Affiliation:
1. City University of Hong Kong
2. University of Cambridge
Abstract
Abstract
The competition between pathogens is an essential issue in epidemiology. As the COVID-19 pandemic persists, new variants mutate resulting in further waves of infections. In this work, we propose a simple two-variant susceptible-infected-removed-susceptible (SIRS) model for studying the competitive epidemic processes. We obtain the global basic reproduction number of our proposed model and show that whether the epidemic persists or diminishes depends on the more contagious of the two variants. Furthermore, by studying the stability of the endemic equilibria, given a specific choice of parameters, we can predict which variant, if any, will eventually dominate the competitive epidemic process.Numerical results show that periodic solutions become viable when the two variants’ cross-infectivities are unequal, i.e., recovery from one variant offers unequal protection against the other. In other words, reducing the infectivity of a variant via non-pharmaceutical interventions may trigger periodic or even chaotic behavior and paradoxically cause healthcare demand to increase. Finally, note that our model is sufficiently general so as to be used for studying competitive behavior in other areas of science.
Publisher
Research Square Platform LLC
Reference31 articles.
1. Y. Meng and D. M. Irwin and Y. Shen (2022) Ecology of {SARS}-{CoV}-2 in the post-pandemic era. The Lancet Microbe https://doi.org/10.1016/s2666-5247(22)00361-5, Elsevier {BV}, December
2. E. B. Are and Y. Song and J. E. Stockdale and P. Tupper and C. Colijn (2023) {COVID}-19 endgame: From pandemic to endemic? {V}accination, reopening and evolution in low- and high-vaccinated populations. Journal of Theoretical Biology 559: 111368 https://doi.org/10.1016/j.jtbi.2022.111368, Elsevier {BV}, February
3. S. Adjei and K. Hong and N.-A. M. Molinari and L. Bull-Otterson and U. A. Ajani and A. V. Gundlapalli and A. M. Harris and J. Hsu and S. S. Kadri and J. Starnes and K. Yeoman and T. K. Boehmer (2022) Mortality Risk Among Patients Hospitalized Primarily for {COVID}-19 During the {Omicron} and {Delta} Variant Pandemic Periods --- {United States}, {April} 2020--{June} 2022. {MMWR}. Morbidity and Mortality Weekly Report 71(37): 1182--1189 https://doi.org/10.15585/mmwr.mm7137a4, Centers for Disease Control {MMWR} Office, September
4. A. Botros. {Fauci} isn ’t just worried about a `wave of infections' as {China} reopens. He sees a risk in a whole new wave of mutant variants. Accessed 11 Feb. 2023. https://fortune.com/2022/12/07/fauci-covid-wave-of-infections-new-variants-china-easing-zero-covid/, 2022, December
5. R. Ross (1910) The prevention of malaria. John Murray, London