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Simulation and Modelling



                      Notes                         U* = b/(d + hG*)

                                                    L* = bhG*/[(c + d)(d + hG*)], and
                                                    F* = bchG*/[d(c + d)(d + hG*)].
                                    The central  problem in  relating  the  population  flow  rates  between  compartments  in  the
                                    differential-equation models to the individual half-lives in each state in discrete-event models
                                    is that population transition rates in the latter depend upon infection histories, i.e., the “age”
                                    distribution of individual times since infection. It is possible to compare the models by equating
                                    average residence times in the “immune” state at an equilbrium, but their dynamics remain
                                    completely different.
                                    Consider a “cohort” in the discrete-event model, i.e., all hosts infected on a single day, and let
                                    M = M(t) represent the fraction of that cohort still immune at time t, such that “dM/dt is the
                                    fraction losing immunity in dt, or, equivalently, is the probability density of the transition from
                                    the immune to the successor state. Then the average length of immunity is  (–dM/dt)dt, with
                                                                                                  t
                                    the time integral taken from 0 to infinity.
                                    The probability of an individual being infected on  day t  is (1–e ), where q = IM, hence  the
                                                                                         –qt
                                    number of cohort members being infected and thus moving from the immune to the successor
                                                      –qt
                                    state on day t is M(1–e ). That is, M decays as dM/dt = “M(1–e ), where q is the rate of decay of
                                                                                      –qt
                                    the probability of becoming infected once in the immune state (i.e., once the infection has been
                                    cleared). This cannot be substituted directly into the formula for the average length of immunity
                                    because this derivative includes the function M(t) itself. Therefore it is necessary to solve for
                                    M(t) first. By separation of variables:
                                                      –qt
                                    1.   dM/M = – (1 – e ) dt, and
                                    2.   In(M) = – (t + e )/q
                                                     –qt
                                                                                           –qt
                                    By substituting the initial condition M(0) = 1, M = [e (1/q) ]/exp[t+(e /q)] is the fraction of the
                                                                                  x
                                    cohort still immune, where exp(x) is synonymous with e , and hence:
                                                                    q
                                            t (–dM / )dt  =   t (1– e –qt )e (1/ )  /exp[t  (e –qt  / )]dt
                                                                                  q
                                                  dt
                                    is the average time in the immune state.
                                    Now let q  represent this q(= IM), the rate of decay of immunity to reinfection in an individual,
                                            s
                                    in the discrete-event model, and let q  represent  the flow rate q in the differential-equation
                                                                    c
                                    model. Because in differential-equation models  the immunity  of any  immune entity  decays
                                    exponentially (i.e., if G = 0, dR/dt = –q R), the average time in the immune state in the discrete-
                                                                   c
                                    event model, q , calculated by the integral above, is (ln2)/q . For example, to generate Figure
                                                s                                    c
                                    13.9 we evaluated the integral with q  = IM = 0.01 (an individual host immunity half-life of 70
                                                                  s
                                    days in the discrete-event model), which yields an average time in the immune state of 12.55
                                    days. Thus q  = ln(2)/12.55 = 0.055. To further illustrate the differences between an individual-
                                               c
                                    level and a population-level time scale, note that a population average residence time of 70 days
                                    in the differential-equation models (i.e., q  = 0.01) corresponds to a discrete-event-model immune
                                                                     c
                                    half-life of 2,166 days.
                                    Of course q  and q  can be equated in this manner only when the distribution of the individuals
                                             s     c
                                    in the immune state over the times since they entered that state is uniform, which will usually
                                    be the case near an equilibrium (i.e., with hosts entering and leaving each state at a constant
                                    daily rate). As this is not likely to be true elsewhere, even with identical equilibria one would
                                    expect different system dynamics away from that point.
                                    In this classic differential-equation model, translating the delays, D  and D , and the host window
                                                                                         V    H
                                    of infectivity, WN, poses the problem of approximating a deterministic step function by a flow



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