Interplay between vaccines and treatment for dengue control: An epidemic model

Abstract

Assessing public health intervention strategies is crucial for effectively managing dengue. While numerous studies have explored the impact of dengue interventions on its transmission dynamics, limited research has focused on the combined effects of implementing multiple therapeutic interventions for disease control. This study presents an epidemic model for understanding dengue transmission dynamics, incorporating two critical therapeutic measures: vaccination and treatment of infected individuals. The model is characterized by ordinary differential equations involving seven-state variables. The investigation encompasses both disease-free and endemic equilibria of the model. The findings reveal that the disease-free equilibrium (only) is globally stable when the basic reproduction number is below one. Interestingly, when the vaccine’s effectiveness is low, treatment emerges as a more successful approach in reducing dengue cases than vaccination. In contrast, a highly effective vaccine alone significantly curtails dengue occurrences. Moreover, the study introduces an optimal control problem, featuring an objective function integrating two control mechanisms: vaccination and treatment. The analysis strongly suggests that implementing two control strategies outweighs the efficacy of a single approach in effectively mitigating the spread of the disease.