The stage-structured epidemic : linking disease and demography with a multi-state matrix approach model

Abstract

Stage-structured epidemic models provide a way to connect the interacting processes of infection and demography. Reproduction and development can replenish the pool of susceptible hosts, and demographic structure leads to heterogeneous transmission and disease risk. Epidemics, in turn, can increase mortality or reduce fertility of the host population. Here we present a framework that integrates both demography and epidemiology in models for stage-structured epidemics. We use the vec-permutation matrix approach to classify individuals jointly by their demographic stage and infection status. We describe demographic and epidemic processes as alternating in time with a periodic matrix models. The application of matrix calculus to this framework allows for the calculation of R0 and sensitivity analysis.