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A Multi-Scale Model for Cholera Outbreaks

Authors: Beryl Musundi; Johannes Müller; Zhilan Feng;

A Multi-Scale Model for Cholera Outbreaks

Abstract

Cholera, caused by the pathogenic Vibrio cholerae 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.

Countries
Kenya, Germany
Keywords

570, structured model, cholera, pathogen load, Multi-scale Model ; Cholera ; Sir ; Structured Model ; Pathogen Load ; Spectral Analysis, spectral analysis, SIR, QA1-939, Mathematics, multi-scale model

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    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    3
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
gold