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. 2019 Sep 23;5(9):e02499. doi: 10.1016/j.heliyon.2019.e02499

Closed-form probability distribution of number of infections at a given time in a stochastic SIS epidemic model

Olusegun Michael Otunuga 1,
PMCID: PMC6819802  PMID: 31687591

Abstract

We study the effects of external fluctuations in the transmission rate of certain diseases and how these affect the distribution of the number of infected individuals over time. To do this, we introduce random noise in the transmission rate in a deterministic SIS model and study how the number of infections changes over time. The objective of this work is to derive and analyze the closed form probability distribution of the number of infections at a given time in the resulting stochastic SIS epidemic model. Using the Fokker-Planck equation, we reduce the differential equation governing the number of infections to a generalized Laguerre differential equation. The properties of the distribution, together with the effect of noise intensity, are analyzed. The distribution is demonstrated using parameter values relevant to the transmission dynamics of influenza in the United States.

Keywords: Applied mathematics, Epidemiology, Infection, Stochastic model, Differential equation, Laguerre, Fokker-Planck, Kummer, Epidemic model

1. Introduction

Existing mathematical models [4], [6], [9], [10], [11], [13], [14], [15], [18], [21], [22], [23], [24] have been developed in order to understand the transmission and elimination of diseases. Several researchers [9], [10], [18], [21], [22], [23], [24] have shed light on the transmission dynamics of infectious diseases and its distribution. In this paper, we shed more light on how the number of infections of certain diseases (described using the well known SIS model) is distributed.

We first consider the deterministic SIS model for description of the population dynamics for certain diseases. The host population is partitioned into two compartments, the susceptible and infectious population, with sizes denoted by S and I, respectively. The total population N(t)=S(t)+I(t). The model governing S and I is described by the system of differential equation:

{dS=(ΛβSIμS+γI)dt,S(t0)=S0,dI=(βSI(μ+γ)I)dt,I(t0)=I0, (1.1)

where S00, I00, Λ>0 is the recruitment rate, β is the transmission rate, μ is the natural death rate and γ is the temporary recovery rate. We note here that the model above is the well-known SIS model [6], [10]. The total population N satisfies the differential equation

dN=(ΛμN)dt,N(t0)=N0, (1.2)

with solution N(t)=Λμ(ΛμN0)eμ(tt0). It follows that S0+I0=N0 and the total population N=Λμ if N0=Λμ. Define κ=Λμ. It is well known [6], [10] that the system of differential equation (1.1) has two equilibriums, namely, the disease-free, P0, and endemic, P1, equilibrium defined by

P0=(κ,0),P1=(κR0,(11R0)κ),providedR0>1, (1.3)

respectively, where

R0=βκμ+γ. (1.4)

It can be shown (for better understanding of the SIS model, we refer the readers to the papers [4], [10], [21]) that the solution (I(t), S(t)) of (1.1) is given by

I(t)={(μ+γ)(R01)I0(μ+γ)(R01)e(μ+γ)(R01)(tt0)+βI0(1e(μ+γ)(R01)(tt0)),ifR01,(β(tt0)+1I0)1,ifR0=1,I00, (1.5)
S(t)={κ(μ+γ)(R01)(e(μ+γ)(R01)(tt0)I0/κ)+κβI0(1e(μ+γ)(R01)(tt0))(μ+γ)(R01)e(μ+γ)(R01)(tt0)+βI0(1e(μ+γ)(R01)(tt0)),ifR01,κ(β(tt0)+1I0)1,ifR0=1,I00. (1.6)

It follows directly that the equilibrium point P0 is globally stable if R01 (that is, irrespective of the initial point, I(t)0 and S(t)κ as t if R01), and equilibrium point P1 is globally stable if R0>1 (that is, I(t)(11R0)κ and S(t)κ/R0 as t if R0>1). The number R0 is referred to as the reproduction number, which is the average number of secondary infection produced by an infectious individual when introduced into susceptible population. We can make the sizes S and I into percentages by setting Λ=μ.

2. Background

2.1. Stochastic SIS model

We assume that external fluctuations may be caused by variability in the number of contacts between infected and susceptible individuals and such random variations can be modeled by a white noise [10]. We also assume that fluctuations will manifest mainly as fluctuations in the infectivity parameter β, and that the transmission rates fluctuate rapidly compared to the evolution of the disease. External noise appears multiplicatively and it is able to modify the mean dynamical behavior of the population. By allowing the infectivities to fluctuate around a mean value, we introduce external fluctuations in the model as follows:

ββ+σC(t), (2.1)

where C(t) is the noise term with zero mean. We assume that the transmission rate fluctuates rapidly so that we can model C(t) by a standard Gaussian white noise. The constant σ is the noise intensity of the white noise due to fluctuations in infectivities of the disease. It represents measure of the amplitude of fluctuations in the transmission rate. By substituting (2.1) into (1.1), we get a Langevin equation. The approach of this equation gives rise to what we called a stochastic differential equation. It is important to be able to interprete and evaluate the noise structure of this equation. The Itô approach on stochastic differential equation depends on Markovian and Martingale properties. These properties do not obey the traditional chain rule. Whereas, the Stratonovich approach obeys the traditional chain rule and allows white noise to be treated as a regular derivative of a Brownian or Wiener process [6], [16], [20]. For this reason, by substituting (2.1) into (1.1), we extend the resulting equation to a Stratonovich stochastic model of the form

{dS=(ΛβSIμS+γI)dtσSIdW(t),S(t0)=S0dI=(βSI(μ+γ)I)dt+σSIdW(t),I(t0)=I0 (2.2)

where S00, I00, W(t) is a standard Wiener process on a filtered probability space (Ω,Ft,(Ft)t0,P), the filtration function (Ft)t0 is right-continuous and each Ft with t0 contains all P-null sets in Ft; ∘ denotes the Stratonovich integral [2]. The initial process x(t0)=(S0,I0) is Ft0 measurable and independent of W(t)W(t0).

The stochastic differential equation has a unique positive solution I(t)(0,κ) [4], [10], [13], [21] in the feasible region

T:={(S,I)R+|0S+Iκ} (2.3)

for all t0 with probability one. By setting S=κI, the stochastic differential equation governing I in (2.2) reduces to

dI=(β(κI)I(μ+γ)I)dt+σ(κI)IdW(t),I(t0)=I0. (2.4)

We use the Stratonovich-Itô conversion theorem given in Bernardi et al. [3] and Kloeden et al. [8] to convert the Stratonovich dynamic model (2.4) into its Itô's equivalent

dI=(μ(I)+12σ1,1(I)σ1,1(I))dt+σ1,1(I)dW(t),I(t0)=I0, (2.5)

where

μ(I)=β(κI)I(μ+γ)I,σ1,1(I)=σ(κI)I,

are the drift and diffusion coefficients of (2.4), respectively.

2.2. Classification of the boundaries of diffusion process I in T

We classify the boundaries I=I0=0 and I=κ using the definitions provided in Horsthemke et al. [6] and Méndez et al. [10].

Definition 1

([6], [10]) Let b¯ be a boundary point and b be a point near b¯. The classification of boundary b¯ is based on the integrability of the function ϕ(x) defined by

ϕ(x)=exp(bx2(μ(z)+12σ1,1(z)σ1,1(z))σ1,12(z)dz). (2.6)

The boundary b¯ is natural if it is attained with probability zero even if time goes to infinity. Analytically, the boundary b¯ is natural if and only if the integral L1(b¯)=b¯bϕ(x)dx=cb¯bx(A¯+2)(κx)A¯eC¯κxdx diverges [6], [10], where we define

A¯=2σ2κ2(βκ(μ+γ)σ2κ2/2),B¯=A¯+2,C¯=2σ2κ2(μ+γ). (2.7)

Since

L1(u)=uu+ϵϕ(x)dx=(κC¯)A¯+1κB¯eC¯C¯uκuC¯u+ϵκ[u+ϵ]ωB¯eωdω=(κC¯)A¯+1(κ)B¯eC¯[Γ(1B¯,C¯u+ϵκ[u+ϵ])Γ(1B¯,C¯uκu)]

exists if 1B¯>0, where Γ(s,ν)=νts1etdt is the upper Incomplete Gamma function, it follows directly from Definition 1 that the boundary I=0 is natural if 1B¯<0, that is, if R0>1. Likewise, the upper boundary κ is natural for all values of the parameters [10]. Hence, we conclude that the boundaries I0=0 and I=κ are unattainable at all times if R0>1, regardless of the noise intensity.

Definition 2

([6], [10]) A boundary b¯ is called attracting if when the process I(t) starts at t=0 at I0(b¯,b), it either leaves this interval in a finite time τI0 (in this case via the right point), or it never leaves this interval and then I(t)b¯ as t. Analytically, the boundary b¯ is attracting if L1(b¯)< and L2(b¯)=b¯b2σ1,12(y)b¯yϕ(x)dxϕ1(y)dy= [6], [10].

It follows that the boundary I=0 is attracting if R0<1 [10]. Since I0=0 is an equilibrium point of (2.4), this means that the stationary probability will be concentrated entirely on I0=0, that is, Ps(I)=δ(I) if R0<1, where Ps and δ denote the stationary probability distribution and dirac delta function, respectively.

2.3. Closed form solution of (2.5)

Using the change of state variable

x=C¯IκI (2.8)

in (2.5), we obtain the Itô stochastic differential equation

dx=σ2κ22x(A¯+2x)dt+σκxdW(t). (2.9)

A second change of variable

y=1/x (2.10)

reduces (2.9) to

dy=σ2κ22(1A¯y)dtσκydW(t). (2.11)

Equation (2.11) is the well known geometric stochastic differential equation with solution

y(t)=y0Φ(t,t0)+σ2κ22Φ(t,t0)t0tΦ1(s,t0)ds, (2.12)

where

Φ(t,t0)=eσ2κ22(A¯+1)(tt0)σκ(W(t)W(t0))=e(μ+γ)(R01)(tt0)σκ(W(t)W(t0)), (2.13)

with mean value

E(Φ(t,t0))=eσ2κ22(A¯)(tt0).

We note from (2.7) that A¯=C¯(R¯01), where

R¯0=βκσ2κ2/2μ+γ=R01C¯. (2.14)

It follows from (2.8) and (2.10) that the solution I(t)=κx(t)x(t)+C¯=κ1+C¯y(t) is given by

I(t)=κ1+C¯(y0Φ(t,t0)+σ2κ22Φ(t,t0)t0tΦ1(s,t0)ds). (2.15)

It was shown in Gray et al. [4] that disease dies out with probability one (that is, I(t)0 exponentially, almost surely) if R¯0<1 and σ2β/κ. Likewise, in their work, Tornatore et al. [15] showed that if min{μ+γσ2κ2/2,2μ}<βκ<μ+γ+σ2κ2/2}, the disease-free equilibrium point P0=(κ,0) of (2.2) is globally stable in the feasible region T and unstable if R¯0>1. They state from biological point of view that the introduction of a noise in the deterministic SIS model (1.1) modifies the deterministic stability threshold of the disease-free equilibrium. As σ0+, Φ(t,t0)e(μ+γ)(R01)(tt0) and R¯0R0. In this case, the system (2.5) reduces to (1.1). More results on the effect of the noise intensity on disease dynamics are discussed in Remark 3.

3. Model

3.1. Probability distribution of infectious diseases: SIS model

Using the change of variable described in (2.8), we define P(x,t|x0) as the probability of x at time t given the initial point x0. In this Section, we derive the closed form distribution P(x,t|x0) and later extends the result to derive the closed form probability P(I,t|I0) that the number of infected individuals is I at time t, given initial point I0.

Let h(x) and g(x) be the drift and diffusion coefficients of (2.9) defined by

h(x)=σ2κ22x(A¯+2x),g(x)=σκx. (3.1)

The probability density P(x,t|x0) satisfies the Fokker-Planck equation

Pt=x{h(x)P}+12x{g2(x)P},0<t<. (3.2)

We seek a solution of (3.2) of the form

P(x,t|x0)=T(t)Ψ(x|x0). (3.3)

To find a solution, we consider a case where a stationary probability density exists and is unique. This is satisfied when the boundaries are either natural or regular boundaries, with instantaneous reflection [6]. By substituting (3.3) into (3.2), we have

1TdTdt=1Ψ(ddx{h(x)Ψ(x)}+12d2dx2{g2(x)Ψ(x)}).

The above equation is possible if each side is a constant, say, −r, so that T(t)=ert and

ddx{h(x)Ψ(x)}+12d2dx2{g2(x)Ψ(x)}=rΨ(x), (3.4)

with boundary condition

σ2κ22ddx(x2Ψ(x))+h(x)Ψ(x)|x=0,=0, (3.5)

that is, we assume there is no probability flux at the boundary. The values of r, for which a function Ψ(x)Ψr(x) exists and do not vanish identically in the interval (0,) and which fulfils (3.4)-(3.5) are called the eigenvalues [6]. The corresponding solutions Ψr(x) are called eigenfunctions.

Let Ps(x) be the unique stationary probability density satisfying

h(x)Ps(x)+12ddx{g2(x)Ps(x)}=0. (3.6)

It can be shown that the solution Ps(x) satisfying (3.6) is obtained as

Ps(x)=1Γ(A¯+1)xA¯ex,0<x<, (3.7)

provided A¯+1>0, or equivalently, R0>1. This is a Gamma distribution with a unit rate parameter. We convert the eigenvalue problem for the Fokker-Planck equation into a Sturm-Liouville problem by setting Ψ(x) to

Ψ(x)=Ps(x)f(x),0<x<, (3.8)

for some function f(x), and substituting into (3.4) to obtain

σ2κ22ddx(x2Ps(x)ddxf(x))+rPs(x)f(x)=0, (3.9)

with boundary condition

(x2Ps(x)ddxf(x))|x=0,=0. (3.10)

Note that (3.9) is the Kolmogorov backward equation with eigenvalue r, which is the same as the eigenvalue of the Fokker-Planck equation (3.4). The eigenfunctions of the Fokker-Planck equation and Kolmogorov backward equation are related by the relation (3.8). According to Horsthemke et al. [6], all eigenvalues are real and nonnegative. Furthermore, since both boundaries (0 and κ) for I are finite, we have a discrete range of eigenvalues, including r=0 since we assume that the stationary probability density is unique. Define

q=(βκ(μ+γ))22σ2κ2r,λ=1σ2κ2(βκ(μ+γ)q),α=2qσ2κ2. (3.11)

It follows immediately from (3.11) that

α=A¯2λ+1. (3.12)

We shall later show that q>0 under suitable condition. By substituting

f(x)=xλy(x),0<x<, (3.13)

into (3.9) for some function y(x), we obtain the differential equation

xy+(1+αx)y+λy=0, (3.14)

where α and λ are given in (3.11). Equation (3.14) is the well known Kummer's equation (see Abramowitz and Stegun [1], Section 13.1.1; and Olver et al. [12], Section 13.2.1). The solution becomes the generalized/associated Laguerre polynomial of degree λ if λ is a nonnegative integer. The general solution of (3.14) is given by

y(x)=C1U(λ,1+α,x)+C2M(λ,1+α,x),0<x<, (3.15)

where U(a,b,z) is the confluent hypergeometric function [1], [12] and M(a,b,z) is the Kummer's function (see [1] Section 13.1.2). Using relation

M(λ,1+α,z)=λ!(1+α)λL(λ,α,z),

where (a)k is the Pochhammer's symbol (or shifted factorial) [12] and L(a,b,z) is the generalized Laguerre function [7], we can rewrite (3.15) in the form

y(x)=C1U(λ,1+α,x)+C2L(λ,α,x),0<x<. (3.16)

Hence, the solutions f(x) and Ψ(x) in (3.13) and (3.8) reduce to

f(x)=C1xλU(λ,1+α,x)+C2xλL(λ,α,x),0<x<, (3.17)

and

Ψ(x)=1Γ(A¯+1)xA¯λex(C1U(λ,1+α,x)+C2L(λ,α,x)),0<x<. (3.18)

If λ=n is a nonnegative integer, it follows immediately from (3.11) that the eigenvalue rrn is obtained as

rn=n(βκ(μ+γ))n2σ2κ22=σ2κ22(n2+αnn),=σ2κ22(A¯+1n)n,for0nM, (3.19)

where M=βκ(μ+γ)σ2κ2=A¯+12 and . is the floor function. Thus,

qqn=(βκ(μ+γ)nσ2κ2)2,ααn=2σ2κ2qn=2σ2κ2(βκ(μ+γ)nσ2κ2)>0, (3.20)

provided A¯+12n>0. Clearly, rn0 since αn=A¯+12n. For the rest of this work, we assume that

A¯2λ+1>0. (3.21)

Using relation (13.6.19) in [12], we can write U(λ,1+α,x) in terms of L(λ,α,x). The eigenfunction f(x)fn(x) of the eigenvalue problem (3.9) now reduces to

fn(x)=ZnxnL(n,αn,x), (3.22)

where Zn is a normalization constant and ααn is given in (3.12). Using (3.12) and the explicit representation identities for Laguerre polynomials (see [12] Section 18.5.12, [5] Vol 1 Section 2.1.1(2) and [5] Vol 2 Section 10.12.33)

{L(n,αn,x)=i=0n(αn+i+1)nii!(ni)!(x)i,0xν1exL(n,αn,x)dx=(Γ(ν)Γ(αn+n+1)n!Γ(αn+1))2F1(n,ν;αn+1;1),ifν>0,

where F12(a1,a2;b;z) is the generalized hypergeometric function (see [12] Section 16.1.1), it follows that

0xA¯2nexL(n,αn,x)2dx=Γ(αn+n+1)2Γ(αn+1)n!i=0n(1)i(F12(n,αn+i;αn+1;1)i!(ni)!(αn+i))=Dn1,

provided condition (3.21) is satisfied. Since the eigenfunctions of the Fokker-Planck differential equation are orthogonal with respect to 1/Ps(x) [6], [19], we use the above result to normalize the eigenfunctions fn(x) by calculating the value of Zn using the orthogonal conditions

0Ps(x)fn(x)fm(x)dx=0,for nm,0Ps(x)fn(x)2dx=1Γ(A¯+1)Dn1. (3.23)

Thus, Zn=Γ(A¯+1)Dn. We also note here that the eigenvalues derived in (3.19) can be obtained from the integral [19] as

rn=012g2(x)Ps(x)[dfn(x)dx]2dx,

using (3.9) and (3.10), where g(x) is the diffusion coefficient in (3.1). The solution P(x,t|x0) of (3.2) is obtained as

P(x,t|x0)=Ps(x)n=0Merntfn(x0)fn(x),0<x<. (3.24)

Transforming back to the original variable I using (2.8), we obtain the probability

P(I,t|I0)=P(x(I),t|x(I0))|dxdI|=κC¯A¯+1IA¯(κI)B¯eC¯IκI×n=0MDnernt(C¯I0κI0C¯IκI)nL(n,αn,C¯I0κI0)L(n,αn,C¯IκI),0<I<κ, (3.25)

and

P(S,t|S0)=κC¯A¯+1(κS)A¯SB¯eC¯(κS)S×n=0MDnernt(C¯(κS0)S0C¯(κS)S)nL(n,αn,C¯(κS0)S0)×L(n,αn,C¯(κS)S),0<S<κ, (3.26)

since S+I=κ.

3.2. Properties of the distribution P(x,t|x0)

We discuss some properties, namely, the mean, median, mode, variance, skewness, moment generating function, and characteristic function for the density function P(x,t|x0).

In general, the j-th moment, μx(j)(t), of the density P(x,t|x0) is given by

μx(j)(t)=0xjP(x,t|x0)dx=n=0MΓ(αn+n+j)Γ(αn+n+1)Γ(A¯+1)Γ(αn+1)n!Znfn(x0)ernt2F1(n,αn+n+j;αn+1;1). (3.27)

The mean μx(1)(t), variance σx2(t)=μx(2)(t)(μx(1)(t))2, and skewness skx(t)=E[(xμx(1))3]/σx3(t), of the distribution P(x,t|x0) can easily be calculated from (3.27) as

μx(1)(t)=n=0MΓ(αn+n+1)2Γ(A¯+1)Γ(αn+1)n!Znfn(x0)ernt2F1(n,αn+n+1;αn+1;1),σx2(t)=n=0MΓ(αn+n+2)Γ(αn+n+1)Γ(A¯+1)Γ(αn+1)n!Znfn(x0)ernt2F1(n,αn+n+2;αn+1;1)(μx(1)(t))2,skx(t)=μx(3)(t)3μx(2)(t)μx(1)(t)+2(μx(1)(t))3(σx2(t))3/2. (3.28)

The mode, modex(t)=arg maxzP(z,t|x0), of the distribution P(x,t|x0) is given by

modex(t)={z>0:n=0Merntfn(x0)Znzn((A¯nz)L(n,αn,z)zL(n1,αn+1,z))=0}, (3.29)

where L(n1,αn+1,z)=L(n,αn+1,z)L(n,αn,z). The median, medianx(t) at time t is the number m¯ such that 0m¯P(x,t|x0)dx=1/2. It satisfies

medianx(t)={m¯>0:n=0Mj=0nerntfn(x0)×ZnΓ(αn+n+1)Γ(αn+1+j)j!(nj)!Γ(A¯+1)(1)jγ(A¯n+1+j,m¯)=12}, (3.30)

where γ(s,x)=0xts1etdt is the lower incomplete Gamma function.

For fixed time t, the moment generating function MGFt(τ)=E(eτxP(x,t|x0)) is given by

MGFt(τ)=n=0MΓ(αn+n)Γ(αn+n+1)Γ(A¯+1)Γ(αn+1)n!(1τ)αn+n×Znfn(x0)ernt2F1(n,αn+n;αn+1;11τ),forτ<1. (3.31)

The characteristic function CFt(τ) can be derived in a similar way.

3.2.1. Limiting distribution and statistics of the distribution P(x,t|x0)

It is easy to show that as t,

P(x,t|x0)Ps(x),μx(1)(t)A¯+1,σx2(t)A¯+1,skx(t)2(A¯+1)1/2,modex(t)A¯, (3.32)

and medianx(t)mˆ, where mˆ is the solution of the equation γ(A¯+1,mˆ)=Γ(A¯+1)/2, and γ(s,x) is the incomplete Gamma function. It follows from (3.32) that the graph of the distribution P(x,t|x0) skewed to the right on the long run with skewness 2(A¯+1)1/2, the mean and variance of the distribution converges to the same value A¯+1 on the long run. The number A¯ appears most (mode) on the long run.

3.3. Properties of the distribution P(I,t|I0)

The j-th moment, μI(j)(t), of the distribution P(I,t|I0) is given by

μI(j)(t)=0IjP(I,t|I0)dI=n=0MκjDnernt(CI0κI0)nL(n,αn,CI0κI0)×0uA¯+jn(u+C¯)jeuL(n,αn,u)du. (3.33)

The mean μI(1)(t), variance σI2(t)=μI(2)(t)(μI(1)(t))2, and skewness skI(t)=E[(IμI(1))3]/σI3(t), of the distribution P(I,t|I0) can easily be calculated from (3.33) as

μI(1)(t)=n=0MκDnernt(CI0κI0)nL(n,αn,CI0κI0)×0uA¯+1nu+C¯euL(n,αn,u)du,σI2(t)=n=0Mκ2Dnernt(CI0κI0)nL(n,αn,CI0κI0)×0uA¯+2n(u+C¯)2euL(n,αn,u)du(μI(1)(t))2,skI(t)=μI(3)(t)3μI(2)(t)μI(1)(t)+2(μI(1)(t))3(σI2(t))3/2. (3.34)

The mode, modeI(t), is the argument, arg maxIP(I,t|I0), of the distribution P(I,t|I0). The median, medianI(t), at time t is the number mˆ such that 0mˆP(I,t|I0)dI=1/2. The number mˆ satisfies the equation

n=0MDnernt(C¯I0κI0)nL(n,αn,C¯I0κI0)0C¯mˆκmˆuA¯neuL(n,αn,u)du=1/2.

For fixed time t, the moment generating function MGFt(τ)=E(eτIP(I,t|I0)) is given by

MGFt(τ)=n=0MDnernt(C¯I0κI0)nL(n,αn,C¯I0κI0)×0uA¯neu(uC¯τκ)u+C¯L(n,αn,u)du. (3.35)

Remark 1

Using change of variable, the stationary distribution

Ps(I)=Ps(x(I))|dxdI|,=κC¯A¯+1Γ(A¯+1)IA¯(κI)B¯eC¯IκI. (3.36)

In this case, the expected number of infection

E[I]=0κIPs(I)dI=κC¯A¯+1Γ(A¯+1)0κ(I1+A¯(κI)B¯)eC¯IκIdI=κ/C¯Γ(A¯+1)0t1+A¯(1+tC¯)1etdt=P0κ1+A¯/2(κC¯)1+A¯/2B¯Γ(2+A¯)ez/2Wp,m(z),

where P0=κ(C¯)A¯+1eC¯Γ(1+A¯), z=C¯, p=1A¯/2, m=(1+A¯)/2 and Wp,m(z)=ez/2zpΓ(1/2p+m)0tp1/2+m(1+tz)p1/2+metdt is the Whittaker function [17]. Since κ=S+I, it follows that E[S]=κE[I].

Remark 2

If R¯0=1, where R¯0 is defined in (2.14), then M=0, A¯=0, B¯=2, P(x,t|x0)Ps(x)ex, 0<x<, P(I,t|I0)Ps(I)κC¯(κI)2eC¯IκI, 0<I<κ and Ps(S)κC¯S2eC¯(κS)S, 0<S<κ. The density function P(x,t|x0)Ps(x)ex, 0<x<, is the Gamma density function Gamma(ν,θ) with ν=θ=1. The number R¯0=1 serves as a threshold at which the distribution P(I,t|I0) becomes stationary. The following graphs show how the distribution Ps(I) changes with respect to the parameters κ and C¯.

Fig. 1 (a) shows trajectories of Ps(I) derived using different values C¯=0.3,1, and 2, but fixed parameter κ=1, for the case R¯0=1. Fig. 1 (b) shows trajectories of Ps(I) derived using different values κ=0.3,0.5, and 1, but fixed parameter C¯=1, for the case R¯0=1. Here, we see that C¯ is the shape parameter and κ is the location parameter.

We can estimate statistically the parameters κ and C¯ using sample of N independent identically distributed random variables {I1,I2,IN} of the stochastic process. Using the maximum likelihood estimation techniques, we find the maximum likelihood estimates C¯ˆ and κˆ of C¯ and κ satisfy

{C¯ˆ=(1Nj=1NIjκˆIj)1,0=Nκˆ+C¯ˆj=1NIj(κˆIj)22j=1N1κˆIj.

Define

s±=(2A¯C¯)κ±(2A¯C¯)2κ2+8A¯κ24. (3.37)

In this case, the probability distribution Ps(I) is increasing and decreasing on the intervals (s,s+) and (0,κ)\(s,s+), respectively.

From (3.20), it follows that the probability distribution exists if R¯01=βκ(μ+γ)σ2κ2/2μ+γ0 and do not exist if R¯01<1.

Figure 1.

Figure 1

Graphs of the probability distribution P(I,t|I0)=Ps(I) for the case where R¯0=1.

Remark 3

Effect of noise in the system. As the noise intensity in the transmission rate of disease increases (that is, as σ), we see that A¯1 (and hence M0), B¯1, C¯0 and the probability distribution P(I,t|I0) behaves like the probability density function Pσ(I)=ϵI(κI), where ϵ=limσκCA¯+1Γ(A¯+1). This effect is shown numerically in Fig. 4. This distribution is the special case of the Beta distribution, Beta(a,b), where a=b=0. As σ, the graph of the distribution concaves up with global minimum 4ϵ/κ2 at I=κ/2 and increases (decreases) as I>κ/2 (I<κ/2). This distribution has no mean and variance. In summary, we conclude that increasing the noise intensity affects the distribution of the average number of infections in the system. The end-point behavior of the distribution suggests that as the noise intensity tends to ∞, the distribution P(I,t|I0) as the number of infected individuals reduces to 0 or increases to total size of population, κ.

Figure 4.

Figure 4

Graphs of the probability distribution of Infection at time t showing the effect of noise in the system.

3.3.1. Limiting distribution and statistics of the distribution P(I,t|I0)

It is easy to show that as t,

P(I,t|I0)Ps(I),μI(1)(t)κΓ(A¯+1)0uA¯+1u+C¯eudu,σI2(t)κ2Γ(A¯+1)0uA¯+2(u+C¯)2euduκ2Γ(A¯+1)2(0uA¯+1u+C¯eudu)2. (3.38)

The limiting skewness of the distribution can be calculated using the limit μI(j)(t)κjΓ(A¯+1)0uA¯+j(u+C¯)jeudu of the j-th moment. Also median(t)mˆ, where mˆ is the solution of the equation

1Γ(A¯+1)0C¯mˆκmˆuA¯neuL(n,αn,u)du=1/2.

The stationary distribution Ps(I) is given in (3.36) and greatly studied in Mendez [10].

4. Results

We apply the distribution using the published influenza parameters in Mummert and Otunuga [11]. The parameters are associated with influenza data ‘Influenza Positive Tests Reported to CDC by Public Health Laboratories’ collected from the Center for Disease Control and Prevention (CDC1) Flu View for the thirteen influenza seasons 2004-2005 through 2016-2017.2 The death rate, μ is collected from CIA.3

4.1. Probability distribution of infection at time t for the case where R¯0=1

In addition to the result in Fig. 1, we use published influenza parameters in Table 1 to show how the graph of the probability distribution P(I,t|I0=0.05) changes with respect to certain parameters. Fig. 2 (a), (b), (c) and (d) shows graphs of the probability distribution P(I,t|I0=0.05) derived using parameters (β=1.1252, σ=0.5; M=0, R0=1.1250), (β=1.5002, σ=1; R0=1.5), (β=2.1252, σ=1.5; R0=2.1248) and (β=4.1252, σ=2.5, R0=4.1244), respectively. In each case, R¯0=1, κ=1 and M=12(A¯+1)=1/2=0. From (3.19), the value M=0 represents an eigenvalue of zero. In this case, the probability distribution P(I,t|I0=0.05) reduces to the one discussed in Remark 2. We note here that the distribution is not dependent on the transmission rate, β, since A¯=0. We also note from Remark 2 that these graphs correspond to the stationary probability distribution Ps(I) (with A¯=0). The graph increases on the interval (s,s+) and decreases on the interval (0,κ)\(s,s+), where s± is defined in (3.37).

Table 1.

Parameter values selected from [11].

Parameter Description Value Source
γ temporary recovery rate (week−1) 1 [11]
μ death rate (week−1) 0.0002 CIA3
Λ recruitment rate (week−1) μ [11]
β transmission rate [1.1,455.6] (extracted from [11])
σ noise intensity [0.04,0.4]×β (extracted from [11])

Figure 2.

Figure 2

Graphs of the probability distribution of Infection at time t for the case where R¯0=1.

4.2. Probability distribution of infection at time t for the case where M=1

Fig. 3 (a), (b), (c) and (d) shows the graphs of the probability distribution P(I,t|I0=0.05) of the number of infections at time t for the case M=1 using parameters in Table 1 with (β=1.1127; σ=0.3; M=1, R0=1.1125), (β=1.5392, σ=0.7, M=1, R0=1.5389), (β=2.7747, σ=1.3, M=1, R0=2.7741), and (β=6.5547, σ=2.3, M=1, R0=6.5534), respectively.

Figure 3.

Figure 3

Graphs of the probability distribution of Infection at time t for the case M = 1.

4.3. Probability distribution P(I,t|I0) showing the effect of noise in the system

Fig. 4 (a), (b), (c) and (d) shows graphs of the probability distribution P(I,t|I0=0.05) of the number of infections at time t using parameters in Table 1 with (σ=1; β=2), (σ=2; β=2), (σ=4; β=2), and (σ=20; β=2), respectively. The Figure shows how the shape of the distribution changes as the noise intensity, σ, increases. We recall from Remark 3 that as σ, M0 and P(I,t|I0)ϵI(κI). Here, σ behaves like the shape parameter.

4.4. Statistic results for the distribution P(x,t|x0))

Fig. 5 (a) and (b) shows the graphs of the mean of the distribution P(x,t|x0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the mean function, μx(1)(t), given in (3.28) as a function of time, while the dashed line is the horizontal line representing the limit limtμx(1)(t) of the mean function. This value is derived in (3.32) to be A¯+1.

Figure 5.

Figure 5

Mean of the distribution P(x,t|x0) at time t.

Fig. 6 (a) and (b) shows the graphs of the variance of the distribution P(x,t|x0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the variance function, σx2(t), given in (3.28) as a function of time, while the dashed line is the horizontal line representing the limit limtσx2(t) of the variance function. This value is derived in (3.32) to be A¯+1.

Figure 6.

Figure 6

Variance of the distribution P(x,t|x0) at time t.

Fig. 7 (a) and (b) shows the graphs of the skewness of the distribution P(x,t|x0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the skewness function, skx(t), given in (3.28) as a function of time, while the dashed line is the horizontal line representing the limit limtskx(t) of the skewness function. This value is derived in (3.32) to be 2(A¯+1)1/2.

Figure 7.

Figure 7

Skewness of the distribution P(x,t|x0) at time t.

Fig. 8 (a) and (b) shows the graphs of the mode of the distribution P(x,t|x0) at time t using parameters in Table 1 with (β=2; σ=0.4), (β=2.7; σ=0.6), respectively. The thick line is the trajectory of the mode function, modex(t), described in (3.29), while the dashed line is the horizontal line representing the limit limtmodex(t) of the mode function given in (3.32) to be A¯.

Figure 8.

Figure 8

Mode of the distribution P(x,t|x0) at time t.

Fig. 9 (a) and (b) shows the graphs of the median of the distribution P(x,t|x0) at time t using parameters in Table 1 with (β=1.7; σ=0.5), (β=2; σ=0.5), respectively. The thick line is the trajectory of the median function, medianx(t), described in (3.30), while the dashed line is the horizontal line representing the limit limtmedianx(t) of the median function.

Figure 9.

Figure 9

Median of the distribution P(x,t|x0) at time t.

4.5. Statistic results for the distribution P(I,t|I0=0.05))

Fig. 10 (a) and (b) shows the graphs of the mean of the distribution P(I,t|I0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the mean function, μI(1)(t), described in (3.34), while the dashed line is the horizontal line representing the limit limtμI(1)(t) of the mean function described in (3.38).

Figure 10.

Figure 10

Mean of the distribution P(I,t|I0) at time t.

Fig. 11 (a) and (b) shows the graphs of the variance of the distribution P(I,t|I0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the variance function, σI2(t), given in (3.34) as a function of time, while the dashed line is the horizontal line representing the limit limtσI2(t) of the variance function. This value is derived in (3.38).

Figure 11.

Figure 11

Variance of the distribution P(I,t|I0) at time t.

Fig. 12 (a) and (b) shows the graphs of the skewness of the distribution P(I,t|I0) at time t using parameters in Table 1 with (β=1.7; σ=0.5) and (β=1.7; σ=0.8), respectively. The thick line is the trajectory of the skewness function, skI(t), given in (3.34) as a function of time, while the dashed line is the horizontal line representing the limit limtskI(t) of the skewness function described in Section 3.3.1.

Figure 12.

Figure 12

Skewness of the distribution P(I,t|I0) at time t.

Fig. 13 (a) and (b) shows the graphs of the mode of the distribution P(I,t|I0) at time t using parameters in Table 1 with (β=2; σ=0.5), (β=2.7; σ=0.7), respectively. The thick line is the trajectory of the mode function, modeI(t), described in Subsection 3.3, while the dashed line is the horizontal line representing the limit limtmodeI(t) of the mode function given in Section 3.3.1.

Figure 13.

Figure 13

Mode of the distribution P(I,t|I0) at time t.

Fig. 14 (a) and (b) shows the graphs of the median of the distribution P(I,t|I0) at time t using parameters in Table 1 with (β=1.7; σ=0.5), (β=2; σ=0.5), respectively. The thick line is the trajectory of the mode function, medianI(t), described in Subsection 3.3, while the dashed line is the horizontal line representing the limit limtmedianI(t) of the mode function given in Section 3.3.1.

Figure 14.

Figure 14

Median of the distribution P(I,t|I0) at time t.

5. Conclusion

We studied how infection is being distributed in a population. By extending the well known deterministic SIS model into a stochastic model, we derive the closed form probability distribution of the number of infected individuals at a particular time t using the Fokker-Planck equation. Under certain transformation, the differential equation governing the probability density function (PDF) reduces to a Kummer/Laguerre differential equation. As the noise intensity σ increases, the distribution P(I,t|I0) behaves like the Beta distribution Beta(0,0). Increasing the noise intensity σ affects the distribution of the number of infections. We note that the stationary probability distribution Ps(I) exists only for the case where R0>1, where R0 is defined in (1.4) as the average number of secondary infection produced by an infected individual when introduced into a completely susceptible population. Also, we showed that the number R¯0=1 serves as a threshold at which the distribution P(I,t|I0) becomes stationary distribution Ps(I), and that the distribution increases (decreases) in this case on the interval (s,s+) ((0,κ)\(s,s+)). The limiting distribution and statistics of the distribution at time t are calculated. The result is applied to U.S. Influenza data for the seasons 2004-2017.

Declarations

Author contribution statement

Olusegun Michael Otunuga: Conceived and designed the analysis; Analyzed and interpreted the data; Contributed analysis tools or data; Wrote the paper.

Funding statement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Competing interest statement

The authors declare no conflict of interest.

Additional information

No additional information is available for this paper.

Footnotes

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