Abstract
Based on the spread of COVID-19, in the present paper, an imperfectly vaccinated SVEIR model for latent age is proposed. At first, the equilibrium points and the basic reproduction number of the model are calculated. Then, we discuss the asymptotic smoothness and uniform persistence of the semiflow generated by the solutions of the system and the existence of an attractor. Moreover, LaSalle’s invariance principle and Volterra type Lyapunov functions are used to prove the global asymptotic stability of both the disease-free equilibrium and the endemic equilibrium of the model. The conclusion is that if the basic reproduction number is less than one, the disease will gradually disappear. However, if the number is greater than one, the disease will become endemic and persist. In addition, numerical simulations are also carried out to verify the result. Finally, suggestions are made on the measures to control the ongoing transmission of COVID-19.
MSC:
35B35; 92D30; 37C20
1. Introduction
Since the proposal of compartmental models and epidemiological theories [1], an increasing number of scholars have applied them in the study of the transmission of epidemics. It is feasible to incorporate the latent period and vaccination strategy into the basic SIR model to establish SVEIR models. Recently, SVEIR models have been extensively studied.
For instance, Li et al. [2] discussed infectious diseases models considering incubation and vaccination periods and permanent immunity following recovery. The results achieved by [3] showed that if the probability of infection in a person was negligible when or before he/she became vaccinated, the disease could be successfully eliminated. This study also warned against overestimating the effectiveness of vaccination. Upadhyay et al. [4] simulated a computer virus model and found that the reinfection rate was crucial in accurately describing the dynamics of the virus, and that the rate of infection could be reduced by increasing the number of susceptible nodes. Zhang et al. [5] constructed an SVEIR model with two time delays and analyzed the impact of these delay parameters on the system’s dynamic behavior. In addition, several SVEIR models have been developed to assess the influence of incomplete vaccination on epidemics, such as tuberculosis vaccine [6], hepatitis B vaccine [7], SARS vaccine [8], and HIV vaccine [9].
In recent years, many researchers have analyzed the impact of age on the transmission of epidemics. As a result, a number of age-structured epidemic models have been established, and significant progress has been made.
Specifically, Röst [10] built an SEIR model with age-affected infected individuals and discussed the stability of equilibria. Their results demonstrated that had a direct impact on the value of . Griffiths et al. [11] found that HIV was the most prevalent among individuals aged 20–29, and HIV prevention activities were the most effective in individuals under the age of 35. Magal et al. [12] concluded that if the infectious period coincided with the asymptomatic period for even one day, a complete eradication of the disease was not possible, even with quarantine measures in place. The analysis results in [13] suggested that to reduce the ratio of vector density to host density was the most effective method to suppress vector diffusion. Moreover, a smaller ratio indicated a smaller possibility of backward bifurcation and a lower basic reproduction ratio. Ebenman [14] explained that when density dependence was primarily influenced by young populations, stabilization could be achieved through increased competition between young and old populations. Species of different ages with greater ecological isolation were expected to be more stable. According to the study by [15], tuberculosis (TB) spread could be better controlled by reducing the TB spread coefficient and the TB infectiousness coefficient in individuals undergoing treatment. As reported by Xu et al. [16,17], the conversion rate in the model was age-dependent, and both the conversion rate and the probability of the exposed patients to become infected increased with age. Dai and Zhang [18] claimed that the incidence of eating disorders could be lowered if people continued their education. Kenne et al. [19] demonstrated that birth rates directly affected the stability of diseases and that changing certain parameters triggered periodic epidemics, making it difficult to eradicate them from the population. Li and Wang [20] held that in order to effectively control infectious diseases, it was crucial to recruit few susceptible people, restrict travel, and ban large gatherings of people, in addition to vaccination. In the study by Wang et al. [21], age was reported to be an important factor directly affecting the outbreak time and spread speed of AIDS. In addition to the works mentioned above, more age-structured models have been discussed [22,23,24,25].
The rest of the paper is organized as follows. Section 2 presents an age-structured model, illustrates the existence and uniqueness of equilibrium points, and defines the basic reproduction number of the model. Section 3 studies the asymptotic smoothness and uniform persistence of the semiflow and demonstrates the existence of a global attractor. Section 4 analyzes the global stability of equilibrium states. Section 5 presents simulations for appropriate parameter values. Section 6 draws conclusions and discusses the results.
2. Mathematical Model and Existence of Equilibrium Points
In this section, a COVID-19 model in which the latent period depends on age is established. Additionally, the existence of equilibrium states is demonstrated, and the basic reproduction number of the model is calculated.
2.1. Mathematical Model
The population is subdivided into five subsets, namely, susceptible, vaccinated, exposed, infected, and recovered. The densities of susceptible individuals, vaccinated individuals, infected individuals, and recovered individuals at time t are represented by , , , and , respectively. The density of exposed individuals aged at time t is denoted by . If a recovered person comes into contact with an infected person, there is a possibility that he or she will relapse and be involved in the transmission process. Even to a lesser degree, vaccinated individuals are assumed to be susceptible. Suppose that is the recruitment rate of susceptible individuals and their vaccination rate is . indicates the probability of COVID-19 infection in vaccinated individuals. is used to express the contact rate between infected individuals and individuals with susceptibility. Exposed individuals can become infected at an age-dependent rate of . p and represent the reinfection rate of the recovered class and the recovery rate of the infected class, respectively. The mortality associated with the latency of the epidemic is and the epidemic-related mortality in the infected individuals is . is the natural mortality rate of the populations. The interactions between state variables are illustrated in Figure 1.
Figure 1.
Compartment transfer diagram of the model.
The dynamics of state variables are characterized by the differential equations below:
which is subject to the following boundary:
and the following initial conditions:
and , .
To facilitate the calculation, we use:
2.2. Existence of Equilibrium Points
Firstly, through simple calculations, the disease-free equilibrium state of System (1) is obtained: . We define:
Furthermore, assuming that is the steady-state solution of (1), satisfies:
Based on [26], the basic reproduction number is calculated with:
which refers to the average number of new infections generated by a single newly infected individual during the entire infectious period.
By integrating the third equation in (6) from 0 to , we have:
The first and second equations in (6) are solved and the results are:
Let
It is evident that , so we find that when .
Obviously, when . As is monotonically increasing, has only one positive root .
3. Preliminary Results
This section discusses some results about the semiflow generated by (1), such as its asymptotic smoothness and uniform persistence.
3.1. Semi-Flow
The characteristic method is used to seek the solution to the third equation in (1):
The following assumptions are made at first, and the state space of System (1) is defined later.
Assumption 1.
We make the following hypotheses:
- (a)
- and ;
- (b)
- is Lipschitz continuous on , that is, , ;
- (c)
- There is a belonging to such that , .
Let the state space of (1) be:
According to [27], System (1) has a unique non-negative solution. Thus, the semiflow generated by (1) is acquired:
and the norm is similar to (12).
Proposition 1.
For System (1), we have
- (a)
- , for each , we have ;
- (b)
- Ω attracts all points in Σ, and Ψ is point-dissipative.
Proof.
Since and , the variation of the constant formula, we obtain:
According to Assumption 1 and Proposition 1, the following proposition is made.
Proposition 2.
There exists , and if and , then for all , we have:
- (a)
- ;
- (b)
- .
3.2. Asymptotic Smoothness
In order to explore the global properties of the semiflow, it is essential to study the asymptotic smoothness of the semiflow .
Definition 1
([28]). For any nonempty closed bounded set in which , if there is a compact set such that attracts , then is asymptotically smooth.
Lemma 1
([28]). If the following cases are met:
- (a)
- There is a continuous function such that and , ;
- (b)
- is fully continuous, where t is non-negative;
then, is asymptotically smooth in Σ.
Here, we divide into two operators as follows:
where and can be obtained by (6). It is evident that , where t is non-negative. To prove (a) in Lemma 1, we need to first verify the following proposition.
Proposition 3.
Let , where . Then, , and if , .
Proof.
Obviously, approaches 0 if . According to (6), we know:
For and , we have:
Note that , holds true, and it is easy to obtain:
This proposition is proved true. □
Since is an integral part of , we need a compactness concept in . Subsequently, we verify (b) in Lemma 1.
Based on [29] and the conclusion of Proposition 3, remains in a precompact subset of , which is independent of . According to (11), we have:
As , can be derived from (a) in Proposition 2. This result implies that the condition for the bounded closed set presented in [29] is met. There is a small enough such that:
We define:
Note that , and we obtain:
Hence, according to (b) in Proposition 2, we obtain:
Combining (1) and Proposition 2, we have:
which indicates that is bounded by and is Lipschitz continuous with a coefficient . is bounded by , and is also Lipschitz continuous with a Lipschitz coefficient . Likewise, it can also be deduced from the fourth equation in (1) and Assumption 1 that . It is easy to infer that is Lipschitz continuous with a coefficient . According to the lemma of Lipschitz continuity [30], is Lipschitz continuous with a coefficient , and is also Lipschitz continuous with a coefficient . Hence,
Based on the above results, we obtain:
Therefore, is uniform for any , and remains in a precompact subset of . Moreover, is compact in . According to the lemma of the bounded and closed compact set [29], is fully continuous. Considering the above, Lemma 1 is proved true.
Two important theorems are acquired as follows.
Theorem 1.
is asymptotically smooth.
Theorem 2.
has a global attractor , which attracts the bounded sets of Σ.
3.3. Uniform Persistence
Lemma 2
([17]). The scalar Volterra integro-differential equation
where , , and , has a unique unbounded solution .
We denote:
and define:
In addition, we make , where and are both positive sets. According to [31], several results can be reached. Before the analysis of the uniform persistence of the semiflow , the following theorem should be proved true.
Theorem 3.
For the semiflow restricted to ∂B, the disease-free equilibrium of System (1) is globally asymptotically stable.
Proof.
Let , and we have . Then, the following system is obtained:
which is subject to the boundary
and the following initial conditions:
As and , according to the comparison principle, we obtain:
where satisfies:
The boundary condition is:
and the initial conditions are:
Since , we have , for . Thus, is the only solution of the following equation:
and its initial conditions are:
According to (26), for , we have . When , we have:
Since , . Furthermore, it can be deduced from System (1) that , . Thus, is globally asymptotically stable in . This theorem is proved valid. □
We now demonstrate the uniform persistence of .
Theorem 4.
If , then the semiflow is uniformly persistent with respect to . It means that there is a such that for any . Furthermore, there is a compact global attractor of .
Proof.
Based on Theorem 3, we only need to demonstrate that there exist and such that , . The specific steps are as follows:
where
On the contrary, we suppose that such that . Then, for t non-negative, there is a sequence such that:
We denote:
Selecting a sufficiently big such that , , there is a positive for it, and when , we have:
When , . To prevent the loss of generality, let . By , we choose a large enough to satisfy:
Then, we can deduce that:
It can be inferred from Lemma 2 that is unbounded. Since , it is easy to find that is unbounded. This result is in contradiction to the fact that is bounded. Therefore, the hypothesis is false, and holds. According to [32], is uniformly persistent. This theorem is true. □
4. Stability Analysis of the Equilibrium States
We make use of a Volterra type function , and define the function below:
It should be noted that for and .
4.1. Global Stability of the Disease-Free Equilibrium State
Theorem 5.
If , is locally asymptotically stable, or, conversely, it is unstable.
Proof.
The following variable transformation is performed at first:
By linearizing (1) at , we obtain:
According to the first equation in (36), we obtain:
The characteristic equation is obtained:
Apparently, is continuous and meets:
It is noted that:
Obviously, when , , and when , . Hence, according to (40), if , the characteristic equation has a unique real root , and if . Supposing that is an arbitrary complex solution of characteristic , we know that , namely, since is monotonically decreasing. Based on the above analysis, we conclude that is locally asymptotically stable if , and is unstable if . This theorem is proved true. □
Theorem 6.
is globally asymptotically stable when .
Proof.
We consider the Lyapunov function with the following form:
where
Let:
To derive , we have:
It is noted that and . According to the integration-by-parts formula, we have:
To derive , we have:
According to the algebra–geometric mean formula, we obtain if . Moreover, because , , , , and is a sufficient condition for , is the largest subset of . According to LaSalle’s invariance theorem, we learn that if , is globally asymptotically stable. This theorem is proved valid. □
4.2. Global Stability of the Endemic Equilibrium State
Theorem 7.
If , is globally asymptotically stable.
Proof.
We construct the Lyapunov function as:
where
It is noted that:
By some simple derivations, the following equations are obtained:
Then, through applying integration by parts, we obtain:
According to , the derivative of is:
By calculation, the derivative of is:
It is noted that:
In fact, we have the following equation holding:
As , we have:
Since , we have:
Based on the equation , we obtain:
Through analysis, we learn that:
Thus, is a sufficient condition for , and is the largest invariant subset of . According to the LaSalle’s invariance theorem, it is concluded that if , the endemic equilibrium is globally asymptotically stable. This theorem is proved true. □
5. Numerical Simulations
In this section, we created a model using MATLAB and simulated the behavior of System (1). First, in order to investigate the relationship between the age-dependent conversion rate and age, based on [16,17,26,32], we assumed that the age-dependent conversion rate in the model took the following form: .
As depicted in Figure 2, the likelihood of the exposed individuals to become infected increases with age .
Figure 2.
Age–dependent conversion rate during latency.
To further investigate the relationship among the basic reproduction number , the contact rate between infected individuals and individuals with susceptibility to the disease, and the effectiveness of imperfect vaccine , we used , , , , , , and
It can be seen from Figure 3 that the basic reproduction number is positively correlated with both and . The increases as the probability and increase. Therefore, in order to reduce the infection rate of COVID-19, it is necessary to minimize the possibility of imperfect vaccination, i.e., to improve the effectiveness of the developed vaccine, and to reduce the contact rate of patients to individuals with susceptibility to the disease.
Figure 3.
Relationships among , , and at fixed parameters.
6. Conclusions
Based on the mechanism of COVID-19 infection in susceptible individuals, the present paper presented an SVEIR model considering imperfect vaccination and latent age. The age structure within a latent class was studied, where the latency was described by a variable associated with age, namely, the latent-disease conversion rate . The theorem of the next generation matrix was used to calculate the basic reproduction number , which served as a crucial threshold for controlling the harm caused by COVID-19. When , the disease-free equilibrium was globally asymptotically stable, which meant that the disease would eventually disappear. On the contrary, when , the endemic equilibrium was globally asymptotically stable, suggesting that the disease would become endemic. Moreover, it was also necessary to analyze the asymptotic smoothness and uniform persistence of the semiflow generated by the system before proving the existence of the global attractor and applying the Lyapunov function method.
The results of this paper provide some suggestions for controlling COVID-19. It is necessary to minimize the likelihood of imperfect vaccination. This can be achieved not only by enhancing the effectiveness of the vaccine, but also by encouraging people to receive booster shots to maintain the long-term effectiveness of the vaccine. It is also essential to reduce the contact rate of patients with individuals who are susceptible to the disease, such as through a timely isolation of infected individuals.
Author Contributions
Conceptualization, Y.W. and H.Z.; methodology, Y.W. and H.Z.; software, Y.W.; validation, Y.W. and H.Z.; formal analysis, Y.W. and H.Z.; writing—original draft preparation, Y.W.; writing—review and editing, Y.W. and H.Z. All authors have read and agreed to the published version of the manuscript.
Funding
This research received no external funding.
Data Availability Statement
Data sharing not applicable.
Acknowledgments
The authors are grateful to the editors and the anonymous reviewers for their careful reading, valuable comments and constructive suggestions, which have helped us to improve the quality of the paper.
Conflicts of Interest
The authors declare no conflict of interest.
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