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1.
Acta Biotheor ; 63(2): 151-82, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25980477

ABSTRACT

In this paper, a nonlinear dynamical system is proposed and qualitatively analyzed to study the dynamics and effects of HIV-malaria co-infection in the workplace. Basic reproduction numbers of sub-models are derived and are shown to have LAS disease-free equilibria when their respective basic reproduction numbers are less than unity. Conditions for existence of endemic equilibria of sub-models are also derived. Unlike the HIV-only model, the malaria-only model is shown to exhibit a backward bifurcation under certain conditions. Conditions for optimal control of the co-infection are derived using the Pontryagin's maximum principle. Numerical experimentation on the resulting optimality system is performed. Using the incremental cost-effectiveness ratio, it is observed that combining preventative measures for both diseases is the best strategy for optimal control of HIV-malaria co-infection at the workplace.


Subject(s)
Coinfection , Efficiency , HIV Infections/prevention & control , Malaria/prevention & control , Models, Theoretical , Workplace , Computer Simulation , HIV/pathogenicity , Humans , Plasmodium falciparum/pathogenicity
2.
Comput Math Methods Med ; 2014: 831506, 2014.
Article in English | MEDLINE | ID: mdl-25097663

ABSTRACT

A nonlinear dynamical system is proposed and qualitatively analyzed to study the dynamics of HIV/AIDS in the workplace. The disease-free equilibrium point of the model is shown to be locally asymptotically stable if the basic reproductive number, ℛ0, is less than unity and the model is shown to exhibit a unique endemic equilibrium when the basic reproductive number is greater than unity. It is shown that, in the absence of recruitment of infectives, the disease is eradicated when ℛ0 < 1, whiles the disease is shown to persist in the presence of recruitment of infected persons. The basic model is extended to include control efforts aimed at reducing infection, irresponsibility, and nonproductivity at the workplace. This leads to an optimal control problem which is qualitatively analyzed using Pontryagin's Maximum Principle (PMP). Numerical simulation of the resulting optimal control problem is carried out to gain quantitative insights into the implications of the model. The simulation reveals that a multifaceted approach to the fight against the disease is more effective than single control strategies.


Subject(s)
Acquired Immunodeficiency Syndrome/prevention & control , Acquired Immunodeficiency Syndrome/transmission , Communicable Disease Control/methods , HIV Infections/prevention & control , HIV Infections/transmission , Occupational Health , Algorithms , Basic Reproduction Number , Computer Simulation , Humans , Models, Theoretical , Nonlinear Dynamics , Occupational Exposure , Workplace
3.
J Biol Phys ; 39(1): 99-121, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23860836

ABSTRACT

The aim of this paper is to analyze the recruitment effects of susceptible and infected individuals in order to assess the productivity of an organizational labor force in the presence of HIV/AIDS with preventive and HAART treatment measures in enhancing the workforce output. We consider constant controls as well as time-dependent controls. In the constant control case, we calculate the basic reproduction number and investigate the existence and stability of equilibria. The model is found to exhibit backward and Hopf bifurcations, implying that for the disease to be eradicated, the basic reproductive number must be below a critical value of less than one. We also investigate, by calculating sensitivity indices, the sensitivity of the basic reproductive number to the model's parameters. In the time-dependent control case, we use Pontryagin's maximum principle to derive necessary conditions for the optimal control of the disease. Finally, numerical simulations are performed to illustrate the analytical results. The cost-effectiveness analysis results show that optimal efforts on recruitment (HIV screening of applicants, etc.) is not the most cost-effective strategy to enhance productivity in the organizational labor force. Hence, to enhance employees' productivity, effective education programs and strict adherence to preventive measures should be promoted.


Subject(s)
Acquired Immunodeficiency Syndrome/epidemiology , Efficiency , Epidemics , Industry/organization & administration , Models, Statistical , Personnel Management , Personnel Selection , Cost-Benefit Analysis , Disease Susceptibility , Humans , Industry/economics , Personnel Management/economics , Personnel Selection/economics
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