Figure 1. Modeling a vaccine with increased efficacy against drug-resistance determinants for an endemic colonizing pathogen (S. pneumoniae).
a, SIS model with a proportion of the population vaccinated and initially susceptible (
) and
unvaccinated and initially susceptible (
), who can get infected with either the drug-sensitive strain (
subscript), –resistant strain (
subscript), or both (
subscript) strains. Plots depict model state at equilibrium (all drug-resistant, all drug-sensitive, stable co-existence of both strains, or elimination of all strains) across a range of overall vaccine efficacy (
) and additional vaccine efficacy against resistant strain (
), where vaccine coverage is 80%. Plots show situation with no fitness cost (b) and with 8% fitness cost (c). Color scheme throughout the paper is as follows: uninfected (gray), sensitive (blue), resistant (red), co-infected with both strains/coexistence of both strains (purple). This model corresponds to Model E of Ref [11].