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Optimal disturbances of the periodic solution of the hepatitis B dynamics model corresponding to the chronic recurrent form of the disease are found. The dependence of the optimal disturbance on the phase of periodic solution is analyzed. Four phases of the solution are considered, they correspond to clinically different periods of development of the immune response and severity of the disease, namely, activation of antiviral immune reactions, attenuation of reactions, peak and minimum viral load. The possibility of using optimal disturbances to exit the domain of attraction of the considered periodic solution using minimal impact is studied. The components of disturbances that may underlie the phenomenon of spontaneous recovery from chronic hepatitis B observed in clinical practice are identified. [ABSTRACT FROM AUTHOR]

Optimal disturbances of a number of typical stationary solutions of the hepatitis B virus infection dynamics model have been found. Specifically optimal disturbances have been found for stationary solutions corresponding to various forms of the chronic course of the disease, including those corresponding to the regime of low-level virus persistence. The influence of small optimal disturbances of individual groups of variables on the stationary solution is studied. The possibility of transition from stable stationary solutions corresponding to chronic forms of hepatitis B to stable stationary solutions corresponding to the state of functional recovery or a healthy organism using optimal disturbances is studied. Optimal disturbances in this study were constructed on the basis of generalized therapeutic drugs characterized by one-compartment and two-compartment pharmacokinetics. [ABSTRACT FROM AUTHOR]