New results and open questions for SIR-PH epidemic models with linear birth rate, loss of immunity, vaccination, and disease and vaccination fatalities

TL;DR

This paper introduces three new classes of epidemic models (SIR-PH, SIR-PH-FA, SIR-PH-IA), discusses open problems about their endemic points, and presents new results on a generalized SAIRS model.

Contribution

It proposes new broad classes of epidemic models and highlights open mathematical problems regarding their stability and endemic points.

Findings

Established properties for the basic reproduction number R0 in new models

Presented new results on a generalized SAIRS epidemic model

Identified open problems for future research

Abstract

Our paper presents three new classes of models: SIR-PH, SIR-PH-FA, and SIR-PH-IA, and states two problems we would like to solve about them. Recall that deterministic mathematical epidemiology has one basic general law, the R0 alternative" of [52, 51], which states that the local stability condition of the disease free equilibrium may be expressed as R0 < 1, where R0 is the famous basic reproduction number, which plays also a major role in the theory of branching processes. The literature suggests that it is impossible to find general laws concerning the endemic points. However, it is quite common that 1. When R0 > 1, there exists a unique fixed endemic point, and 2. the endemic point is locally stable when R0 > 1. One would like to establish these properties for a large class of realistic epidemic models (and we do not include here epidemics without casualties). We have introduced in [7, 5] a "simple", but broad class of "SIR-PH models" with varying population, with the express purpose of establishing for these processes the two properties above. Since that seemed still hard, we have introduced a further class of "SIR-PH-FA" models, which may be interpreted as approximations for the SIR-PH models, and which includes simpler models typically studied in the literature (with constant population, without loss of immunity, etc). The goal of our paper is to draw attention to the two open problems above, for the SIR-PH, SIR-PH-FA, and also for a second, more refined "intermediate approximation" SIR-PH-IA. We illustrate the current status-quo by presenting new results on a generalization of the SAIRS epidemic model of [44, 40].