MATHEMATICALLY MODELING THE SPREAD OF HIV/AIDS INFECTION AFTER THE INTRODUCTION OF ANTIRETROVIRAL THERAPY IN GHANA.

Richard Ayamah, G. Awuitor, Zutaah Puotier
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Abstract

One of the deadliest and highly infectious diseases is Human Immunodeficiency Virus-Acquired Immune Deficiency Syndrome (HIV-AIDS). One person was first diagnosed with HIV-AIDS in the Eastern region part of Ghana in 1986, followed by 41 more in the same year. The spread of the disease was so unbearable in the subsequent years (1987-2003), even after several intervention measures taken by Government and other stakeholders. Hence, in 2003, the antiretroviral therapy (ART) program was introduced by the Ghana AIDS Commission (GAC) through the Ghana Health Service (GHS) to sabotage the virus such that it cannot be transmitted from one person to another, not even from the pregnant mother to the unborn child. It is in this direction that this research was conducted to use differential equations to derive a model for the prediction of the HIV/AIDS infection rate, after the introduction of the ART program in Ghana. The data on the number of HIV infected people per each year (I) for the years 2003-2018 were collated from the reports given by Ghana AIDS Commission (GAC), WHO and UNAIDS published on their associate websites. Differential equations, with the employment of numerical analysis of data, were used to derive a model for the prediction of the yearly number of HIV/AIDS infected people. Graphical analysis on the residuals of the predicted number of HIV/AIDS infected people (residual analysis) were carried out to check whether the derived model was adequate or not. Finally, a model was derived using ordinary differential equations and the yearly numbers of HIV infected people estimated using the model were in descending, order as portrayed in the original data set. The residual analysis on the model adequacy checking proved that the model is adequate for the prediction of the number of HIV infected people in Ghana. In effect, the ART program really played a major role in the reduction of the HIV infection rate. The uniqueness of this research is portrayed in the fact that it is the first time differential equation is being employed in Ghanaian academia to derive a model for the future prediction of the HIV infection rate.   Keywords: Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome, antiretroviral therapy, HIV-Infected People, Susceptible People.
加纳引入抗逆转录病毒疗法后艾滋病毒/艾滋病感染传播的数学模型。
人类免疫缺陷病毒获得性免疫缺陷综合征(HIV-AIDS)是最致命和传染性最强的疾病之一。1986年,加纳东部地区有一人首次被诊断出患有艾滋病,同年又有41人被诊断出患有艾滋病。在随后的几年中(1987-2003年),即使在政府和其他利益攸关方采取了若干干预措施之后,这种疾病的蔓延仍然难以忍受。因此,2003年,加纳艾滋病委员会(GAC)通过加纳卫生局(GHS)推出了抗逆转录病毒疗法(ART)方案,以破坏病毒,使其不能从一个人传染给另一个人,甚至不能从孕妇传染给未出生的孩子。正是在这个方向上,本研究在加纳引入抗逆转录病毒治疗项目后,利用微分方程推导出一个预测艾滋病毒/艾滋病感染率的模型。2003-2018年每年艾滋病毒感染人数的数据是根据加纳艾滋病委员会(GAC)、世卫组织和联合国艾滋病规划署在其联属网站上发布的报告整理的。利用微分方程对数据进行数值分析,推导出一个模型,用于预测艾滋病毒/艾滋病感染者的年人数。对预测的HIV/AIDS感染人数的残差(残差分析)进行图形化分析,以检验所导出的模型是否足够。最后,使用常微分方程导出了一个模型,使用该模型估计的艾滋病毒感染者的年数量按顺序递减,如原始数据集所示。模型充分性检验的残差分析证明该模型对于加纳HIV感染人数的预测是足够的。实际上,抗逆转录病毒治疗项目确实在降低艾滋病毒感染率方面发挥了重要作用。这项研究的独特之处在于,它是第一次在加纳学术界使用微分方程来推导未来艾滋病病毒感染率预测的模型。关键词:人类免疫缺陷病毒,获得性免疫缺陷综合征,抗逆转录病毒治疗,hiv感染者,易感人群
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