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With 216 million infection cases in 2016 and around 445000 deaths in the same year [52], Malaria is still one of the infectious diseases that has a huge burden on the world global health, particularly in the African continent with more than 90% of the cases worldwide, according to WHO [50].
Although a lot of countries in Africa have already achieved the Malaria free status [51], including the North African countries [9,24], the road to a complete malaria free continent is still long. One of the reasons of the possible reappearance of malaria in North African countries is the fact that these countries have geographical borders with countries that are not Malaria free (see Figures 1 and 2). Moreover, there has been an increase in the flow of the Sub-Saharan immigrants along the Trans-Saharan migration route [11,44,27,12]. For example, in Algeria which has been categorized as a country with the potential of eliminating local transmission of malaria by 2020 [51], there have been cases of Malaria [23]. Also, countries such as Morocco and Tunisia are facing the same risk [7,11,44,12].
On the other hand, climate change and the new Trans-Saharan Highway linking Algeria and West Africa have contributed to creating a new map of the distribution of tropical vectors. More precisely, the mosquito A.gambie was recently identified as a new type in the Algerian mosquito fauna [11,23,12,43]. This fact will increase the risk of imported malaria to the countries [34].
Hence, there is a need to investigate the impact of the increasing number of immigrants from Sub-Saharan countries on the possible malaria infectious cases. The aim is to answer questions such as: How will the immigrant population affect the potential spread of malaria in this region?
Since the first mathematical model describing the malaria transmission by Ross [38], many researchers have extended Ross's model by considering different factors, such as the latent period of infection in mosquitoes and humans [2,31]. Other models have been developed by introducing various features of the disease to better understand the epidemiological reality of the disease and the impacts of the external factors [6,19,33]. A review of different mathematical models in modelling malaria transmission can be found, for example, in [30].
On the other hand, several papers have investigated the effect of the human migration, and it's role in the spread of the disease (see for example [5,48]). To investigate Malaria in Africa, mathematical models has been used to study the effects of climate change and migration on the spread of the diseases [32,35,49]. Other studies have focused on the possible control measures, like border screening, to reduce the impact of the disease [26]. Recently, these host countries adapted and implemented new policies to limit the number of immigrants [8]. The focus of this paper is to study the impact of such policies. This can be modeled by considering a logistic growth of the non-local population.
The work of Gao and Ruan [22] has focused on a multi-patch malaria model with logistic growth. Their paper investigated on the effects of population movement in the spreading of malaria between patches by analyzing the monotonicity of the basic reproduction number as a function of the travel rates. In their work, they gave the condition of the persistence of the disease in both populations.
This work investigates the effects of the logistic growth of the immigrant population in a hosting country that has a linear growth. The logistic growth is aimed to capture a limited number of immigrant population that is allowed to stay in the country. This assumption allows us to investigate the effects of the carrying capacity of this population on the dynamic of malaria. More precisely, we consider two patches. The first represents the population of the hosting country, which we refer to as the local population. This population is assumed to have a linear growth.The second is the immigrant population (Sub-Saharan immigrants), which we refer to the as non-local population. This population is assumed to have a logistic growth.
Since there is no health care preventative measure to identify the infected immigrants at the entry (borders) to the hosting country, we assume that the flow of immigrants (non-local population) enter directly as susceptible to the hosting country. On the other hand, the categorization of the non-local population to different compartments, cited below, is done inside the hosting country after arrival.
We also assume that there is no movement between the two patches. This assumption is justified by the fact that the non-local population lives with the local population in the same cities, and there are no geographical separations between the two populations.
To our knowledge, there is no study on the effect of the carrying capacity vis-à-vis the linear growth, in two populations, on the spread of Malaria.
The paper is organized as follows: First, we introduce our mathematical model in Section 2. In Section 3, we give the basic mathematical properties of the model and compute the basic reproduction number. The local and global stability of the disease-free equilibrium is treated in Section 4. In Section 5, we investigate the condition of the existence of an endemic equilibrium, and we give the disease persistence result. Finally, we study the possibility of controlling the disease by controlling the carrying capacity of non-locals in Section 6. A conclusion and discussion of the findings of this work are in Section 7.
In this work, we opted to use an SEIRS model of malaria (see for example [17,33]). The benefit of such approach over the existing models is that it allows to us investigate the long time period dynamic of the disease for the local and non-local populations.
The human population is divided into locals, L(t), and non-locals, N(t). The mosquito population is denoted by M(t).
The human sub-populations, L and N, are divided into four classes according to their disease status: susceptible S(t), exposed E(t), infectious I(t) and recovered R(t).
Hence, L(t)=SL(t)+EL(t)+IL(t)+RL(t) and N(t)=SN(t)+EN(t)+IN(t)+RN(t). The total population of human, ∑(t), is time-dependent with ∑(t)=L(t)+N(t).
Since mosquitoes need a period of time to develop the parasite and pass from the infected stage to the infectious stage, we divide the mosquito population into three subclasses: susceptible SM(t), infected IM,1(t) and infectious I2M(t) mosquitoes remain infectious for life and have no recovered class [16,28]. The total mosquito population, M(t)=SM(t)+IM,1(t)+IM,2(t) is not constant.
We assume that the susceptibles are recruited into the local population by constant input rate ΛL and have a death rate dL. However, the non-locals are assumed to have a logistic growth with rN growth rate and carrying capacity KN. The death rate of non-locals is dN. The average biting rate of mosquitoes a and ci represent, respectively, the transmission probability from infectious mosquitoes to locals (i=1), mosquitoes to non-locals (i=2), locals to mosquitoes (i=3) and non-locals to mosquitoes (i=4). The death rate due to infection αk, k=L,N, and the recovery rate is δk,k=L,N. Finally, νk,k=L,N is the progression rate at which the exposed humans become infectious.
Similarly, we assume that susceptible mosquitoes have a constant recruitment rate ΛM and die at the rate dM. μM stands for the death rate due to the use of pesticides on the mosquito population. Finally, νM represents the rate in which the infected mosquitoes become infectious. All the parameters of the model are represented in Table 1, and flowchart below gives us the different path of model compartments. The equations of the spread of malaria among the local population is given by:
{dSLdt=ΛL−ac1SL∑IM,2−dLSL+δLRL,dELdt=ac1SL∑IM,2−(νL+dL)EL,dILdt=νLEL−(γL+αL+dL)IL,dRLdt=γLIL−(δL+dL)RL. | (2.1) |
Parameters | Description |
a | Average biting rate of mosquitoes on a human. |
c1 | Transmission probability from infectious mosquitoes to locals. |
c2 | Transmission probability from infectious mosquitoes to non-locals. |
c3 | Transmission probability from infectious locals to mosquitoes. |
c4 | Transmission probability from infectious non-locals to mosquitoes. |
ΛL | Recruitment rate of local population. |
rN | Growth rate of non-local population. |
KN | Carrying capacity of non-local population. |
ΛM | Recruitment rate of mosquitoes. |
dL | Natural death rate for locals. |
dN | Natural death rate for non-locals. |
dM | Natural death rate for mosquitoes. |
νL | Rate of exposed locals becoming infected. |
νN | Rate of exposed non-locals becoming infectious. |
νM | Rate of infected mosquitoes becoming infectious. |
αL | Disease-induced death rate for locals. |
αN | Disease-induced death rate for non-locals. |
γL | Recovery rate for infected locals. |
γN | Recovery rate for infected non-locals. |
δL | Rate of losing immunity of local population. |
δN | Rate of losing immunity of non-local population. |
μM | Pesticide-induced death rate for mosquitoes. |
For notation simplification, we call
ϵL=νL+dL,θL=γL+αL+dL,βL=δL+dL. |
The equations of the non-local population is given by:
{dSNdt=rNSN(1−SNKN)−ac2SN∑IM,2+δNRN,dENdt=ac2SN∑IM,2−(νN+dN)EN,dINdt=νNEN−(γN+αN+dN)IN,dRNdt=γNIN−(δN+dN)RN. | (2.2) |
Here also, we denote
ϵN=νN+dN,θN=γN+αN+dN,βN=δN+dN. |
The dynamic of the mosquitoes population is given by:
{dSMdt=ΛM−ac3SMIL∑−ac4SMIN∑−(μM+dM)SM,dIM,1dt=ac3SMIL∑+ac4SMIN∑−νMIM,1−(μM+dM)IM,1,dIM,2dt=νMIM,1−(μM+dM)IM,2. | (2.3) |
With: bM=μM+dM
The first step in analyzing our model is to show that the variables of the model are positive and bounded. Let Ω=R3+×R8+ and denote points in Ω by (S,E,I,R), where S=(SL,SN,SM), E=(EL,EN,IM,1), I=(IL,EN,IM,2) and R=(RL,RN).
Using these notations, we can write all the system in a compact form as:
{dSdt=f1(S,E,I,R),dEdt=f2(S,E,I,R),dIdt=f3(S,E,I,R),dRdt=f4(S,E,I,R). | (3.1) |
Let,
Γ={(S,E,I,R)∈Ω;ΛLdL+αL≤L≤ΛLdL,0≤N≤(rN+dN)2KN4rNdN,0≤M≤ΛMbM} | (3.2) |
Theorem 3.1. The system (3.1) has a unique non-negative solution for non-negative initial conditions. Moreover, Γ is positively invariant and globally attracting for our system.
Proof. The local existence and uniqueness of solutions follow from the regularity of the function f=(f1,f2,f3,f4) which is of class C1 in Γ. For the positivity of the solution, we use the standard approach [45]. Thus Ω is positively invariant.
As the system (3.1) has a unique non-negative solution, straightforward calculations show that L,N,M∈Γ, and the solution is globally defined.
The investigated model has two disease free equilibria (DFE) in Γ;
1. E01 is DFE without the non-local population i.e S∗N=0.
E01=(S∗L,0,0,0,0,0,0,0,S∗M,0,0)=(ΛLdL,0,0,0,0,0,0,0,ΛMbM,0,0) |
2. E02 is DFE with full capacity immigrant population i.e S∗N=KN.
E02=(S∗L,0,0,0,S∗N,0,0,0,S∗M,0,0)=(ΛLdL,0,0,0,KN,0,0,0,ΛMbM,0,0) |
To find the basic reproduction number, we use the method described in [46]. Hence, we can rewrite our model as follows
˙xi=Fi(x,y)−Vi(x,y)fori=1,...,6˙yj=gj(x,y)forj=1,...,5 | (3.3) |
with: x=(EL,IL,EN,IN,IM,1,IM,2) and y=(SL,RL,SN,RN,SM).
F(x,y) is the inflow of new individuals into infected classes,
F=(ac1SL∑IM,2, 0, ac2SN∑IM,2, 0, ac3SMIL∑+ac4SMIN∑,0)T |
and V contains all other within and out of the infected class, it's given by:
V=−(−ϵLEL, νLEL−θLIL, −ϵNEN, νNEN−θNIN, −(νM+bM)IM,1, νMIM,1−bMIM,2)T. |
Let F=DF|(S∗,0) and V=DV|(S∗,0) be the Jacobian matrices of the maps F and V, evaluated at the DFE. Following Van den Driessche and Watmough [46], the matrix FV−1 is well defined and is the next generation matrix that we denote K=FV−1.
K=(0000ac1S∗L∑∗νM(νM+bM)bMac1S∗L∑1bM0000000000ac2S∗N∑∗νM(νM+bM)bMac2S∗N∑1bM000000ac3S∗M∑∗νLϵLθLac3S∗M∑∗1θLac4S∗M∑∗νNϵNθNac4S∗M∑∗1θN00000000) |
R0 is the spectral radius of the next generation matrix, R0=ρ(K).
For DFE=E02, we have
R0=aΛLdL+KN√ΛMbMνMbM(νM+bM)(c2c4KNνNϵNθN+c1c3ΛLdLνLϵLθL). | (3.4) |
It is easy to prove that we can write R0 as follow:
R0=1KN+ΛLdL√(KNRN0)2+(ΛLdLRL0)2, | (3.5) |
where RL0 and RN0 are defined by
RL0=aΛLdL√ΛMbMνMbM(νM+bM)(c1c3ΛLdLνLϵLθL), | (3.6) |
and
RN0=aKN√c2c4νMΛMb2M(νM+bM)KNνNϵNθN, | (3.7) |
where RL0 represents the basic reproduction number of the local sub-population in the absence of the non-local sub-population, and RN0 is the basic reproduction number of the non-local sub-population in the absence of the local sub-population.
In this section, we investigate the conditions of the local and global stability of the disease-free equilibria points.
By linearizing the system of differential equations (3.3), we obtain the Jacobian matrix J∗ that can be written in a block structure
J∗=(F−V0J1J2) |
Theorem 4.1. 1. The disease-free equilibrium point E01 is unstable.
2. The disease-free equilibrium point E02 is locally asymptotically stable if and only if R0<1 and unstable if R0>1.
Proof. The eigenvalues of the Jacobian matrix J∗ are those of F−V and J2, where J2 is given by:
J2=(−dLδL0000−βL00000rN(1−2S∗NKN)δN0000−βN00000−bM). |
The spectrum of the matrix of J2 is given by λ(J2)={−dL,−βL,rN(1−2S∗NKN),−βN,−bM}.
1 When S∗N=0, J2 has one eigenvalue with positive real part, so it implies that the E01 is unstable.
2 When S∗N=KN, all the eigenvalues J2 have negative real parts, then it remains to show in this case that all the eigenvalues of the matrix F−V have all negative real parts.
We can prove easily that: F is a non-negative matrix and V is non-singular M-matrix. Using Lemma 9.2 [13], our F and V verify all conditions, so we conclude that all the eigenvalues of J∗ have a negative real parts if and only if R0<1.
If we define the following parameters:
ϕ1=KN+ΛLdL√K2N+ΛLdL2,ϕ2=min(KN,ΛLdL)max(KN,ΛLdL), |
then we have the following remark,
Remark 1. 1) If RN0<1 and RL0<1, then R0<1.
2) If max(RN0,RL0)≤ϕ1, then R0≤1.
3)If max(RN0,RL0)≤√2ϕ2, then R0≤1.
4) If min(RN0,RL0)>ϕ1, then R0>1.
5)If min(RN0,RL0)>√2ϕ2, then R0>1.
Moreover, we have 2) implies 3) and 5) implies 4).
Assertions 2 and 3 show that it is possible to have Ri0≥1, i=N,L yet R0 is less than 1. On the other hand, if the RL0 and RN0 are both bigger than 1, then from (3.5) we get R0>1. Therefore, the persistence of malaria in both populations does not necessarily lead to an epidemic of the disease in the total population. In fact, assertions 4 and 5 give such conditions, on the basic reproductions of the two populations, that could result in the persistence of the disease.
To prove the global stability of E02, we use the approach given in [46]. Hence, our model can be written as follows:
with
ψ(x,y)=(ac1(S∗L∗∑2−SL∑)I2M0ac2(S∗N∗∑2−SN∑)I2M0ac3(S∗M∗∑2−SM∑)IL+ac4(S∗M∗∑2−SM∑)IN0). |
If R0<1 and the total human population ∑∈[ΛLdL+KN,ΛLdL+(rN+dN)24rNdNKN], then E02 is globally asymptotically stable [46].
Using remark 1, we have the following global stability result.
Proposition 1. If R0<√min(KN,ΛLdL)2max(KN,ΛLdL) then E02 is globally asymptotically stable.
Proof. To prove this result, we use the Barbashin-Krasovskii theorem [25] [Theorem 4.2, page 124]. We denoted by x=(S,E,I,R) and we consider the continuous scalar function V define by,
V=ac3ΛMbM1θL(νLϵLEL+IL)+ac4ΛMbM1θN(νNϵNEN+IN)+I1M+νM+bMνMIM,2. |
To show that the equilibrium E02 is globally asymptotically stable, we need to show that ˙V(x) is globally negative definite i.e ˙V(x)<0,∀x∈R11+∖{E02}.
We have
˙V=ac3ΛMbM1θL(νLϵL(ac1SLIM,2∑−ϵLEL)+νLEL−θLIL)+ac4ΛMbM1θN(νNϵN(ac2SNIM,2∑−ϵNEN)+νNEN−θNIN)+ac3SMIL∑+ac4SMIN∑−(νM+bM)IM,1+νM+bMνM(νMIM,1−bMIM,2)=a2c1c3ΛMbMνLϵLθLSL∑IM,2+a2c2c4ΛMbMνNϵNθNSN∑IM,2−bMνM+bMνMIM,2−aΛMbM(c3IL+c4IN)+aSM(c3IL∑+c4IN∑) |
Since L(t)≥ΛLdL+αL and N(t)≥0, we have ∑=L(t)+N(t)≥ΛLdL+αL.
By the fact that ΛLdL+αL≥1, we get
˙V≤a2c1c3ΛMbMνLϵLθLSL∑IM,2+a2c2c4ΛMbMνNϵNθNSN∑IM,2−bMνM+bMνMIM,2−aΛMbM(c3IL+c4IN)+aSM(c3IL+c4IN)=a2c1c3ΛMbMνLϵLθLSL∑IM,2+a2c2c4ΛMbMνNϵNθNSN∑IM,2−bMνM+bMνMIM,2a(c3IL+c4IN)(SM−ΛMbM). |
As SL,SN≤∑ and SM≤M(t)≤ΛMbM, we obtain
˙V≤a2c1c3ΛMbMνLθLϵLIM,2+a2c2c4ΛMbMνNθNϵNIM,2−bMνM+bMνMIM,2=bM(νM+bM)νMIM,2[a2νMbM(νM+bM)c1c3ΛMbMνLθLϵL+a2νMbM(νM+bM)c2c4ΛMbMνNθNϵN−1] |
˙V≤bM(νM+bM)νMIM,2[ΛLdL(RL0)2+KN(RN0)2−1]. | (4.2) |
Using
(KN+ΛLdL)2R20=(ΛLdLRL0)2+(KNRN0)2, |
we have two cases:
Case 1, KN≤ΛLdL.
We replace KN(RN0)2=(KN+ΛLdL)2KNR20−(ΛLdL)2KN(RL0)2, we get
˙V≤bM(νM+bM)νMIM,2[ΛLdL(RL0)2+KN(RN0)2−1]≤bM(νM+bM)νMIM,2[(2ΛLdL)2KNR20−1]. |
In this case R0<√min(KN,ΛLdL)2max(KN,ΛLdL)=√KN2ΛLdL leads to ˙V<0.
Case 2, KN≥ΛLdL.
We replace (ΛLdL)(RL0)2=(KN+ΛLdL)2ΛLdLR20−K2NΛLdL(RN0)2, we get
˙V≤bM(νM+bM)νMIM,2[ΛLdL(RL0)2+KN(RN0)2−1]≤bM(νM+bM)νMIM,2[(2KN)2ΛLdLR20−1]. |
In this case R0<√min(KN,ΛLdL)2max(KN,ΛLdL)=√ΛLdL2KN implies˙V<0.
In addition to the sharp result of the global asymptotically stability of DEF with respect to R0, proposition 1, gives a new global stability condition without any condition on the total population ∑. Moreover, from (3.5) we can show the global stability of DFE, using the same Lyapunov function, under the condition ΛLdL(RL0)2+KN(RN0)2<1.
To find the possible endemic equilibria point, EE=(S∗L,E∗L,I∗L,R∗L,S∗N,E∗N,I,NR∗N,S∗M,I∗M,1,I∗M,2), we define λ∗1, λ∗2 and λ∗3 as follow:
λ∗1=ac1I∗M,2∑∗,λ∗2=ac3I∗L∑∗,λ∗3=ac4I∗N∑∗. |
The coordinates of EE for the human population are given by
S∗L=ΛLdL+A2−A1dLI∗L | (5.1) |
E∗L=θLνLI∗L | (5.2) |
R∗L=γLβLI∗L | (5.3) |
I∗L=ΛLλ∗1A1(dL+λ∗1)−A2λ∗1 | (5.4) |
S∗N=B1c1c21λ∗1I∗N | (5.5) |
E∗N=θNνNI∗N | (5.6) |
R∗N=γNβNI∗N | (5.7) |
I∗N=KNc2rN(B1c1)2λ∗1(rNB1c1+c2λ∗1(B2−B1)). | (5.8) |
with
A1=ϵLθLνL,A2=δLγLβLB1=ϵNθNνN,B2=δNγNβN. |
Note that A2−A1≤0 and B2−B1≤0.
Using (5.1), we get
L∗=ΛLdL1A1dL−(A2−A1)λ∗1(A1dL−λ∗1(A2−A1+αL))N∗=KN+c2KNrNB1c1(B1(−1+rNϵN)+B2(1+rNδN)+rN)λ∗1+c22KNrN(B1c1)2(B1ϵN+B2δN+1)(B2−B1)(λ∗1)2, |
which conclude the equation of ∑∗ as function of λ∗1 as follows,
∑∗=1A1dL+(A1−A2)λ∗1[α0+α1λ∗1+α2(λ∗1)2+α3(λ∗1)3], |
with
α0=A1dL(ΛLdL+KN),α1=−ΛLdL(A2−A1+αL)−(A2−A1)KN−A1dLc2KNrNB1c1(B1(1−rNϵN)−B2(1+rNδN)−rN),α2=c22KNrN(B1c1)2(A1dL(B2−B1)(B1ϵN+B2δN+1)+(A1−A2)B1c1c2(B1(−1+rNϵN)))+c2KNrNB1c1(A1−A2)(B2(1+rNδN)+rN),α3=c22KNrN(B1c1)2(B1ϵN+B2δN+1)(A1−A2)(B2−B1). |
It is easy to see that α0>0 and α3<0. Moreover, if c2c1≥ϵ2NβNθNdL(ϵNβNθN−δNγNνN) and rN∈[ϵN,dLc1c2βNϵNθN(βNϵNθN−δNγNνN)], then we have α1>0 and α2≤0.
The remaining coordinates of EE, with respect to the mosquitoes population are
I∗M,2=ΛMνMλ∗(bM+λ∗)(νM+bM)(bM),I∗M,1=ΛMλ∗(bM+λ∗)(νM+bM),S∗M=ΛMbM+λ∗. | (5.9) |
with λ∗=λ∗2+λ∗3.
Notice that we have:
λ∗=a∑∗(c3I∗L+c4I∗N), | (5.10) |
1ac1λ∗1∑∗=I∗M,2. | (5.11) |
From (5.9), (5.10) and (5.11), we get the two following equations of λ∗ as function of λ∗1 as follow:
λ∗=bMλ∗1∑∗(ΛMac1c−λ∗1∑∗) | (5.12) |
λ∗=a∑∗(c3ΛLλ∗1A1dL−(A2−A1)λ∗1+c4c2KNrN(B1c1)2(rNB1c1λ∗1−(B1−B2)c2(λ∗1)2)). | (5.13) |
with c=νM(νM+bM)(bM). Using the equations (5.12) and (5.13), we have:
bMλ∗1∑∗2−a(ΛMac1c−λ∗1∑∗)∑∗(c3ΛLλ∗1A1dL−(A2−A1)λ∗1+c2c4KNrN(B1c1)2(rNB1c1λ∗1−(B1−B2)c2(λ∗1)2))=0, | (5.14) |
Since λ∗1≠0, by replacing ∑∗ by its formula, we get the following polynomial:
p0+p1λ∗1+p2(λ∗1)2+p3(λ∗1)3+p4(λ∗1)4+p5(λ∗1)5+p6(λ∗1)6+p7(λ∗1)7=0. | (5.15) |
The coefficients pi, i=0,...7, of the polynomial (5.15) are given in the appendix 7.
Obviously, it is not easy to find the number of the exact solutions to the polynomial (5.15), and hence determine the exact number of EE. However, using the Descartes' Rule of Signs [3], we determine the possible EE depending on the sign of coefficients pi,i=0,...,7 of the polynomial (5.15).
By the Descartes' Rule of Signs, if R0<1, then either we have no solution or an even number of endemics equilibria (EE) and when R0>1 we have an odd number EE. We can be more specific by stating the following result.
Proposition 2. Suppose that pi>0 for all i=1,⋯,6 then:
● If R0<1 so p0>0, there is no endemic equilibria.
● If R0>1 so p0<0, there is a unique endemic equilibrium.
This result gives us a classical scenario where for R0<1 the disease free equilibrium is globally stable and for R0>1 the disease free equilibrium is unstable. The proof of this proposition is straightforward from the paper of Levin [29].
More cases are treated in the appendix that show the possible existence of multiple endemic equilibria.
Since it is difficult to investigate the global stability of the endemic equilibria, as there are different scenarios of existence of endemic equilibria, in this section we focus on finding the conditions of the uniform persistence.
We recall that Γ, defined in (3.2), is a positively invariant subset of R11+.
Before giving the main result, we define Φt(S,E,I,R) as the flow corresponding to system (3.3). In fact, Φt(S,E,I,R) denotes the solution of our system that starts at S(0), E(0), I(0), R(0) ≥0. Moreover,
Φt(S0,E0,I0,R0)=(S(t),E(t),I(t),R(t)), |
where
S=(SL,SN,SM),E=(EL,EN,IM,1),I=(IL,EN,IM,2),R=(RL,RN). |
Using the result of the uniqueness of solution, we have the following result.
Theorem 5.1. If R0>1 then our system is uniformly persistent.
Proof. The system (2.1)- 2.3) is said to be uniformly persistent [40] if there exists a constant r>0, independent of initial conditions, such that any solution S(t),E(t),I(t),R(t) of our system satisfies the following inequalities:
lim inft→∞S(t)≥r, lim inft→∞E(t)≥r, lim inft→∞I(t)≥r, lim inft→∞R(t)≥r.
The uniform persistence of our system can be proven by applying the result in Theorem [4.3, [21]]. In fact, Φ is a continuous flow on Γ that is a closed positively invariant subset of R11+.
Denote the restriction of Φt to ∂Γ by ∂Φt. The maximal invariant set of ∂Φt on ∂Γ is the singleton S={E02} that is a closed invariant set and also is isolated.
Let {Sα}α∈A denote the cover of S where A is a non empty index set, Sα ⊂ ∂Γ, S⊂⋃α∈ASα and Sα are pairwise disjoint closed invariant sets.
No subset of the {Sα} forms a cycle i.e there exist no α∈A such that Sα=Sα0.
The corresponding sets are denoted by γ(E02), γ−(E02), γ+(E02) and are, respectively, called the trajectory, positive trajectory and negative trajectory.
All hypothesis (H) of [21] holds for system (1).Therefore, if R0>1 then E02 is unstable, which gives the necessary and sufficient condition of Theorem 4.3 [21], and we conclude that our system is uniformly persistent.
Whether there is one or more endemic equilibrium, the proven result shows that if R0>1, the disease-free equilibrium is unstable and the disease persists.
As our main results depend on R0, which is a function of KN, the carrying capacity of the non-local population, our aim is to investigate the positive effect of the carrying capacity KN in reducing the spread of the disease infection in the total population.
Therefore, we study the sign of the function 1−R0(KN). By rearranging this function and from (3.4), our problem reduces to studying the sign of the function P(KN), where
P(KN)=(KN)2+(2ΛLdL−a2c2c4ΛMνMb2M(νM+bM)νNϵNθN)KN+(ΛLdL)2(1−(RL0)2). | (6.1) |
The roots of P(KN) are given by
K1,2=12[−(2ΛLdL−a2c2c4ΛMνMb2M(νM+bM)νNϵNθN)∓√Δ], |
with
Δ=(2ΛLdL−a2c2c4ΛMνMb2M(νM+bM)νNϵNθN)2+4(ΛLdL)2((RL0)2−1). |
Let
ξNM=a2c2c4ΛMνMb2M(νM+bM)νNϵNθN. |
Hence, we have the following cases:
Case 1. If RL0>1 then Δ>0, the quadratic equation (6.1) has only one unique positive root K2.
Case 2. If RL0<1 then it depends on the sign of 2ΛLdL−ξNM and we can observe the following possibilities:
– If 2ΛLdL<ξNM our quadratic polynomial (6.1) has two positives roots K1<K2.
– If 2ΛLdL>ξNM the quadratic polynomial (6.1) has no positive root.
Figure 4 represents the plots of all the different possible cases.
Figure 4(a) represents case 1, where the basic reproduction number of the disease in the local population is above 1. As the carrying capacity of the non local KN increases, R0 decreases, leading to the eradication of the disease as KN exceeds the critical carrying capacity value K2. On the other hand, if the basic reproduction number of the local population is below 1, there will be two scenarios.
(ⅰ) The first scenario is represented by Figure 4(b). In this case, we have two critical carrying capacity values K1 and K2. When KN is below K1 or above K2, R0 is less than one, and the disease will die out. The second situation is when KN belongs to the interval ]K1,K2[, R0 is above 1, and the disease will persist in the total population.
(ⅱ) Second scenario, Figure 4(c), R0 remains always below one and the increase of the carrying capacity of the non-local population has no effect on the transmission of the disease among the total population.
As Malaria is still a global health threat, there are ongoing scientific efforts to eradicate the disease that burdens several regions in the world including Sub-Saharan countries. This work is aimed at studying the effect of the sub-Saharan immigrants on the possible importation of malaria to North African countries. The goal is to investigate the impact of immigrants (non-local population) on the possible reappearance of Malaria in the North African countries.
Therefore, we introduced a mathematical model that included two human populations (locals and non-locals) and the mosquito population. Unlike the existing models, our study considered two types of growth for each human population. The local population with a linear growth and the immigrant population with a logistic growth. The choice of having a logistic growth for the non-local population was justified by the fact that the hosting country might impose a carrying capacity on the number of the immigrants. Plus there are no mechanisms to screen the health status of the immigrants coming to the host country.
Using the basic reproduction number of the disease R0, which was calculated by the standard next-generation matrix method, we gave, in the remark 1, the characterization of all possible conditions, on RL0 and RN0, which led to R0< 1 and R0>1. This result showed that the disease could persist, slightly, in both human populations (locals and non-locals) although R0<1. On the other hand, the transmission of the disease in both populations should reach a specific level, i.e., the minimum of the basic reproduction number of locals and non-locals have to exceed ϕ1 or √2ϕ2 (remark 1), before it could become highly infectious in all the population.
The global stability analysis showed that the threshold condition R0<1 alone could not guarantee the global stability of the disease-free equilibrium. In fact, the total population ∑ must have upper and lower bounds to have the global stability. However, via a Lyapunov function, we showed that if R0 is less than a constant, which is below one, then the disease died out from the total population (Theorem 1).
Using Descartes Rule of Signs, we were able to find the conditions of the existence of endemic equilibrium. Depending on the signs of the coefficients of the polynomial (5.15), propositions 3, 4 and 5 gave all the possible cases of the number of endemic equilibria. More precisely the number of endemic equilibriums are even (0 or 2) if R0<1 and odd (1 or 3) if R0>1. As we could not give a general result for the global stability of an endemic equilibrium, we proved, in Theorem 5.1, that if R0>1, then we had the uniform persistence of the solution.
Finally, we investigated the impact of the carrying capacity of the non-local population on the transmission of the disease in both populations. Our findings showed that if RL0>1, then as the carrying capacity increased, the disease changed from being persistent (R0>1) to a possible eradication; in this case, it had an absorption effect of the malaria infection in the total population. However, if RL0<1, there were two scenarios: If the local population growth was not high (i.e., ΛLdL<ξNM2), then the increase of carrying capacity of the non-locals would not affect the transmission of the disease until it reached a specific threshold K1, after that the disease became persistent. The increase of the carrying capacity, to reach another threshold K2, led to a decline of the disease infection among the total population, and again we observed the absorption effect. The second scenario was when the local population growth was high enough (i.e. ΛLdL>ξNM2). In this case, an increase of the carrying capacity of non-local would not affect the malaria transmission in the population.
Our finding suggests that the imported malaria infections in the North African countries cannot be blamed on the increasing number of the immigrant from the Sub-Saharan countries. If the disease is already endemic in the local population, then the increase of the carrying capacity of the immigrant has an absorption effect on the infection. However, if the disease is not endemic among the local population, the transmission of the imported malaria depends on the level of the growth of the local population.
The authors would like to thank the anonymous reviewers for their valuable comments and suggestions which helped us improve the quality of our work.
All authors declare no conflicts of interest in this paper.
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Parameters | Description |
a | Average biting rate of mosquitoes on a human. |
c1 | Transmission probability from infectious mosquitoes to locals. |
c2 | Transmission probability from infectious mosquitoes to non-locals. |
c3 | Transmission probability from infectious locals to mosquitoes. |
c4 | Transmission probability from infectious non-locals to mosquitoes. |
ΛL | Recruitment rate of local population. |
rN | Growth rate of non-local population. |
KN | Carrying capacity of non-local population. |
ΛM | Recruitment rate of mosquitoes. |
dL | Natural death rate for locals. |
dN | Natural death rate for non-locals. |
dM | Natural death rate for mosquitoes. |
νL | Rate of exposed locals becoming infected. |
νN | Rate of exposed non-locals becoming infectious. |
νM | Rate of infected mosquitoes becoming infectious. |
αL | Disease-induced death rate for locals. |
αN | Disease-induced death rate for non-locals. |
γL | Recovery rate for infected locals. |
γN | Recovery rate for infected non-locals. |
δL | Rate of losing immunity of local population. |
δN | Rate of losing immunity of non-local population. |
μM | Pesticide-induced death rate for mosquitoes. |
Parameters | Description |
a | Average biting rate of mosquitoes on a human. |
c1 | Transmission probability from infectious mosquitoes to locals. |
c2 | Transmission probability from infectious mosquitoes to non-locals. |
c3 | Transmission probability from infectious locals to mosquitoes. |
c4 | Transmission probability from infectious non-locals to mosquitoes. |
ΛL | Recruitment rate of local population. |
rN | Growth rate of non-local population. |
KN | Carrying capacity of non-local population. |
ΛM | Recruitment rate of mosquitoes. |
dL | Natural death rate for locals. |
dN | Natural death rate for non-locals. |
dM | Natural death rate for mosquitoes. |
νL | Rate of exposed locals becoming infected. |
νN | Rate of exposed non-locals becoming infectious. |
νM | Rate of infected mosquitoes becoming infectious. |
αL | Disease-induced death rate for locals. |
αN | Disease-induced death rate for non-locals. |
γL | Recovery rate for infected locals. |
γN | Recovery rate for infected non-locals. |
δL | Rate of losing immunity of local population. |
δN | Rate of losing immunity of non-local population. |
μM | Pesticide-induced death rate for mosquitoes. |