18
COMMUNICATIONS ON doi:10.3934/cpaa.2020220 PURE AND APPLIED ANALYSIS Volume 19, Number 10, October 2020 pp. 4955–4972 PERIODIC SOLUTIONS OF AN AGE-STRUCTURED EPIDEMIC MODEL WITH PERIODIC INFECTION RATE Hao Kang and Shigui Ruan * Department of Mathematics, University of Miami Coral Gables, FL 33146, USA Qimin Huang Department of Mathematics, Applied Mathematics and Statistics Case Western Reserve University Cleveland, OH 44106, USA (Communicated by Benjamin Kennedy) Abstract. In this paper we consider an age-structured epidemic model of the susceptible-exposed-infectious-recovered (SEIR) type. To characterize the seasonality of some infectious diseases such as measles, it is assumed that the infection rate is time periodic. After establishing the well-posedness of the initial-boundary value problem, we study existence of time periodic solutions of the model by using a fixed point theorem. Some numerical simulations are presented to illustrate the obtained results. 1. Introduction. It is well-known that biological, physical, and social conditions of the host population have great impacts on the transmission dynamics of infec- tious diseases. Age structure is one of such factors that affect the outcome and consequences of the epidemics. In their pioneer series of papers published in the 1920s-1930s, Kermack and McKendrick [24, 25, 26] considered the effect of infection- age and proposed the so-called age-structured epidemic models described by three first-order hyperbolic partial differential equations (see Inaba [20] for a re-derivation and analysis of the age-structured Kermack-McKendrick model). Starting in the 1970s, researchers have noticed that the chronological age of the host population also plays a crucial role in the transmission process of some infectious diseases, such as measles, mumps, and pertussis, in particular when mass vaccination program is targeted at specific age groups. Consequently, many age-structured epidemic mod- els have been proposed and analyzed in the literature, we refer to some early studies by Anderson and May [1], Andreasen [2], Bentil and Murray [5], Busenberg et al. [8, 7], Cha et al. [9], Feng et al. [11], Greenhalgh [12], Hethcote [13], Hoppensteadt [15], Iannelli [17], Iannelli et al. [18], Inaba [19], Li et al. [33], Schenzle [36], Tudor [38], the recent monograph by Inaba [23] and the references cited therein. Periodic outbreak is a common phenomenon observed in the epidemics of many infectious diseases such as chickenpox, influenza, measles, mumps, rubella, etc. 2020 Mathematics Subject Classification. Primary: 35Q92, 35C15; Secondary: 92B05. Key words and phrases. Age-structure, SEIR epidemic model, periodic solution, vaccination, basic reproduction number. Research was partially supported by National Science Foundation (DMS-1853622). * Corresponding author. 4955

PERIODIC SOLUTIONS OF AN AGE-STRUCTURED ...PERIODIC SOLUTIONS OF AN AGE-STRUCTURED EPIDEMIC MODEL WITH PERIODIC INFECTION RATE Hao Kang and Shigui Ruan Department of Mathematics, University

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Page 1: PERIODIC SOLUTIONS OF AN AGE-STRUCTURED ...PERIODIC SOLUTIONS OF AN AGE-STRUCTURED EPIDEMIC MODEL WITH PERIODIC INFECTION RATE Hao Kang and Shigui Ruan Department of Mathematics, University

COMMUNICATIONS ON doi:10.3934/cpaa.2020220PURE AND APPLIED ANALYSISVolume 19, Number 10, October 2020 pp. 4955–4972

PERIODIC SOLUTIONS OF AN AGE-STRUCTURED EPIDEMIC

MODEL WITH PERIODIC INFECTION RATE

Hao Kang and Shigui Ruan∗

Department of Mathematics, University of MiamiCoral Gables, FL 33146, USA

Qimin Huang

Department of Mathematics, Applied Mathematics and StatisticsCase Western Reserve University

Cleveland, OH 44106, USA

(Communicated by Benjamin Kennedy)

Abstract. In this paper we consider an age-structured epidemic model of

the susceptible-exposed-infectious-recovered (SEIR) type. To characterize the

seasonality of some infectious diseases such as measles, it is assumed that theinfection rate is time periodic. After establishing the well-posedness of the

initial-boundary value problem, we study existence of time periodic solutions

of the model by using a fixed point theorem. Some numerical simulations arepresented to illustrate the obtained results.

1. Introduction. It is well-known that biological, physical, and social conditionsof the host population have great impacts on the transmission dynamics of infec-tious diseases. Age structure is one of such factors that affect the outcome andconsequences of the epidemics. In their pioneer series of papers published in the1920s-1930s, Kermack and McKendrick [24, 25, 26] considered the effect of infection-age and proposed the so-called age-structured epidemic models described by threefirst-order hyperbolic partial differential equations (see Inaba [20] for a re-derivationand analysis of the age-structured Kermack-McKendrick model). Starting in the1970s, researchers have noticed that the chronological age of the host populationalso plays a crucial role in the transmission process of some infectious diseases, suchas measles, mumps, and pertussis, in particular when mass vaccination program istargeted at specific age groups. Consequently, many age-structured epidemic mod-els have been proposed and analyzed in the literature, we refer to some early studiesby Anderson and May [1], Andreasen [2], Bentil and Murray [5], Busenberg et al.[8, 7], Cha et al. [9], Feng et al. [11], Greenhalgh [12], Hethcote [13], Hoppensteadt[15], Iannelli [17], Iannelli et al. [18], Inaba [19], Li et al. [33], Schenzle [36], Tudor[38], the recent monograph by Inaba [23] and the references cited therein.

Periodic outbreak is a common phenomenon observed in the epidemics of manyinfectious diseases such as chickenpox, influenza, measles, mumps, rubella, etc.

2020 Mathematics Subject Classification. Primary: 35Q92, 35C15; Secondary: 92B05.Key words and phrases. Age-structure, SEIR epidemic model, periodic solution, vaccination,

basic reproduction number.Research was partially supported by National Science Foundation (DMS-1853622).∗ Corresponding author.

4955

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4956 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

(Hethcote and Levin [14]). It is very important to understand such epidemic pat-terns in order to introduce public health interventions and design control measuresfor the spread of these infectious diseases. Recent studies have demonstrated thatseasonality plays a crucial role in causing periodic outbreaks of some of these infec-tious diseases and many researchers have developed epidemic models with periodicparameters to investigate the effect of seasonality on the transmission dynamics ofsome infectious diseases, we refer to Bacaer [3], Bacaer and Guernaoui [4], Earn etal. [10], Huang et al. [16], Wang and Zhao [39], and so on.

It is very natural to study the combined effects of age structure of host populationand the periodicity in environmental, seasonal or social changes. In recent years,there has been considerable interest in investigating age-structured epidemic modelswith periodic parameters, see for examples, Busenberg et al. [7], Kubo and Langlais[28], Kuniya [29], Kuniya and Iannelli [30], Kuniya and Inaba [31], and Langlais andBusenberg [32]. Especially, a threshold value for the existence and uniqueness of anontrivial endemic periodic solution of an age-structured SIS epidemic model withperiodic parameters was obtained in Kuniya and Inaba [31].

The purpose of this paper is to generalize the periodic SEIR epidemic modeldescribing measles (Earn et al. [10], Huang et al. [16]) to an age-structured SEIRmodel with periodic infection rate. The host population is divided into four epidemi-ological classes: susceptible, exposed, infectious, and recovered. We assume thatindividuals who were vaccinated or recovered from infection would obtain immu-nity and go to the recovered class directly. We will first establish the well-posednessof the initial-boundary value problem for the age-structured SEIR model. Thenwe will study existence of time periodic solutions of the model by using a fixedpoint theorem. Finally we will present some numerical simulations to illustrate theobtained results.

The paper is organized as follows: In Section 2, we formulate the age-structuredSEIR epidemic model with periodic infection rate. In Section 3, we establish thewell-posedness of the time evolution problem. In Section 4, we prove the existence ofa nontrivial endemic periodic solution of the system. Finally, numerical illustrationsare given in Section 5 and a brief discussion is given in Section 6.

2. Mathematical model. Motivated by the study of periodic solutions of an SEIRepidemic model describing measles (Huang et al. [16]), we consider the followingage-structured epidemic model:

∂S

∂t+∂S

∂a= −S(t, a)

∫ a+0

β(t; a, a′)I(t, a′)da′ − (µ(a) + ρ(a))S(t, a),

∂E

∂t+∂E

∂a= S(t, a)

∫ a+0

β(t; a, a′)I(t, a′)da′ − (σ(a) + µ(a))E(t, a),

∂I

∂t+∂I

∂a= σ(a)E(t, a)− (γ(a) + µ(a))I(t, a),

∂R

∂t+∂R

∂a= ρ(a)S(t, a) + γ(a)I(t, a)− µ(a)R(t, a),

(2.1)

where S(t, a), E(t, a), I(t, a), and R(t, a) represent the densities of susceptible, ex-posed, infectious, and recovered individuals at time t with age a, respectively. µ(a)is the mortality rate, ρ(a) is the vaccination rate, σ(a) is the reciprocal of the in-cubation period, γ(a) is the reciprocal of the infective period, and β(t; a, a′) is therate at which susceptible individuals with age a are infected by infections individ-uals with age a′ and is a nonnegative and periodic function in t with period T > 0.

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4957

The associated boundary conditions are

S(t, 0) = A, E(t, 0) = 0, I(t, 0) = 0, R(t, 0) = 0, (2.2)

where A is a positive constant, and initial conditions are given by

S(0, a) = S0(a), E(0, a) = E0(a), I(0, a) = I0(a), R(0, a) = R0(a), (2.3)

where S0(a), E0(a), I0(a), and R0(a) are nonnegative continuous functions of a.The corresponding ordinary differential equations (ODEs) model is as follows:

dS

dt= A(1− ρ)− β(t)IS − µS,

dE

dt= β(t)IS − (σ + µ)E,

dI

dt= σE − (γ + µ)I,

dR

dt= Aρ+ γI − µR,

(2.4)

where the parameters are positive constants and have the same interpretations asin (2.1). Huang et al. [16] showed that the existence of a periodic solution for (2.4)when the basic reproduction number R0 > 1. In this paper, we will follow theidea in Kuniya [29] and Kuniya and Inaba [31] to establish the existence of periodicsolutions in (2.1) under the same condition R0 > 1.

Let P (t, a) := S(t, a) + E(t, a) + I(t, a) + R(t, a) denote the total population attime t with age a. By adding up the four equations in (2.1), we know that P (t, a)satisfies the following equation:

∂P

∂t+∂P

∂a= −µ(a)P (t, a) (2.5)

with boundary condition

P (t, 0) = A

and initial condition

P (0, a) = P0(a) := S0(a) + E0(a) + I0(a) +R0(a).

In this paper we assume that the host population is already in a demographicsteady state. Then the dynamics of P (t, a) can be determined independently fromthe epidemic. Actually,

P (t, a) = Ae−∫ a0µ(a′)da′ .

If we normalize variables by

s(t, a) =S(t, a)

P (t, a), e(t, a) =

E(t, a)

P (t, a), i(t, a) =

I(t, a)

P (t, a), r(t, a) =

R(t, a)

P (t, a),

then we obtain the following system for (s, e, i, r):

∂s

∂t+∂s

∂a= −λ(t, a)s(t, a)− ρ(a)s(t, a),

∂e

∂t+∂e

∂a= λ(t, a)s(t, a)− σ(a)e(t, a),

∂i

∂t+∂i

∂a= σ(a)e(t, a)− γ(a)i(t, a),

∂r

∂t+∂r

∂a= ρ(a)s(t, a) + γ(a)i(t, a)

(2.6)

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4958 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

with boundary conditions

s(t, 0) = 1, e(t, 0) = 0, i(t, 0) = 0, r(t, 0) = 0

and initial conditions

s(0, a) = s0(a) :=S0(a)

P0(a), e(0, a) = e0(a) :=

E0(a)

P0(a),

i(0, a) = i0(a) :=I0(a)

P0(a), r(0, a) = r0(a) :=

R0(a)

P0(a)

where

λ(t, a) :=

∫ a+

0

β(t; a, a′)I(t, a′)da′ =

∫ a+

0

β(t; a, a′)P (t, a′)i(t, a′)da′. (2.7)

3. Well-posedness. In order to study the well-posedness of the initial-boundaryvalue problem, we first make the following assumptions.

Assumption 3.1. We assume that

(i) σ(·), ρ(·), γ(·) ∈ L∞+ (0, a+) and for each t ∈ R+, β(t, ·, ·) ∈ L∞+ ([0, a+] ×[0, a+]);

(ii)∫ a+0

µ(a)da = +∞ and µ is locally integrable.

We now present a semigroup approach to prove the existence and uniqueness ofnonnegative solutions of system (2.6). Since s(t, a) = 1 − e(t, a) − i(t, a) − r(t, a),system (2.6) can be reduced to a three-component system for (e, i, r) as follows:

∂e

∂t+∂e

∂a= λ(t, a)(1− e(t, a)− i(t, a)− r(t, a))− σ(a)e(t, a),

∂i

∂t+∂i

∂a= σ(a)e(t, a)− γ(a)i(t, a),

∂r

∂t+∂r

∂a= ρ(a)(1− e(t, a)− i(t, a)− r(t, a)) + γ(a)i(t, a)

(3.1)

with boundary conditions

e(t, 0) = 0, i(t, 0) = 0, r(t, 0) = 0 (3.2)

and initial conditions

e(0, a) = e0(a), i(0, a) = i0(a), r(0, a) = r0(a). (3.3)

Define the state space of (e, i, r) by

M := L1+(0, a+)× L1

+(0, a+)× L1+(0, a+).

Define the operator A with domain D(A) and family F (t; ·)t≥0 acting on E by

(Aφ)(a) =

− d

da0 0

0 − d

da0

0 0 − d

da

φ1(a)φ2(a)φ2(a)

,

D(A) =

φ =

φ1φ2φ3

∈M : φj ∈W 1,1(0, a+),

φ1(0)φ2(0)φ3(0)

=

000

,

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4959

F (t, φ)(a) =

λ[t, a|φ2](1− φ1(a)− φ2(a)− φ3(a))− σφ1σφ1 − γφ2

ρ(1− φ1(a)− φ2(a)− φ3(a)) + γφ2

,

where

λ[t, a|φ2] :=

∫ a+

0

β(t; a, a′)P (t, a′)φ2(a′)da′

and W 1,1(0, a+) is the space of all absolutely continuous functions on (0, a+).Let u = (e, i, r)T be the state vector of the (e, i, r) system. Then the (e, i, r)

system can be formulated as a semilinear Cauchy problem on the Banach space E:

du(t)

dt= Au(t) + F (t, u(t)), u(0) = u0. (3.4)

We can show that the operator A generates a strongly continuous semigroup etA.In fact, the semigroup etA can be expressed as follows:

etA

φ1(a)φ2(a)φ3(a)

=

(etA1φ1)(a)(etA2φ2)(a)(etA3φ3)(a)

,

where etAi for i = 1, 2, 3 are the semigroups on L1(0, a+), which are defined foru ∈ L1(0, a+) as

(etAiu)(a) =

0, t− a > 0,

u(a− t), a− t > 0,i = 1, 2, 3.

In the following, define a region in M by

Ω := (e, i, r) ∈ L1+(0, a+)× L1

+(0, a+)× L1+(0, a+) : 0 ≤ e+ i+ r ≤ 1.

Then we can conclude that

Lemma 3.2. The mapping F (t, ·) : Ω → M is Lipschitz continuous for any fixedt ∈ R+ and there exists a number α ∈ (0, 1) such that

(I + αF (t, ·))(Ω) ⊂ Ω. (3.5)

Proof. The Lipschitz continuity of F (t, ·) is clear, let us show (3.5). If we define thevector v = (v1, v2, v3)T by

(I + αF (t, ·))(u1, u2, u3)T = (v1, v2, v3)T ,

then we have

v1(a)+v2(a)+v3(a)=α(λ[t, a|u2]+ρ)(1−u1(a)−u2(a)−u3(a))+(u1(a)+u2(a)+u3(a)).

Set λ+ := supλ and ρ+ := sup ρ and choose α : α ≤ (λ+ + ρ+)−1. Then we havev1(a) + v2(a) + v3(a) ≤ 1. Moreover, set σ+ := supσ, γ+ := sup γ and chooseα : ασ+ ≤ 1, αγ+ ≤ 1. Thus we have v1 ≥ 0 and v2 ≥ 0. Therefore, if we choose

0 < α < min

1

λ+ + ρ+,

1

σ+,

1

γ+

,

then (3.5) holds.

Now following the method of Busenberg et al. [8], we can rewrite the Cauchyproblem (3.4) as follows:

du(t)

dt=

(A− 1

α

)u(t) +

1

α(I + αF (t, ·))u(t), u(0) = u0, (3.6)

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4960 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

where α is chosen such that (3.5) holds. The mild solution of this problem is thengiven by the variation of constants formula:

u(t) = e−1α tetAu0 +

∫ t

0

e−1α (t−s)e(t−s)A[u(s) + αF (s, u(s))]ds.

The mild solution defines an evolutionary system U(t, s)t≥s≥0 by U(t, 0)u0 = u(t).Define an iterative sequence un(t) by

u0(t) = u0, un+1(t) = e−1α tetAu0 +

∫ t

0

e−1α (t−s)e(t−s)A[un(s) + αF (s, un(s))]ds.

If un ∈ Ω, it follows that etAu0, e(t−s)A[un(s)+αF (s, un(s))] ∈ Ω. Hence, un+1 ∈ Ω

because it is the convex sum of two elements of the convex set Ω. It follows from theLipschitz continuity that the iterative sequence un(t) converges uniformly to themild solution U(t, 0)u0 ∈ Ω. Thus, we have the following existence and uniquenessresult.

Proposition 3.3. The Cauchy problem (3.4) has a unique mild solution U(t, 0)u0,where U(t, s)t≥s≥0 defines an evolutionary system with the following property:

U(s, s) = I, U(t, σ)U(σ, s) = U(t, s), U(t, s)(Ω) ⊂ Ω,

U(t, s)u ≤ U(t, s) if u ≤ v.If the initial data are in the domain D(A), then the mild solution becomes a classicalsolution.

4. Existence of an endemic periodic solution. In this section we investigatethe existence of an endemic T -periodic solution of system (2.6). Let XT be thespace of all locally integrable T -periodic L1(0, a+)-valued functions with norm

‖ϕ‖XT :=

∫ T

0

‖ϕ(t)‖L1dt =

∫ T

0

∫ a+

0

|ϕ(t, a)|dadt

and XT,+ be its positive cone. Let CT be the state subspace defined by

CT := ϕ ∈ XT,+ : 0 ≤ ϕ(t, a) ≤ 1.

Since r(t, a) = 1 − s(t, a) − e(t, a) − i(t, a) and the equations of (s, e, i) areindependent of r, system (2.6) can be reduced to a three-component system in(s, e, i) as follows

∂s

∂t+∂s

∂a= −λ(t, a)s(t, a)− ρ(a)s(t, a),

∂e

∂t+∂e

∂a= λ(t, a)s(t, a)− σ(a)e(t, a),

∂i

∂t+∂i

∂a= σ(a)e(t, a)− γ(a)i(t, a)

(4.1)

with boundary conditions

s(t, 0) = 1, e(t, 0) = 0, i(t, 0) = 0 (4.2)

and initial conditions

s(0, a) = s0(a), e(0, a) = e0(a), i(0, a) = i0(a). (4.3)

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4961

Let s∗, e∗, i∗, λ∗ ∈ XT,+ \ 0 be a nontrivial periodic solution satisfying system(4.1). Then from the integration along the characteristic line t − a =constant, wehave

s∗(t, a) =e−∫ a0(λ∗(t−a+τ,τ)+ρ(τ))dτ ,

e∗(t, a) =

∫ a

0

λ∗(t− a+ τ, τ)s∗(t− a+ τ, τ)e−∫ aτσ(η)dηdτ

=

∫ a

0

λ∗(t− τ, a− τ)e−∫ aτ(λ∗(t−η,a−η)+ρ(a−η))dηe−

∫ τ0σ(a−η)dηdτ

and

i∗(t, a) =

∫ a

0

σ(ξ)e∗(t− a+ ξ, ξ)e−∫ aξγ(δ)dδdξ

=

∫ a

0

σ(a− ξ)e∗(t− ξ, a− ξ)e−∫ ξ0γ(a−η)dηdξ

=

∫ a

0

σ(a− ξ)∫ a

ξ

λ∗(t− τ, a− τ)

× e−∫ aτ(λ∗(t−η,a−η)+ρ(a−η))dηe−

∫ τξσ(a−η)dηdτe−

∫ ξ0γ(a−η)dηdξ.

From the above equation of i∗(t, a) and the equation of λ, we obtain an integralequation of λ∗ as follows:

λ∗(t, a) =

∫ a+

0

β(t; a, a′)P ∗(t, a′)

∫ a′

0

σ(a′ − ξ)∫ a′

ξ

λ∗(t− τ, a′ − τ) (4.4)

× e−∫ a′τ

(λ∗(t−η,a′−η)+ρ(a′−η))dηe−∫ τξσ(a′−η)dηdτe−

∫ ξ0γ(a′−η)dηdξda′,

where P ∗(t, a) = Ae−∫ a0µ(τ)dτ was assumed in Section 2. Thus, in order to find a

nontrivial periodic solution of system (4.1), we only have to show the existence of anontrivial periodic solution λ∗ of (4.4). To this end, we define a nonlinear operator

F (ϕ)(t, a) :=

∫ a+

0

β(t; a, a′)P ∗(t, a′)

∫ a′

0

σ(a′ − ξ)∫ a′

ξ

ϕ(t− τ, a′ − τ)

× e−∫ a′τ

(ϕ(t−η,a′−η)+ρ(a′−η))dηe−∫ τξσ(a′−η)dηdτ

× e−∫ ξ0γ(a′−η)dηdξda′ (4.5)

on XT,+ and investigate the existence of its nontrivial fixed point in XT,+ \ 0. Itis easy to see that F has the strong Frechet derivative

F (ϕ)(t, a) :=

∫ a+

0

β(t; a, a′)P ∗(t, a′)

∫ a′

0

σ(a′ − ξ)∫ a′

ξ

ϕ(t− τ, a′ − τ)

× e−∫ a′τρ(a′−η)dηe−

∫ τξσ(a′−η)dηdτe−

∫ ξ0γ(a′−η)dηdξda′ (4.6)

at 0 ∈ XT,+. Now we make the following technical assumption, which is needed toensure the compactness of the fixed point operator and its derivative.

Assumption 4.1. (i) For the infection rate β(t, a, a′), it satisfies that

limh→0

∫ T

0

∫ a+

0

|β(t+ h, a+ h, a′)− β(t, a, a′)|dadt = 0 uniformly for a′ ∈ [0, a+]

and β(t, a, a′) = 0 for a, a′ /∈ [0, a+]× [0, a+];

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4962 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

(ii) For the reciprocal of the incubation period σ, it is integrable in L1(0, a+) andσ(a) = 0 for a /∈ [0, a+];

(iii) There exists a positive constant ε0 > 0 such that β(t; a, a′) ≥ ε0 for almost allt ∈ R+ and a, a′ ∈ [0, a+];

(iv) The maximum attainable age is greater than or equal to the period of coeffi-cients; that is, a+ ≥ T .

Lemma 4.2. Under the Assumption 4.1, if r(F ) > 0, where r(F ) is the spectralradius of the operator F , then it is a positive eigenvalue of F associated with apositive eigenvector v0 ∈ XT,+ \ 0.

Proof. First we show that F is regarded as a compact operator in L1([0, T ]×[0, a+]).Observe that F is a linear map from XT,+ into itself preserving the cone invariant,and we have

(Fϕ)(t, a) =

∫ a+

0

∫ a′

0

∫ a′

ξ

β(t; a, a′)P ∗(t, a′)σ(a′ − ξ)ϕ(t− τ, a′ − τ)

× e−∫ a′τρ(a′−η)dηe−

∫ τξσ(a′−η)dηe−

∫ ξ0γ(a′−η)dηdτdξda′

=

∫ a+

0

∫ a+

ξ

∫ a+

τ

β(t; a, a′)P ∗(t, a′)σ(a′ − ξ)ϕ(t− τ, a′ − τ)

× e−∫ a′τρ(a′−η)dηe−

∫ τξσ(a′−η)dηe−

∫ ξ0γ(a′−η)dηda′dτdξ

=

∫ a+

0

∫ a+

ξ

∫ a+−τ

0

β(t; a, τ + χ)P ∗(t, τ + χ)σ(τ + χ− ξ)ϕ(t− τ, χ)

× e−∫ τ+χτ

ρ(τ+χ−η)dηe−∫ τξσ(τ+χ−η)dηe−

∫ ξ0γ(τ+χ−η)dηdχdτdξ

=

∫ a+

0

∫ t−ξ

t−a+

∫ a+−t+s

0

[β(t; a, t− s+ χ)P ∗(t, t− s+ χ)

× σ(t− s+ χ− ξ)ϕ(s, χ)e−∫ t−s+χt−s ρ(t−s+χ−η)dη

× e−∫ t−sξ

σ(t−s+χ−η)dηe−∫ ξ0γ(t−s+χ−η)dη

]dχdsdξ

=

∫ t

t−a+

∫ a+−t+s

0

∫ t−s

0

[β(t; a, t− s+ χ)P ∗(t, t− s+ χ)

× σ(t− s+ χ− ξ)ϕ(s, χ)e−∫ t−s+χt−s ρ(t−s+χ−η)dη

× e−∫ t−sξ

σ(t−s+χ−η)dηe−∫ ξ0γ(t−s+χ−η)dη

]dξdχds, (4.7)

where in the last step we changed the order of triple integral. Next, define

G(t− s, χ) :=

∫ t−s

0

σ(t− s+ χ− ξ)e−∫ t−sξ

σ(t−s+χ−η)dηe−∫ ξ0γ(t−s+χ−η)dηdξ.

Then we can rewrite (4.7) as

(Fϕ)(t, a) =

∫ t

t−a+

∫ a+−t+s

0

β(t; a, t− s+ χ)P ∗(t, t− s+ χ)G(t− s, χ)

× e−∫ t−s+χt−s ρ(t−s+χ−η)dηϕ(s, χ)dχds. (4.8)

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4963

If we extend the domain of parameters as β(t; a, a′) = 0 for (a, a′) /∈ [0, a+] ×[0, a+] and σ(a) = 0 for a /∈ [0, a+], we can rewrite (4.8) as

(Fϕ)(t, a) =

∫ t

−∞

∫ a+

0

β(t; a, t− s+ χ)P ∗(t, t− s+ χ)G(t− s, χ)

× e−∫ t−s+χt−s ρ(t−s+χ−η)dηϕ(s, χ)dχds. (4.9)

Next, we can use the periodization technique as in [31, Lemma 4.2], [23, 9.2.2] or[3, Section 2] to write (4.9) as

(Fϕ)(t, a) =

∫ T

0

∫ a+

0

Ψ(t, a, s, χ)ϕ(s, χ)dχds,

where

Ψ(t, a, s, χ) :=

∞∑n=0

Ψ(t, a, t− s+ nT, χ) for t > s,

∞∑n=1

Ψ(t, a, t− s+ nT, χ) for t < s

(4.10)

and

Ψ(t, a, z, χ) := β(t; a, z + χ)P ∗(t, z + χ)G(z, χ)e−∫ z+χz

ρ(z+χ−η)dη.

Hence, we can regard F as an operator in L1([0, T ] × [0, a+]). From Assumption4.1 and the well-known compactness criterion in L1, for example see [6, Theorem4.26], we see that F is compact in L1([0, T ] × [0, a+]). Since F is positive, linearand compact, it follows from the Krein-Rutman theorem that if r(F ) > 0, then itis a positive eigenvalue of F associated with a positive eigenvector v0 ∈ L1

+([0, T ]×[0, a+]) \ 0. That is,

(F v0)(t, a) = r(F )v0(t, a).

Hence, we can see that there exists a periodic eigenvector v0 in XT,+ \ 0 of F ,which is associated with the eigenvalue r(F ) and is the periodization of v0.

Next, we use the idea in Kuniya [29] and Kuniya and Inaba [31] to prove ourmain result. First we introduce a fixed point theorem in Inaba [19], based on theKrasnoselskii fixed point theorem (Krasnoselskii [27]). Let E be a real Banach spaceand E∗ be its dual space. Let E+ be the positive cone of E and E∗+ be the dualcone of E; that is, the subset of E∗ consisting of all positive linear functionals onE. For φ ∈ E and f ∈ E∗, we write the value of f at φ as 〈f, φ〉. Then we say thatf ∈ E∗+ \0 is strictly positive if 〈f, φ〉 > 0 holds for every φ ∈ E+ \0. Moreover,we say that φ ∈ E+ is a quasi-interior point if 〈f, φ〉 > 0 holds for all f ∈ E∗+.Denote the set of bounded linear operators from E to E by B(E). Then we saythat a positive operator T ∈ B(E) is nonsupporting if for every pair φ ∈ E+0and f ∈ E∗+0, there exists a positive integer p = p(φ, f), such that 〈f, Tnφ〉 > 0for all n ≥ p. From the results in Marek [34] and Sawashima [35], we obtain thefollowing proposition.

Proposition 4.3 (Marek [34] and Sawashima [35]). Let E be a real Banach spaceand T ∈ B(E) be compact and nonsupporting. Then

(i) r(T ) ∈ Pσ(T ) \ 0 and r(T ) is a simple pole of the resolvent, where Pσ(·)denotes the point spectrum of an operator;

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4964 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

(ii) The eigenspace corresponding to r(T ) is one-dimensional and the correspond-ing eigenvector ϕ ∈ E+ is a quasi-interior point. The relation Tφ = µφ withφ ∈ E+ implies that φ = cϕ for a constant c.

The fixed point theorem in Inaba [19] based on the Krasnoselskii fixed pointtheorem (Krasnoselskii [27]) can be stated as follows:

Theorem 4.4 (Inaba [19]). Let E be a real Banach space with positive cone E+

and F be a positive nonlinear operator on E. Suppose that

(i) F (0) = 0 and the strong Frechet derivative F := F ′[0] exists at 0;(ii) F has a positive eigenvector v0 ∈ X+ \ 0 corresponding to an eigenvalue

λ0 > 1 and no eigenvector corresponding to eigenvalue 1;(iii) F is compact and F (E+) is bounded.

Then F has a nontrivial fixed point in E+ \ 0.

We now use Proposition 4.3 and Theorem 4.4 to prove our main result.

Theorem 4.5. Let F and F be defined as (4.5) and (4.6), respectively. If r(F ) >1, then F has a nontrivial fixed point in XT,+ \ 0.

Proof. From (i) of Assumption 3.1 and (iii) of Assumption 4.1, we have an inequality

F (ϕ)(t, a) ≥ ε0e−(ρ++σ++γ+)a+

∫ a+

0

∫ a′

0

∫ a′

ξ

P ∗(t, a′)σ(a′−ξ)ϕ(t−τ, a′−τ)dτdξda′.

Then we have

F 2(ϕ)(t, a) ≥ε20e−2(ρ++σ++γ+)a+

∫ a+

0

∫ a′

0

∫ a′

ξ

P ∗(t, a′)σ(a′ − ξ)

×∫ a+

0

∫ η

0

∫ η

ω

P ∗(t− τ, η)σ(η − ω)

× ϕ(t− τ − δ, η − δ)dδdωdηdτdξda′

≥ε20A2e−2(ρ++σ++γ+)a+

∫ a+

0

∫ a′

0

∫ a′

ξ

e−∫ a′0µ(s)dsσ(a′ − ξ)

×∫ a+

0

∫ η

0

∫ η

ω

e−∫ η0µ(s)dsσ(η − ω)

× ϕ(t− τ − δ, η − δ)dδdωdηdτdξda′. (4.11)

Now let us define a linear functional H ∈ X∗T on XT by

〈H,ϕ〉 :=ε20A2e−2(ρ

++σ++γ+)a+∫ a+

0

∫ a′

0

∫ a′

ξ

e−∫ a′0µ(s)dsσ(a′ − ξ)

×∫ a+

0

∫ η

0

∫ η

ω

e−∫ η0µ(s)dsσ(η − ω)

× ϕ(t− τ − δ, η − δ)dδdωdηdτdξda′, ϕ ∈ XT .

Then from (ii) and (iv) of Assumption 4.1, we see that H ∈ X∗T,+ is a strictly

positive linear functional. Thus, since F 2ϕ ≥ 〈H,ϕ〉e, e = 1 ∈ XT,+ follows from(4.11), we have 〈f,F 2ϕ〉 ≥ 〈H,ϕ〉〈f, e〉 > 0 for every pair ϕ ∈ XT,+ \ 0 andf ∈ X∗T,+ \ 0, which implies that Fϕ ∈ XT,+ \ 0, ∀ϕ ∈ XT,+ \ 0. It follows

that F 3ϕ = F 2(Fϕ) ≥ 〈H,Fϕ〉e and hence 〈f,F 3ϕ〉 ≥ 〈H,Fϕ〉〈f, e〉 > 0 for

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4965

every pair ϕ ∈ XT,+ \ 0 and f ∈ X∗T,+ \ 0. Similarly, we can prove that for all

n ≥ 2 that 〈f,Fnϕ〉 > 0 holds for every pair ϕ ∈ XT,+ \ 0 and f ∈ X∗T,+ \ 0.Consequently, F is nonsupporting.

Next we can show the compactness of F similarly by the case of F in Lemma4.2. And the boundedness of F (XT,+) follows from the inequality

F (ϕ)(t, a) ≤∫ a+

0

β(t; a, a′)P ∗(t, a′)

∫ a′

0

σ(a′ − ξ)

×∫ a′

ξ

ϕ(t− τ, a′ − τ)e−∫ a′τϕ(t−η,a′−η)dηdτdξda′

≤β+

∫ a+

0

P ∗(t, a′)

∫ a+

0

σ(a′ − ξ)dξ(

1− e−∫ a′ξϕ(t−η,a′−η)dη

)da′

≤β+

∫ a+

0

P ∗(t, a′)

∫ a+

0

σ(a′ − ξ)dξda′ <∞, ∀ϕ ∈ XT,+,

where β+ = supt∈[0,T ] ess sup(a,a′)∈[0,a+]2 β(t; a, a′) <∞.

Finally, by Proposition 4.3 we see that r(F ) is a simple eigenvalue of F and thecorresponding eigenvector is positive. Moreover, since r(F ) > 1, it follows from(ii) of Proposition 4.3 that F has no eigenvector corresponding to eigenvalue 1.Thus (ii) of Theorem 4.4 holds. Since (i) is obvious and (iii) follows from the aboveargument, we obtain that F has a nontrivial fixed point in XT,+ \ 0.

Now the existence of a nontrivial fixed point of operator F implies the existenceof a nontrivial periodic solution of the original system (2.1). Moreover, we areinterested in using the sign of R0− 1 to check the existence of a nontrivial periodicsolution of the original system (2.1).

Suppose that the system is in the diseases-free state (S∗(t, a), 0, 0, R∗(t, a)), whereS∗(t, a) + R∗(t, a) = P ∗(t, a). From the first equation of (2.1) we can compute

S∗(t, a) = Ae−∫ a0(µ(σ)+ρ(σ))dσ. Further, from the second and third equations of

(2.1), we obtain a linearized system∂E

∂t+∂E

∂a= λ(t, a)S∗(t, a)− (σ(a) + µ(a))E(t, a),

∂I

∂t+∂I

∂a= σ(a)E(t, a)− (γ(a) + µ(a))I(t, a).

(4.12)

Integrating the first equation of (4.12) along the characteristic line t− a =constantyields

E(t, a) =

∫ a

0

λ(t− a+ τ, τ)S∗(t− a+ τ, τ)e−∫ aτ(σ(ρ)+µ(ρ))dρdτ

= A

∫ a

0

λ(t− τ, a− τ)e−∫ aτ(µ(a−η)+ρ(a−η))dηe−

∫ τ0(σ(a−η)+µ(a−η))dηdτ

= A

∫ a

0

λ(t− τ, a− τ)e−∫ a0µ(a−η)dηe−

∫ aτρ(a−η)dηe−

∫ τ0σ(a−η)dηdτ. (4.13)

Substituting it into the second equation of (4.12), we obtain via integrating alongthe characteristic line t− a =constant that

I(t, a) =

∫ a

0

σ(ξ)E(t− a+ ξ, ξ)e−∫ aξ(γ(δ)+µ(δ))dδdξ

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4966 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

=

∫ a

0

σ(a− ξ)E(t− ξ, a− ξ)e−∫ ξ0(γ(a−η)+µ(a−η))dηdξ

= A

∫ a

0

σ(a− ξ)∫ a

ξ

λ(t− τ, a− τ)e−∫ aξµ(a−η)dηe−

∫ aτρ(a−η)dη

× e−∫ τξσ(a−η)dηdτe−

∫ ξ0(γ(a−η)+µ(a−η))dηdξ

= A

∫ a

0

σ(a− ξ)∫ a

ξ

λ(t− τ, a− τ)e−∫ a0µ(a−η)dηe−

∫ aτρ(a−η)dη

× e−∫ τξσ(a−η)dηdτe−

∫ ξ0γ(a−η)dηdξ. (4.14)

Insert it into the equation of λ defined in (2.7), we obtain by changing the integralorder that

λ(t, a) = A

∫ a+

0

β(t; a, a′)

∫ a′

0

σ(a′ − ξ)∫ a′

ξ

λ(t− τ, a′ − τ)

× e−∫ a′0µ(a′−η)dηe−

∫ a′τρ(a′−η)dηe−

∫ τξσ(a′−η)dηdτe−

∫ ξ0γ(a′−η)dηdξda′

= A

∫ a+

0

∫ a+

τ

∫ τ

0

β(t; a, a′)σ(a′ − ξ)λ(t− τ, a′ − τ)e−∫ a′0µ(a′−η)dη

× e−∫ a′τρ(a′−η)dηe−

∫ τξσ(a′−η)dηe−

∫ ξ0γ(a′−η)dηdξda′dτ. (4.15)

Define a linear operator B(t, τ) from L1(0, a+) into itself by

(B(t, τ)ψ)(a) :=A

∫ a+

τ

∫ τ

0

β(t; a, a′)σ(a′ − ξ)e−∫ a′0µ(a′−η)dηe−

∫ a′τρ(a′−η)dη

× e−∫ τξσ(a′−η)dηe−

∫ ξ0γ(a′−η)dηψ(a′ − τ)dξda′.

Then (4.15) can be written as an abstract homogeneous renewal equation:

λ(t, a) :=

∫ a+

0

(B(t, τ)λ(t− τ))(a)dτ.

From the periodic renewal theorem [37, 21], we see that λ(t, a) is asymptoticallyproportional to an exponential solution er0tw(t) growing with a Malthusian param-eter r0. The Malthusian parameter r0 is a real root of the characteristic equationr(B(z)) = 1, where B(z), z ∈ C, is a linear operator on XT defined by

(B(z)ψ)(t) :=

∫ a+

0

e−ztB(t, τ)ψ(t− τ)dτ,

and w ∈ XT is a positive eigenfunction of B(r0) associated with the positive eigen-

value unity. Therefore, the sign relation sign(r0) = sign(r(B(0)) − 1) holds. ThenR0 in periodic environment is defined as the spectral radius of the next generationoperator K : XT → XT given by

K(ϕ)(t, a) := (B(0)ϕ)(t) =

∫ a+

0

B(t, τ)ϕ(t− τ)dτ, ϕ ∈ XT .

We see that K is a positive operator from XT into itself:

(Kϕ)(t, a) =A

∫ a+

0

∫ a+

τ

∫ τ

0

β(t; a, a′)σ(a′ − ξ)e−∫ a′0µ(a′−η)dηe−

∫ a′τρ(a′−η)dη

× e−∫ τξσ(a′−η)dηe−

∫ ξ0γ(a′−η)dηϕ(t− τ, a′ − τ)dξda′dτ. (4.16)

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4967

As in [4, 22], we obtain the asymptotic per generation growth factor of the infectedpopulation

R0 = r(K). (4.17)

Moreover, assuming that the Malthusian parameter r0 for population growth equalszero, it follows from [31, Proposition 7.1] that r(F ) = r(K) = R0. In summary, wehave the following main theorem in this paper.

Theorem 4.6. Let R0 be defined in (4.17).

(i) If R0>1, then system (2.1) has a nontrivial periodic solution (S∗, E∗, I∗, R∗)∈ (XT,+ \ 0)4.

(ii) If R0<1, then system (2.1) has no nontrivial periodic solution in (XT,+ \0)4.

Proof. First (i) follows immediately from Theorem 4.5. Now let us prove (ii). Onthe contrary, if system (2.1) has a nontrivial periodic solution (S∗, E∗, I∗, R∗) ∈(XT,+\0)4, then operator F has a nontrivial fixed point ϕ∗ = F (ϕ∗) in XT,+\0.Since ϕ∗ = F (ϕ∗) ≤ F (ϕ∗), we have r(F ) = R0 ≥ 1, which is a contradiction.

5. Numerical examples. In this section, we provide some numerical examples toillustrate our results obtained in the previous sections. For simplicity, we considerthe case where β(t; a, a′) = β(t) = c1(1 + c2 cos(2πt)) is only time-periodic andindependent of the age variable a, ρ(a) = ρ, γ(a) = γ, and σ(a) = σ are constant.We also choose µ(a) = 10−4× (a−30)2. We consider two scenarios in the following.

Figure 1. Behavior of the model when R0 < 1: (a) Total exposed

population∫ 80

0e(t, a)da versus time t; (b) Total infected population∫ 80

0i(t, a)da versus time t.

5.1. No vaccination. When the vaccination rate ρ = 0, from our previous resultswe expect that system (2.6) has a unique periodic solution with period 1 whenR0 > 1. In fact, system (2.6) has no nontrivial periodic solution when R0 < 1

in Figure 1. Figure 2 demonstrates that solutions∫ 80

0s(t, a)da,

∫ 80

0e(t, a)da, and∫ 80

0i(t, a)da converge to periodic solutions with period 1.

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4968 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

0 20 40 60 80 100 120

13

14

15

16

17

18

∫080s(t,a)ⅆa

0 20 40 60 80 100 120

0.1

0.2

0.3

0.4

∫080e(t,a)ⅆa

0 20 40 60 80 100 120

0.02

0.04

0.06

0.08

0.10

∫080i(t,a)ⅆa

(a)

(b)

(c )

t

t

t

Figure 2. Behavior of solutions when R0 > 1 and the vaccination

rate is zero: (a) Total susceptible population∫ 80

0s(t, a)da versus

time t; (b) Total exposed population∫ 80

0e(t, a)da versus time t; (c)

Total infected population∫ 80

0i(t, a)da versus time t.

5.2. Effect of vaccination. In Figure 3, we explore the effect of vaccination on thebehavior of solutions. When there is no vaccination, Figure 3(a) indicates that thereis a periodic solution with period 1. In particular, Figure 4 shows that the infectedpopulation and exposed population of this periodic solution versus age and time(in three periods), respectively, and Figure 5 presents the age distribution of theinfected population at peak time (t = 60.3), where most infected individuals comefrom young ages. By increasing the vaccination rate (Figure 3(b)-(e)), which is anessential control strategy for many infectious diseases, it is possible to successfullycontrol the infectious disease.

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4969

0 20 40 60 80

0.05

0.10

0.15

0.20

0.25

0.30

0 20 40 60 80

0.2

0.4

0.6

0.8

1.0

0 20 40 60 80

0.2

0.4

0.6

0.8

1.0

0 20 40 60 80

0.05

0.10

0.15

0.20

0.25

0.30

20 40 60 80

0.5

1.0

1.5

2.0

2.5

3.0

0 20 40 60 80

0.2

0.4

0.6

0.8

1.0

(c) 𝝆 = 𝟎.5

𝑎 𝝆 = 𝟎

(e) 𝝆 = 𝟎.9

(d) 𝝆 = 𝟎.7

0 20 40 60 80

0.2

0.4

0.6

0.8

1.0

∫080e(t,a)ⅆa

0 20 40 60 80

0.05

0.10

0.15

0.20

0.25

0.30

∫080 i(t,a)ⅆa

0 20 40 60 80

0.2

0.4

0.6

0.8

1.0

0 20 40 60 80

0.05

0.10

0.15

0.20

0.25

0.30

𝑏 𝝆 = 𝟎. 𝟐

Figure 3. Effect of vaccination on the behavior of the solutions(the total exposed population

∫ 80

0e(t, a)da and the total infected

population∫ 80

0i(t, a)da versus time t) and different vaccination rate

ρ: (a) ρ = 0; (b) ρ = 0.5; (c) ρ = 0.7; (d) ρ = 0.9. All otherparameters are fixed.

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4970 HAO KANG, QIMIN HUANG AND SHIGUI RUAN

Figure 4. Plots of the infected population i(t, a) and exposed pop-ulation e(t, a) versus age a and time t (in three periods).

Figure 5. Age distribution of the infected population at the peakof a periodic solution (t = 60.3).

6. Discussion. Since one of the main issues in controlling some infectious diseases,such as measles, mumps, and pertussis, is to find the optimal age to vaccinatechildren in order to have the maximum impact on the incidence of disease-relatedmorbidity and mortality for a given rate of vaccination coverage, age-structuredepidemic models have been extensively used to study the transmission dynamics andcontrol of infectious diseases (see Anderson and May [1], Andreasen [2], Bentil andMurray [5], Busenberg et al. [8, 7], Cha et al. [9], Feng et al. [11], Greenhalgh [12],Hethcote [13], Hoppensteadt [15], Iannelli [17], Iannelli et al. [18], Inaba [19, 23],Li et al. [33], Schenzle [36], and Tudor [38]). The outbreaks of some infectiousdiseases exhibit seasonal patterns, recently there has been considerable interest ininvestigating age-structured epidemic models with periodic parameters (Busenberget al. [7], Kubo and Langlais [28], Kuniya [29], Kuniya and Inaba [31], Kuniya andIannelli [30], and Langlais and Busenberg [32]). For an age-structured SIS epidemicmodel with periodic parameters, Kuniya and Inaba [31] obtained a threshold valuefor the existence and uniqueness of a nontrivial endemic periodic solution.

Based on a periodic SEIR epidemic model describing measles (Earn et al. [10],Huang et al. [16]), in this paper we considered an age-structured SEIR model

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PERIODIC SOLUTIONS OF AN AGE-STRUCTURED MODEL 4971

with periodic infection rate. We first established the well-posedness of the initial-boundary value problem for the age-structured SEIR model. Then we studiedexistence of time periodic solutions of the model by using a fixed point theoremand showed that there is also a threshold value for the existence and uniquenessof a nontrivial endemic periodic solution. Finally we provided some numericalsimulations to illustrate the obtained results. Note that in this paper we onlyassumed that the infection rate β is time periodic. In fact the results still remainvalid if all parameters are time periodic, that is µ(a) = µ(a, t), ρ(a) = ρ(a, t), σ(a) =σ(a, t) and γ(a) = γ(a, t), see [31, 29].

It will be interesting to consider the stability of periodic solutions and optimalage vaccinations in age-structured epidemic model with periodic parameters. Also,it will be interesting to find age distribution data on some infectious diseases, suchas measles, mumps, and pertussis, and use model (2.1) to calibrate the data.

Acknowledgments. We would like to thank the two anonymous reviewers andthe handling editor for their helpful comments and suggestions.

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Received January 2020; revised May 2020.

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