Population Dynamics of Infectious Disease
Infectious Disease
A product of an interaction between two species.
The Host
A resource for the pathogen, in order for the pathogen to grow and multiply.
Disease
What is caused by the pathogen in the host, which is affected by various factors, e.g., host age.
Pathogens have different life history strategies:
E.g., HIV and measles.
HIV Life History Strategy
There;s a peak in the viremia, then it declines due to cytotoxic T cells (antibodies also play a role), but the viremia never completely goes away. It settles for 8-10 years at a particular stable level. While it’s at a stable level, the virus is still invading, and destroying, CD4 T cells. CD4 T cells then decrease, the viremia increases againa and AIDS occurs.
Antiretroviral Therapy
Can keep the stable viremia levels even lower.
Measles Life History
The viremia grows after the host is infected. After a week, symptoms develop, and the immune system begins to synthesise antibodies and T cells against the virus. This resolves the viremia, so by 14 weeks, there’s undetectable levels of viremia in the blood. The host is then typically immune to all subsequent infections by measles.
Colonisation by HIV
the population begins as completely susceptible. A person with the virus appears, then spreads the pathogen from person to person. If someone has the virus, they are counted as infected, so they’re no longer susceptible to the virus. (Though a new strain could emerge).
The compartmental model can be used to model HIV, and other viruses with similar life histories:
This model uses variables to describe the state of the host. There are only two variables/compartments: Susceptible/S and Infected/I.
λ
The per capita rate at which hosts from from S to I. I.e., the force (per capita risk) of infection.
What happens as y increases?
The rate of cahnge of y decreases, as the pathogen uses up its own resources by infecting hosts. This means there is density-dependence.
When a pathogen spreads, it creates a population-elevl reduction in resources. What is the term often given to this?
Herd immunity (though not for a virus with a life history like HIV’s).
What happens until y=1?
The spread will continue until everyone is infected. All patches will be colonised eventually.
What actually is λ?
The likelihood of being infected, if you were susceptible,a nd entered a population. This depends on how many people are already infected, and how likely you are to come into contact with soemone who is infected, so that they could spread it to you, which depends on the type of transmission.
λ=
By
To what is λ proportional?
The number of people who are infected. It doesn’t have to be a linear relationship, but the linear part of any more complicated relationship will dominate.
B
A combination of parameters relating risk of infection to prevalence of infection.
When λ= By:
dy/dt= By(1-y).
What is beta in the case of a directly-transmitted pathogen?
You are at risk of acquiring the pathogen from anyone in the population, so beta modifies the likelihood of getting the disease after you’ve bumped into someone.
What is beta in the case of a sexually-transmitted infection?
Instead of N, it’s the number of sexual partners per year. Beta is the probability of getting the disease from each interaction.
Why is biting rate, a, squared?
In order to successful completion of the lifecycle, the mosquito must bite, and infect a host. Then the host must be bitten again by another mosquito to transmit the disease to someone else.
The graph of y against time:
Introduce the infection with a small number of people, the infection gains traction; then infection rate increases rapidly. The pathogen is consuming so many resources that rate of infection slows down again, and plateaus. This shape mimics real pathogens, incl. HIV.