This presentation is made available through a Creative Commons AttributionNoncommercial license. Details of the license and permitted uses are available at http://creativecommons.org/licenses/by-nc/3.0/ © 2010 Dr. Juliet Pulliam Title: Dynamics of Vector-Borne Pathogens Attribution: Dr. Juliet Pulliam, Topics in Biomedical Sciences Source URL: http://lalashan.mcmaster.ca/theobio/mmed/index.php/Honours Course For further information please contact Dr. Juliet Pulliam (juliet.mmed.clinic@gmail.com). Dynamics of vector-borne pathogens Dr. Juliet Pulliam RAPIDD Program Division of International Epidemiology Fogarty International Center National Institutes of Health (USA) Topics in Biomedical Sciences BSc Honours Course in Biomathematics African Institute for the Mathematical Sciences Muizenberg, South Africa 20 May 2010 Infectious diseases Transmission Mode of transmission Direct transmission Direct contact Droplet spread Indirect transmission Airborne Vehicle-borne (fomites) Vector-borne (mechanical or biological) Portal of entry Portal of exit Infectious diseases Transmission Mode of transmission Direct transmission Direct contact Droplet spread Indirect transmission Airborne Vehicle-borne (fomites) Vector-borne (mechanical or biological) Portal of entry Portal of exit Mosquitoes Ticks Sandflies Tsetse flies Reduviid bugs Vector-borne pathogens “Typical” natural history Infection Onset of symptoms Incubation Latent period Clinical disease Infectious period Onset of shedding Vector-borne pathogens “Typical” natural history HOST Infection VECTOR Onset of symptoms Infection Incubation Latent period Death Clinical disease Infectious period Onset of shedding Latent Infectious Onset of shedding Vector-borne pathogens “Typical” natural history Often acute: timecourse of infection << normal lifespan of host BUT timecourse of infection ~ normal lifespan of vector Sometimes immunizing: infection may stimulate antibody production, preventing future infection… or may not… or somewhere in between Vector-borne pathogens Examples Mosquitoes Anopheles spp., malaria vectors Culex spp., West Nile vectors Other biting flies Phlebotomus papatasi, Leishmania vector Glossina spp., African trypanosomiasis vectors True bugs Triatoma infestans, Chagas vector Ticks Amblyomma spp., heartwater vectors not so Vector-borne pathogens A^simple view of the world HOST Infection Onset of symptoms Infectivity < 1 Exposed & Infected Incubation Clinical disease Infectious Latent period Infectious period Diseased Onset of shedding not so Vector-borne pathogens A^simple view of the world Don’t worry about symptoms and disease! Infectivity < 1 Infection HOST Exposed & Infected Latent period Infectious period Infectious Onset of shedding not so Vector-borne pathogens A^simple view of the world H = infectivity to humans x per capita (vector) biting rate Infectivity < 1 Infection HOST Exposed & Infected Latent period Infectious period Infectious Onset of shedding Vector-borne pathogens not so A^simple view of the world HOST Susceptible Exposed & infected (not infectious) Infectious Recovered not so Vector-borne pathogens A^simple view of the world V = infectivity to vectors x per capita (vector) biting rate Infectivity < 1 VECTOR Infection Death Exposed & Infected Latent InfectiousInfectious period Infectious Onset of shedding not so Vector-borne pathogens A^simple view of the world VECTOR SV HOST SH IV EH IH RH EV not so Vector-borne pathogens A^simple view of the world VECTOR SH IV V EH IH H H RH SV HOST EV V V V V Vector-borne pathogens not so A^simple view of the world V birth rate V per capita mortality rate V per capita birth rate per capita mortality rate H ,V 1/latent period H 1/infectious period not so Vector-borne pathogens A^simple view of the world VECTOR SH IV V EH IH H H RH SV HOST EV V V V V not so Vector-borne pathogens A^simple view of the world = infectivity x per capita contact rate = infectivity x per capita (vector) biting rate infectivity = proportion of susceptible individuals that become infected, given exposure HOST exposure = bite by IV VECTOR exposure = bite on IH per capita (vector) biting rate = bites by one individual vector per time unit not so Vector-borne pathogens A^simple view of the world HOST = infectivity x per capita contact rate = infectivity x per capita biting rate infectivity = proportion of susceptible individuals that become infected, given exposure per capita (vector) biting rate = bites by one individual vector per unit time exposure = bite by IV infectivity to host = host infections produced per bite by IV on SH H = bites (potentially infectious to host) by one individual vector per unit time HIV = bites (potentially infectious to host) per unit time HIV/NH = bites (potentially infectious to host) per host per unit time HSHIV/NH = infectious bites per unit time not so Vector-borne pathogens A^simple view of the world VECTOR = infectivity x per capita contact rate exposure = bites on IH = infectivity x per capita biting rate infectivity to vector = vector infections produced per bite by SV on IH infectivity = proportion of susceptible individuals that become infected, given exposure per capita (vector) biting rate = bites by one individual vector per unit time V = bites (potentially infectious to vector) by one individual vector per unit time VSV = bites (potentially infectious to vector) per unit time VSV/NH = bites (potentially infectious to vector) per host per unit time VSVIH/NH = infectious bites per unit time not so Vector-borne pathogens A^simple view of the world VECTOR V I H SV NH HOST SH IV V H IV EV V NH EH IH H H RH V V V not so Vector-borne pathogens A^simple view of the world HOST dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt VECTOR dSV V SV I H V V SV dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt not so Vector-borne pathogens A^simple view of the world HOST dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt R0 ? VECTOR dSV V SV I H V V SV dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt Vector-borne pathogens A simple method for complex models R0 FV 1 FV-1 = is the “next generation matrix” For all compartments xi containing infected individuals (ie, EH , IH, EV, IV), the time derivative can be rewritten as dx i f i (x) F i (x) V i- (x) V i+(x) dt where F i (x) V i- (x) + V i (x) = the rate of appearance of new infections in compartment xi = the rate of transfer out of compartment xi = the rate of transfer of individuals into compartment xi, other than new infections Vector-borne pathogens A simple method for complex models R0 FV 1 FV-1 = is the “next generation matrix” F and V are then the square matrices defined by F (x ) F i 0 x j where V i =V i- V i+(x) and V (x ) V i 0 x j not so Vector-borne pathogens A^simple view of the world dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt For our system, we have x1 E H , x2 I H , x3 EV , x4 IV dSV S I V V SV V V H dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt not so Vector-borne pathogens A^simple view of the world dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt For our system, we have x1 E H , x2 I H , x3 EV , x4 IV and we find dSV S I V V SV V V H dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt 0 0 0 0 F 0 V 0 0 H H V 0 0 0 H 0 0 0 H 0 0 0 0 0 0 0 0 V V V 0 0 0 V V not so Vector-borne pathogens A^simple view of the world dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt For our system, we have x1 E H , x2 I H , x3 EV , x4 IV which gives dSV S I V V SV V V H dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt 0 FV 1 0 V H 0 0 0 V H 0 H V 2 V V H V V 0 0 0 0 0 0 not so Vector-borne pathogens A^simple view of the world dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt For our system, we have x1 E H , x2 I H , x3 EV , x4 IV “next generation matrix” dSV S I V V SV V V H dt NH dE V V SV I H V V E V dt NH dIV V E V V V IV dt 0 0 FV 1 E H EV R0 0 0 0 I H EV R 0 0 EV E H R 0 I V E H R 0 0 0 0 0 0 0 not so Vector-borne pathogens A^simple view of the world dS H S H IV dt NH dE H S H IV E H dt NH dI H E H I H dt dR H I H dt For our system, we have x1 E H , x2 I H , x3 EV , x4 IV and dSV S I V V SV V V H dt NH dE V V SV I H V V EV dt NH dIV V E V V V IV dt H V H R0 FV 2 V V H 1 R0 2 H V H 2 V V H