SIR Epidemic and Vaccination Infection Transmission Plus Host Birth, Death Purpose: What fraction of hosts must be vaccinated in order to eradicate disease? Compartments & Virulence Susceptible, Infective, Recovered Hosts Background Mortality: All classes Virulence: Extra mortality, Infected hosts only Reproduction: All classes; Hosts Born S Parameters b Per-capitum Birth Transmission Rate (Mass Action) d Non-Disease Mortality (All) D Infective Mortality (D – d): Virulence > 0 Recovery from Infection Dynamics of General Epidemic dS b S I R SI dS dt dI SI D I dt dR I dR dt Assumptions When Rare, Pathogen Invades Host Pop. R0 > 1 Invasion Criterion Equilibrium: Endemic Infection if R0 > 1 Vaccine Available: What level of vaccination (reduction in susceptibility) would prevent disease form advancing when rare? Vaccination Control (Ricklefs & Miller, 2000) May, 1983; Includes corrections for vaccine efficiencies Disease Locale R0 pV Smallpox Developing World 3-5 0.7 – 0.8 Measles England 13 0.92 Whooping cough England 17 0.94 Rubella England 6 0.83 Chicken Pox US 9 - 10 0.9 Diphtheria US 4-6 0.8 Scarlet fever US 5-7 0.8 Mumps US 4-7 0.8 Polio Netherlands 6 0.83 Malaria Nigeria 80 0.99 Malaria Nigeria 16 0.94 Define Virulence Reduction in Host Fitness Due to Pathogen’s Reproduction Increased Host Mortality Rate “Sub-lethal” Diminished Host Fecundity Cost of Immune Response Decline in Competitive Ability Why is virulence so diverse? 8 Virulence: Process Pathogen Takes Resources from Host Energy, Nutrients “Virulence Factors” Pathogen Growth Releases Substance Toxic to Host Increase Host Mortality Decrease Host Fecundity 9 Virulence: Trade-Off Pathogen Evolves Faster than Host Benefit of Increased Virulence Faster Pathogen Growth Increased Transmission Rate Cost of Increased Virulence Duration of Infectious Period Reduced Via Greater Host Mortality 10 Virulence: Trade-Off Greater Transmission Rate Requires Greater Virulence 11 Natural Selection and Virulence? Evolutionarily Stable Virulence 𝛼 ∗ Maximizes 𝑅0 = Number of Infections/Infection When Rare Equivalently, 𝛼 ∗ Minimizes Density of Susceptible Hosts at Endemic Equilibrium 12 Evolutionarily Stable Virulence 13 ES Virulence Maximizes 𝑹𝟎 14 Maximal Infections per Infection Assumes: Fully Mixed Population {0, 1} Host Infections Direct-Contact Transmission Before Host Death or Recovery Monomorphic Solution! Example Where Assumptions Fit 15 Fraser et al. 2007. PNAS 104:17441-17446 Set-Point Viral Load of HIV-1 Peripheral Density, Asymptomatic Period Dependence of Set-Point on Viral Replication Unclear Infectiousness Increases with Viral Load Duration of Infectious Period Declines Viral Life-History Trade-Off? 16 Viral Load: Heterogeneity 17 Transmission Rate-Duration Trade-Off Transmission Rate Duration of Infectious Period 18 E[Infections per Case] 19 𝑹𝟎 and E[Growth Rate] 20