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Research article Special Issues

Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care

  • Background 

    Underinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.

    Methods 

    Retrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government insured or uninsured patients receiving curative-intent, multidisciplinary cancer care.

    Results 

    Forty percent of patients missed at least one treatment or surveillance appointment within the first year. Thirty-two percent reported using public transportation; 42% relied on caregivers. Patients who used public transportation were 3.3 and 4.6 times more likely to miss treatment (p = 0.001) and surveillance (p = 0.014) visits, respectively. The median one-way travel duration for such routes was 52 minutes (range: 16–232 minutes) and included 0.7 miles of walking. Physical distance to care was not associated with transportation type, missed appointments, or disease recurrence.

    Conclusions 

    Underserved, underinsured patient populations face significant logistical challenges with transportation, which may be mitigated by alternative models of care delivery, such as multidisciplinary clinics.

    Citation: Luke Stanisce, Donald H Solomon, Liam O'Neill, Nadir Ahmad, Brian Swendseid, Gregory J Kubicek, Yekaterina Koshkareva. Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care[J]. AIMS Public Health, 2024, 11(4): 1125-1136. doi: 10.3934/publichealth.2024058

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  • Background 

    Underinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.

    Methods 

    Retrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government insured or uninsured patients receiving curative-intent, multidisciplinary cancer care.

    Results 

    Forty percent of patients missed at least one treatment or surveillance appointment within the first year. Thirty-two percent reported using public transportation; 42% relied on caregivers. Patients who used public transportation were 3.3 and 4.6 times more likely to miss treatment (p = 0.001) and surveillance (p = 0.014) visits, respectively. The median one-way travel duration for such routes was 52 minutes (range: 16–232 minutes) and included 0.7 miles of walking. Physical distance to care was not associated with transportation type, missed appointments, or disease recurrence.

    Conclusions 

    Underserved, underinsured patient populations face significant logistical challenges with transportation, which may be mitigated by alternative models of care delivery, such as multidisciplinary clinics.



    In the biological context, to better understand the spatial spread of infectious diseases, epidemic waves in all kinds of epidemic models are attracting more and more attention, for instance, in Wu et al. [1], Wang et al. [2] and Zhang et al. [3,4,5]. Biologically speaking, the existence of an epidemic wave suggests that the disease can spread in the population. The traveling wave describes the epidemic wave moving out from an initial disease-free equilibrium to the endemic equilibrium with a constant speed. Various theoretical results, numerical algorithms and applications have been studied extensively for traveling waves about epidemic models in the literature; for instance, we refer the reader to [6,7,8,9]. More precisely, Hosono and Ilyas [10] studied the existence of traveling wave solutions for a reaction-diffusion model. In view of the fact that individuals can move freely and randomly and can be exposed to the infection from contact with infected individuals in different spatial location, Wang and Wu [11] investigated the existence and nonexistence of non-trivial traveling wave solutions of a general class of diffusive Kermack-Mckendrick SIR models with nonlocal and delayed transmission, see also [12]. Incorporating random diffusion into epidemic model, then the dynamics of disease transmission between species in a heterogeneous habitat can be described by a variety of reaction-diffusion models (see, for example, [13,14,15] and the references therein). Random diffusion is essentially a local behavior, which depicts the individuals at the location x can only be influenced by the individuals in the neighborhood of the location x. In real life, individuals can move freely. One way to solve such problems is to introduce nonlocal dispersal, which is the standard convolution with space variable. Recently, Yang et al. [16] studied a nonlocal dispersal Kermack-McKendrick epidemic model. Cheng and Yuan [17] investigated the traveling waves of a nonlocal dispersal Kermack-McKendrick epidemic model with delayed transmission, Zhang et al. [18] discussed the traveling waves for a delayed SIR model with nonlocal dispersal and nonlinear incidence, and Zhou et al. [19] proved the existence and non-existence of traveling wave solutions for a nonlocal dispersal SIR epidemic model with nonlinear incidence rate. As we know, there are many existence of traveling wave solutions for reaction-diffusion models when the wave speed is greater than the minimum wave speed (see, e.g.[20,21,22]). However, there are few discussions on the existence of traveling wave solutions when the wave speed is equal to the minimum wave speed (the critical wave speed), see[23,24,25,26].

    In this paper, we focus on the delayed SIR model with the nonlocal dispersal and nonlinear incidence which proposed by Zhang et al.[18] as follows:

    {S(x,t)t=d1(JS(x,t)S(x,t))f(S(x,t))g(I(x,tτ)),I(x,t)t=d2(JI(x,t)I(x,t))+f(S(x,t))g(I(x,tτ))γI(x,t),R(x,t)t=d3(JR(x,t)R(x,t))+γI(x,t), (1.1)

    where S(x,t), I(x,t) and R(x,t) denote the densities of susceptible, infective and removal individuals at time t and location x, respectively. The parameters di>0(i=1,2,3) are diffusion rates for susceptible, infected and removal individuals, respectively. The removal rate γ is positive number and τ>0 is a given constant. Moreover, JS(x,t),JI(x,t) and JR(x,t) represent the standard convolution with space variable x, namely,

    Ju(x,t)=RJ(xy)u(y,t)dy=RJ(y)u(xy,t)dy,

    where u can be either S,I or R. Throughout this paper, assume that the nonlinear functions f and g, and the dispersal kernel J satisfy the following assumptions:

    (A1) f(S) is positive and continuous for all S>0 with f(0)=0 and f(S) is positive and bounded for all S0 with L:=maxS[0,)f(S);

    (A2) g(I) is positive and continuous for all I>0 with g(0)=0,g(I)>0 and g(I)0 for all I0;

    (A3) JC1(R),J(y)=J(y)0,RJ(y)dy=1 and J is compactly supported.

    Since the third equation in (1.1) is decoupled with the first two equations, it is enough to consider the following subsystem of (1.1):

    {S(x,t)t=d1(JS(x,t)S(x,t))f(S(x,t))g(I(x,tτ)),I(x,t)t=d2(JI(x,t)I(x,t))+f(S(x,t))g(I(x,tτ))γI(x,t). (1.2)

    We recall that, a traveling wave solution of system (1.2) is a solution of form (S(ξ),I(ξ)) for system (1.2), where ξ=x+ct. Substituting (S(ξ),I(ξ)) with ξ=x+ct into system (1.2) yields the following system:

    {cS(ξ)=d1(JS(ξ)S(ξ))f(S(ξ))g(I(ξcτ)),cI(ξ)=d2(JI(ξ)I(ξ))+f(S(ξ))g(I(ξcτ))γI(ξ). (1.3)

    Clearly, if τ=0, then system (1.2) becomes

    {S(x,t)t=d1(JS(x,t)S(x,t))f(S(x,t))g(I(x,t)),I(x,t)t=d2(JI(x,t)I(x,t))+f(S(x,t))g(I(x,t))γI(x,t), (1.4)

    which was considered by Zhou et al. [19]. Combining the method of auxiliary system, Schauder's fixed point theorem and three limiting arguments, they proved the following result.

    Theorem 1.1. ([19,Theorem 2.3]) Assume that (A1)-(A3) hold. If R0>1 and cc, where c>0 is the minimal wave speed and R0=f(S0)g(0)γ is the reproduction number of (1.4), then system (1.4) admits a nontrivial and nonnegative traveling wave solution (S(x+ct),I(x+ct)) satisfying the following asymptotic boundary conditions:

    S()=S0, S(+)=S<S0, I(±)=0, (1.5)

    where S0>0 is a constant representing the size of the susceptible individuals before being infected.

    For (1.3) satisfying (1.5), Zhang et al.[18] obtained the following result.

    Theorem 1.2. ([18,Theorem 2.7]) Assume that (A1)-(A3) hold. In addition, suppose that

    (H) there exists I0>0 such that f(S0)g(I0)γI00.

    If R0>1 and c>c, where c>0 is the minimal wave speed and R0=f(S0)g(0)γ is the reproduction number of (1.3), then system (1.3) admits a traveling wave solution (S(ξ),I(ξ)) satisfying (1.5).

    We note that the assumption (H) plays a key role in the proof of Theorem 1.2 ([18,Theorem 2.7]). However, we should pointed out here that (H) cannot be applied for some incidence, such as bilinear incidence, see[27]. Therefore, one natural question is: can we obtain the existence of traveling wave solutions for system (1.2) without assumption (H)? This constitutes our first motivation of the present paper. In addition, as was pointed out in [28] that, epidemic waves with the minimal/critical speed play a significant role in the study of epidemic spread. However, it is very challenging to investigate traveling waves with the critical wave speed. Herein, we should point out that Zhang et al.[29] defined a minimal wave speed c:=infλ>0d2RJ(y)eλydyd2+f(S0)g(0)eλcτγλ and then studied the existence of critical traveling waves for system (1.1). They took a bit lengthy analysis to derive the boundedness of the density of infective individual I. Unlike [29], we will apply the auxiliary system to obtain the existence of critical traveling waves, since the method is first applied in nonlocal dispersal epidemic model in 2018, see [19] for more details. Our second motivation is to make an attempt in this direction.

    The rest of this paper is organized as follows. In Section 2, we propose an auxiliary system and establish the existence of traveling wave solutions for the auxiliary system. In Section 3, we prove the existence of traveling waves under the critical wave speed. The paper ends with an application for our general results and a brief conclusion in Section 4.

    In this section, we will derive the existence of traveling wave solutions for the following auxiliary system on R:

    {cS(ξ)=d1(JS(ξ)S(ξ))f(S(ξ))g(I(ξcτ)),cI(ξ)=d2(JI(ξ)I(ξ))+f(S(ξ))g(I(ξcτ))γI(ξ)εI2(ξ), (2.1)

    where ε>0 is a constant.

    Clearly, (A1) and (A2) imply that f(0)=g(0)=0. Thus, linearizing the second equation in (2.1) at the initial disease free point (S0,0) yields

    d2RJ(y)(I(ξy)I(ξ))dycI(ξ)+f(S0)g(0)I(ξcτ)γI(ξ)=0. (2.2)

    Substituting I(ξ)=eλξ into (2.2) leads to the corresponding characteristic equation:

    Δ(λ,c):=d2RJ(y)(eλy1)dycλ+f(S0)g(0)eλcτγ=0. (2.3)

    Lemma 2.1. ([18]) Suppose that R0:=f(S0)g(0)γ>1. Then there exist c>0 and λ>0 such that

    Δ(λ,c)=0andΔ(λ,c)λ|(λ,c)=0.

    Obviously, Δ(λ,c)=0 also has the following properties:

    (i) If c>c, then Δ(λ,c)=0 has two different positive roots λ1:=λ1(c)<λ2:=λ2(c) with

    Δ(,c){>0,λ[0,λ1(c))(λ2(c),+),<0,λ(λ1(c),λ2(c)).

    (ii) If 0<c<c, then Δ(λ,c)>0 for all λ0.

    We now present some lemmas for our main results. Throughout this section, we always assume that R0>1 and c>c.

    For our purpose, we define the following functions on R:

    ¯S(ξ):=S0, S_(ξ):=max{S0ρeαξ,0}, ¯I(ξ):=min{eλ1ξ,Kε}, I_(ξ):=max{eλ1ξ(1Meηξ),0},

    where Kε=f(S0)g(0)γε, λ1 is the smallest positive real root of Eq.(2.3), and α,ρ,η, M are four positive constants to be determined in the following lemmas.

    Lemma 2.2. The function ¯I(ξ) satisfies the following inequality:

    c¯I(ξ)d2J¯I(ξ)d2¯I(ξ)+f(¯S(ξ))g(¯I(ξcτ))γ¯I(ξ)ε¯I2(ξ). (2.4)

    Proof. The concavity of g(I) with respect to I implies that g(I)g(0)I and so

    g(I(ξcτ))g(0)I(ξcτ). (2.5)

    When ¯I(ξ)=eλ1ξ, it follows from (2.5) that

    d2J¯I(ξ)d2¯I(ξ)c¯I(ξ)+f(¯S(ξ))g(¯I(ξcτ))γ¯I(ξ)ε¯I2(ξ)d2J¯I(ξ)d2¯I(ξ)c¯I(ξ)+f(S0)g(0)¯I(ξcτ)γ¯I(ξ)ε¯I2(ξ)=(d2RJ(y)(eλ1y1)dycλ1+f(S0)g(0)eλ1cτγ)eλ1ξεe2λ1ξ=eλ1ξΔ(λ1,c)εe2λ1ξ=εe2λ1ξ0.

    When ¯I(ξ)=Kε=f(S0)g(0)γε, we derive from (A3) and (2.5) that

    d2J¯I(ξ)d2¯I(ξ)c¯I(ξ)+f(¯S(ξ))g(¯I(ξcτ))γ¯I(ξ)ε¯I2(ξ)f(S0)g(0)¯I(ξcτ)γKεεK2ε=f(S0)g(0)KεγKεεK2ε=0,

    and the lemma follows.

    Lemma 2.3. Suppose that α(0,λ1) is sufficiently small. Then the function S_(ξ) satisfies

    cS_(ξ)d1JS_(ξ)d1S_(ξ)f(S_(ξ))g(¯I(ξcτ)) (2.6)

    for any ξξ1:=1αln(S0ρ) and ρ>S0 large enough.

    Proof. If ξ>ξ1, then S_(ξ)=0 and (2.6) holds. If ξ<ξ1, then S_(ξ)=S0ρeαξ and ¯I(ξ)=eλ1ξ. According to the assumptions (A1), (A2) and (2.5), one has

    d1JS_(ξ)d1S_(ξ)cS_(ξ)f(S_(ξ))g(¯I(ξcτ))d1JS_(ξ)d1S_(ξ)cS_(ξ)f(S0)g(0)¯I(ξcτ)=eαξ(d1ρRJ(y)(eαy1)dy+cραf(S0)g(0)eλ1cτe(λ1α)ξ). (2.7)

    Since 0<α<λ1 and e(λ1α)ξ<(S0ρ)λ1αα for ξ<ξ1, it follows from (2.7) that

    d1JS_(ξ)d1S_(ξ)cS_(ξ)f(S_(ξ))g(¯I(ξcτ))eαξ(d1ρRJ(y)(eαy1)dy+cραf(S0)g(0)eλ1cτ(S0ρ)λ1αα). (2.8)

    Taking ρ=1α in (2.8) and noting that

    limα0+(αS0)λ1αα=0,limα0+1αRJ(y)(eαy1)dy=0,

    for sufficiently small α>0, we have

    d1αRJ(y)(eαy1)dy+cf(S0)g(0)eλ1cτ(αS0)λ1αα>0. (2.9)

    Owing to (2.8) and (2.9), we find

    d1JS_(ξ)d1S_(ξ)cS_(ξ)f(S_(ξ))g(¯I(ξcτ))eαξ(d1αRJ(y)(eαy1)dy+cf(S0)g(0)eλ1cτ(αS0)λ1αα)>0.

    This completes the proof.

    Lemma 2.4. Assume that 0<η<min{λ2λ1,λ1}. Then for sufficiently large M>1, the function I_(ξ) satisfies

    cI_(ξ)d2(JI_(ξ)I_(ξ))+f(S_(ξ))g(I_(ξcτ))γI_(ξ)εI_2(ξ) (2.10)

    for any ξξ2:=1ηln1M.

    Proof. If ξ>ξ2, then I_(ξ)=0,JI_(ξ)0 and g(I_(ξcτ))0 (by (A2)), Thus (2.10) holds. If ξ<ξ2, then we can take M1>1 such that 1ηln1M1+1=ξ1 and choose large enough MM1 with I_(ξ)=eλ1ξ(1Meηξ) and S_(ξ)=S0ρeαξ. Thus, (2.10) is equivalent to

    f(S0)g(0)I_(ξcτ)f(S_(ξ))g(I_(ξcτ))+εI_2(ξ)d2(JI_(ξ)I_(ξ))cI_(ξ)+f(S0)g(0)I_(ξcτ)γI_(ξ)

    and so

    f(S0)g(0)I_(ξcτ)f(S_(ξ))g(I_(ξcτ))+εI_2(ξ)d2RJ(y)eλ1(ξy)(1Meη(ξy))dyd2eλ1ξ(1Meηξ)c(λ1eλ1ξM(λ1+η)e(λ1+η)ξ)+f(S0)g(0)(eλ1(ξcτ)Me(λ1+η)(ξcτ))γ(eλ1ξMe(λ1+η)ξ)=d2(RJ(y)eλ1ydyd2cλ1+f(S0)g(0)eλ1cτγ)eλ1ξMe(λ1+η)ξ(d2RJ(y)e(λ1+η)ydyd2c(λ1+η)+f(S0)g(0)e(λ1+η)cτγ)=MΔ(λ1+η,c)e(λ1+η)ξ. (2.11)

    For any ˆε(0,g(0)), noting that limI0+g(I)I=g(0), there exists a small positive number δ0 such that

    g(I)Ig(0)ˆε,  0<I<δ0. (2.12)

    Choose M large enough such that 0<I_(ξ)<δ0. Then, it follows from (2.12) that

    f(S0)g(0)I_(ξcτ)f(S_(ξ))g(I_(ξcτ))=(f(S0)g(0)f(S_(ξ))g(I_(ξcτ))I_(ξcτ))I_(ξcτ)(f(S0)g(0)f(S_(ξ))g(I_(ξcτ))I_(ξcτ)+I_(ξcτ)2)2(f(S0)g(0)f(S_(ξ))(g(0)ˆε)+I_(ξcτ)2)2. (2.13)

    Since (2.13) holds for arbitrary sufficiently small ˆε(0,g(0)) and S_(ξ)S0 for sufficiently large M, one can conclude from (2.13) that

    f(S0)g(0)I_(ξcτ)f(S_(ξ))g(I_(ξcτ))I_2(ξcτ).

    Then, to prove (2.11), we only need to show that

    I_2(ξcτ)+εI_2(ξ)MΔ(λ1+η,c)e(λ1+η)ξ.

    Noting I_2(ξcτ)e2λ1ξ and I_2(ξ)e2λ1ξ, it suffices to show that

    (1+ε)e(λ1η)ξMΔ(λ1+η,c). (2.14)

    Due to 0<η<λ2λ1, we have Δ(λ1+η,c)<0 (by Lemma 2.1). Then (2.14) leads to

    M(1+ε)e(λ1η)ξΔ(λ1+η,c).

    The facts that ξ<ξ2<0 and 0<η<λ1 imply that e(λ1η)ξ<1. To end the proof, we only need to take

    Mmax{1+εΔ(λ1+η,c)+1,M1}.

    This completes the proof.

    Next we define a bounded set as follows:

    ΓX,τ={(ϕ(),φ())C([Xcτ,X],R2)|ϕ(ξ)=S_(X),φ(ξ)=I_(X),for anyξ[Xcτ,X],S_(ξ)ϕ(ξ)S0,I_(ξ)φ(ξ)¯I(ξ),for anyξ[X,X],}

    where

    X>max{1ηlnM,1αlnρS0}.

    For any (ϕ(),φ())C([Xcτ,X],R2), we define

    ˆϕ(ξ)={ϕ(X),ξ>X,ϕ(ξ),XcτξX,S_(ξ+cτ),ξ<Xcτ (2.15)

    and

    ˆφ(ξ)={φ(X),ξ>X,φ(ξ),XcτξX,I_(ξ+cτ),ξ<Xcτ. (2.16)

    We consider the following initial value problems:

    cS(ξ)=d1RJ(y)ˆϕ(ξy)dyd1S(ξ)f(S(ξ))g(φ(ξcτ)) (2.17)

    and

    cI(ξ)=d2RJ(y)ˆφ(ξy)dy+f(ϕ(ξ))g(φ(ξcτ))(d2+γ)I(ξ)εI2(ξ) (2.18)

    with

    S(X)=S_(X), I(X)=I_(X). (2.19)

    By the existence theorem of ordinary differential equations, problems (2.17)-(2.19) admit a unique solution (SX(),IX()) satisfying SX()C1([X,X]) and IX()C1([X,X]). Thus, we can define an operator F=(F1,F2):ΓX,τC([Xcτ,X]) by

    F1[ϕ,φ](ξ)=SX(ξ), F2[ϕ,φ](ξ)=IX(ξ) for ξ[X,X]

    and

    F1[ϕ,φ](ξ)=SX(X), F2[ϕ,φ](ξ)=IX(X) for ξ[Xcτ,X].

    Proposition 2.1. The operator F=(F1,F2) maps ΓX,τ into ΓX,τ.

    Proof. For any (ϕ(),φ())ΓX,τ, we should show that

    S_(ξ)F1[ϕ,φ](ξ)S0,I_(ξ)F2[ϕ,φ](ξ)¯I(ξ),ξ[X,X]

    and

    F1[ϕ,φ](ξ)=S_(X),F2[ϕ,φ](ξ)=I_(X),ξ[Xcτ,X].

    By the definition of the operator F, it is easy to see that the last two equalities hold.

    For ξ[X,X], we first consider F1[ϕ,φ](ξ). By the definition of the operator F, it is sufficient to prove S_(ξ)SX(ξ)S0. Note that f(0)=0 (see (A1)). Then it is obvious that 0 is a sub-solution of (2.17). It follows from the maximum principle that SX(ξ)0 for ξ[X,X]. From the definition of ˆϕ(ξ), (A1) and (A2), we obtain

    d1RJ(y)ˆϕ(ξy)dyd1¯S(ξ)f(¯S(ξ))g(φ(ξcτ))c¯S(ξ)d1J¯S(ξ)d1¯S(ξ)f(¯S(ξ))g(φ(ξcτ))c¯S(ξ)0,

    which implies that ¯S(ξ)=S0 is a super-solution of (2.17). Thus, we have SX(ξ)S0 for ξ[X,X]. Clearly, S_(ξ)=S0ρeαξ for ξ[X,ξ1). Thus, utilizing Lemma 2.3 and (A2),

    cS_(ξ)d1RJ(y)ˆϕ(ξy)dy+d1S_(ξ)+f(S_(ξ))g(φ(ξcτ))cS_(ξ)d1[JS_(ξ)S_(ξ)]+f(S_(ξ))g(¯I(ξcτ))0,

    for any ξ(X,ξ1). Since SX(X)=S_(X), applying the comparison principle, we have S_(ξ)SX(ξ) for ξ[X,ξ1) and so S_(ξ)SX(ξ)S0 for all ξ[X,X].

    Next, we consider F2[ϕ,φ](ξ). Similarly, we only need to show that I_(ξ)IX(ξ)¯I(ξ). First, from the maximum principle, we have IX(ξ)0 for ξ[X,X]. Thus, it follows from Lemma 2.4, S_(ξ)ϕ(ξ), I_(ξ)ˆφ(ξ), (A1), (A2) and I_(ξ)=eλ1ξ(1Meηξ) for ξ[X,ξ2) that

    cI_(ξ)d2RJ(y)ˆφ(ξy)dyf(ϕ(ξ))g(φ(ξcτ))+(d2+γ)I_(ξ)+εI_2(ξ)cI_(ξ)d2[JI_(ξ)I_(ξ)]f(S_(ξ))g(I_(ξcτ))+γI_(ξ)+εI_2(ξ)0

    for all ξ[X,ξ2). Since IX(X)=I_(X), the comparison principle implies that I_(ξ) is a sub-solution of (2.18) on [X,ξ2). Recalling the fact that I_(ξ)=0 for ξ[ξ2,X], it is easy to see that

    I_(ξ)IX(ξ), ξ[X,X]. (2.20)

    Since ϕ(ξ)S0 and ^φ(ξ)¯I(ξ) for all ξ[X,X], from (A1), (A2) and Lemma 2.2, we deduce that

    c¯I(ξ)d2RJ(y)ˆφ(ξy)dyf(ϕ(ξ))g(φ(ξcτ))+(d2+γ)¯I(ξ)+ε¯I2(ξ)c¯I(ξ)d2[J¯I(ξ)¯I(ξ)]f(S0)g(¯I(ξcτ))+γ¯I(ξ)+ε¯I2(ξ)0,

    which ensures that ¯I(ξ) is a super-solution of (2.18) on [X,X] by the comparison principle. Combining with (2.20), we know that I_(ξ)IX(ξ)¯I(ξ) for ξ[X,X]. The proof is finished.

    Proposition 2.2. The operator F:ΓX,τΓX,τ is completely continuous.

    Proof. We first show the compactness of F=(F1,F2). We need to prove that, for any bounded subset BΓX,τ, the set F(B) is precompact. In view of the definition of the operator F, for any (SX,IX)F(B), there exists (ϕ,φ)B such that F[ϕ,φ](ξ)=(SX,IX)(ξ) for ξ[X,X] and F[ϕ,φ](ξ)=(SX,IX)(X) for ξ[Xcτ,X].

    Since (ϕ,φ)B, there exists a constant M1>0 such that

    |SX(ξ)|M1,|IX(ξ)|M1,ξ[Xcτ,X].

    Moreover, since (ϕ,φ)B, from (2.17), (2.18) and the above inequalities, we know that there exists some constant M2>0 such that

    |SX(ξ)|M2,|IX(ξ)|M2,ξ[Xcτ,X].

    It follows that F(B) is a family of the uniformly bounded and equicontinuous functions. The compactness of F(B) then follows from the Arzelà-Ascoli theorem and the definition of ΓX,τ.

    Next we prove the continuity of F=(F1,F2). By the definition of the operator F, we assume that (ϕi(ξ),φi(ξ))ΓX,τ(i=1,2) and SX,i(ξ)=F1[ϕi,φi](ξ),IX,i(ξ)=F2[ϕi,φi](ξ) for ξ[X,X]. We will prove the continuity of F by the following two steps.

    Step 1. The continuity of F1.

    It follows from (2.17) that

     c(SX,1(ξ)SX,2(ξ))+d1(SX,1(ξ)SX,2(ξ))=d1RJ(ξy)(ˆϕ1(y)ˆϕ2(y))dy+[f(SX,2(ξ))g(φ2(ξcτ))f(SX,1(ξ))g(φ1(ξcτ))], (2.21)

    where ˆϕi(ξ)(i=1,2) is defined analogously as the ˆϕ(ξ) in (2.15).

    In view of

    |d1RJ(ξy)(ˆϕ1(y)ˆϕ2(y))dy|=d1|XcτJ(ξy)(S_(y+cτ)S_(y+cτ))dy+XXcτJ(ξy)(ϕ1(y)ϕ2(y))dy++XJ(ξy)(ϕ1(X)ϕ2(X))dy|d1XXcτJ(ξy)|ϕ1(y)ϕ2(y)|dy+d1+XJ(ξy)|ϕ1(X)ϕ2(X)|dy=d1XXcτJ(ξy)|S_(X)S_(X)|dy+d1XXJ(ξy)|ϕ1(y)ϕ2(y)|dy+d1+XJ(ξy)|ϕ1(X)ϕ2(X)|dy2d1maxy[X,X]|ϕ1(y)ϕ2(y)|, (2.22)

    it follows from (2.5), the mean-value theorem, (A1), (A2) and the definition of ΓX,τ that

    |f(SX,2(ξ))g(φ2(ξcτ))f(SX,1(ξ))g(φ1(ξcτ))|=|f(SX,2(ξ))g(φ2(ξcτ))f(SX,2(ξ))g(φ1(ξcτ))+f(SX,2(ξ))g(φ1(ξcτ))f(SX,1(ξ))g(φ1(ξcτ))|f(S0)|g(φ2(ξcτ))g(φ1(ξcτ))|+|g(φ1(ξcτ))||f(SX,2(ξ))f(SX,1(ξ))|f(S0)g(0)|φ2(ξcτ)φ1(ξcτ)|+g(0)φ1(ξcτ)L|SX,2(ξ)SX,1(ξ)|f(S0)g(0)maxξ[X,X]|φ1(ξ)φ2(ξ)|+Lg(0)Kε|SX,2(ξ)SX,1(ξ)|. (2.23)

    If SX,1(ξ)SX,2(ξ)>0, then we deduce from (2.21)-(2.23) that

    c(SX,1(ξ)SX,2(ξ))+(d1Lg(0)Kε)(SX,1(ξ)SX,2(ξ))f(S0)g(0)maxξ[X,X]|φ1(ξ)φ2(ξ)|+2d1maxy[X,X]|ϕ1(y)ϕ2(y)|. (2.24)

    Applying the Gronwall inequality (see p. 90 of [31]) to (2.24), we obtain that F1 is continuous on ΓX,τ. If SX,1(ξ)SX,2(ξ)<0, then one can prove the same result. Thus, we show that F1 is continuous on ΓX,τ.

    Step 2. The continuity of F2.

    From (2.18), we have

    c(IX,1(ξ)IX,2(ξ))+(d2+γ)(IX,1(ξ)IX,2(ξ))+ε(IX,1(ξ)+IX,2(ξ))(IX,1(ξ)IX,2(ξ))=d2RJ(ξy)(ˆφ1(y)ˆφ2(y))dy+[f(ϕ1(ξ))g(φ1(ξcτ))f(ϕ2(ξ))g(φ2(ξcτ))], (2.25)

    where ˆφi(ξ)(i=1,2) is defined analogously as the ˆφ(ξ) in (2.16).

    In view of 0IX,1(ξ)+IX,2(ξ)2Kε, we then deduce from (2.25) that there exists a nonnegative constant ˜c such that

    c(IX,1(ξ)IX,2(ξ))+(d2+γ+˜cε)(IX,1(ξ)IX,2(ξ))d2RJ(ξy)(ˆφ1(y)ˆφ2(y))dy+[f(ϕ1(ξ))g(φ1(ξcτ))f(ϕ2(ξ))g(φ2(ξcτ))]. (2.26)

    Arguing as in the proof of (2.22) and (2.23), we obtain

    |d2RJ(ξy)(ˆφ1(y)ˆφ2(y))dy|2d2maxξ[X,X]|φ1(ξ)φ2(ξ)| (2.27)

    and

    |f(ϕ1(ξ))g(φ1(ξcτ))f(ϕ2(ξ))g(φ2(ξcτ))|f(S0)g(0)maxξ[X,X]|φ1(ξ)φ2(ξ)|+Lg(0)Kεmaxξ[X,X]|ϕ1(ξ)ϕ2(ξ)|. (2.28)

    Thus, it follows from (2.26)-(2.28) that

    c(IX,1(ξ)IX,2(ξ))+(d2+γ+˜cε)(IX,1(ξ)IX,2(ξ))(f(S0)g(0)+2d2)maxξ[X,X]|φ1(ξ)φ2(ξ)|+Lg(0)Kεmaxξ[X,X]|ϕ1(ξ)ϕ2(ξ)|,

    which together with the Gronwall inequality implies that F2 is continuous on ΓX,τ. This completes the proof.

    From the definition of ΓX,τ, it is easy to see that ΓX,τ is closed and convex. Thus, employing Propositions 2.1, 2.2 and Schauder's fixed point theorem, we can obtain the following result.

    Proposition 2.3. There exists (SX(ξ),IX(ξ))ΓX,τ such that

    (SX(ξ),IX(ξ))=F(SX,IX)(ξ)

    and

    S_(ξ)SX(ξ)S0, I_(ξ)IX(ξ)¯I(ξ), ξ(X,X).

    Next, we wish to obtain the existence of traveling wave solutions of (2.1) on R. Before doing this, we need to give some estimates for SX(ξ) and IX(ξ) in the following space:

    C1,1([X,X])={uC1[X,X]|u and u are Lipschitz continuous}

    with the norm

    u(x)C1,1([X,X]):=maxx[X,X]|u(x)|+maxx[X,X]|u(x)|+supx,y[X,X],xy|u(x)u(y)||xy|.

    Proposition 2.4. Let (SX(ξ),IX(ξ)) be the fixed point of the operator F which is guaranteed by Proposition 2.3. Then there exists a positive constant C1 independent of X such that

    SX(ξ)C1,1([X,X])<C1,IX(ξ)C1,1([X,X])<C1

    for all

    X>max{1ηlnM,1αlnρS0}.

    Proof. First, we know that (SX(ξ),IX(ξ)) satisfies

    {cSX(ξ)=d1RJ(y)^SX(ξy)dyd1SX(ξ)f(SX(ξ))g(IX(ξcτ)), ξ[X,X],SX(ξ)=S_(X), ξ[Xcτ,X] (2.29)

    and

    {cIX(ξ)=d2RJ(y)^IX(ξy)dy+f(SX(ξ))g(IX(ξcτ))(d2+γ)IX(ξ)εI2X(ξ), ξ[X,X],IX(ξ)=I_(X), ξ[Xcτ,X], (2.30)

    where

    ^SX(ξ)={SX(X),ξ>X,SX(ξ),XcτξX,S_(ξ+cτ),ξ<Xcτ

    and

    ^IX(ξ)={IX(X),ξ>X,IX(ξ),XcτξX,I_(ξ+cτ),ξ<Xcτ.

    By the facts that SX(ξ)S0, 0^SX(ξ)S0, 0^IX(ξ)Kε and IX(ξcτ)Kε for ξ[X,X], it follows from (A1), (A3), (2.5) and (2.29) that

    |SX(ξ)|d1c|RJ(y)^SX(ξy)dy|+d1c|SX(ξ)|+1c|f(SX(ξ))g(IX(ξcτ))|1c(2d1S0+f(S0)g(0)Kε).

    Thus, there exists a positive constant C2 independent of X such that

    SX(ξ)C1([X,X])<C2. (2.31)

    Similar arguments apply to the case IX(ξ), we have

    IX(ξ)C1([X,X])<C2. (2.32)

    Next, we intend to show that SX(ξ), IX(ξ), SX(ξ) and IX(ξ) are Lipschitz continuous. For any ξ,η[X,X], it follows from (2.31) and (2.32) that

    |SX(ξ)SX(η)|<C2|ξη|,|IX(ξ)IX(η)|<C2|ξη|, (2.33)

    and so SX(ξ) and IX(ξ) are Lipschitz continuous.

    In view of (2.29), we have

    c|SX(ξ)SX(η)|d1|RJ(y)(^SX(ξy)^SX(ηy))dy|+d1|SX(ξ)SX(η)|+|f(SX(ξ))g(IX(ξcτ))f(SX(η))g(IX(ηcτ))|:=B1+B2+B3. (2.34)

    From (A3), we know that the kernel function J is Lipschitz continuous and compactly supported. Let LJ be the Lipschitz constant of J and R be the radius of supp J. Then,

    B1=d1|RJ(y)^SX(ξy)dyRJ(y)^SX(ηy)dy|=d1|RRJ(y)^SX(ξy)dyRRJ(y)^SX(ηy)dy|=d1|ξ+RξRJ(ξy)^SX(y)dyη+RηRJ(ηy)^SX(y)dy|=d1|(ξ+Rη+R+η+RηR+ηRξR)J(ξy)^SX(y)dyη+RηRJ(ηy)^SX(y)dy|=d1(|ξ+Rη+RJ(ξy)^SX(y)dy|+|ηRξRJ(ξy)^SX(y)dy|+|η+RηR[J(ξy)J(ηy)]^SX(y)dy|)d1(2S0JL+2RLJS0)|ξη|

    and

    B3=|f(SX(ξ))g(IX(ξcτ))f(SX(η))g(IX(ηcτ))||f(SX(ξ))||g(IX(ξcτ))g(IX(ηcτ))|+|g(IX(ηcτ))||f(SX(ξ))f(SX(η))|f(S0)g(0)|IX(ξ)IX(η)|+Lg(0)Kε|SX(ξ)SX(η)|, (2.35)

    in which we have used the mean-value theorem, the assumptions (A1), (A2) and inequality (2.5). Combining (2.33), (2.34) and (2.35), there exists some positive constant L1 independent of X such that

    |SX(ξ)SX(η)|L1|ξη|

    and so SX is Lipschitz continuous. It follows from (2.30) that

    c|IX(ξ)IX(η)|d2|RJ(y)[^IX(ξy)^IX(ηy)]dy|+(d2+γ)|IX(ξ)IX(η)|+ε|I2X(ξ)I2X(η)|+|f(SX(ξ))g(IX(ξcτ))f(SX(η))g(IX(ηcτ))|.

    Analogously, we have

    |IX(ξ)IX(η)|L1|ξη|

    and so IX is Lipschitz continuous. Thus, there is a constant C1 independent of X such that

    SX(ξ)C1,1([X,X])<C1,IX(ξ)C1,1([X,X])<C1.

    This ends the proof.

    Now, we are in a position to derive the existence of solutions for (2.1) on R by a limiting argument.

    Theorem 2.1. Let R0=f(S0)g(0)γ>1. Then, for any c>c, (2.1) admits a solution (S(ξ),I(ξ)) such that

    S_(ξ)S(ξ)S0, I_(ξ)I(ξ)¯I(ξ). (2.36)

    Proof. Choose a sequence {Xn}n=1 satisfying

    Xn>max{1ηlnM,1αlnρS0}

    and limn+Xn=+. Then, for each nN, the solution (SXn(ξ),IXn(ξ))ΓXn,τ satisfies Propositions 2.3 and 2.4, Eqs.(2.29) and (2.30) in ξ[Xncτ,Xn] for every c>c.

    According to the estimates in Proposition 2.4, for the sequence {(SXn(ξ),IXn(ξ))}, we can extract a subsequence by a standard diagonal argument, denoted by {(SXnk(ξ),IXnk(ξ))}kN, such that

    SXnk(ξ)S(ξ), IXnk(ξ)I(ξ) in C1loc(R) as k (2.37)

    and

    {cSXnk(ξ)=d1RJ(y)^SXnk(ξy)dyd1SXnk(ξ)f(SXnk(ξ))g(IXnk(ξcτ)),ξ[Xnk,Xnk],SXnk(ξ)=S_(Xnk), ξ[Xnkcτ,Xnk] (2.38)

    with

    {cIXnk(ξ)=d2RJ(y)^IXnk(ξy)dy+f(SXnk(ξ))g(IXnk(ξcτ))(d2+γ)IXnk(ξ)εI2Xnk(ξ), ξ[Xnk,Xnk],IXnk(ξ)=I_(Xnk), ξ[Xnkcτ,Xnk] (2.39)

    and

    S_(ξ)SXnk(ξ)S0, I_(ξ)IXnk(ξ)¯I(ξ), ξ(Xnk,Xnk), (2.40)

    where ^SXnk(ξ) and ^IXnk(ξ) are defined analogously as the ˆϕ(ξ) and ˆφ(ξ) in (2.15) and (2.16), respectively. Sine J is compactly supported (see(A3)), by the Lebesgue dominated convergence theorem, one has

    limk+RJ(y)^SXnk(ξy)dy=limk+RRJ(y)^SXnk(ξy)dy=limk+ξ+RξRJ(ξy)^SXnk(y)dy=ξ+RξRJ(ξy)S(y)dy=RJ(y)S(ξy)dy=JS(ξ),ξR. (2.41)

    Similarly, we can show that

    limk+RJ(y)^IXnk(ξy)dy=RJ(y)I(ξy)dy=JI(ξ),ξR. (2.42)

    Furthermore, in light of the continuity of f and g, we obtain

    limk+f(SXnk(ξ))g(IXnk(ξcτ))=f(S(ξ))g(I(ξcτ)),ξR. (2.43)

    Thus, passing to limits in (2.38), (2.39) and (2.40) as k+, we derive from (2.37), (2.41)-(2.43) that (S(ξ),I(ξ)) satisfies (2.1) and (2.36). The proof of this theorem is finished.

    In this section, we will prove the existence of traveling wave solutions of (1.3) satisfying (1.5).

    Theorem 3.1. Let R0=f(S0)g(0)γ>1. Then for any cc, (1.3) admits a pair of functions (S(ξ),I(ξ)) such that

    S_(ξ)S(ξ)S0, I_(ξ)I(ξ)¯I(ξ). (3.1)

    Proof. For c>c, let {εn} be a sequence such that 0<εn+1<εn<1(n=1,2,3,) and limn+εn=0. By Theorem 2.1 and Proposition 2.4, for each nN, there exists a solution Φn(ξ)=(Sn(ξ),In(ξ)) for ε=εn, such that

    {cSn(ξ)=d1(JSn(ξ)Sn(ξ))f(Sn(ξ))g(In(ξcτ)),cIn(ξ)=d2(JIn(ξ)In(ξ))+f(Sn(ξ))g(In(ξcτ))γIn(ξ)εnI2n(ξ) (3.2)

    and

    S_(ξ)Sn(ξ)S0, I_(ξ)In(ξ)¯I(ξ) (3.3)

    for all ξR.

    Furthermore, we know that

    Sn(ξ)C1,1(R)+In(ξ)C1,1(R)<C3, (3.4)

    where C3 is a positive constant independent of ξ. Then we can assert that {Φn(ξ)} and {Φn(ξ)} are equi-continuous and uniformly bounded on R. By the Arzelà-Ascoli theorem, there exists a subsequence of {εn}, still denoted by {εn}, such that limnεn=0 and

    Φn(ξ)Φ(ξ), Φn(ξ)Φ(ξ)

    uniformly on every closed bounded interval as n, and hence pointwise on R, where Φ(ξ)=(S(ξ),I(ξ)) and Φ(ξ)=(S(ξ),I(ξ)) are bounded. Passing to the limits in (3.2) and (3.3) as n and employing the dominated convergence theorem and the continuity of f and g (see (A1) and (A2)), we obtain that (S(ξ),I(ξ)) satisfies (1.3) and (3.1).

    For c=c, one can choose a decreasing sequence {cn}(c,c+1) such that limncn=c and the same reasoning applies to the above case c>c and εn0. For simplicity, we omit the details. This ends the proof.

    Next we aim at the asymptotic behavior of solution (S(ξ),I(ξ)) of (1.3), whose existence is guaranteed by Theorem 3.1. For ξR, invoking the Squeeze theorem to (3.1), we deduce the asymptotic behavior of solution (S(ξ),I(ξ)) at .

    Proposition 3.1. Suppose that R0=f(S0)g(0)γ>1 and cc. Then the solution (S(ξ),I(ξ)) of (1.3) satisfies

    S()=S0, I()=0 (3.5)

    and

    limξeλ1ξI(ξ)=1.

    The following proposition shows the asymptotic behavior of I(ξ) at .

    Proposition 3.2. Assume that R0=f(S0)g(0)γ>1 and cc. Then the solution (S(ξ),I(ξ)) of (1.3) satisfies

    0<Rf(S(ξ))g(I(ξcτ))dξ< (3.6)

    with RI(ξ)dξ< and I()=0.

    Proof. Using (3.1), (A1), (A2) and the definitions of S_(ξ) and I_(ξ), one has

    Rf(S(ξ))g(I(ξcτ))dξRf(S_(ξ))g(I_(ξcτ))dξ>0.

    Note that

    xz(JS(ξ)S(ξ))dξ=xzRJ(y)(S(ξy)S(ξ))dydξ=xzRJ(y)y10S(ξty)dtdydξ=RJ(y)y10(S(zty)S(xty))dtdy.

    Then, by(3.5) and (A3), we get

    limzxz(JS(ξ)S(ξ))dξ=RJ(y)y10(S0S(xty))dtdy=RJ(y)y10S(xty)dtdy,

    which implies that, for xR,

    |x(JS(ξ)S(ξ))dξ|S0RJ(y)|y|dy:=σ0, (3.7)

    where we used the fact that J is compactly supported (see(A3)). Taking an integration of the first equation in (1.3) over (,x) and using (3.5) and (3.7), we get

    xf(S(ξ))g(I(ξcτ))dξ=d1x(JS(ξ)S(ξ))dξ+cS0cS(x)d1σ0+cS0,

    which implies

    Rf(S(ξ))g(I(ξcτ))dξ<. (3.8)

    Similar to the proof of (3.7), we have

    |R(JI(ξ)I(ξ))dξ|KεRJ(y)|y|dy:=σ1. (3.9)

    Taking an integration of the second equation in (1.3) over R gives

    cI(+)+γRI(ξ)dξ=d2R(JI(ξ)I(ξ))dξ+Rf(S(ξ))g(I(ξcτ))dξ<, (3.10)

    where we have used (3.8) and (3.9).

    Consequently, it follows from (3.10) that

    RI(ξ)dξ<.

    Upon combining with the fact that I(ξ) is bounded on R (see (3.4)), we have

    I(+)=0. (3.11)

    This completes the proof.

    The following proposition deals with the asymptotic behavior of S(ξ) at .

    Proposition 3.3. Assume that R0=f(S0)g(0)γ>1 and cc. Then (1.3) has a solution (S(ξ),I(ξ)) such that limξ+S(ξ) exists and

    limξ+S(ξ):=S<S0.

    Moreover, there holds

    Rf(S(ξ))g(I(ξcτ))dξ=γRI(ξ)dξ=c(S0S).

    Proof. We prove the existence of limξ+S(ξ) by a contradiction argument. Suppose

    limξ+supS(ξ)>limξ+infS(ξ)

    for a contrary. Then from Fluctuation Lemma (see Lemma 2.2 in [1]), we infer that there exists a sequence {ξn} satisfying ξn as n such that

    limnS(ξn)=limξ+supS(ξ):=σ2 and S(ξn)=0. (3.12)

    Meanwhile, there exists another sequence {ηn} satisfying ηn as n such that

    limnS(ηn)=limξ+infS(ξ):=σ3<σ2 and S(ηn)=0. (3.13)

    Following from the first equation in (1.3), we have

    cS(ξn)=d1(JS(ξn)S(ξn))f(S(ξn))g(I(ξncτ)). (3.14)

    Passing to the limits in (3.14) as n, and using (3.11), (3.12) and (A2), we obtain

    limnJS(ξn)=limnS(ξn)=σ2. (3.15)

    Set

    Sn(y)=S(ξny). (3.16)

    We will show that limnSn(y)σ2 for ysuppJ:=Ω. Take sufficiently small ε1>0 and let

    Ωε1=Ω{yΩ|limnSn(y)<σ2ε1}. (3.17)

    Then from (3.12), (3.15)-(3.17) and (A3) we get

    σ2=limnJS(ξn)=limnΩJ(y)S(ξny)dy=limnΩJ(y)Sn(y)dylimnsupΩΩε1J(y)Sn(y)dy+limnsupΩε1J(y)Sn(y)dyσ2ΩΩε1J(y)dy+(σ2ε1)Ωε1J(y)dy=σ2ε1Ωε1J(y)dy,

    which shows that m(Ωε1)=0, where m() denotes the measure. Therefore, we have limnSn(y)=σ2 almost everywhere in Ω.

    However, since {Sn} is an equi-continuous family, the convergence is everywhere in Ω, that is,

    limnSn(y)=limnS(ξny)=σ2, yΩ. (3.18)

    Using the similar arguments, we can prove that

    limnS(ηny)=σ3<σ2, yΩ. (3.19)

    Integrating two sides of the first equation in (1.3) from ηn to ξn, using (3.12), (3.13), (3.18), (3.19) and the fact that

    limnξnηnf(S(ξ))g(I(ξcτ))dξ=0,

    we get

    0<c(σ2σ3)=climn(S(ξn)S(ηn))=d1limnξnηn(JS(ξ)S(ξ))dξlimnξnηnf(S(ξ))g(I(ξcτ))dξ=d1limnξnηnRJ(y)(S(ξy)S(ξ))dydξ=d1limnξnηnRJ(y)(y)10S(ξty)dtdydξ=d1limnRJ(y)y10(S(ηnty)S(ξnty))dtdy=0,

    which leads to a contradiction. Thus, limξsupS(ξ)=limξinfS(ξ) and so limξS(ξ):=S exists.

    Next, we will prove that S<S0. Since S(ξ)S0, we have SS0. Assume that S=S0. Then it follows from (3.5) that

    S()=S=S0. (3.20)

    Taking an integration of the first equation in (1.3) over R yields

    c(SS())=d1R(JS(ξ)S(ξ))dξRf(S(ξ))g(I(ξcτ))dξ=d1(RRJ(y)S(ξy)dydξRS(ξ)dξ)Rf(S(ξ))g(I(ξcτ))dξ. (3.21)

    By Fubini's theorem and (A3), one has

    RRJ(y)S(ξy)dydξRS(ξ)dξ=RJ(y)(RS(ξy)dξ)dyRS(ξ)dξ=RJ(y)(RS(ξ)dξ)dyRS(ξ)dξ=RS(ξ)dξRS(ξ)dξ=0. (3.22)

    From (3.20)-(3.22), we obtain Rf(S(ξ))g(I(ξcτ))dξ=0, which contradicts (3.6). Thus, we have

    S<S0

    and

    Rf(S(ξ))g(I(ξcτ))dξ=c(S0S). (3.23)

    Moreover, integrating two sides of the second equation in (1.3) on R and recalling that I(±)=0, one has

    0=d2R[JI(ξ)I(ξ)]dξ+Rf(S(ξ))g(I(ξcτ))dξRγI(ξ)dξ. (3.24)

    Using the Fubini theorem again and repeating the above procedures, we can obtain R[JI(ξ)I(ξ)]dξ=0. It follows from (3.23) and (3.24) that

    γRI(ξ)dξ=Rf(S(ξ))g(I(ξcτ))dξ=c(S0S).

    The proof of this proposition is completed.

    Finally, combining Theorem 3.1 and Propositions 3.1-3.3, we obtain the existence of traveling wave solutions for system (1.2) satisfying (1.5).

    Theorem 3.2. Assume that R0=f(S0)g(0)γ>1 and cc. Then system (1.2) admits a nontrivial and nonnegative traveling wave solution (S(x+ct),I(x+ct)) satisfying (1.5).

    Remark 3.1

    (i) It is worth to point out that, in this paper, we have derived the existence of traveling wave solutions in the absence of assumption (H) and further obtained Theorem 3.2 to confirm that c is the minimal wave speed of the existence of traveling wave solutions for (1.2), which improves Theorem 1.1 ([18,Theorem 2.7]).

    (ii) Theorem 3.2 states that Theorem 1.2 ([19,Theorem 2.3]) still holds if we take the influences of delays into consideration.

    (iii) In (1.1), the choice of f(S)=βS and g(I)=I leads to the model investigated by Cheng and Yuan[17]. Thus, Theorem 3.2 includes Theorem 3.2 of [17] as a special case.

    In this section, we will give a typical example to demonstrate the abstract results presented in Section 3. The choice of f(S)=S and g(I)=βI1+αI (α,β>0 are two coefficients) in (1.2) leads to

    {S(x,t)t=d1(JS(x,t)S(x,t))βS(x,t)I(x,tτ)1+αI(x,tτ),I(x,t)t=d2(JI(x,t)I(x,t))+βS(x,t)I(x,tτ)1+αI(x,tτ)γI(x,t). (4.1)

    Obviously, it is easy to verify that f(S) and g(I) satisfy assumptions (A1)-(A2). Applying Theorem 3.2, we obtain the following result.

    Theorem 4.1. There exists a positive constant c such that if R0=βS0γ>1 and cc. Then system (4.1) admits a nontrivial and nonnegative traveling wave solution (S(x+ct),I(x+ct)) satisfying

    S()=S0, S(+)=S<S0, I(±)=0. (4.2)

    We further show that the minimal wave speed c is determined by the following system:

    Δ(λ,c)=0andΔ(λ,c)λ=0,forλ>0,c>0,

    where

    Δ(λ,c):=d2RJ(y)(eλy1)dycλ+βS0eλcτγ.

    It is noticed that the minimal wave speed c is relevant to the dispersal rate d2 and the delay τ. Due to Δ(λ,c)=0, by the implicit function theorem, a direct calculation gives

    dcdd2=RJ(y)eλydy1λ+λτβS0eλcτ>0,

    which implies that the geographical movement of infected individuals can increase the speed of the spread of disease. Similarly, we have

    dcdτ=cβS0eλcτ1+βτS0eλcτ<0.

    That is, the longer the delay τ, the slower the spreading speed.

    It is known that the existence and non-existence of the traveling wave solution to nonlinear partial equations have been investigated extensively since they can predict whether or not the disease spread in the individuals and how fast a disease invades geographically. In the present paper, we have studied the traveling wave solutions for a delayed nonlocal dispersal SIR epidemic model with the critical wave speed. It has been found that the existence of traveling wave solutions are totally determined by the basic reproduction number and the minimal wave speed c. More precisely, if R0>1 and cc, then system (1.2) admits a nontrivial and nonnegative traveling wave solution (S(x+ct),I(x+ct)) satisfying (1.5). Results on this topic may help one predict how fast a disease invades geographically, and accordingly, take measures in advance to prevent the disease, or at least decrease possible negative consequences. The approaches applied in this paper have prospects for the study of the existence and non-existence of traveling wave solutions for nonlocal dispersal epidemic models with more general nonlinear incidences. Finally, we remark that there are quite a few spaces to deserve further investigations. For example, we can study the asymptotic speed of propagation, the uniqueness and stability of traveling wave solutions. Moreover, the exact boundary behavior of susceptible S(ξ) at + is not obtained although the existence of S(+) is established. We leave these problems for future work.

    This work was supported by the National Natural Science Foundation of China (11701460), the Natural Science Foundation of Sichuan Provincial Education Department (Grant No. 18ZB0581), the Meritocracy Research Funds of China West Normal University (17YC373), the research startup foundation of China West Normal University (Grant No. 18Q060) and the Research and Innovation Team of China West Normal University (CXTD2020-5).

    The authors declare there is no conflict of interest.



    Authors' contribution



    Luke Stanisce: Concept and design; Acquisition, analysis, and interpretation of data; Article drafting; Critical revision; Final approval; Donald H Solomon: Concept and design; Acquisition, analysis, and interpretation of data; Article drafting; Critical revision; Final approval; Liam O'Neill: Concept and design; Acquisition, analysis, and interpretation of data; Article drafting; Critical revision; Final approval; Nadir Ahmad: Concept and design; Interpretation of data; Critical revision; Final approval; Bria Swendseid: Concept and design; Interpretation of data; Critical revision; Final approval; Gregory Kubicek: Concept and design; Interpretation of data; Critical revision; Final approval; Yekaterina Koshkareva: Concept and design; Acquisition, analysis, and interpretation of data; Article drafting; Critical revision; Final approval.

    Conflict of interest



    The authors declare no conflict of interest.

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