Abstract: |
There is recent interest in mathematical models which connect the epidemiological aspects of infectious diseases to the within-host dynamics of the pathogen and immune response. Parasite (and host) fitness depend on both scales of infection, which makes such models a natural setting for studying pathogen-host evolution. Multi-scale modeling of infections allows for assessing how immune-pathogen dynamics affect spread of the disease in the population. Here, we consider a within-host model for immune-pathogen dynamics nested in an age-since-infection structured PDE system for vector-borne epidemics. First, we study pathogen-host coevolution by analytically establishing evolutionary stable strategies for parasite and host, and by utilizing computational methods to simulate the evolution in various settings. We find that vector inoculum size can contribute to virulence of vector-borne diseases in distinct ways. Next, we develop a robust methodology for identifiability and estimation of parameters with multi-scale data, along with sensitivity analysis. The nested multi-scale model is fit to combined within-host and epidemiological data for Rift Valley Fever. An ultimate goal is to accurately model how control measures, such as vaccination, affect both scales of infection. |
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