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Stochastic analysis of AIDS epidemiology

Thesis (PhD)--University of Pretoria, 2009.

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Other Authors: Yadavalli, Venkata S. Sarma
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Published: University of Pretoria 2013
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access_status_str Open Access
author2 Yadavalli, Venkata S. Sarma
author_browse Yadavalli, Venkata S. Sarma
author_facet Yadavalli, Venkata S. Sarma
collection Thesis
dc_rights_str_mv © 2009, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD)--University of Pretoria, 2009.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:40:26.265Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/28781 Stochastic analysis of AIDS epidemiology Yadavalli, Venkata S. Sarma orelabeodan2001@yahoo.co.uk Labeodan, Moremi Morire OreOluwapo Antiretroviral therapy (ART) HIV infected individuals AIDS epidemiology UCTD Thesis (PhD)--University of Pretoria, 2009. In this thesis, some issues about the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) have been addressed by concentrating on the stochastic modelling of the dynamics of the viruses. The aim of this thesis is to determine parameters such as the mean number of free HIV, infectious free HIV and non-infectious free HIV which are essential in determining incubation period of the virus, the disease progression of an infected individual and the efficacy of the treatment used. This thesis comprises of six chapters. The first two chapters are introductory to the viruses and reasons why HIV-1 is given priority over HIV-2 are given. The pathogenesis of the virus is addressed. This is because knowledge of the pathogenesis and strains of the virus has become essential in the study of HIV in vivo dynamics which is still paving ways into extensive research of the ways to contain the disease better. In chapter three the distribution functions of the HIV incubation period and seroconversion time are determined via stochastic models by building on previous work of Lui et al. (1988) and Medley et al. (1988). Also AIDS incidence projection was done using the Backcalculation method. Chapter four deals with the formulation of stochastic model of the dynamics of HIV in an infected individual. Two stochastic models are proposed and analysed for the dynamics of the viral load in a HIV infected person and the multiplication process of the virions inside an infected T4 cell. Also a numerical illustration of the stochastic models derived is given. In chapter five, the T4 cell count which is considered one of the markers of disease progression in HIV infected individual is examined. WHO has recently advocated that countries encourage HIV infected individuals to commence antiretroviral treatments once their T4 cell count is 350 cells per ml of blood. This is because when the T4 cell count is low, the T4 cells are unable to mount an effective immune response against antigens (and any such foreign matters in the body) and consequently, the individual becomes susceptible to opportunistic infections and lymphomas. We developed a stochastic catastrophe model to obtain the mean, variance and covariance of the uninfected, infected and lysed T4 cells; also the amount of toxin produced in a HIV infected person from the time of infection to the present time is derived. A numerical illustration of the correlation structure between uninfected and infected T4 cells, and infected and lysed T4 cells is portrayed. Antiretrioviral treatments were introduced while we await a cure. Treatment with single drug failed due to the fact that HIV evolved rapidly because of its high replication rate. Thus drug resistance to single therapeutic treatment in HIV infected individuals has promoted research into combined treatments. In chapter six a stochastic model under combined therapeutic treatment is derived. Mean numbers of free HIV, infectious free HIV and non-infectious free HIV are obtained. Variance and co-variance structures of our parameters were obtained unlike in previous work of Perelson et al. (1996), Tan and Xiang (1999). Statistics unrestricted 2013-09-07T14:13:37Z 2009-10-29 2013-09-07T14:13:37Z 2009-09-02 2009-10-29 2009-10-17 Thesis Labeodan, MMO 2009, Stochastic analysis of AIDS epidemiology, PhD thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/28781 > D682/ag http://hdl.handle.net/2263/28781 http://upetd.up.ac.za/thesis/available/etd-10172009-112824/ © 2009, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Antiretroviral therapy (ART)
HIV infected individuals
AIDS epidemiology
UCTD
Stochastic analysis of AIDS epidemiology
title Stochastic analysis of AIDS epidemiology
title_full Stochastic analysis of AIDS epidemiology
title_fullStr Stochastic analysis of AIDS epidemiology
title_full_unstemmed Stochastic analysis of AIDS epidemiology
title_short Stochastic analysis of AIDS epidemiology
title_sort stochastic analysis of aids epidemiology
topic Antiretroviral therapy (ART)
HIV infected individuals
AIDS epidemiology
UCTD
url http://hdl.handle.net/2263/28781
http://upetd.up.ac.za/thesis/available/etd-10172009-112824/