Stability Properties of Disease Models under Economic Expectations

Description

Comprehending the dynamics of infectious diseases is very important in formulating public health policies to tackling their prevalence. Mathematical epidemiology (ME) has played a very vital role in achieving the above. Nevertheless, classical mathematical epidemiological models do not explicitly model the behavioural responses of individuals in the presence of prevalence of these diseases. Economic epidemiology (EE) as a field has stepped in to fill this gap by integrating economic and mathematical concepts within one framework. This thesis investigated two issues in this area. The methods employed are the standard linear analysis of stability of dynamical systems and numerical simulation. Below are the investigations and the findings of this thesis:
Firstly, an investigation into the stability properties of the equilibria of EE
models is carried out. We investigated the stability properties of modified EE systems studied by Aadland et al. [6] by introducing a parametric quadratic utility function into the model, thus making it possible to model the maximum number of contacts made by rational individuals to be determined by a parameter. This parameter in particular influences the level of utility of rational individuals. We have shown that if rational individuals have a range of possible contacts to choose from, with the maximum of the number of contacts allowable for these individuals being dependent on a parameter, the variation in this parameter tends to affect the stability properties of the system. We also showed that under the assumption of permanent recovery for
disease coupled with individuals observing or not observing their immunity, death
and birth rates can affect the stability of the system. These parameters also have
effect on the dynamics of the EE SIS system.
Secondly, an EE model of syphilis infectivity among &ldquo men who have sex with men &rdquo (MSM) in detention centres is developed in an attempt at looking at the effect of behavioural responses on the disease dynamics among MSM. This was done by explicitly incorporating the interplay of the biology of the disease and the behaviour of the inmates. We investigated the stability properties of the system under rational expectations where we showed that: (1) Behavioural responses to the prevalence of
the disease affect the stability of the system. Therefore, public health policies have the tendency of putting the system on indeterminate paths if rational MSM have complete knowledge of the laws governing the motion of the disease states as well as a complete understanding on how others behave in the system when faced with risk-benefit trade-offs. (2) The prevalence of the disease in the long run is influenced by incentives that drive the utility of the MSM inmates. (3) The interplay between the dynamics of the biology of the disease and the behavioural responses of rational MSM tends to put the system at equilibrium quickly as compared to its counterpart (that is when the system is solely dependent on the biology of the disease) when subjected to small perturbation.
Author Keywords: economic and mathematical epidemiology models, explosive path, indeterminate-path stability, numerical solution, health gap, saddle-path stability, syphilis,