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Neglected tropical diseases: Mathematical modelling and control of within-host and transmission dynamics of viral infections

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dc.contributor.supervisor Lungu, Edward
dc.contributor.supervisor Szomolay, Barbara
dc.contributor.author Shava, Roselyn, Fungai, Kaondera
dc.date.accessioned 2022-04-21T13:03:36Z
dc.date.available 2022-04-21T13:03:36Z
dc.date.issued 2021-06
dc.identifier.citation Shava, R,F,K. (2021) Neglected tropical diseases: Mathematical modelling and control of within-host and transmission dynamics of viral infections), Master's Thesis, Botswana International University of Science and Technology: Palapye. en_US
dc.identifier.uri http://repository.biust.ac.bw/handle/123456789/421
dc.description Thesis (Msc Mathematics and Statistics Sciences) --Botswana International University of Science and Technology, 2021 en_US
dc.description.abstract Neglected tropical diseases (NTDs) are a health crisis that is ignored by the developed world and only starts getting attention when there is an outbreak that kills a large population. AIDS associated Kaposi sarcoma (AIDS-KS) and Ebola Virus Disease (EVD) are viral infections which are just two of the many NTDs that require attention. This thesis presents novel within-host ordinary differential equation (ODE) mathematical models in conjunction with application of the optimal control theory of AIDS-KS dynamics. Additionally, we derive an epidemiological system of ODEs to model the transmission dynamics of EVD in the presence of public health education. AIDS-KS is caused by KS-associated herpesvirus (KSHV). Although the standard KS therapy has not changed in twenty years, not all cases of KS will respond to the same therapy. The goal of current AIDS-KS treatment modalities is to reconstitute the immune system and suppress HIV replication. We introduce novel within-host ODE mathematical models that consolidate the effect of both HIV and KSHV load on KS tumor progression by incorporating low or high viral loads (VLs) into the proliferation terms of the immune cell populations. Regulation of HIV/KSHV VL and viral reservoir cells is crucial for restoring a patient to an asymptomatic stage. Therefore, in order to device an optimal treatment plan, optimal control theory is applied by using Pontryagin’s maximum principle with control measures such as combined antiretroviral therapy (cART). The objective function is constituted to minimise the population of infected cells, VL and KS tumor and the harmful side effects of cART to the patient. The results indicate that the drug treatment strategies are capable of removing the viral reservoirs faster, consequently reducing the HIV and KS tumor burden. The predictions of the mathematical models have the potential to offer more effective therapeutic interventions based on VL and virus-infected cell load, hence support new studies addressing the superiority of VL over CD4 cell count when predicting life expectancy of HIV patients. iv Public participation in Ebola virus disease (EVD) prevention efforts is essential to reduce outbreaks. Targeted education through practical health information for specific populations and sub-populations is essential to combat this disease. We study the dynamics of EVD in he presence of public health education to assess the role of behavior change instigated by health education in the dynamics of an outbreak. The intensity of behaviour change is clear in two outbreaks of EVD that occurred in Sudan just three years apart. The first occurrence turned into the primary documented outbreak of EVD and produced a sizable number of infections. The subsequent outbreak delivered far less cases, apparently on the grounds that the population in the district gained from the primary episode. We derive a system of ODEs to model these two opposite behaviors, using data from these two EVD instances to estimate parameters significant to the two opposite behaviors. We then simulate a future EVD epidemic in Sudan using our model, which includes two susceptible populations, one of which is more knowledgeable about EVD than the other. Our results show how a better educated population leads to fewer cases of EVD and features the significance of ongoing education in public health. en_US
dc.description.sponsorship The Simons Foundation (US) through The Research and Graduate Studies in Mathematics (RGSMA) project at Botswana International University of Science and Technology (BIUST en_US
dc.language.iso en en_US
dc.publisher Botswana International University of Science and Technology en_US
dc.subject Neglected tropical diseases en_US
dc.subject Viral infections en_US
dc.subject Mathematical model en_US
dc.subject Optimal control theory en_US
dc.subject Kaposi sarcoma en_US
dc.subject Ebola virus diseas en_US
dc.subject cART en_US
dc.subject Viral load en_US
dc.subject HIV en_US
dc.subject KSHV en_US
dc.subject Public health education en_US
dc.subject Outbreak en_US
dc.title Neglected tropical diseases: Mathematical modelling and control of within-host and transmission dynamics of viral infections en_US
dc.description.level phd en_US
dc.description.accessibility restricted en_US
dc.description.department mss en_US


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