt=ξ1(U1+V1)ξ1ν1M1(U1+V1)2ν1U1β1I1U1,dV1dt=ν1V1+β1I1U1,} (1a)
{dS2dt=cd1S1α2S2V2μS2+ζR2cd2S2,dI2dt=cd1I1+α2S2V2(μ+γ+δ)I2cd2I2,dR2dt=cd1R1+γI2(μ+ζ)R2cd2R2,dU2dt=ξ2(U2+V2)ξ2ν2M2(U2+V2)2ν2U2β2I2U2,dV2dt=ν2V2+β2I2U2,} (1b)
{dS3dt=cd2S2α3S3V3μS3+ζR3cd3S3,dI3dt=cd2I2+α3S3V3(μ+γ+δ)I3cd3I3,dR3dt=cd2R2+γI3(μ+ζ)R3cd3R3,dU3dt=ξ3(U3+V3)ξ3ν3M3(U3+V3)2ν3U3β3I3U3,dV3dt=ν3V3+β3I3U3.} (1c)

The state variables and parameters used in model (1a)–(1c) and their descriptions are presented in Tables 1 and 2, respectively.

Table 1.

The state variables in model (1a)–(1c) and their descriptions

Symbol Description
Si Number of susceptible animals in patch i at time t
Ii Number of infectious animals in patch i at time t
Ri Number of recovered animals in patch i at time t
Ui Number of susceptible mosquitoes in patch i at time t
Vi Number of infectious mosquitoes in patch i at time t

Table 2.

The parameters in model (1a)–(1c) and their descriptions

Symbol Description
r Recruitment rate of animals
c Movement speed of animals
di The length of journey for animals within patch i
μ Natural death rate for animals
δ Disease-induced death rate for animals
γ Recovery rate for animals
ζ Rate of loss of immunity for animals
ξ i Growth rate of mosquitoes in patch i
ν i Natural death rate for mosquitoes in patch i
Mi Carrying capacity for mosquitoes in patch i
α i Transmission rate from vector to host in patch i
β i Transmission rate from host to vector in patch i

The total number of mosquitoes in patch i at time t, denoted by Niv(t), satisfies

dNivdt=(ξiνi)NivξiνiMi(Niv)2,i=1,2,3,

and it converges to Mi as t → ∞ for any positive initial value. Let 1/pi = di/c be the average time an animal spent in patch i. Therefore, we may consider the following reduced system:

{dS1dt=rα1S1V1μS1+ζR1p1S1,dI1dt=α1S1V1(μ+γ+δ)I1p1I1,dR1dt=γI1(μ+ζ)R1p1R1,dV1dt=ν1V1+β1I1(M1V1),} (2a)
{dS2dt=p1S1α2S2V2μS2+ζR2p2S2,dI2dt=p1I1+α2S2V2(μ+γ+δ)I2p2I2,dR2dt=p1R1+γI2(μ+ζ)R2p2R2,dV2dt=ν2V2+β2I2(M2V2),} (2b)
{dS3dt=p2S2α3S3V3μS3+ζR3p3S3,dI3dt=p2I2+α3S3V3(μ+γ+δ)I3p3I3,dR3dt=p2R2+γI3(μ+ζ)R3p3R3,dV3dt=ν3V3+β3I3(M3V3),} (2c)

Theorem 2.1 All forward solutions in R+12 of (2a)–(2c) eventually enter Ω = Ω1 × Ω2 × Ω3, where Ωi={(Si,Ii,Ri,Vi)R+4:Si+Ii+Rirj=1ipj1μ+pj,ViMi, i = 1, 2, 3, and p0 = 1, and Ω is positively invariant for (2a)–(2c).

Proof Let Nih(t) be the total host population in patch i at time t. Then we have

dN1hdt=r(μ+p1)N1hδI1r(μ+p1)N1h

and

dNihdt=pi1Ni1h(μ+pi)NihδIipi1Ni1h(μ+pi)Nih,i=2,3.

By a simple comparison theorem (Smith and Waltman 1995), the proof is complete.

3 Mathematical Analysis

It is easy to see that (2a)–(2c) has a unique disease-free equilibrium

E0=(S10,I10,R10,V10,S20,I20,R20,V20,S30,I30,R30,V30)=(rμ+p1,0,0,0,rp1(μ+p1)(μ+p2),0,0,0,rp1p2(μ+p1)(μ+p2)(μ+p3),0,0,0).

Note that system (2a)–(2c) is in a block-triangular form, the dynamics of patch 1 are independent of patch 2 and patch 3 while the dynamics of patch 2 are independent of patch 3.

3.1 The First Patch

Obviously, E10=(S10,0,0,0) is the unique disease-free equilibrium of subsystem (2a). To calculate the basic reproduction number corresponding to (2a), we order the infected state variables by (I1, R1, V1). Following the method and notations of van den Driessche and Watmough (2002), the linearization of (2a) at E10 gives

F=[00α1S10000β1M100]andV=[μ+γ+δ+p100γμ+ζ+p1000ν1].

Direct calculation yields

V1=[(μ+γ+δ+p1)100γ(μ+γ+δ+p1)1(μ+ζ+p1)1(μ+ζ+p1)1000ν11]

and the basic reproduction number for the first patch equals

R10=ρ(FV1)=α1S10ν1β1M1μ+γ+δ+p1=α1r(μ+p1)ν1β1M1μ+γ+δ+p1,

which depends on all parameters except ζ, the rate of loss of immunity for animals. (R10)2 is proportional to S10 and M1, so more mosquitoes and more animals lead to more disease transmission.

Theorem 3.1 The disease-free equilibrium E10 of (2a) is globally asymptotically stable in Ω1 if R101 and unstable if R10>1.

Proof It is easy to show the local stability or instability of E10 by verifying (A1)–(A5) in van den Driessche and Watmough (2002).

Consider a Lyapunov function L1 = ν1(μ + p1)I1 + α1rV1 on Ω1. Then

L1=ν1(μ+p1)I1+α1rV1=ν1(μ+p1)α1S1V1ν1(μ+p1)(μ+γ+δ+p1)I1α1rν1V1+α1rβ1I1(M1V1)=[ν1(μ+p1)α1S1α1rν1]V1+[α1rβ1(M1V1)ν1(μ+p1)(μ+γ+δ+p1)]I1=ν1(μ+p1)α1(S1S10)V1+[α1rβ1(M1V1)ν1(μ+p1)(μ+γ+δ+p1)]I1=[α1rβ1(M1V1)ν1(μ+p1)(μ+γ+δ+p1)]I1inΩ1[α1rβ1ν1(μ+p1)(μ+γ+δ+p1)]I1=[(R1021)ν1(μ+p1)(μ+γ+δ+p1)]I10ifR101.

The largest compact invariant set, denoted by Γ1, in {(S1,I1,R1,V1)Ω1:L1=0} is the singleton {E10}.

Case 1: R10<1 The preceding calculation shows that I1 ≡ 0. So,

dV1dt=ν1V1anddR1dt=(μ+ζ+p1)R1.

Backward continuation of a compact invariant set indicates that V1 = 0 and R1 = 0. Thus,

dS1dt=r(μ+p1)S1.

This means that S1=S10 and hence Γ1={E10}.

Case 2: R10=1 The preceding calculation gives either V1 ≡ 0 or I1 ≡ 0. The latter case proceeds as before. Suppose V1 ≡ 0, then dV1dt=β1I1M10 which implies I1 = 0. Once again this can proceed as before.

By LaSalle's invariance principle (LaSalle 1976), E10 is globally asymptotically stable in Ω1.

Theorem 3.2 If R10>1, then system (2a) has a unique endemic equilibrium, de noted by E1=(S1,I1,R1,V1), which is locally asymptotically stable. Moreover, the disease is uniformly persistent in Ω10, the interior of Ω1, i.e., there is a constant ∊ > 0 such that any solution of (2a) starting at a point of Ω10 satisfies

liminft(I1(t),R1(t),V1(t))>(,,).

Proof If E1=(S1,I1,R1,V1) is a positive equilibrium of (2a), then it satisfies the following system of algebraic equations:

rα1S1V1μS1+ζR1p1S1=0,α1S1V1(μ+γ+δ)I1p1I1=0,γI1(μ+ζ)R1p1R1=0,ν1V1+β1I1(M1V1)=0. (3)

Solving for S1, R1, and V1 in terms of I1 from the last three equations of (3), that is,

S1=(μ+γ+δ+p1)(ν1+β1I1)α1β1M1,R1=γI1μ+ζ+p1,V1=β1I1M1ν1+β1I1,

and substituting them into the first equation, we obtain

r(μ+γ+δ+p1)I1(μ+p1)μ+γ+δ+p1α1β1M1(β1I1+ν1)+ζγμ+ζ+p1I1=0,

which can be simplified to a linear equation

[(μ+γ+δ+p1)+(μ+p1)μ+γ+δ+p1α1M1ζγμ+ζ+p1]I1+[(μ+p1)μ+γ+δ+p1α1β1M1ν1r]=0.

The coefficient of I1 is always positive and the constant part is negative if and only if R10>1. Hence, system (2a) has a unique endemic equilibrium if and only if R10>1.

Next we study the local stability of E1 by using the Routh–Hurwitz criterion. The Jacobian matrix of system (2a) at the endemic equilibrium E1 is

J(S1,I1,R1,V1)=(α1V1ρ0ζα1S1α1V1(ρ+γ+δ)0α1S10γ(ρ+ζ)00β1(M1V1)0ν1β1I1),

where ρ = μ + p1 and the corresponding characteristic equation is

P1(λ)=(λ+ρ+ζ)(λ3+b2λ3+b1λ+b0)ζα1V1γ(λ+ν1+β1I1)=0,

where

b2=α1V1+2ρ+γ+δ+ν1+β1I1>0,b1=(α1V1+ρ)(ρ+γ+δ)+(α1V1+2ρ+γ+δ)(ν1+β1I1)α1β1S1(M1V1),b0=(α1V1+ρ)(ρ+γ+δ)(ν1+β1I1)α1β1S1ρ(M1V1).

It follows from the second and fourth equations of (3) that

(ρ+γ+δ)ν1=α1β1S1(M1V1)

and hence

b1=(α1V1+ρ)(ρ+γ+δ+ν1)+(α1V1+2ρ+γ+δ)β1I1>0,b0=(ρ+γ+δ)(α1ν1V1+α1β1V1I1+ρβ1I1)>0andb1b2>b0.

Then

P1(λ)=λ4+c3λ3+c2λ2+c1λ+c0=0,

where

c3=ρ+ζ+b2>0,c2=(ρ+ζ)b2+b1>0,c1=(ρ+ζ)b1+b0ζα1V1γ=ρb1+b0+ζ(b1α1V1γ)>0,c0=(ρ+ζ)b0ζα1V1γ(ν1+β1I1)=ρb0+ζ(b0α1V1γ(ν1+β1I1))>0.

Now it suffices to show that c1c2c3>c12+c32c0. In fact,

c1c2c3c12c32c0=c1(c2c3c1)c32c0=c1[c3(ρ+ζ)b2+(b1b2b0)+ζα1V1γ]c32c0>c1c3(ρ+ζ)b2c32c0=c3[c1(ρ+ζ)b2c3c0]=c3[(ρ+ζ)2(b1b2b0)ζα1V1γ((ρ+ζ)b2(ρ+ζ+b2)(ν1+β1I1))]>c3[(ρ+ζ)ζ(b1b2b0)ζα1V1γ(ρ+ζ)b2]=c3(ρ+ζ)ζ(b1b2b0α1V1γb2)>0.

Thus, the Routh–Hurwitz criterion implies that all eigenvalues of the characteristic equation have negative real parts. Hence, the endemic equilibrium is locally asymptotically stable.

Finally, the uniform persistence of system (2a) in Ω10 can be proved by applying Theorem 4.6 in Thieme (1993). We omit the proof here, since it is similar to that of Theorem 2.5 in Gao and Ruan (2011).

Remark 3.3 It is worth mentioning that Yang et al. (2010) studied a similar vector-host epidemic model with an SIR structure for the host population and without disease-induced host deaths. They used the method of the second additive compound matrix (see Li and Muldowney 1996 and references therein) to establish the global stability of the endemic equilibrium when it exists. Unfortunately, we cannot use that approach to establish the global result because of the higher complexity in our model.

3.2 The Second Patch

By a simple comparison theorem, we conclude that the disease is uniformly persistent in Ω0 if it is uniformly persistent in Ω10. Namely, the disease will persist in all three patches if R10>1. Indeed, it follows from Theorem 3.2 that for any fixed initial data we have

dI2dtp1(μ+γ+δ+p2)I2

for t large enough. So, lim inft→∞I2(t) ≥ p1∊/(μ + γ + δ + p2). Similarly, we can find positive lower limits for all other variables. If the disease dies out in patch 1, i.e., R101, then each solution of (2a) with nonnegative initial data converges to E10 and the limiting system of (2b) is

dS2dt=p1S10α2S2V2μS2+ζR2p2S2,dI2dt=α2S2V2(μ+γ+δ)I2p2I2,dR2dt=γI2(μ+ζ)R2p2R2,dV2dt=ν2V2+β2I2(M2V2). (4)

Comparing (4) with (2a), we immediately find that (4) possesses a unique disease-free equilibrium E20=(S20,I20,R20,V20)=(p1S10(μ+p2),0,0,0)=(rp1((μ+p1)(μ+p2)),0,0,0) and obtain the basic reproduction number of patch 2 as

R20=α2S20ν2β2M2μ+γ+δ+p2=α2rp1(μ+p1)(μ+p2)ν2β2M2μ+γ+δ+p2.

If R101 and R201, then the disease goes extinct in the first two patches; if R101 and R20>1, then the disease dies out in the first patch but persists in the last two patches.

3.3 The Third Patch

Similarly, if R101 and R201, we obtain a limiting system of (2c) as follows:

dS3dt=p2S20α3S3V3μS3+ζR3p3S3,dI3dt=α3S3V3(μ+γ+δ)I3p3I3,dR3dt=γI3(μ+ζ)R3p3R3,dV3dt=ν3V3+β3I3U3. (5)

System (5) has a unique disease-free equilibrium E30=(S30,I30,R30,V30)=(p2S20(μ+p3),0,0,0)=(rp1p2((μ+p1)(μ+p2)(μ+p3)),0,0,0) and the basic reproduction number of patch 3 is given by

R30=α3S30ν3β3M3μ+γ+δ+p3=α3rp1p2(μ+p1)(μ+p2)(μ+p3)ν3β3M3μ+γ+δ+p3.

If R101, R201, and R301, then the disease goes extinct in all three patches; if R101, R201, and R30>1, then the disease dies out in the first two patches, but persists in the third patch. So, we have the following result.

Theorem 3.4 For the full model (2a)–(2c), if R10>1, the disease persists in all three patches; if R101 and R20>1, the disease dies out in the first patch but persists in the remaining two patches; if R101, R201, and R30>1, the disease dies out in the first two patches, but persists in the last patch; if R101, R201, and R301, the disease dies out in all three patches and E0 is globally asymptotically stable

Theorem 3.5 System (2a)–(2c) has a unique endemic equilibrium, denoted E=(S1,I1,R1,V1,S2,I2,R2,V2,S3,I3,R3,V3), if and only if R10>1 and it is locally asymptotically stable when it exists.

Proof The necessity is a straightforward consequence of Theorem 3.1. To prove the existence and uniqueness of an endemic equilibrium as R10>1, it suffices to show that the system

dSidt=pi1Si1αiSiViμSi+ζRipiSi,dIidt=pi1Ii1+αiSiVi(μ+γ+δ)IipiIi,dRidt=pi1Ri1+γIi(μ+ζ)RipiRi,dVidt=νiVi+βiIi(MiVi), (6)

has a unique positive equilibrium for i = 2, 3. To compute the constant solution of (6), we set the right-hand side of each of the four equations equal to zero and direct calculations yield

pi1Si1+pi1Ii1(μ+γ+δ+pi)Ii(μ+pi)(μ+γ+δ+pi)Iipi1Ii1αiβiIi+νiβiMiIi+ζpi1Ri1+γIiμ+ζ+pi=0,

which can be reduced to a quadratic equation

f(Ii)a2Ii2+a1Ii+a0=0, (7)

where a2=(1+μ+piαiMi)(μ+γ+δ+pi)+ζγμ+ζ+pi<0, a1=pi1Si1+pi1Ii1μ+piαiβiMi((μ+γ+δ+pi)νipi1Ii1βi)+ζpi1Ri1μ+ζ+pi and a0=μ+piαiβiMipi1Ii1νi>0.

Thus, (7) has exactly one positive root, Ii. To check the positivity of other variables, we need to verify that Ii>pi1Ii1(μ+γ+δ+pi), or equivalently, f(pi1Ii1(μ+γ+δ+pi))>0. In fact, f(pi1Ii1(μ+γ+δ+pi)) equals

ζγpi12(Ii1)2(μ+ζ+pi)(μ+γ+δ+pi)2+pi12Si1Ii1μ+γ+δ+pi+ζpi12Ri1Ii1(μ+ζ+pi)(μ+γ+δ+pi)>0.

The local stability of the endemic equilibrium (Si, Ii, Ri, Vi) of system (6) can be proved in a way similar to that of E1 in Theorem 3.2.

3.4 Model with Permanent Immunity

Research in RVF indicates that an infection leads to a durable, probably life-long, immunity in animals (Paweska et al. 2005). In any event, the immunity period is relatively longer than the duration of movement. We may assume that the rate of loss of immunity ζ equals zero and use an SIR model for the host population. In this case, since Ri does not appear in other equations of (2a)–(2c), system (2a)–(2c) can be reduced to

{dS1dt=rα1S1V1μS1p1S1,dI1dt=α1S1V1(μ+γ+δ)I1p1I1,dV1dt=ν1V1+β1I1(M1V1),} (8a)
{dS2dt=p1S1α2S2V2μS2p2S2,dI2dt=p1I1+α2S2V2(μ+γ+δ)I2p2I2,dV2dt=ν2V2+β2I2(M2V2),} (8b)
{dS3dt=p2S2α3S3V3μS3p3S3,dI3dt=p2I2+α3S3V3(μ+γ+δ)I3p3I3,dV3dt=ν3V3+β3I3(M3V3).} (8c)

The following result can be proved in a way similar to that of Theorem 4.3 in Yang et al. (2010). Consequently, the disease dynamics of (8a)–(8c) are completely determined by the basic reproduction numbers Ri0 for i = 1, 2, 3.

Theorem 3.6 For system (8a)–(8c), if R10>1, then the disease persists at an endemic equilibrium level in all three patches; if R101 and R20>1, then the disease dies out in the first patch but persists at an endemic equilibrium level in the remaining two patches; if R101, R201, and R301, then the disease dies out in the first two patches, but persists at an endemic equilibrium level in the last patch; if R101, R201, and R301, then the disease dies out in all three patches.

3.5 The Relation Between Ri0 and Model Parameters

It follows from Theorem 3.4 that the disease dies out in all patches if and only if Ri01 for i = 1, 2, 3. In other words, to eliminate the disease from the whole system, all three threshold parameters R10, R20, and R30 must be reduced to be less than 1. To do so, we should study how the basic reproduction numbers vary with the model parameters, which can help us design highly efficient control strategies. Recall that

Ri02=αirνij=1ipj1μ+pjβiMiμ+γ+δ+pi,pi=cdi,i=1,2,3,andp0=1.

Obviously, Ri0 is strictly increasing in αi, βi, Mi, r, or di, and strictly decreasing in νi, μ, γ, δ, or dj, j = 1, …, i − 1. An increase in the movement speed, c, will decrease Ri0. The dependence of Ri0 on c, becomes more complicated if i > 1, since c appears in both the numerator and denominator of the formula for Ri02.

Proposition 3.7 For i > 1, there exists some ci such that the basic reproduction number Ri0 is strictly increasing in c if c ∈ (0, ci) and strictly decreasing if c ∈ (ci, ∞). Furthermore, (i1)μd¯i2<ci<(i1)μdi, where di = min1≤j≤i dj and di=max1jidj.

Proof Let gi(c) be the partial derivative of Ri0 with respect to c. Then

gi(c)=αirβiMiνic(j=1ipj1μ+pj1μ+γ+δ+pi)=αirβiMiνic(j=1i1μdj+cci1di2(μ+γ+δ)+di+c)=αirβiMiνici2di2(i1)D(c)cD(c)D2(c)=αirβiMiνici2di2((i1)D(c)c(j=1iD(c)μdj+c+D(c)(μ+γ+δ)di+c))D2(c)=αirβiMiνici2di2((i1)c(j=1i1μdj+c+1(μ+γ+δ)di+c))D(c),

where Di(c)=((μ+γ+δ)di+c)j=1i(μdj+c) and the sign of gi(c) is the same as that of

hi(c)=(i1)c(j=1i1μdj+c+1(μ+γ+δ)di+c).

Since hi (0) = (i − 1) > 0, h(∞) = −2 and h′ (c) < 0 for c ≥ 0, the equation hi(c) = 0 has exactly one positive root, denoted by ci, satisfying hi(c) > 0 if c ∈ (0, ci) and hi(c) < 0 if c ∈ (ci, ∞). Note that

hi(kμd)=(i1)j=1ikddj+kdkμd(μ+γ+δ)di+kμdfork>0andd>0.

In particular, we have

hi((i1)μdi)(i1)ii11+(i1)(i1)μdi(μ+γ+δ)di+(i1)μdi<0,hi((i1)μd¯i2)>(i1)ii1i+1i1i+1=0,i>1,

which implies ci((i1)μd¯i2,(i1)μdi).

Remark 3.8 The duration of movement in each patch, 1/pi = di/c, is about a few weeks or months, while the life span of an animal, 1/μ, could be a couple of years or even longer. Namely, the timescale of the movement is very short relative to the host population dynamic timescale. So generally speaking, Ri0 is decreasing in c and shortening the duration of host movement could reduce the possibility of a disease spread.

Now we perform a sensitivity analysis of the basic reproduction number Ri0 to model parameters to determine how best to reduce initial disease transmission. The normalized forward sensitivity index (Chitnis et al. 2008) or elasticity of Ri0 to a parameter p is defined as

Υpi=Ri0p×pRi0.

For i = 1, 2, 3, we find that Υαii=Υβii=ΥMii=Υri=12, Υνii=12, Υγi=γ2(μ+γ+δ+pi)>12 and Υδi=δ2(μ+γ+δ+pi)>12. In addition, if cμdi then

Υμi=12(j=1iμdjμdj+c+μdi(μ+γ+δ)di+c)>12,Υdji=12μdj(μdj+c)>12,forj=1,,i1,Υdii=12c(1μdj+c+1(μ+γ+δ)di+c)>12,andΥci=12hi(c)<12.

It follows from Υdii>Υci that Ri0 is most sensitive to the travel distance in the ith patch, di. However, the travel route is usually fixed, and thus the most feasible way for fast reducing Ri0 is to accelerate livestock transport.

4 Numerical Simulations

In this section, we conduct numerical simulations to confirm our analytical results. The model uses a daily time step and some of the parameter values are chosen from the data in Gaff et al. (2007) and the references therein.

Firstly, we explore the relation between Ri0 and the travel speed c. We use the following set of parameter values: r = 300, μ = 1.2 × 10−3, δ 0.1, γ 0.4, ζ = 5 × 10−3, M1 = 1000, M2 = 8000, M3 = 1500, d1 = 100, d2 = 800, d3 = 200, νi = 0.06, αi = 3 × 10−5 and βi = 8 × 10−5 for i 1, 2, 3. Figure 1 shows how the basic reproduction number varies as a function of the livestock movement rate c, in the range c ∈ [0, 40]. As predicted by Proposition 3.7, the curve of R10 is constantly decreasing, and the curves of R20 and R30 are increasing for small c and then decreasing.

Fig. 1.

Fig. 1

The curves of the basic reproduction number of patch i, Ri0, versus c

Now we fix c at 25 and the respective basic reproduction numbers are R10=0.2522<1, R20=2.352>1, and R30=0.4672<1. To consider a hypothetical disease invasion scenario, we set the initial data of patches 2 and 3 to zero such that there are no infected animals or mosquitoes in patches 2 and 3 at the beginning of travel. The disease dies out in patch 1, but persists in patches 2 and 3, which is consistent with Theorem 3.4 (see Figs. 2 and 3). This may represent an interesting phenomenon regarding the role that animal movement plays in the spatial spread of RVF from Sudan to Egypt. Though the disease is introduced to patch 2 from patch 1, it goes extinct in its origin because of lower mosquito density in patch 1. Patch 2 (the Nile) has high mosquito population density and the disease will reach an endemic level once it appears. Patch 3 cannot sustain a disease alone, but this becomes possible because of continuous immigration of infected animals from patch 2.

Fig. 2.

Fig. 2

Numerical simulations of system (2a) showing Ii vs. t. Initial conditions: S1(0) = 1800, I1(0) = 50, R1(0) = 100, V1(0) = 0, and S2(0) = I2(0) = R2(0) = V2(0) = S3(0) = I3(0) = R3(0) = V3(0) = 0. R10<1, R20>1, and R30>1

Fig. 3.

Fig. 3

Numerical simulations of system (2a) showing Vi vs. t. Initial conditions: S1(0) = 1800, I1(0) = 50, R1(0) = 100, V1(0) = 0, and S2(0) = I2(0) = R2(0) = V2(0) = S3(0) = I3(0) = R3(0) = V3(0) = 0. R10<1, R20>1, and R30>1

5 Discussion

In this paper, we have formulated a simple epidemic patch model aimed at capturing a scenario where animals are imported into Egypt from the south and taken north along the Nile for human consumption, with the risk of a RVF outbreak if some of them are infected. A similar model might apply to Saudi Arabia and Yemen based on some descriptions (Abdo-Salem et al. 2011b). We have evaluated the basic reproduction number for each patch and established the threshold dynamics of the model. It is suggested that a small number of imported infectious animals from Sudan could result in an outbreak of RVF in Egypt. Increasing the recruitment rate of animals, r, or the carrying capacity of mosquitoes, Mi, will increase the basic reproduction number, Ri0. So the likelihood of a RVF outbreak is higher when both r and Mi are large. The rate r at which animals are fed in might be determined by demand, which would be large during Muslim festival periods. For example, millions of animals are imported and slaughtered as each devout Muslim must traditionally slaughter one animal during the celebration of Eid al-Adha (also known as the Feast of Sacrifice). The date of Eid al-Adha varies from year to year as it is linked to the Islamic calendar and more attention should be paid to the transmission of RVFV when the rainy season (more mosquitoes) corresponds to the time of the occurrence of festivals (Abdo-Salem et al. 2011b).

We may assume that some animals starting the journey are recovered. It might be that way even if no sick animals are starting the journey, since recovered ones could be healthy. If this happens, the subsystem (2a) will become

{dS1dt=rα1S1V1μS1+ζR1cd1S1,dI1dt=α1S1V1(μ+γ+δ)I1cd1I1,dR1dt=rR+γI1(μ+ζ)R1cd1R1,dV1dt=ν1V1+β1I1(M1V1),} (9)

where rR is a constant recruitment of recovered individuals into patch 1. Let R~1=R1rR(μ+ζ+cd1) and r~=r+ζrR(μ+ζ+cd1). Then (9) can be written as

{dS1dt=r~α1S1V1μS1+ζR~1cd1S1,dI1dt=α1S1V1(μ+γ+δ)I1cd1I1,dR~1dt=γI1(μ+ζ)R~1cd1R~1,dV1dt=ν1V1+β1I1(M1V1),} (10)

which is qualitatively equivalent to (2a). Therefore, all of the aforementioned results still hold for system (10) or (9) and its associated new full system.

The work presented in this paper enables us to gain useful insights into the spread of RVF among different regions. Its framework could be applied to study transmission of other vector-borne diseases in systems with directional host movement. However, there are other aspects we have not considered in this study. Can we simplify our SIRS model to an SI/SIR model for hosts? Do we need more detailed epidemiological models, for example, SEIR for hosts, SEI for vectors? What if we use frequency-dependent transmission rather than mass-action? We may want to think about extending the model to a larger and more realistic patch network, for example if we want to study how changing the network affects disease spread, but we would need to know at least something qualitative about movement patterns of herds to set the movement coefficients. Seasonal effects on mosquito population and time-dependence of animal importation may also be incorporated. For the numerical simulations, the parameter values taken from Gaff et al. (2007) require more careful modifications for change in transmission to be applicable. Data for disease, vector, and animal migration from RVF endemic regions need to be collected so that we can further test the validity of our model.

Acknowledgement

We thank two anonymous referees for their valuable comments and suggestions which led to an improvement of our original manuscript. Research was supported by the National Institute of Health (NIH) grant R01GM093345.

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