A Multi-Scale Model for Cholera Outbreaks

Cholera, caused by the pathogenic <i>Vibrio cholerae</i> bacteria, remains a severe public health threat. Although a lot of emphasis has been placed on the population-level spread of the disease, the infection itself starts within the body. As such, we formulated a multi-scale model that...

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Main Authors: Beryl Musundi, Johannes Müller, Zhilan Feng
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Mathematics
Subjects:
Online Access:https://www.mdpi.com/2227-7390/10/17/3114
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author Beryl Musundi
Johannes Müller
Zhilan Feng
author_facet Beryl Musundi
Johannes Müller
Zhilan Feng
author_sort Beryl Musundi
collection DOAJ
description Cholera, caused by the pathogenic <i>Vibrio cholerae</i> bacteria, remains a severe public health threat. Although a lot of emphasis has been placed on the population-level spread of the disease, the infection itself starts within the body. As such, we formulated a multi-scale model that explicitly connects the within-host and between-host dynamics of the disease. To model the within-host dynamics, we assigned each susceptible individual with a pathogen load that increases through the uptake of contaminated food and water (booster event). We introduced minimal and maximal times when the booster events happen and defined a time since the last booster event. We then scaled the within-host dynamics to the population where we structured the susceptible population using the two variables (pathogen load and time since the last booster event). We analyzed the pathogen load’s invariant distribution and utilized the results and time scale assumptions to reduce the dimension of the multi-scale model. The resulting model is an SIR model whose incidence function has terms derived from the multi-scale model. We finally conducted numerical simulations to investigate the long-term behavior of the SIR model. The simulations revealed parameter regions where either no cholera cases happen, where cholera is present at a low prevalence, and where a full-blown cholera epidemic takes off.
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spelling doaj.art-67c9393e9987443fbd5134ee2228068e2023-11-23T13:38:35ZengMDPI AGMathematics2227-73902022-08-011017311410.3390/math10173114A Multi-Scale Model for Cholera OutbreaksBeryl Musundi0Johannes Müller1Zhilan Feng2Center for Mathematics, Technische Universität München, 85748 Garching, GermanyCenter for Mathematics, Technische Universität München, 85748 Garching, GermanyDepartment of Mathematics, Purdue University, West Lafayette, IN 47907, USACholera, caused by the pathogenic <i>Vibrio cholerae</i> bacteria, remains a severe public health threat. Although a lot of emphasis has been placed on the population-level spread of the disease, the infection itself starts within the body. As such, we formulated a multi-scale model that explicitly connects the within-host and between-host dynamics of the disease. To model the within-host dynamics, we assigned each susceptible individual with a pathogen load that increases through the uptake of contaminated food and water (booster event). We introduced minimal and maximal times when the booster events happen and defined a time since the last booster event. We then scaled the within-host dynamics to the population where we structured the susceptible population using the two variables (pathogen load and time since the last booster event). We analyzed the pathogen load’s invariant distribution and utilized the results and time scale assumptions to reduce the dimension of the multi-scale model. The resulting model is an SIR model whose incidence function has terms derived from the multi-scale model. We finally conducted numerical simulations to investigate the long-term behavior of the SIR model. The simulations revealed parameter regions where either no cholera cases happen, where cholera is present at a low prevalence, and where a full-blown cholera epidemic takes off.https://www.mdpi.com/2227-7390/10/17/3114multi-scale modelcholeraSIRstructured modelpathogen loadspectral analysis
spellingShingle Beryl Musundi
Johannes Müller
Zhilan Feng
A Multi-Scale Model for Cholera Outbreaks
Mathematics
multi-scale model
cholera
SIR
structured model
pathogen load
spectral analysis
title A Multi-Scale Model for Cholera Outbreaks
title_full A Multi-Scale Model for Cholera Outbreaks
title_fullStr A Multi-Scale Model for Cholera Outbreaks
title_full_unstemmed A Multi-Scale Model for Cholera Outbreaks
title_short A Multi-Scale Model for Cholera Outbreaks
title_sort multi scale model for cholera outbreaks
topic multi-scale model
cholera
SIR
structured model
pathogen load
spectral analysis
url https://www.mdpi.com/2227-7390/10/17/3114
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AT johannesmuller amultiscalemodelforcholeraoutbreaks
AT zhilanfeng amultiscalemodelforcholeraoutbreaks
AT berylmusundi multiscalemodelforcholeraoutbreaks
AT johannesmuller multiscalemodelforcholeraoutbreaks
AT zhilanfeng multiscalemodelforcholeraoutbreaks