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Effect of awareness programs and travel-blocking operations in the control of HIV/AIDS outbreaks: a multi-domains SIR model

机译:宣传方案和旅行限制行动在控制艾滋病毒/艾滋病暴发中的作用:多领域SIR模型

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The main goal of this article is to exhibit the importance of awareness programs and travel-blocking operations, in the prevention of HIV/AIDS outbreaks, based on a multi-domains SIR epidemic model. The model devised describes the spatial-temporal spread of HIV/AIDS, in p neighboring domains, taking into account the epidemiological diversity of their populations. For a first case of the study, we focus on discussing the benefits of awareness campaigns that aim to raise public consciousness among susceptible people, about the danger of HIV/AIDS. Thus, for the reason that intra-domains interventions are not always sufficient to prevent people belonging to a domain (neighborhood, town or city for example), from a rapid expansion of HIV/AIDS, we propose the travel-blocking strategy, as a second approach presenting inter-domains interventions that health-policy makers could follow, by restricting the number of suspicious people that can participate in spreading HIV/AIDS via travel, coming from domains at high-risk of infection to enter domains with lower risk. The optimal control theory, based on Pontryagin’s maximum principle, is applied twice in this paper, for the characterizations of the awareness and travel-blocking controls. The numerical results associated to the multi-points boundary value problems are obtained based on the Forward-Backward Sweep Method combined with progressive-regressive Runge-Kutta fourth-order schemes.
机译:本文的主要目的是展示基于多域SIR流行模型的预防艾滋病毒/艾滋病暴发的认识计划和阻止旅行的重要性。考虑到其人口的流行病学多样性,所设计的模型描述了在p个相邻域中HIV / AIDS的时空传播。对于该研究的第一个案例,我们重点讨论旨在提高易感人群对艾滋病毒/艾滋病危险性的公众意识的意识运动的好处。因此,由于域内干预并不总是足以阻止属于域的人(例如,邻里,城镇或城市)遭受艾滋病毒/艾滋病的迅速蔓延,因此,我们提出了阻止旅行的策略,第二种方法介绍了卫生政策制定者可以遵循的跨域干预措施,方法是限制可参与旅行的艾滋病毒/艾滋病传播的可疑人员的数量,这些可疑人群从感染高风险的域进入风险较低的域。基于庞特里亚金最大原理的最优控制理论在本文中被应用了两次,用于表征意识和行车障碍控制。基于前向后扫描方法结合渐进-渐进Runge-Kutta四阶方案,获得了与多点边值问题相关的数值结果。

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