A theoretical model for the transmission dynamics of HIV/HSV-2 co-infection in the presence of poor HSV-2 treatment adherence

Abstract

Abstract Herpes simplex virus (HSV-2) triples the risk of acquiring human immunodeficiency virus (HIV) and contributes to more than 50% of HIV infections in other parts of the world. A deterministic mathematical model for the co-interaction of HIV and HSV-2 in a community, with all the relevant biological detail and poor HSV-2 treatment adherence is proposed. The threshold parameters of the model are determined and stabilities are analysed. Further, we applied optimal control theory. We proved the existence of the optimal control and characterized the controls using Pontryagin’s maximum principle. The controls represent monitoring and counselling of individuals infected with HSV-2 only and the other represent monitoring and counselling of individuals dually infected with HIV and HSV-2. Numerical results suggests that more effort should be devoted to monitoring and counselling of individuals dually infected with HIV and HSV-2 as compared to those infected with HSV-2 only. Overall, the study demonstrate that, though time dependent controls will be effective on controlling HIV cases, they may not be sustainable for certain time intervals.