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. 2020 Jul 6;6(4):105. doi: 10.1007/s40819-020-00860-z

Stability Analysis and Optimal Control for Yellow Fever Model with Vertical Transmission

UA Danbaba 1, SM Garba 1,✉
PMCID: PMC7336115  PMID: 32835032

Abstract

In this study, a deterministic model for the transmission dynamics of yellow fever (YF) in a human–mosquito setting in the presence of control measures is constructed and rigorously analyzed. In addition to horizontal transmissions, vertical transmission within mosquito population is incorporated. Analysis of the mosquito-only component of the model shows that the reduced model has a mosquito-extinction equilibrium, which is globally-asymptotically stable whenever the basic offspring number (N0) is less than unity. The vaccinated and type reproduction numbers of the full-model are computed. Condition for global-asymptotic stability of the disease-free equilibrium of the model when N0>1 is presented. It is shown that, fractional dosing of YF vaccine does not meet YF vaccination requirements. Optimal control theory is applied to the model to characterize the controls parameters. Using Pontryagin’s maximum principle and modified forward–backward sweep technique, the necessary conditions for existence of solutions to the optimal control problem is determined. Numerical simulations of the models to assess the effect of fractional vaccine dosing on the disease dynamics and global sensitivity analysis are presented.

Keywords: Yellow fever virus, Basic offspring number, Vaccination reproduction number, Metzler matrix, Stability analysis, Optimal control

Introduction

Yellow fever (YF) is an acute viral haemorrhagic fever that is transmitted by mosquitoes of the Aedes and Haemogogus species. It is endemic in Africa, Central and South America, where approximately one billion people in fourty seven countries are at risk. Symptoms of the disease include fever, headache, jaundice, muscle pain, nausea, vomiting and fatigue  [5, 44, 47, 48]. In broad terms, YF can either be jungle or urban. Jungle YF occurs in tropical rain-forest. In Africa, it is usually transmitted by Aedes africanus while in South America by Haemagogus species  [6, 47, 48]. Urban YF is transmitted by Aedes aegypti, that it characterized by rapid amplification, capacity for international spread and has devastating effect on public health, socio-economic and political life  [47]. Once a mosquito is infected, it lives with the disease for the rest of its life and hence they can be considered as the reservoir for the virus. On the other hand, monkeys have brief viremia and can be considered to be amplifying hosts  [6].

Unfortunately, the threats posed by YF have largely been forgotten, just a bit more than a century ago, it was a source of terror, decimating populations of cities, destroying economies and driving political chaos. Extensive, repeated epidemics in North American and European port cities during the 18th and 19th centuries spread panic, shutting down affected cities and killing hundreds of thousands of people  [47]. Despite the availability of very effective YF vaccine, the disease has however continuously persist in Africa and South America, often with high mortality rate  [5]. In general terms, fourty seven countries are either YF endemic or have some regions that are YF endemic, thirty four of those countries are in Africa with thirteen in South and Central America. A modeling study based on African data sources estimated that, the burden of YF in the year 2013 was between 84,000 to 170,000 severe cases, and 29,000 to 60,000 deaths  [47].

Vertical transmission of YF virus occurs when orally infected female mosquitoes pass the virus to their progeny (transovarial transmission)  [13]. First evidence of vertical transmission of YF virus was reported as far back as 1997  [20]. Apart from experimental proof for the vertical transmission of YF, entomological surveys also provide more evidences of vertical transmission of YF virus in mosquitoes. The virus was isolated from wild mosquitoes and recently emerged adults from larvae collected in the field  [13]. In fact, during dry seasons (when mosquito breeding is not favorable), YF virus survival can be attributed to vertical transmission from infected female mosquitoes to their eggs, at which point the viral particles are stable for long periods and can be reactivated when the progeny emerges under better conditions  [6, 45]. Thus, vertical transmission is incorporated in this study.

There is no specific treatment for YF infection, but care to specifically treat cases of dehydration, liver failure, fever and kidney failure is often administered to improve outcomes. Thus, early detection and good supportive treatment in hospitals improve possibility of survival. In the case of bacterial infections, it can also be treated with antibiotics  [48]. Mosquito control is an important (perhaps the most important) component of preventing and controlling transmission of vector borne diseases. It requires knowledge of both mosquito biology and local conditions to be used in choosing the best interventions (habitat modification, water management, sanitation or pesticides) on a site-specific basis  [42]. In this study, we only consider the use of pesticides, which can be achieved either by the use of adulticides (agents to clear adult mosquitoes) or larvicides (agents aimed at eliminating potential mosquito breeding sites)  [42, 48]. Adulticides are most often applied as a very fine ultra low-volume (ULV) droplet spray from a truck or aircraft, it is usually organophosphate insecticides and/or synthetic pyrethroids and their combinations  [40, 42]. Some larvicide agents are specific to mosquitoes and when use according to directions will have relatively little impact on the environment and human health. They can prevent the emergence of adult mosquitoes for up to 1 month, which decreases labour costs  [42].

After the isolation of YF in 1927, there were unsuccessful efforts to produce inactivated vaccines in the early twentieth century, thus, subsequent developments focused on live virus products and yield the production of a safe, effective vaccine against YF called the 17D strain (originally developed by Theiler and Smith in 1936)  [5, 33]. One vaccine dose can provide life-long immunity at an affordable rate of 1 US dollar. Angola was in 2016 hit by an unprecedented outbreak of urban YF which spread to beyond its boarders and generates local transmissions. The epidemic creates an urgent need for more than 28 million doses of YF vaccines, the demand exhausted the existing global vaccine supply. It also diverted health authorities from tackling other important public health issues, which impacted on health care delivery in general  [47, 48]. In order to ensure adequate supply of vaccine especially in high risk regions, the Eliminate Yellow Fever Epidemics (EYE) strategy, steered by World Health Organization, UNICEF and Gavi, the Vaccine Alliance was inaugurated. The vision of EYE is to have a world without YF epidemics. Its mission is to coordinate international action and help countries at risk of the disease to prevent outbreaks and prepare for the inevitable cases, to minimize suffering, damage and spread through early and reliable detection as well as a rapid and appropriate response. The initiative has three strategic objectives: they include protecting at-risk populations, preventing international spread, and containing outbreaks rapidly  [47].

Yellow fever has attracted less modeling studies when compared with other mosquito borne diseases such as malaria, dengue, West Nile and Zika virus. To study population dynamics of Aedes aegypti (mosquitoes responsible for YF transmission), Dye  [17] proposed an appropriate continuous time model that described a field population of adult Aedes aegypti mosquito. Recently, Martorano et al., constructed and analysed a compartmental model for the transmission of YF with vaccination  [32], although vertical transmission is not accounted for in their model, both aquatic and non-aquatic stages of mosquito development were considered. An urban YF epidemic model was also formulated and used to study the 2016 YF outbreak in Luanda, Angola by Zhao et al.  [50]. Their model successfully fits the time series of weekly reported YF cases and deaths during the epidemic in Angola  [50]. Monica et al.  [34] looked at a YF model in a human-vector-primate setting with vaccination in human population. To estimate the incubation periods of YF virus in both human and mosquito populations, four statistical models of incubation periods were fitted with historical data in  [26].

In this work, we extend the model in  [32] by incorporating vertical transmission in mosquito population. In addition to vaccination of susceptible humans, the proposed model also incorporates the use of treated bed nets, larvicides and adulticides in mosquito control. The work is organized as follows: Introduction and short review of relevant literature is presented in “Introduction” section. A deterministic model for the transmission dynamics of YF is constructed and analyzed for its basic dynamical features in “Model Formulation” section. Analyses of the full model is provided in “Analysis of the Full Model” section. Threshold quantities and stability analysis of equilibria are also explored in this section. Optimal control form of the model is presented and analyzed in “YF Model for Optimal Control” section. Sensitivity analysis and numerical simulations are presented in “Sensitivity Analysis and Numerical Simulation” section.

Model Formulation

Following compartmental modeling approach, the total human population at time t, denoted by, NH(t), is divided into five mutually exclusive compartments of susceptible (SH(t)), vaccinated (VH(t)), exposed (EH(t)), infected (IH(t)) and recovered (RH(t)) humans. So that

NH(t)=SH(t)+VH(t)+EH(t)+IH(t)+RH(t).

Mosquito population is split into aquatic (immature) and non-aquatic (mature) stages. For mathematical tractability, different development stages of the aquatic mosquito population (eggs, larvae and pupae) are lumped into a single compartment A(t). Furthermore, to incorporate vertical transmission, the aquatic mosquito population are further divided into infectious (AI(t)) and non-infectious (AN(t)) mosquitoes. So that the total mosquito population at the aquatic stage at time t, is given by

A(t)=AI(t)+AN(t).

Similarly, the total mosquito population at non-aquatic stage (adult) at time t, denoted by NV(t), is sub-divided into susceptible (SV(t)) and infectious (IV(t)) mosquitoes. So that

NV(t)=SV(t)+IV(t).

Incidence Function

The frequency-dependent (standard) incidence function is the most widely used form of incidence in vector borne disease models. Infection from mosquitoes to humans occur after an infectious mosquito bites a susceptible human at a rate bVH, let ρVH be a transmission probability from an infectious mosquito to susceptible human, then the infection rate of humans is βVH=ρVHbVH. Therefore the force of infection in humans is given by

λH=ρVHbVHIVNV=βVHIVNV. 1

Similarly, let βHV=ρHVbHV be the rate at which susceptible mosquitoes acquire infection from infectious human, where ρHV is the probability of transmission from an infectious human to a susceptible mosquito and bHV is the biting rate of a susceptible mosquito. Then the force of infection in mosquito population (due to horizontal transmission) is given by

λV=ρHVbHVIHNH=βHVIHNH. 2

Since mosquitoes bite both susceptible and infected humans, for the total number of bites to be conserved, it is assumed that the total number of bites by the mosquitoes must be equal to the total number of bites received by humans (and this depends on the total sizes of the populations of humans and mosquitoes), see  [8, 10, 12, 21, 22, 36]. Thus

βVH(NH,NV)NH=βHVNV,so that,NV=βVH(NH,NV)βHVNH, 3

Substituting Eq. (3) into Eq. (1), we have

λH=βHVIVNH. 4

The population of susceptible humans is generated by birth (or immigration) at a constant rate bH. Fraction of this population are vaccinated at a rate cV, since the vaccine is not perfect, it wanes at a rate ωH. This population is decreased through infection at a rate (1-rBϵB)λH (where rB is the rate of using treated bed-nets and ϵB is the efficacy of bed nets). Natural mortality occurs in all human classes at a rate μH. The population of vaccinated humans is generated by vaccination of susceptible individuals at the rate cV. This population decreases due to waning of vaccine at the rate ωH, by infection at the rate (1-rBϵB)(1-ϵ)λH (where 0<ϵ<1 is a vaccine efficacy) and due to natural death.

The populations of exposed humans (EH) is generated by the infection of susceptible (SH) and vaccinated (VH) humans at the rates (1-rBϵB)λH and (1-rBϵB)(1-ϵ)λH, respectively. These populations reduces by progressing to infectious class at a rates γH, and by natural death.

The populations of infectious humans (IH) is generated by progression of exposed individuals to the infectious class at the rate γH. It decreases by recovery at the rate τH, natural death and disease-induced death at the rate δH. Recovered humans population increases by the recovery of infectious humans at the rate τH and decreases due to natural death.

The population of aquatic mosquitoes (eggs, larvae and pupae) increases through oviposition by reproductive mosquitoes (infected and non-infected) at a rate ϕV. The aquatic mosquitoes mature to adulthood at a rate bV, die naturally at a rate μA and due to the use of larvicides at a rate cL=rLeL (where rL is the rate of applying larvicides and eL is the efficacy of larvicides).

The population of susceptible adult mosquitoes is generated by maturation of non-infectious mosquitoes from the aquatic stage at the rate bV and decreases by infection and move to infectious class at a rate (1-rBϵB)λV, they die naturally at a rate μV and due to the use of adulticides at a rate cA=rAeA (where rA is the rate of applying adulticides and eA is the efficacy of adulticides). Finally, The population of infectious adult mosquitoes is generated by maturation of infected mosquitoes from the aquatic stage at the rate bV and by infection of susceptible mosquitoes. This population is reduced by natural death at the rate μV and due to the use of adulticides at a rate cA.

The time independent YF transmission model with vaccination (and vertical transmission in mosquitoes) is represented by the following system of non-linear ordinary differential equations (a flow diagram of the model is depicted in Fig. 1 and the state variables and parameters of the model are described in Table 1):

graphic file with name 40819_2020_860_Equ5_HTML.gif 5
graphic file with name 40819_2020_860_Equ82_HTML.gif

It is assumed that, all the model parameters are positive and initial conditions are non-negative. In addition, let AN+AI=A so that

dAdt=ϕV(1-AK)[SV+IV]-bVA-μAA-cLA, 6

which is the standard formulation for aquatic mosquitoes with density dependent and independent death rate, see for instance  [15, 16].

Fig. 1.

Fig. 1

Schematic diagram of the model (5)

Table 1.

Description of the variables and parameters for the model (5)

Var. Interpretation
SH Susceptible humans
VH Vaccinated humans
EH Exposed humans
IH Infected humans
RH Recovered humans
AN Non-infected aquatic mosquitoes
AI Infected aquatic mosquitoes
SV Susceptible mosquitoes
IV Infected mosquitoes
NH Total human population
NV Total matured mosquitoes
NM Total mosquito population
Par. Interpretation Range Ref.
cV Successful rate of vaccination 0-0.043   [32, 37, 44]
ϵ Vaccine efficacy 0.8–0.99   [24, 33, 37]
ωH Waning rate of vaccine (0, 1)   [32]
cB Rate of successful use of bed net 0–0.95   [9]
bH Recruitment rate of humans 10–800   [4, 8]
μH Natural death rate of humans 3×10-5–6×10-5   [1, 21, 23, 32]
γH Progression rate of exposed humans 0.167–0.3   [26, 48, 50]
δH Disease induced death rate of humans 0.0001–0.0004   [12, 32]
τH Recovery rate of humans 0.25–0.33   [32, 48, 50]
μA Natural death rate of aquatic mosquito 0.2–0.33   [15, 16]
μV Natural death rate of mosquitoes 0.0287–0.25   [1, 32, 50]
cL Mosquito death rate due to larvicides (0, 1) Assumed
cA Mosquito death rate due to adulticides (0, 1)   [7, 9]
ϕV Mosquito oviposition rate (1, 50)   [2, 15, 16]
ηV Vertical transmission rate (0, 1)   [13, 20]
bV Mosquito maturation rate 0.05–0.1   [2, 15, 16]
K Mosquito carrying capacity 5×101–9.8×107   [4, 32]
bHV Biting rate of mosquitoes 0.3–1   [1, 15, 50]
ρHV Transmission probability from IH to SV 0.5–1   [1, 50]
ρVH Transmission probability from IV to SH 0.1–0.75   [1, 15, 50]
βVH Infection rate of humans 0.03–0.75   [1, 50]
βHV Infection rate of mosquitoes 0.15–1   [1, 50]

Lemma 2.1

The following biologically feasible region of the model (5)

Ω={SH,VH,EH,IH,RH,AN,AI,SV,IV∈R+9:SH+VH+EH+IH+RH≤bHμH,AN≤K,AI≤K,SV+IV≤KbVμV+cA} 7

is positively-invariant and attracting.

Proof

It is easy to see that solution to the system (5) exists locally and it is unique (system (5) is C1 in R+10). Observe that AN+AI≤K, thus AN(t)≤K and AI(t)≤K. Therefore by Gronwall’s lemma we have

NH(t)≤NH(0)e-μH(t)+bHμH(1-e-μH(t)),NV(t)≤NV(0)e-(μV+cA)(t)+KbVμV+cA(1-e-(μV+cA)(t)), 8

which are bounded and hence solution exists for all t≥0. In addition, NH(t)≤bHμH if NH(0)≤bHμH and NV(t)≤KbVμV+cA if NV(0)≤KbVμV+cA. Consequently, solution of the system (5) with initial condition in Ω remains in Ω for all t>0 (the ω-limits set of the system are contained in Ω). □

Having obtained the positively-invariant and attracting domain for the system (5), it is sufficient to consider the asymptotic properties of dynamics of the flow generated by the system.

Mosquito-Only Equilibria

Consider the mosquito component of the model given by (5) in the absence of interaction with humans. By direct computation, we obtained a threshold termed as the basic offspring number (N0) given by

N0=ϕVbV(bV+μA+cL)(μV+cA). 9

It is defined as the average number of offspring produced by a female mosquito in her entire lifespan in the absence of interaction with humans. It can be interpreted as follows. The average time spent by mosquito in the aquatic stage is given by 1bV+μA+cL, where bV is the rate at which aquatic mosquitoes mature into an adult mosquito, so that the probability that an aquatic mosquito develops into an adult female mosquito is given by

bVbV+μA+cL. 10

The average life expectancy of an adult female mosquito is given by 1μV+cA, so that the average eggs laid by an adult female mosquito throughout her life span is given by

ϕVμV+cA. 11

where ϕV is the oviposition rate of a female mosquito.

Thus, the product of (10) and (11) gives (9), the basic offspring number of the mosquito-only population model.

The mosquito component of model (5) has an extinction disease-free equilibrium obtained when N0≤1, denoted by E0, given by

E0=(AN∗,AI∗,SV∗,IV∗)=(0,0,0,0),

and non-extinction disease-free equilibrium obtained when N0>1, denoted by E1, that is given by

E1=(AN∗,AI∗,SV∗,IV∗)=[K1-1N0,0,bVKμV+cA1-1N0,0].

Theorem 2.2

The mosquito extinction equilibrium, E0, is globally-asymptotically stable (GAS) when N0≤1 and unstable otherwise. The equilibrium E1 exists and it is locally-asymptotically stable (LAS) when N0>1.

The proof of the theorem is given in “Appendix A”. The epidemiological implication of Theorem (2.2) is that, if the basic offspring number can be brought to a value below unity, then the mosquito population goes to extinction and horizontal transmission can be avoided. It is worth mentioning that this result is not attainable.

Analysis of the Full Model

Disease-Free Equilibria

The disease-free equilibrium of the model given by (5) depends on N0. If N0≤1 a mosquito extinction DFE (E2) is obtained, while a mosquito persistent equilibrium (E3) is obtained when N0>1. Thus

E2=(SH∗,VH∗,EH∗,IH∗,RH∗,AN∗,AI∗,SV∗,IV∗)=(bH(ωH+μH)K1μH,cVbHK1μH,0,0,0,0,0,0,0),

and

E3=(SH∗,VH∗,EH∗,IH∗,RH∗,AN∗,AI∗,SV∗,IV∗),=[bH(ωH+μH)K1μH,cVbHK1μH,0,0,K1-1N0,0,KbVK51-1N0,0,0],

where K1=cV+ωH+μH, K2=γH+μH, K3=δH+τH+μH, K4=bV+μA+cL and K5=μV+cA.

For the case, when N0<1, the associated reproduction number obtained by linearizing the system about E2 is given by Rvv=ϕVηVbVN0K4K5=ηV. The detail computation is provided in “Appendix B”.

Lemma 3.1

The mosquito extinction DFE given by, E2, is locally-asymptotically stable if the vectorial vertical transmission reproduction number Rvv=ηV≤1 and unstable otherwise  [46].

Remark The DFE, E2, can be shown to be globally-asymptotically stable under the same condition. It is worth mentioning that, the mosquito extinction DFE, E2, is less tractable (due to the absence of mosquito in the population).

For the DFE, E3, obtained in the presence of mosquitoes (N0>1), the vaccinated reproduction number (R0v) is given by

R0v=ηV2+ηV22+βHV2SV∗(1-cB)2γHNH∗K2K3K51-VH∗ϵNH∗, 12

where cB=rBϵB is the rate of reducing contact between humans and mosquitoes through the use of bed nets. The threshold quantity, R0v is the average number of new secondary cases that one infected individuals can produce in a totally naive population, where a fraction of the population is vaccinated. The computation of the threshold is presented in “Appendix C”.

The disease can be controlled in a community through appropriate measures such as reducing the carrying capacity of mosquito population, use of larvicides, adulticides or repellents to the extent of lowering R0v to a value below unity. Effective mosquito control strives to prevent large swarms of adult mosquitoes in an environment through the application of chemical substances called adulticides. They can be applied either aerially or on the ground. Droplets of the chemicals that make physical contact with mosquitoes usually kill them, while large droplets that missed target and settle on surfaces may cause undesirable harm. To achieve small droplets, adulticides are mostly applied in the air as a very fine ultra low-volume (ULV) droplet spray from a truck or aircraft, it is usually organophosphate insecticides and/or synthetic pyrethroids and their combinations  [40, 42]. Through aerial or ground applications of larvicides, large population of aquatic mosquitoes can be killed. This method is often more effective and environmentally friendly than the use of adulticides. It should be noted that, larvicides are only administered at identified suspected breeding sites, where they are expected to clear populations of aquatic mosquitoes, conventional larvicides kill aquatic mosquitoes at every stage and therefore, they can be applied whenever necessarily. Some larvicides agents are specific to mosquitoes and when used according to directions will have relatively little impact on the environment and human health. They can prevent the emergence of adult mosquitoes for up to 1 month, which decreases labour costs [47]. In essence, larvicides can be specific for mosquitoes, they have minimal impact on other organisms and often penetrate even dense objects.

Threshold Analysis and Vaccine Impact

Here we analyse the potential impact of a single dose and a fractional dosing of vaccine. Since not all vaccine have positive impact in a population, it is therefore instructive to first of all assess the impact of vaccine.

In the absence of vaccination (SH∗=NH∗ when VH∗=0), the vaccinated reproduction reduces to

R0=R0v|VH∗=0=ηV2+ηV22+βHV2SV∗(1-cB)2γHNH∗K2K3K5. 13

Notice that R0v≤R0 since VH∗ϵNH∗≥0. Thus, vaccination of individuals will have positive impact in the community by reducing the value of the associated reproduction number R0.

Furthermore, the impact of vaccination can be analysed qualitatively by differentiating R0v with respect to the fraction of vaccinated individuals (V). It can be shown that

∂R0v∂V=-βHV2SV∗(1-cB)2γHϵ2K2K3K5NH∗[ηV2]2+βHV2SV∗(1-cB)2γH(NH∗)2K2K3K5[SH∗+VH∗(1-ϵ)]<0. 14

Thus, R0v is a decreasing function of V. Since the reproduction number measures disease burden, the vaccination will have a positive impact in disease control.

Standard Dosing

Based on the available clinical data  [47], the minimum standard dose administered should preferentially contains 3000 international units (IU)/dose, but no less than 1000 IU/dose.

Let V=VH∗NH∗(V≤1) be the fraction of the vaccinated individuals at steady-state (when standard dose of YF vaccine is issued). Then solving for R0v=1 we obtained

Vc=1ϵ[1-{1-ηV}NH∗K2K3K5βHV2SV∗(1-cB)2γH]. 15

Thus, for the vaccination to be effective in bringing R0v<1, the fraction of vaccinated individuals (Vc) at steady-state must be greater than the vaccinated threshold ratio (V>Vc) defined in Eq. (15). Notice that if ηV=1, that is the case when all eggs laid by infected female mosquitoes are infected, then it is highly unlikely for any vaccine coverage to bring R0v to a value less than unity (in this settings) since the critical vaccination rate reduces to Vc=1ϵ.

Lemma 3.2

The DFE, E3, of the model (5) is locally-asymptotically stable if ηV<1 and V>Vc. It is unstable otherwise.

The proof follows from Theorem 2 of  [46] and the fact that R0v<1 if and only if ηV<1 and V>Vc.

Backward Bifurcation

Consider the model (5) with N0>1. We claim the following result (the proof of the Theorem is presented in “Appendix D”).

Theorem 3.3

The yellow fever model (5) undergoes backward bifurcation at R0v=1 whenever the bifurcation coefficient a, given by (D.3) is positive.

The epidemiological implication of the phenomenon of backward bifurcation is that the classical requirement of R0V<1 is, although necessary, no longer sufficient for the effective control of the disease in the population  [3]. Hence, the presence of backward bifurcation makes the feasibility of the effective control of YF in a population difficult. In the next section, the possible cause(s) of this phenomenon is(are) explored.

Global Asymptotic Stability of E3

Here, a global asymptotic stability of the non-extinction equilibrium, (E3), is presented To confirm the absence of backward bifurcation in the model (5) for a special case when disease induced mortality in human is negligible (δH=0). Consider the model (5) with N0>1 and δH=0.

Lemma 3.4

Consider the subset Ω∗ of Ω defined in (7) given by

Ω∗={SH,VH,EH,IH,RH,AN,AI,SV,IV∈R+9:SH+VH+EH+IH+RH≤bHμH,AN≤K,AI≤K,SV+IV≤KbVμV+cA,SV≤SV∗=KbVμV+cA1-1N0,1-1N0≤AK}.

We claim the following result

Theorem 3.5

The non-extinction equilibrium (E3) of the model (5) is globally-asymptotically stable in the positively invariant set Ω∗ if δH=0 and R0v≤1.

The proof of the Theorem is presented in “Appendix E”. This result shows that, in the absence of disease induced death, the DFE of the model (5) is GAS. Hence, the classical requirement of R0v≤1 is necessary and sufficient condition for disease elimination from the community provided δH=0 (thus, YF will be effectively controlled or eliminated from the population if R0v≤1). This result is consistent with that in  [21], which suggests that disease induced death in humans is the main cause for the emergence of the backward bifurcation phenomenon in this setting.

Fractional Dosing

The best way to stretch vaccine supplies and protect as many people as possible to stop the spread of yellow fever in emergency situations is by using fractional dosing. Based on the available evidence, the Strategic Advisory Group of Experts (SAGE) on Immunization affirms that a fractional dose can be used as part of an exceptional response when there is a large outbreak and a shortage of vaccine  [47, 48]. In the case of dose fractionation, a smaller amount of antigen would be used per dose in order to increase the number of persons who can be vaccinated with a given quantity of vaccine. Studies show that the yellow fever vaccine given as one fifth of the regular dose, still provides full immunity against the disease for at least 12 months and likely longer  [47, 48]. This strategy was previously proposed to extend pre-pandemic influenza vaccine supplies  [49]. Suppose each dose of vaccination is fractioned into m number of doses, so that the efficacy of the fractioned vaccine (eVf) becomes eVf=ϵm, then

Vcf=mϵ[1-{1-ηV}NH∗K2K3K5βHV2SV∗(1-cB)2γH]=m×Vc>Vc

and

eVcf=mV[1-{1-ηV}NH∗K2K3K5βHV2SV∗(1-cB)2γH]=m×eVc>eVc.

Figure 2 shows the simulation of the vaccinated reproduction number as a function of vaccine efficacy with single dose and fractionated threefold. Although when ϵ=0, all the simulations have the same value of R0v=R0 (about 1.143), the vaccinated reproduction number becomes less than unity when the vaccine efficacy, ϵ>0.4 (for a single dose), while for threefold fractionated vaccine, a higher vaccine efficacy, ϵ is required to possibly bring R0v to a value below unity. This result is consistent with those in  [47], which stated that a fractional YF vaccination does not meet YF vaccination requirements under the International Health Regulations (IHR) (Fig. 3).

Fig. 2.

Fig. 2

Vaccinated reproduction number (R0v) as a function of efficacy of vaccination with standard dose and fractionated threefold vaccines

Fig. 3.

Fig. 3

Connected di-graph associated with the matrix A22(x)

Type Reproduction Numbers

For homogeneous population, controlling the basic reproduction number will be sufficient for disease control. In the case of heterogeneous populations (usually vector borne diseases) with more than one host types, control is often targeted at one host. The type-reproduction number (T) is a threshold quantity that correctly determines the critical control effort for a heterogeneous populations  [25]. A method that is used to estimate the required effort(s) for controlling disease by targeting a specific sub-population of hosts, under the premise that infection may pass through other sub-populations before causing secondary infections is described in  [25, 41]. If K is the next generation matrix with large domain and hosts 1, 2 and 3 represent the populations of EH, AI and IV. The type i reproduction number is given by

Ti=eTK(I-(I-P)K)-1e, 16

where I is an identity matrix, P is a projection matrix and e is a unit vector with all elements equal to zero except the ith. Let

K=00k13k14000000k33k34k41k4200,

where

k13=βHVbV(1-cB)[SH∗+(1-ϵ)VH∗]NH∗K4K5,k14=βHV(1-cB)[SH∗+(1-ϵ)VH∗]NH∗K5,K33=ηV,k34=ϕVηVN0K5,k41=βHVSV∗(1-cB)γHNH∗K2K3,k42=βHVSV∗(1-cB)NH∗K3.

Notice that kij is the expected number of cases of type i produced by one infected individual of type j, so that from (16) the type-reproduction number for exposed humans is

T1=k14k41+k13k34k411-k33=βHV2(SV∗)2(1-cB)2(NH∗)2K22+βHV2SV∗(1-cB)2bVγVϕVηV[SH∗+(1-ϵ)VH∗](NH∗)2N0K2K3K4K52(1-ηV).

Observe that R0v<1 implies

βHV2SV∗(1-cB)2[SH∗+(1-ϵ)VH∗](NH∗)2K2K5+ηV<1 17

Thus T1<1 implies R0v<1. Similarly, it can be shown that the infected aquatic mosquito type-reproduction number (T2) satisfies T2<1 and the infectious adult mosquito type-reproduction number (T3) also satisfies T3<1 whenever R0v<1. Ti,(i=1,2,3) is the expected number of cases in compartment i caused by one infected individual of type i in a population where fractions of susceptible individuals are vaccinated, the infection might be directly or through chains of infections passing through individuals of other types, it singles out the required control effort when targeting the population of type i  [25].

YF Model for Optimal Control

Usually, incidences of YF and other vector borne diseases are seasonality dependent with their peaks during warm and rainy seasons, therefore it is reasonable to integrate time dependent controls in the model, the goal of which is to show the possibility of implementing time dependent controls while minimizing implementation cost.

Let the time dependent effort in preventing human–mosquito contacts through the use of treated bed nets be u1(t), so that the contact rate between mosquitoes and humans reduces by a factor (1-u1(t)) where 0≤u1(t)≤1. The effort in vaccinating humans is u2(t):0≤u2(t)≤1. Similarly, the effort in the application of larvicides is u3(t):0≤u3(t)≤1, while that of spraying adulticides is u4(t):0≤u4(t)≤1. For instance, there is no any effort in controlling mosquitoes when u3(t)=u4(t)=0, while aquatic and mature mosquitoes die at maximum possible rates cL and cA respectively, when u3(t)=u4(t)=1. Maximum control is attained by the use of bed nets and vaccination when u1(t)=1 and u2(t)=1, respectively and no effort invested when u1(t)=u2(t)=0. The autonomous system given by (5) is extended to include the aforementioned time dependent controls. Let Φ(t)=ωH(1-u2(t)), then the non-autonomous version of the model (5) is given by

graphic file with name 40819_2020_860_Equ18_HTML.gif 18
graphic file with name 40819_2020_860_Equ83_HTML.gif

Following the non-autonomous system given by (18), an optimal control problem is formulated with the following objective (cost) function.

J(u1(t),u2(t),u3(t),u4(t))=∫0T(B1EH+B2IH+B3A+B4NV+B5cVSH+D1u12+D2u22+D3u32+D4u42)dt. 19

The interval [0, T] represents the time through which various control measures are implemented. The cost incurred due to human infection of YF (which is proportional to the number of infected individuals) over the period of intervention is given by

∫0T(B1EH+B2IH)dt,

where B1 and B2 are positive weight constants associated with exposed and infected humans, respectively. Similarly, the cost due to the presence of mosquitoes in the community, which is proportional to the number of aquatic and adult mosquitoes is given by

∫0T(B3A+B4NV)dt,

where B3 and B4 are positive weight constants. Because of the short supply of YF vaccine, in order to optimize the available vaccines, there is need to minimize the total number of vaccines used over the period of intervention, thus the integral

∫0TB5cV(t)SHdt,

which measures the total number of vaccinated individuals during the period of intervention included in the objective functional, with B5 being a positive weight constant. The positive terms D1, D2, D3 and D4 are weight constants for efforts in the use of bed nets, vaccination, larvicides and adulticides, respectively, and regularize the optimal control. D1u12, D2u22, D3u32, and D4u42 describe the cost associated with the aforementioned prevention and control measures. The degree of the cost functions follow from the non-linearity of controls and the convexity of quadratic functions  [43]. Similar assumption has been used in optimal control problems in epidemiology, see for instance  [7, 29, 35, 39, 43] and some of the references therein.

The aim is to minimize the number of infected humans and total mosquito population while optimizing limited vaccines and keeping the cost of vaccination, use of treated nets and application of pesticides low. Therefore we seek to optimize u1∗, u2∗, u3∗ and u4∗ such that

J(u1∗,u2∗,u3∗,u4∗)=minu1,u2,u3,u4{J(u1,u2,u3,u4)|u1,u2,u3,u4∈G} 20

where

G={(u1,u2,u3,u4)|ui:[0,T]⟶[0,1]is Lebesgue measurable,i=1,2,3,4}

is the control set. The impact of each control does depends on adherence and effort, if for example u1=1, production and distribution of bed nets is at maximum, but its impact also depends on cB, likewise the remaining control functions.

Existence of Optimal Control

The existence of optimal control solution can be established using Theorem 4.1 and Corollary 4.1 of  [19].

Theorem 4.1

There exist an optimal control u1∗, u2∗, u3∗, u4∗ and corresponding solution SH∗, VH∗, EH∗, IH∗, RH∗, AN∗, AI∗, SV∗ and IV∗ that minimizes J(u1,u2,u3,u4) over G.

Proof

Clearly the set of controls and state variables are non-empty and the control set G is closed and convex. The integrand of the objective functional is convex on G. Furthermore, the model is linear in the control variables and bounded by a linear system in the state variables, thus, the existence of an optimal control is guaranteed  [7, 19]. □

Optimality System

The necessarily conditions that optimal controls and their corresponding states must satisfy are derived using Pontryagin’s Maximum Principle  [35, 38], where the problem of finding time-dependent control variables u1∗(t), u2∗(t), u3∗(t) and u4∗(t) that minimize J is equivalent to the problem of minimizing the Hamiltonian function defined as

H(t,x,u,λ)=g(t,x,u)+λ(t)f(t,x,u)

where g(t,x,u) is the integrand of the objective functional (19) and λ(t) is the adjoint vector such that λ(t)=(λSH(t),λVH(t),λEH(t),λIH(t),λRH(t),λAN(t),λAI(t),λSV(t),λIV(t)) satisfies

dλSHdt=-∂H∂SH,dλVHdt=-∂H∂VH,…,dλIVdt=-∂H∂IV.

The optimality equation is given by

∂H∂u1=∂H∂u2=∂H∂u3=∂H∂u4=0,

and transversality conditions as λSH(T)=λVH(T)=…=λIV(T)=0. Therefore,

H=B1EH+B2IH+B3A+B4NV+B5cVSH+D1u12+D2u22+D3u32+D4u42+λSH[bH+Φ(t)VH-cVu2(t)SH-βHV(1-u1(t))(1-cB)IVNHSH-μHSH]+λVH[cVu2(t)SH-βHV(1-u1(t))(1-cB)(1-ϵ)IVNHVH-Φ(t)VH-μHVH]+λEH[βHV(1-u1(t))(1-cB)IVNH{SH+(1-ϵ)VH}-γHEH-μHEH]+λIH[γHEH-δHIH-τHIH-μHIH]+λRH[τHIH-μHRH]+λAN[ϕV(1-AK)[SV+(1-ηV)IV]-bVAN-μAAN-u3(t)cLAN]+λAI[ϕVηV(1-AK)IV-bVAI-μAAI-u3(t)cLAI]+λSV[bVAN-βHV(1-u1(t))(1-cB)IHNHSV-μVSV-u4(t)cASV]+λIV[βHV(1-u1(t))(1-cB)IHNHSV+bVAI-μVIV-u4(t)cAIV], 21

where λSH,...λIV are adjoint functions.

Theorem 4.2

Given an optimal control (u1∗,u2∗,u3∗,u4∗) and the corresponding state solutions of the non-autonomous system given by (18), there exist adjoint functions satisfying

dλSHdt=μHλSH+u2(t)cV[λSH-λVH]+βHV(1-u1(t))(1-cB)[λSH-λEH]IVNH+βHV(1-u1(t))(1-cB)[λIV-λSV]IHSV(NH)2+βHV(1-u1(t))(1-cB)[λEH-λSH]IVSH(NH)2+βHV(1-u1(t))(1-cB)(1-ϵ)[λEH-λVH]IVVH(NH)2-B5cV,dλVHdt=μHλVH+βHV(1-u1(t))(1-cB)[λEH-λSH]IVSHNH2+βHV(1-u1(t))(1-cB)[λIV-λSV]IHSVNH2+βHV(1-u1(t))(1-cB)(1-ϵ)IVNH[λVH-λEH]+βHV(1-u1(t))(1-cB)(1-ϵ)[λEH-λVH]IVVHNH2-ωH(1-u2(t))[λVH-λSH],dλEHdt=μHλEH+γH[λEH-λIH]+βHV(1-u1(t))(1-cB)[λEH-λSH]IVSHNH2+βHV(1-u1(t))(1-cB)[λIV-λSV]IHSVNH2+βHV(1-u1(t))(1-cB)(1-ϵ)[λEH-λVH]IVVHNH2-B1,dλIHdt=(δH+μH)λIH+τH[λIH-λRH]+βHV(1-u1(t))(1-cB)[λEH-λSH]IVSHNH2+βHV(1-u1(t))(1-cB)[λSV-λIV]SVNH+βHV(1-u1(t))(1-cB)(1-ϵ)[λEH-λVH]IVVHNH2+βHV(1-u1(t))(1-cB)[λIV-λSV]IHSVNH2-B2,dλRHdt=μHλRH+βHV(1-u1(t))(1-cB)[λEH-λSH]IVSHNH2+βHV(1-(1-u1(t)))(1-cB)[λIV-λSV]IHSVNH2+βHV(1-u1(t))(1-cB)(1-ϵ)[λEH-λVH]IVVHNH2,dλANdt=(μA+u3cL)λAN+bV[λAN-λSV]+λANϕV(SV+IV)K+IVϕVηVK[λAI-λAN]-B3,dλAIdt=(μA+u3cL)λAI+bV[λAI-λIV]+λANϕV(SV+IV)K+IVϕVηVK[λAI-λAN]-B3,dλSVdt=(μV+u4cA)λSV+βHV(1-u1(t))(1-cB)[λSV-λIV]IHNH-ϕV(1-AK)λAN-B4,dλIVdt=(μV+u4cA)λIV+βHV(1-u1(t))(1-cB)(1-ϵ)[λVH-λEH]VHNH+βHV(1-u1(t))(1-cB)[λSH-λEH]SHNH+(1-AK)ϕVηV[λAN-λAI]-ϕV(1-AK)λAN-B4,

with final time condition as λi(T)=0,i=1,…,9. In addition, the optimal control uj∗,j=1,2,3,4 are given by

u1∗=0,if(βHV(1-cB)2NHD1)Q0<1(βHV(1-cB)2NHD1)Q0,if0<βHV(1-cB)2NHD1Q0<11,if(βHV(1-cB)2NHD1)Q0>0 22

where Q0=(IVSH[λSH-λEH]+IVVH(1-ϵ)[λVH-λEH]+IHSV[λSV-λIV]), while u2∗ is given by

u2∗=0,if(cVSH+ωHVH)2D2[λSH-λVH]<0(cVSH+ωHVH)2D2[λSH-λVH],if0<(cVSH+ωHVH)2D2[λSH-λVH]<11,if(cVSH+ωHVH)2D2[λSH-λVH]>1, 23

also u3∗ is given by

u3∗=0,ifcV2D3(λANAN+λAIAI)<0cV2D3(λANAN+λAIAI),if0<cV2D3(λANAN+λAIAI)<11,ifcV2D3(λANAN+λAIAI)>1, 24

and u4∗ is given by

u4∗=0,ifcL2D4[λSVSV+λIVIV]<0cL2D4[λSVSV+λIVIV],if0<cL2D4[λSVSV+λIVIV]<11,ifcL2D4[λSVSV+λIVIV]>1. 25

Proof

The non-autonomous system given by (18) together with the objective functional given by (19) and (20) are converted into a problem of minimizing the Hamiltonian, H, defined by (21). Therefore applying Pontryagin’s Maximum Principle  [35, 38], the proof follows. □

Sensitivity Analysis and Numerical Simulation

In this section, global sensitivity analysis using partial rank correlation coefficient (PRCC) for the basic offspring number and vaccinated reproduction number are conducted. Numerical simulations for the optimal control model given by (18) is also presented.

Sensitivity Analysis

Local sensitivity analysis is used to provide direct information on the effect of small parameter perturbation, it evaluates the relative change in a function due to change in a single parameter, where other parameters are kept at constant values. It does not indicate the effect of simultaneous large perturbations in all model parameters. Thus, the need for a more robust form of sensitivity analysis for a multidimensional parameter space. The PRCC is a robust sensitivity measure for a non-linear but monotonic relationships between inputs and output, with little correlation between the inputs  [31].

The PRCC of the basic offspring number (N0) and that of the vaccinated reproduction number (R0v) are computed with parameter ranges as presented in Table 1. The PRCC values of the parameters of the YF model, using N0 as the response function are depicted in Fig. 4. The Fig. show that the top parameters that most influences the values of the threshold quantity, N0, are mosquito death rates due to adulticides and larvicides (cA and cL, respectively) and the vertical transmission rate (ηV). It can be be seen from the figure that cA and cL are negatively correlated and ϕV is positively correlated to N0. On the other hand, R0v is most positively correlated to ηV, which is followed by βHV then K, and it is most negatively correlated to cA, cB and then bH as presented in Fig. 5.

Fig. 4.

Fig. 4

Partial rank correlation coefficient plots of the various parameters of the model (5) using N0 as the output function

Fig. 5.

Fig. 5

Partial rank correlation coefficient plots of the various parameters of the model (5) using R0v as the output function

Numerical Simulations

Using the forward–backward sweep method as described in  [30], solution of the optimal control problem can be obtained numerically. An initial guess for the optimal control is used to solve the state system in forward time, after which the guessed optimal control and the obtained solution to the state system are used as input to the adjoint system, which is solved numerically in backward scheme using the transversality condition. The controls are then updated using convex combination of the previous controls and the value from the characterizations.

The following numerical values for the model parameters are used as in Table 1: bH=50; βHV=0.375; cB=0.5; ωH=0.01; μH=0.0000421; cV=0.3; ϵ=0.95; γH=0.3; δH=0.0001; τH=0.143; bV=0.1; ϕV=50; κ=800,000; ηV=0.01; μA=0.22; μV=0.29; cA=0.2; and cL=0.2. For the numerical values of the weight constants in the objective functional J, it is important to note that the choices are made only for simulation purposes, different choices were made and simulated. Simulations for 200 days were carried out. Using initial populations of SH(0)=2000; VH(0)=500; EH(0)=500; IH(0)=200; RH(0)=50; AN(0)=25,000; AI(0)=200; SV(0)=1000 and IV(0)=500, impact of control and that of using different weight constants for the objective function is assessed. In order to regularize the objective function, smaller values were chosen for the coefficients of the populations while larger values for the control functions. Two different scenarios for weight constants are considered, in both instances, minimizing the number of infected humans is given more priority over minimizing adult mosquitoes, then aquatic mosquitoes i.e B2≥B1>B4>B3 but with the same cost (D1=D2=D3=D4), thus we have

  1. Case 1: Simulations of the optimal control model when B1=0.1; B2=0.1; B3=0.001; B4=0.005; B5=0.1; D1=500; D2=500; D3=500; D4=500 is carried out. Control profiles of the model are presented in Figs. 6 and 7. Simulation of the model for the populations of exposed, infected and recovered humans and infected mosquitoes are depicted in Figs. 8 and 9. Figures 8a, b present simulations of the model for populations of exposed and infected humans with and without control, respectively. The figures show that the populations of exposed and infected humans reaches the DFE at a faster rates with control than without control. Figure 9a shows the population of recovered humans where the population with control is larger than those without control, this may be attributed to the fact that recovery confers permanent immunity. Simulation of the model for the population of infectious mosquitoes (both aquatic and non-aquatic) is presented in Figure 9b.

  2. Case 2: In this case, the weight constants are taken to be B1=0.01; B2=0.01; B3=0.0001; B4=0.0005; B5=0.1; D1=50; D2=50; D3=50; D4=50. Similarly, control profiles of the model are depicted in Figs. 10 and 11. The simulation of the model for population of exposed humans shows similar dynamics as that of Case 1 as presented in Fig. 12a. Simulation of model for infected humans, where population with control shoot up before falling to the DFE is presented in Fig. 12b. The population of recovered humans shows wider margin between cases with and without control in this instance compared to Case 1 as depicted in Fig. 13a, also, population of infected mosquitoes sporadically bumps up before reaching DFE as shown in Fig. 13b. Notice that, less effort and less costs are expended (in this case) in comparison to Case 1.

Fig. 6.

Fig. 6

Simulations of the model (18) showing control profiles U1 and U2 for the case when B1=0.1; B2=0.1; B3=0.001; B4=0.005; B5=0.1; D1=500; D2=500; D3=500; D4=500

Fig. 7.

Fig. 7

Simulations of the model (18) showing control profiles U3 and U4 for the case when B1=0.1; B2=0.1; B3=0.001; B4=0.005; B5=0.1; D1=500; D2=500; D3=500; D4=500

Fig. 8.

Fig. 8

Simulations of the model (18) showing exposed humans and infected humans for the case when B1=0.1; B2=0.1; B3=0.001; B4=0.005; B5=0.1; D1=500; D2=500; D3=500; D4=500

Fig. 9.

Fig. 9

Simulations of the model (18) showing recovered humans and populations of infected mosquitoes for the case when B1=0.1; B2=0.1; B3=0.001; B4=0.005; B5=0.1; D1=500; D2=500; D3=500; D4=500

Fig. 10.

Fig. 10

Simulations of the model (18) showing control profiles U1 and U2 for the case when B1=0.01; B2=0.01; B3=0.0001; B4=0.0005; B5=0.1; D1=50; D2=50; D3=50; D4=50

Fig. 11.

Fig. 11

Simulations of the model (18) showing control profiles U3 and U4 for the case when B1=0.01; B2=0.01; B3=0.0001; B4=0.0005; B5=0.1; D1=50; D2=50; D3=50; D4=50

Fig. 12.

Fig. 12

Simulations of the model (18) showing exposed humans and infected humans for the case when B1=0.01; B2=0.01; B3=0.0001; B4=0.0005; B5=0.1; D1=50; D2=50; D3=50; D4=50

Fig. 13.

Fig. 13

Simulations of the model (18) showing recovered humans and populations of infected mosquitoes for the case when B1=0.01; B2=0.01; B3=0.0001; B4=0.0005; B5=0.1; D1=50; D2=50; D3=50; D4=50

Conclusion

A deterministic model for the transmission dynamics of yellow fever in a population is constructed and rigorously analysed. The model with standard incidence formulation incorporates the use of treated bed nets and vaccination as forms of prevention in humans, while the use of larvicides and adulticides are used in controlling mosquito population. Some of the key results obtained include:

  • The mosquito-only model has a threshold quantity called the basic offspring number (N0) which described the extinction or persistence of mosquito population.

  • The model has two disease-free equilibriums, the mosquito-extinction equilibrium (E2) which is globally-asymptotically stable (GAS) when the basic offspring number (N0) is less than unity and the non-mosquito-extinction equilibrium, (E3), which is locally-asymptotically stable when R0v≤1.

  • The YF model undergoes the phenomenon of backward bifurcation (a dynamic phenomenon characterized by the co-existence of two stable attractors when the associated reproduction number of the model is less than unity). A condition for the emergence of this phenomenon have been identified.

  • The DFE, E3, of the model is shown to be GAS in the positively-invariant region Ω, provided RHVRVHN0NH∗(δH+μH)(N0-1)bH+RVVN0<1.

  • For standard dosing of YF vaccine, a high vaccine efficacy (at-least 40%) would be required to reduce R0v to value below unity.

  • Fractional dosing of YF vaccine does not meet YF vaccination requirements of yellow fever elimination. This result is consistent with that of International Health Regulations (IHR). However, the vaccine will always have a positive impact in a community.

  • Using Pontryagin’s maximum principle and modified forward–backward sweep technique, the necessary conditions for existence of solutions to the optimal control problem is determined.

  • Numerical simulations of the non-autonomous model (with optimal control) using different weight constants show that slight increase in control effort show wide difference in the impact of control.

  • Using sensitivity analysis, it is shown that the vaccinated reproduction is most sensitive and positively correlated to the rate of vertical transmission, thus making it the most important parameter to target in controlling the disease.

Acknowledgements

The authors acknowledge with thanks to the support of South African DST/NRF SARChI chair on Mathematical Models and Methods in Bioengineering and Biosciences (M3B2) and DST-NRF Centre of Excellence in Mathematical and Statistical Sciences (CoE-MaSS). The authors are grateful to the anonymous reviewers and the Handling Editor for their very constructive comments.

Appendix A: Proof of Theorem 2.2

Proof

Let f:Ω∗⟶R4 be continuous, where Ω∗⊆Rn. Consider a system given by x˙=f(x), we use the following theorem in  [2] in the proof of Theorem 2.2□

Theorem 5.1

  [2] Let a,b∈Ω∗ be such that a<b, [a,b]⊆Ω∗ and f(b)≤0≤f(a). Then x˙=f(x) defines a (positive) dynamical system on [a, b]. Moreover, if [a, b] contains a unique equilibrium q then q is globally asymptotically stable on [a, b].

By rewriting the mosquito component of (5) in the form of x˙=f(x) and considering the interval [a,b]=[0,b]∈R+2, where b=(q,(bV+μA+cL)qϕV) with q>0. Clearly f(a)=f(0)=0 while

f(b)=-q2K[bV+μA+cL]bVq[1-1N0]<0providedN0≤1. A.1

Therefore f(b)≤0≤f(0) provided N0≤1, thus by Theorem (5.1), the mosquito component of the system given by (5) defines a positive dynamical system on [0, b], moreover, the equilibrium (E0) is GAS on [0, b]. Because q is arbitrary, b can be chosen such that its bigger than any x∈R+2. Hence the result holds on R+2. The second part of the proof follows by linearization. □

Appendix B: Computation of mosquito extinction basic reproduction number

For E2, the matrix of new infection terms and that of transition terms are respectively given by

F=000βHV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗0000000ϕVηVN00βHV(1-cB)SV∗NH∗00,V=K2000-γK30000K4000-bVK5. B.1

The next generation matrix with large domain (KL=FV-1) is

KL=00βHVbV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K4K5βHV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K5000000ϕVbVηVN0K4K5ϕVηVN0K50000, B.2

Thus using the approach of  [14] with an auxiliary matrix E, the NGM (K) is

K=ETKLE=ETFV-1E=0βHVbV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K4K50ϕVηVbVN0K4K5, B.3

where

E=10000100,

Therefore the mosquito extinction basic reproduction number, which is the dominant eigenvalue of K is Rvv=ϕVηVbVN0K4K5=ηV.

Appendix C: Computation of vaccinated reproduction number

For the case of E3, applying similar method to that of Appendix B, the NGM with large domain KL is given by

00βHVbV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K4K5βHV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K5000000ϕVηVbVN0K4K5ϕVηVN0K5βHVSV∗(1-cB)γHNH∗K2K3βHVSV∗(1-cB)NH∗K300. B.1

Thus using the approach of  [14] with an auxiliary matrix E, the NGM (K) is

K=0βHVbV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K4K5βHV(1-cB)[SH∗+VH∗(1-ϵ)]NH∗K50ϕVηVbVN0K4K5ϕVηVN0K5βHVSV∗(1-cB)γHNH∗K2K300, B.2

where

E=100000010001.

Thus, the vaccinated reproduction number which is the dominant eigenvalue of K is given by

R0v=ηV2+ηV22+βHV2SV∗(1-cB)2γHNH∗K2K3K51-VH∗ϵNH∗ B.3

Appendix D: Proof of Theorem 5.3 Backward bifurcation

Proof

We apply a method which is based on the Centre Manifold Theory  [11, 46] to prove the existence of backward bifurcation for the model (5). Let,

(SH,EH,IH,RH,AN,AI,SV,IV)=(x1,x2,x3,x4,x5,x6,x7,x8),

so that the total human and mosquito populations are:

NH=x1+x2+x3+x4,andNV=x5+x6+x7+x8.

The transformed model (5) is represented by,

dx1dt=bH-σx1-(βHV(1-u)x9x1+x2+x3+x4+x5)x1-μHx1,dx2dt=σx1-(βHV(1-u)(1-ϵ)x9x1+x2+x3+x4+x5)x2-μHx2,dx3dt=βHV(1-u)x9(x1+x2(1-ϵ)x1+x2+x3+x4+x5)-γHx3-μHx3,dx4dt=γHx3-δHx4-τHx4-μHx4,dx5dt=τHx4-μHx5,dx6dt=ϕV(1-x6+x7K)(x8+(1-ηV)x9)-bVx6-μAx6-cLx6,dx7dt=ϕV(1-x6+x7K)ηVx9-bVx7-μAx7-cLx7,dx8dt=bVx6-βHVx4x8x1+x2+x3+x4+x5-μVx8-cAx8,dx9dt=βHVx4x8x1+x2+x3+x4+x5+bVx7-μVx9-cAx9. D.1

The forces of infections in human and mosquito populations are respectively given by,

βHV(1-u)x9(x1+x2(1-ϵ)x1+x2+x3+x4+x5),and,βHVx4x8x1+x2+x3+x4+x5+bVx7.

Thus, the Jacobian matrix (J∗) at the DFE with βHV=βHV∗ is,

-K10000000-Z19σ-μH000000-Z2900-K200000Z3900γH-K300000000τH-μH000000000-K4N0-Z67ϕVN0ϕV(1-ηV)N0000000-K40ϕVηVN0000-βHV∗SV∗(1-u)SH∗+VH∗0bV0-K50000βHV∗SV∗(1-u)SH∗+VH∗00bV0-K5.

where

Z19=βHV∗SH∗(1-u)SH∗+VH∗, Z29=βHV∗VH∗(1-ϵ)(1-u)SH∗+VH∗, Z39=βHV∗(1-u)[SH∗+VH∗(1-ϵ)]SH∗+VH∗, Z67=K4(1-1N0).

At R0v=1 we have,

βHV2SV∗(1-u)2γH[SH∗+VH∗(1-ϵ)](NH∗)2K2K3K5+ηV=1, D.2

under which we obtained the left eigenvector (v) and the right eigenvector (w) corresponding to the zero eigenvalue given by

v1=0,v2=0,v3=Z19γHK2K3v9,v4=βHV∗SV∗(1-u)NH∗K3v9,v5=0,v6=0,v7=bVK4v9,v8=0,v9=K2K3K4K5,

and

w1=-Z19K1w9w2=-(Z19σK1μH+Z29μH)w9,w3=(Z19+Z29)K2w9,w4=(Z19+Z29)γHK2K3w9w5=(Z19+Z29)γHτHK2K3μHw9,w6=-[(Z19+Z29)βHV∗SV∗γH(1-u)NH∗K2K3K5+Z67ηVK4-(1-ηV)]ϕVw9(N0)2Z67,w7=ϕVηVw9N0K4,w8=-[(Z19+Z29)βHV∗SV∗γH(1-u)N0NH∗K2K3K5+Z67ηVK4-(1-ηV)]K4w9N0Z67,w9=(Z19+Z29)βHV∗SV∗γH(1-u)NH∗K2K3K5K4(K2+K3)+K2K3(K4+ηV).

Clearly vI≥0, w1<0, w2<0 while w6 and w8 can be positive or negative, such choice is justified by Remark 1 of  [11] which states; □

Remark 5.2

The requirement that w is non-negative in the theorem is not necessary. When some components in w are negative, we still can apply this theorem, but one has to compare w with the actual equilibrium because the general parametrization of the Centre Manifold before the coordinate change is,

Wc={x0+c(t)w+h(c,ϕV):v.h(c,ϕV)=0,|c|≤c0,c(0)=0},

provided that x0 is a non-negative equilibrium of interest (usually x0 is the disease-free equilibrium). Hence, x0-2bϕVa>0 requires that wj>0 whenever x0(j)=0. If x0(j)>0, then w(j) need not be positive  [11].

It can be verified that vw=1, thus all the necessarily conditions for the use of the Center Manifold theory are satisfied, and

a=∑k,i,j=1nvkwIwj∂2fk∂xI∂xj(0,0)=-2w92v9(NH∗)2K{G4{ηV(N0-1)2+N0(1-ηV)N0}+G0(NH∗)2KSV∗(N0-1)[G0N0+ηV(1-1N0)]+G1(K3μH+γH{μH+τH})(1+K2K3μH)[1-VH∗NH∗ϵ]+G2γHϵ{VH∗+SH∗G3}-G0G4-G1[SH∗+G3](K2K3μH)2NH∗K1-G0(NH∗)2KSV∗(N0-1)(1-ηV)}, D.3

while

b=∑k,i=1nvkwI∂2fk∂xI∂ϕV(0,0)=2βHVSV∗(1-u)2γHNH∗K2K3[1-VH∗NH∗ϵ]w9v9>0 D.4

where

G0=[βHV(1-u)]2SV∗γHNH∗K2K3K5[1-VH∗NH∗ϵ],G1=[βHV(1-u)]3SV∗KγH(K2K3)2μH[1-VH∗NH∗ϵ]G2=[βHV(1-u)]3SH∗SV∗K(NH∗)2K1K2K3,G3=[SH∗σ+VH∗K1(1-ϵ)]μH,G4=(NH∗)2ϕV2bVηVK42N0(N0-1).

□

Theorem 5.3

The yellow fever model (5) undergoes backward bifurcation at R0v=1 whenever the bifurcation coefficient a, given by (D.3) is positive

Since the bifurcation coefficient b is positive, the direction of the bifurcation depends on the sign of a, which can be positive or negative, and a>0 means the model (5) may undergoes backward bifurcation at R0V=1  [11].

Appendix E: Global stability of the DFE (E3)

Proof

Conditions for global asymptotic stability of the DFE (E3) can be found using a method described in  [27]. Similar approach was employed in  [15, 16, 28]. Using the property of the DFE, system (5) can be rewritten in a pseudo-triangular form as follows,

dSHdt=bH-cVSH-βHV(1-cB)IVNHSH-μHSH,=bH-cVSH-βHV(1-cB)IVNHSH-μHSH-bH+cVSH∗+μHSH∗,=-K1(SH-SH∗)-βHV(1-cB)IVNHSH. E.1

The equation of vaccinated humans is rewritten as

dVHdt=cVSH-βHV(1-cB)(1-ϵ)IVNHVH-μHVH,=cVSH-βHV(1-cB)(1-ϵ)IVNHVH-μHVH-cVSH∗+μHVH∗,=-μH(VH-VH∗)+cV(SH-SH∗)-βHV(1-cB)(1-ϵ)IVNHVH. E.2

Similarly, the equation of non-infectious aquatic mosquitoes can be rewritten as

dANdt=ϕV(1-AK)SV+ϕV(1-AK)(1-ηV)IV-bVAN-μAAN-cLAN,=-(AN-AN∗)(K4+ϕVSVK)+ϕVN0(SV-SV∗)+ϕV(1-ηV)(1-AK)IV-ϕVSVKAI, E.3

and

dSVdt=bVAN-βHV(1-cB)IHNHSV-μVSV-cASV,=-K5(SV-SV∗)+bV(AN-AN∗)-βHV(1-cB)IHNHSV. E.4

Following the above simplification, the system given by (5) can therefore be re-written in a pseudo-triangular form as

x1˙=A11(x)(x1-x1∗)+A12(x)x2x2˙=A22(x)x2 E.5

where x1=(SH,VH,RH,AN,SV)T represents the naive (uninfected) component of the model (5), x2=(EH,IH,AI,IV)T represents the infectious part of (5), x1∗=(SH∗,VH∗,RH∗,AN∗,SV∗)T is the DFE and

A11(x)=-K1ωH000cV-μH00000-μH00000-(K4+ϕVSVK)ϕVN0000bV-K5,A12(x)=000-βHV(1-cB)SHNH000-βHV(1-cB)(1-ϵ)SHNH0τH0000-ϕVSVKϕV(1-ηV)(1-AK)0-βHV(1-cB)SVNH00,A22(x)=-K200βHV(1-cB)[SH+(1-ϵ)VH]NHγH-K30000-K4ϕVηV(1-AK)0βHV(1-cB)SVNHbV-K5. E.6

□

Theorem 5.4

Consider (5). Let Ω⊂R+n1+n2 be a positively-invariant set. If

  1. The system (5) is defined on the positively invariant set Ω⊂R+n1+n2.

  2. The sub-system x˙=A11(x)(x1-x1∗) is globally asymptotically stable at the equilibrium x1∗.

  3. For any x∈Ω, the matrix A22(x) is Metzler and irreducible.

  4. There exists an upper bound matrix A¯22 for the set M={A22(x)/x∈Ω}, with the property that either A22¯∉M or if A22¯∈M(i.e., A22¯=maxΩM), then for x∗∈Ω such that A22¯=A22(x∗), then x∗∈R7×{0} (the DFE sub-manifold contains the points where the maximum is attained).

  5. The stability modulus of A22¯ satisfies α(A22¯)≤0.

Then, the associated DFE is GAS in Ω  [15, 27].

Recall that the model given by (5) is defined on a positively invariant domain given by Ω in (7). Also straightforward computation shows that the eigenvalues of A11(x) are real and negative. Therefore conditions 1 and 2 of (5.4) are satisfied, for condition 3 of (5.4), the following definition is used.

Definition 5.5

A square matrix A is said to be reducible if it has the form

A=A1A20A3 D.7

where A1 and A3 are square matrices of order at least 1 or if A can be transformed into the form (D.7) by simultaneous permutations of rows and columns  [18]. It is irreducible otherwise. Alternatively, A square matrix is irreducible if and only if its associated digraph is strongly connected.

Fig. 3 is the associated digraph of the matrix A22(x), and it is clear that it is strongly connected. Thus condition 3 is satisfied. Furthermore, since SV≤KbVμV+cA=SV∗N0N0-1 in Ω, A≤K, SH+(1-ϵ)VH≤NH, and LH∗=bHδH+μH≤NH≤bHμH=NH∗ then the matrix

A¯22(x)=-K200βHV(1-cB)γH-K30000-K4ϕVηV0βHV(1-cB)SV∗N0LH∗(N0-1)bV-K5, D.8

is an upper bound of A22(x). For condition 5 of Theorem (5.4), the following result of  [27] is applied.

Lemma 5.6

Let M be a Metzler matrix which is block decomposed

M=ABCD D.9

where A and D are square matrices. Then M is Metzler stable if and only if A and D-CA-1B are Metzler stable.

In the case of A¯22(x) defined above, we have

A=-K20γH-K3,B=0βHV(1-cB)00,C=000βHV(1-cB)SV∗N0LH∗(N0-1),D=-K4ϕVηVbV-K5,D-CA-1B=-K4ϕVηVbV-K5[1-βHV2(1-cB)2SV∗N0γHLH∗K2K3K5(N0-1)]. D.10

Therefore, D-CA-1B is Metzler matrix if

βHV2(1-cB)2SV∗N0NH∗γHLH∗K2K3K5(N0-1)NH∗=RHVRVHN0NH∗LH∗(N0-1)<1 D.11

and it is stable if

K4K5(1-RHVRVHN0NH∗LH∗(N0-1)-RVVN0)>0which impliesRHVRVHN0NH∗LH∗(N0-1)+RVVN0≤1. D.12

It should be noted that, condition (D.12) is a generalization of condition (D.11), which is also equivalent to

RHVRVH<LH∗NH∗(1-1N0)<1,andRVV<1N0<1,

Hence

R0v<12N0+12N02+LH∗NH∗(1-1N0)(1-V∗ϵNH∗)<1.

Thus, satisfying condition (D.12) is sufficient for the GAS of the DFE. □

Footnotes

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