1. Mathematical Modelling of Plasmodium Vivax Transmission
- Author
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Anwar, Md Nurul and Anwar, Md Nurul
- Abstract
Malaria is caused by Plasmodium parasites transmitted to humans by the bite of an infected Anopheles mosquito. Plasmodium vivax is distinct from other malaria species in its ability to remain dormant in the liver (as hypnozoites) and activate later to cause further infections (referred to as relapses). For this reason, P. vivax is currently the most geographically widespread malaria-causing parasite resulting in significant associated global morbidity and mortality. As around 79–96% of infections are attributed to relapses from activating hypnozoites, targeting the hypnozoite reservoir (i.e., the collection of dormant parasites) to eliminate P. vivax is crucial. Mathematical models to describe the transmission dynamics of P. vivax have been developed, but most fail to capture realistic hypnozoite dynamics. Models that capture the complexity tend to involve many governing equations, making them difficult to extend to incorporate other important factors for P. vivax, such as treatment status, age, and pregnancy. In this thesis, we have developed a multiscale model (a system of integro-differential equations) that involves a minimal set of equations at the population scale, with an embedded within-host model that captures the dynamics of the hypnozoite reservoir and accounts for superinfection and mosquito seasonality. In this way, we can gain critical insights into the dynamics of P. vivax transmission with a minimum number of equations at the population scale, making this framework readily scalable to incorporate more complexity. We use our multiscale model to study the effect of radical cure (drugs that affect hypnozoites) treatment administered via a mass drug administration (MDA) program accounting for superinfection (infectious bites and/or the activation of hypnozoites can trigger multiple infections). We explicitly model the impact of the radical cure drug on each of the hypnozoites and infections. An optimisation model with different objective functions motiva
- Published
- 2023