Dynamical Models of Tuberculosis and Their Applications

  • The reemergence of tuberculosis (TB) from the 1980s to the early 1990s instigated extensive researches on the mechanisms behind the transmission dynamics of TB epidemics. This article provides a detailed review of the work on the dynamics and control of TB. The earliest mathematical models describing the TB dynamics appeared in the 1960s and focused on the prediction and control strategies using simulation approaches. Most recently developed models not only pay attention to simulations but also take care of dynamical analysis using modern knowledge of dynamical systems. Questions addressed by these models mainly concentrate on TB control strategies, optimal vaccination policies, approaches toward the elimination of TB in the U.S.A., TB co-infection with HIV/AIDS, drug-resistant TB, responses of the immune system, impacts of demography, the role of public transportation systems, and the impact of contact patterns. Model formulations involve a variety of mathematical areas, such as ODEs (Ordinary Differential Equations) (both autonomous and non-autonomous systems), PDEs (Partial Differential Equations), system of difference equations, system of integro-differential equations, Markov chain model, and simulation models.

    Citation: Carlos Castillo-Chavez, Baojun Song. Dynamical Models of Tuberculosis and Their Applications[J]. Mathematical Biosciences and Engineering, 2004, 1(2): 361-404. doi: 10.3934/mbe.2004.1.361

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  • The reemergence of tuberculosis (TB) from the 1980s to the early 1990s instigated extensive researches on the mechanisms behind the transmission dynamics of TB epidemics. This article provides a detailed review of the work on the dynamics and control of TB. The earliest mathematical models describing the TB dynamics appeared in the 1960s and focused on the prediction and control strategies using simulation approaches. Most recently developed models not only pay attention to simulations but also take care of dynamical analysis using modern knowledge of dynamical systems. Questions addressed by these models mainly concentrate on TB control strategies, optimal vaccination policies, approaches toward the elimination of TB in the U.S.A., TB co-infection with HIV/AIDS, drug-resistant TB, responses of the immune system, impacts of demography, the role of public transportation systems, and the impact of contact patterns. Model formulations involve a variety of mathematical areas, such as ODEs (Ordinary Differential Equations) (both autonomous and non-autonomous systems), PDEs (Partial Differential Equations), system of difference equations, system of integro-differential equations, Markov chain model, and simulation models.


    Forest is the main part of the whole terrestrial ecosystem. The generation and distribution of interspecies models play an important role in ecological protection and biochemical response. One of the typical models is forest restoration model [1,2,3,4,5,6]. Many mathematicians and biologists have been paying close attention to these kinds of models since the 1960s.

    Okubo [7] defined the process of diffusion as a set of particles, which may be a molecule or a living, through the individual's random movement in space and time. The diffusion models had been widely used in the fields of chemistry, physics and ecology [8]. Diffusion models had also been successfully applied to describe land cover change. Jesse [9] and Svirezhev [10] indicated that when combining reaction terms, these diffusion models became particularly suitable for simulating land use and land cover change because they took into account the dynamics of spatial structure and land cover class. Acevedo et al. [11] described a quantitative model of forest restoration based on diffusion logistic growth (DLG), which provided a new method for study of forest restoration. While considering spatial dependence, the relationship between continuous space and time of forest restoration is studied. Holmes et al. [12] pointed out that application of DLG model in forest restoration assumed land-cover change could be described as traveling waves diffusing from source to outside at constant rate. It is assumed that tree colonization can be regarded as a small scale forest restoration process and spread irregularly in space.

    Recently, land-use and land-cover change (LUCC) had a wide range of impacts on biodiversity, climate and ecosystem services. In Vitousek, Nunes et al. and Houet et al. [13,14,15], the authors believed that LUCC was the most vital human change on earth. Pereira et al. [16] said it would straightly affect biodiversity. In [17,18], the authors thought the climate was also affected by LUCC. Lambin et al. [19] noted that although LUCC described usual land cover change, most studies payed a lot of attentions to large-scale deforestation processes used by humans, such as agriculture. Forest restoration is becoming more and more common in agricultural intensification processes, especially in the tropics [20,21,22].

    Human activity is one of the main factors leading to change of natural environment. The contradiction between population and forest resources is becoming more and more prominent, so it is important to establish forest restoration-population pressure model to consider the balance between population growth and forest resources.

    The objective of this paper is to analyse dynamic properties of forest restoration-population pressure model. In the second section, we establish the population pressure reaction diffusion model under Dirichlet boundary conditions according to the idea [23,24]. And we study the local stability of positive equilibrium of the model in the third section. In the fourth section, the existence conditions of Turing instability and Hopf bifurcation are given in Theorem 4.1 and 4.2, respectively. We obtain two kinds of steady-state bifurcation types, that is, simple bifurcation and double bifurcation. At the same time, we select some values for the parameters, and get numerical simulations to support the results in section 4.

    In the classical applications of partial differential equation models to population ecology, organisms are assumed to have Brownian random dispersion, the rate of which is invariant in time and space

    u(x,y,t)t=D(2ux2+2uy2),

    where u(x,y,t) is the density of organisms at spatial coordinates x, y, and time t, and D is the diffusion coefficient that measures dispersal rate.

    Holmes et al. [12] pointed out that the diffusion logistic growth (DLG) model is an extension of two-dimensional Fisher Eq [25]. DLG consists of two parts: Brownian random dispersion and logistic population growth. This model can be represented by a partial differential equation:

    ut=Du(2ux2+2uy2)+ruu(1uKu), (2.1)

    where u stands for forest radio, t for time, Du for diffusion rate, x and y for spatial position, ru for natural growth rate, Ku for bearing capacity.

    In order to complete the model, we must specify the initial values and boundary conditions. The forest ratio in region R={(x,y)|0xLx,0yLy} is defined as initial value at time t=0, where Lx and Ly represent landscape range of the x and y axes. At the same time, we apply Dirichlet boundary u=0 on the boundary of R, R:

    R={(0,y),0yLy(Lx,y),0yLy(x,0),0xLx(x,Ly),0xLx

    The current application of the model includes three parameters: diffusion rate (Du), endogenous growth rate (ru) and carrying capacity (Ku). The diffusion rate describes rate of change of land cover radio. In the case of land cover change, intrinsic growth rate describes the rate of change of land cover category. Proportion of this land cover category can be increased to the maximum, that is, carrying capacity (Ku=1).

    With regard to influence of population on forest resources, we use predator-prey systems for reference and describe the relationship between population and forest as Holling Ⅱ functional responses [26]. According to [27] and based on Eq (2.1), forest restoration model is considered under population pressure, and the following model is established:

    {ut=Du(2ux2+2uy2)+ruu(1uKu)βu1+auv,vt=Dv(2vx2+2vy2)+rvv(1vKv)+αu1+auv, (2.2)

    where v is the population density, a is the half-saturation constant, α=cβ, c is the conversion coefficiency of the population. The term βu/(1+au) denotes the functional response of the population, all parameters are assumed to be positive.

    We specify the value of solution of the differential equation at the boundary, then for all t0, the system complies with homogeneous Dirichlet boundary conditions

    u(x,y,t)=u0,v(x,y,t)=v0,(x,y)Ω,

    where u and v are state variables, (u0,v0) is a uniform steady-state solution which is independent of variables, t, x, y and satisfies

    f(u0,v0,α)=g(u0,v0,α)=0.

    For convenience of calculation, we have recorded Du, DN, ru, rv and 1/Ku, 1/Kv as d1, d2, r1, r2 and P, Q, respectively. Therefore, we can obtain

    {ut=d1Δu+r1u(1Pu)βuv1+au,vt=d2Δv+r2v(1Qv)+αuv1+au. (2.3)

    Consider

    {r1u(1Pu)βuv1+au=0,r2v(1Qv)+αuv1+au=0, (3.1)

    from the first equation of Eq (3.1), we can obtain

    v=1β(r1+ar1uPr1uaPr1u2). (3.2)

    Substituting v in the second equation of Eq (3.1) with Eq (3.2), we obtain

    h0u4+h1u3+h2u2+h3u+h4=0, (3.3)

    where

    h0=a2P2Qr21r2β2,h1=1β2(2a2PQr21r22aP2Qr21r2),
    h2=1β(αPr1+aPr1r2)+1β2(4aPQr21r2a2Qr21r2P2Qr21r2),
    h3=1β(αr1+ar1r2Pr1r2)+1β2(2PQr21r22aQr21r2),h4=r1r2βQr21r2β2.

    In the following discussion, we suppose that Eq (2.3) has a positive equilibrium (u,v).

    In order to simplify discussions, we transform homogeneous state solution (u,v) into (0,0) by the means of transformation (u,v)=(u+˜u,v+˜v). We obtain

    {f(˜u,˜v)=(r1+2ar1u2Pr1u3aPr1u2βv)˜uβu˜vaPr1˜u3+(ar13aPr1uPr1)˜u2β˜u˜vaPr1u3+ar1u2Pr1u2+r1uβuv,g(˜u,˜v)=(r2+ar2u2Qr2v2aQr2uv+αu)˜v+(ar2vaQr2v2+αv)˜u+(2aQr2v+ar2+α)˜u˜v+(aQr2uQr2)˜v2aQr2uv2+ar2uvQr2v2+r2v+αuv, (3.4)

    here and below, we call

    a1=r1+2ar1u2Pr1u3aPr1u2βv,a2=r2+ar2u2Qr2v2aQr2uv+αu,b1=βv,b2=ar2vaQr2v2+αv,e1=aPr1˜u3+(3aPr1u+ar1Pr1)˜u2β˜u˜vaPr1u3+ar1u2Pr1u2+r1uβuv,e2=+(2aQr2v+ar2+α)˜u˜v+(aQr2uQr2)˜v2aQr2uv2+ar2uvQr2v2+r2v+αuv.

    Rewrite Eq (3.4) as follows

    {f(˜u,˜v)=a1˜ub1˜v+e1,g(˜u,˜v)=a2˜v+b2˜u+e2.

    Moreover, we explicitly incorporate length l into equations by transforming x=l˜x and y=l˜y, which changes the domain Ω=[0,l]×[0,l] to the unit square ˜Ω=[0,1]×[0,1], then Eq (2.3) become

    {˜ut=d1(1l22˜u˜x2+1l22˜u˜y2)+a1˜ub1˜v+e1,˜vt=d2(1l22˜v˜x2+1l22˜v˜y2)+a2˜v+b2˜u+e2,(˜x,˜y)˜Ω (3.5)

    with

    {˜u(˜x,˜y,t)=u0,˜v(˜x,˜y,t)=v0,(˜x,˜y)˜Ω,f(u0,v0)=g(u0,v0)=0. (3.6)

    For the sake of simplify and calculation, we express ˜Ω, ˜x, ˜y, and ˜u, ˜v as Ω, x, y, and u, v.

    Let

    C20(Ω):={uC2(Ω);u|Ω=0},

    and

    X:=(C20(Ω))2,Y:=(C(Ω))2,

    we adapt Eq (3.5) as an operator equation

    Ut=Φ(U),

    here U:=(u,v), and map Φ:XY is defined as

    Φ(U):=(d1l22ux2+d1l22uy2d2l22vx2+d2l22vy2)+(a1ub1v+e1a2v+b2u+e2).

    By differentiating U on homogeneous equilibrium solution U(u,v)(0,0), we have the linearization of mapping Φ into L

    L:=DuΦ(U)=(d1l22x2+d1l22y200d2l22x2+d2l22y2)+(a1b1b2a2).

    The stability of U can be analyzed by the solution of variational problem

    Ut=LU,

    we decompose X in direct sum

    X=m,n=1Xm,n,Xm,n:={(c1c2)sinmπxsinnπy;c1,c2R},m,nN

    and L maps Xm,n to itself. Therefore,

    L(c1c2)sinmπxsinnπy=(d1(m2l2+n2l2)π2+a1b1b2d2(m2l2+n2l2)π2+a2)(c1c2)sinmπxsinnπy.

    The limitation of L in subspace Xm,n is a matrix of 2×2

    Am,n:=L|Xm,n=(d1(m2l2+n2l2)π2+a1b1b2d2(m2l2+n2l2)π2+a2),m,n=1,2,. (3.7)

    Therefore,

    Trace(Am,n)=(d1+d2)(m2l2+n2l2)π2+a1+a2, (3.8)
    Det(Am,n)=d1d2(m2l2+n2l2)2(a2d1+a1d2)(m2l2+n2l2)+a1a2+b1b2. (3.9)

    In this section, we mainly study the existence of Turing instability and Hopf bifurcation. We define a wave number k with k2=m2+n2N, and denote θ=d2/d1, d1=d, then the characteristic equation of Am,n is as follows:

    Λk(λ,θ):=λ2Trace(k)λ+Det(k)=0,kN, (4.1)

    with

    Trace(k)=(1+θ)dk2π2l2+a1+a2,
    Det(k)=θd2k4π4l4(a2+a1θ)dk2π2l2+a1a2+b1b2.

    We assume that

    (A0)b1b2/a2<a1<a2.

    (A1)0<θ<θ1,θ1Δ=a1a2+2b1b2a212a1a2b1b2+b21b22a41.

    Under the assumption (A0), all eigenvalues of Λ0(λ,θ) have negative real parts, and Trace(k)<0, for kN.

    Lemma 4.1. Suppose that (A1) holds, then minkR+Det(k)<0.

    Proof. Let x=dk2π2/l2>0, then we rewrite Det(k) as

    Det(k)=θx2(a2+a1θ)x+a1a2+b1b2=θ(xa2+a1θ2θ)2+a1a2+b1b2(a2+a1θ)24θ. (4.2)

    From function (4.2), when x=(a2+a1θ)/2θ, Det(k) can be taken to a minimum, that is, Det(k)min=a1a2+b1b2(a2+a1θ)2/4θ. Since x>0, we have a2+a1θ>0. If we want Det(k)min<0 with the condition a2+a1θ>0, θ must satisfy 0<θ<(a1a2+2b1b2)/a212(a1a2b1b2+b21b22)/a41. Hence, the lemma is proved.

    Let k2min be the minimal point of function Det(k) on k2R+, then

    kmin=l22da2+a1θθπ2.

    We make the following assumption to ensure kmin>0

    (A2)0<θ<θ2(d),θ2(d)Δ=a2l2π2da1l2.

    θ=θ2(d) decreases monotonically in d and intersects with θ=θ1 at the point d=d0. Let θA(d)=mind>0{θ1,θ2(d)}, then

    θA(d)={θ1,0<dd0,θ2(d),dd0. (4.3)

    Hence, we have the following lemma.

    Lemma 4.2. Suppose that (A0) holds, then assumptions (A1) and (A2) hold if and only if 0<θ<θA(d), d>0.

    Denote

    θT(k,d)=(a2dk2π2a1a2l2b1b2l2)l2dk2π2(dk2π2a1l2),ford>dk, (4.4)

    where dk=(a1a2+b1b2)l2a2k2π2, then Det(k)=0 when θ=θT(k,d).

    Let dM(k) be the point at which monotonicity of function changes, that is, function θ=θT(k,d) increases monotonically if dk<d<dM(k), and θ=θT(k,d) decreases monotonically if dM(k)<d<+. Hence, θ=θT(k,d) can take the maximum value θ1 at dM(k).

    Lemma 4.3. Suppose that (A0) holds, function θ=θT(k,d) has the following properties.

    (i) As for ki<ki+1, kiN,i=1,2,3, there is only one root dk1,k2(dM(k2),dM(k1)) satisfies θT(k1,d)=θT(k2,d) for d>0. Furthermore,

    θT(k1,d)>θT(k2,d)>θT(k3,d)>,ford>dki,ki+1.

    (ii) Define d0,k1=+, and

    θTΔ=θT(d)=θT(k,d),d(dki+1,ki+2,dki,ki+1),kiN,i=1,2,3.

    Then

    θT(d)θA(d),0<d<+.

    Moreover, θT(d)=θA(d) if and only if d=dM(k), kN.

    We display the relation between θ=θ1, θ=θ2(d) and θ=θT(k,d) in Figure 1, where d>0, k=5,10,13.

    Figure 1.  The figure of functions θ=θ1, θ=θ2(d) and θ=θT(k,d), d>0, k=5,10,13, in (d,θ) plane.
    Figure 2.  The Turing bifurcation line T:θ=θT(d), d>0.

    Theorem 4.1. Suppose that (A0) holds.

    (1) For any given k1N, when θ=θT(k1,d), system (3.5) occurs Turing bifurcation at (u,v).

    (2) θ=θT(d), d>0 is the critical curve of Turing instability.

    (i) If θ>θT(d), d>0, system (3.5) is asymptotically stable at (u,v).

    (ii) If 0<θ<θT(d), d>0, Turing instability occurs in system (3.5) at (u,v).

    Proof. When θ=θT(k1,d), we have Det(k1)=0. Then Eq (4.1) becomes

    Λk1(λ,θ):=λ2Trace(k1)λ=0. (4.5)

    The Eq (4.5) has a zero root, and the other root of Λk1(λ,θ) has negative real part. That is, Eq (3.5) occurs Turing bifurcation at (u,v) when θ=θT(k1,d).

    When θ>θT(d), d>0, Det(k1)>0. (A0) ensures that Trace(k1)<0, then all roots of Λk1(λ,θ) have negative real parts. On the other hand, when 0<θ<θT(d), d>0, Det(k1)<0, so system (3.5) is Turing instability.

    Remark 4.1. When θ>θT(d), d>0, system (3.5) occurs steady-state bifurcation at positive equilibrium (u,v).

    (1) If m=n, the bifurcation type is a simple steady-state bifurcation.

    (2) If mn, the bifurcation type is a double steady-state bifurcation.

    Let r1=1, r2=0.01, P=10, Q=20, a=0.01, α=8, β=11, l=3, we obtain positive equilibrium of system (2.3) is

    (u,v)=(0.01,0.0818),

    and a1=0.0996, a2=0.0573, b1=0.11, b2=0.6544. Through (A1), (A2), Eqs (4.3, 4.4), we obtain θ1=0.0119,

    θA(d)={0.0119,0<d4.3,0.5157dπ2+0.8964,d4.3,

    and

    θT(k1,d)=5.3703+0.5157dk21π2dk21π2(dk21π2+0.8964).

    By setting k1=5, m1=3, n1=4, we obtain d0,5=+ and d5,10=0.0535. Select d=d1=0.06[d5,10,d0,5), thus θT=θT(5,0.06)=0.0097. Equation (3.5) with d=0.06 undergoes Turing bifurcation near equilibrium (0.01,0.0818) at θ=0.0097. Since m1n1, that is, the bifurcation type of Eq (3.5) is double steady-state bifurcation, and we derive the following mixed patterns.

    Figure 3.  X-Y-U mixed pattern under the condition of m1=3, n1=4.
    Figure 4.  X-Y-V mixed pattern under the condition of m1=3, n1=4.

    We assume that

    (A0)a1>max{a2,b1b2/a2}.

    Denote

    θH(k,d)=(a1+a2)l2dk2π2dk2π2,for0<d<dk, (4.6)

    where dk=(a1+a2)l2k2π2, then Trace(k)=0 when θ=θH(k,d).

    θ=θH(k,d) decreases monotonically in d and intersects with θ=θ1 at the point d=dH. On the basis of Lemma 4.1, it is known that minkR+Det(k)<0 if 0<θ<θ1, then we obtain the following theorem.

    Theorem 4.2. Suppose that (A0) holds. For any given k1N, when θ=θH(k1,d)>θ1, 0<d<dH, system (3.5) occurs Hopf bifurcation at positive equilibrium (u,v).

    Proof. θ=θH(k1,d), we have Trace(k1)=0, then Eq (4.1) becomes

    Λk1(λ,θ):=λ2+Det(k1)=0. (4.7)

    Since θ>θ1, through assumption (A0), Det(k1)>0, we know that Eq (4.7) has a pair of pure imaginary roots. The above satisfies conditions for the generation of Hopf bifurcation.

    Let r1=1, r2=0.01, P=1, Q=10, a=0.01, α=8, β=8, l=3, we can solve positive equilibrium of Eq (2.3) to obtain

    (u,v)=(0.003,0.125).

    We then obtain a1=0.0059, a2=0.009, b1=0.024, b2=1. Through assumption (A1) and (4.6), we have θ1=0.0008, and

    θH(k,d)=0.0279dk2π2dk2π2.

    By setting m3=5, n3=12, we obtain dH=1.6714×105. We choose d=1.5206×105 which is satisfied d<dH, and obtain θH=0.1. The relationship between θ=θ1 and θ=θH(k,d) can be reflected by Figure 5.

    Figure 5.  The figure of functions θ=θ1 and θ=θH(k,d) in (d,θ) plane.

    Hopf bifurcation occurs at θ=0.1, we can obtain hyperhexagonal patterns in Figures 6 and 7.

    Figure 6.  X-Y-U hyperhexagonal pattern under the condition of m3=5, n3=12.
    Figure 7.  X-Y-V hyperhexagonal pattern under the condition of m3=5, n3=12.

    Moreover, from Figures 8 and 9, we observe that u(x,t) and v(x,t) are periodic in relation to t, that is, there is a stable bifurcation periodic solution near the positive equilibrium of Eq (2.3).

    Figure 8.  u(x,t) periodic solution image.
    Figure 9.  v(x,t) periodic solution image.

    DLG system to model forest recovery as the spread of land-cover classes in continuous space and time. However, there is only one variable u in DLG system. In this paper, we establish a reaction diffusion model based on DLG system and Holling Ⅱ functional responses, we can use this model to reflect the variable relationship between forest restoration and population pressure. When the population pressure increases, the density of forest restoration will decrease. On the contrary, when the population pressure decreases, the density of forest restoration will increase and the situation of forest restoration will be improved. We also consider the effect of population pressure on forest restoration, through Eq (2.3).

    Under Dirichlet boundary conditions, we obtain a positive equilibrium. According to linear stability analysis of positive equilibrium solution of Eq (3.5) and discussion of eigenvalue attributes of the matrix, we obtain the conditions for Turing instability and Hopf bifurcation. Furthermore, the steady-state bifurcation is divided into simple steady-state bifurcation and double steady-state bifurcation. In addition, we verify the existence of Turing instability and Hopf bifurcation by numerical simulation, and obtain different kinds of patterns.

    Our work is to further study the diffusion logistic growth (DLG) model, which helps ease the relationship between forest restoration and population pressure.

    This research is supported by the Fundamental Research Funds for the Central Universities (2572017BB03) and Science and Technology Innovation Talent Research Fund of Harbin (2017RAQXJ108). The authors wish to express their gratitude to the editors and the reviewers for the helpful comments.

    The authors declare there is no conflict of interest

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