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Backward bifurcation and hysteresis in models of recurrent tuberculosis.


ABSTRACT: An epidemiological model is presented that provides a comprehensive description of the transmission pathways involved for recurrent tuberculosis (TB), whereby cured individuals can become reinfected. Our main goal is to determine conditions that lead to the appearance of a backward bifurcation. This occurs when an asymptotically stable infection free equilibrium concurrently exists with a stable non-trivial equilibria even though the basic reproduction number R0 is less than unity. Although, some 10-30% cases of TB are recurrent, the role of recurrent TB as far as the formation of backward bifurcation is concerned, is rarely if ever studied. The model used here incorporates progressive primary infection, exogenous reinfection, endogenous reactivation and recurrent TB as transmission mechan

SUBMITTER: Wangari IM 

PROVIDER: S-EPMC5863985 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature