Full Text Available

Note: Clicking the button above will open the full text document at the original institutional repository in a new window.

Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection

Thesis (MSc (Mathematics))--University of Stellenbosch, 2009.

Saved in:
Bibliographic Details
Main Author: Kajunguri, Damian
Other Authors: Hargrove, John
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2009
Subjects:
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1867614119211827200
access_status_str Open Access
author Kajunguri, Damian
author2 Hargrove, John
author_browse Hargrove, John
Kajunguri, Damian
author_facet Hargrove, John
Kajunguri, Damian
author_sort Kajunguri, Damian
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MSc (Mathematics))--University of Stellenbosch, 2009.
format Thesis
id oai:scholar.sun.ac.za:10019.1/4070
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:46:58.390Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2009
publishDateRange 2009
publishDateSort 2009
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/4070 Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection Kajunguri, Damian Hargrove, John Ouifki, Rachid Nyabadza, Farai University of Stellenbosch. Faculty of Science. Dept. of Mathematical Sciences. Tuberculosis Mathematical modelling HIV Coinfection Dissertations -- Mathematics Theses -- Mathematics Epidemiology Thesis (MSc (Mathematics))--University of Stellenbosch, 2009. ENGLISH ABSTRACT: In this thesis, a mathematical model describing the interaction between HIV and TB in the presence of TB superinfection is presented. The model takes into account two strains of Mycobacterium tuberculosis (MTB), where one strain is drug-sensitive and the other is resistant to at least one of the first-line anti-tuberculosis drugs. The impact of TB superinfection on the incidence and prevalence of TB in HIV-negative and HIVTB coinfected individuals is evaluated. Various control measures such as condom use, antiretroviral therapy, isoniazid preventive therapy and increased TB detection are studied using this model. Numerical results show that TB superinfection increases the prevalence and incidence of TB and its impact is more in HIV-negative than HIV-TB coinfected individuals. The results also show that TB superinfection promotes strain coexistence and increases the associated HIV mortality. Increased condom use was found to have a high positive impact towards the control of the two epidemics. Antiretroviral therapy decreases the TB notification rate and its impact on HIV prevalence increases with the coverage and efficacy. Isoniazid preventive therapy has a clear effect on the TB prevalence. Finally, increased TB detection was found to have a less impact on the TB incidence in HIV-TB coinfected individuals AFRIKAANSE OPSOMMING: In hierdie verhandeling word ´n wiskundige model vir die interaksie tussen MIV en TB, in ´n situasie met TB superinfeksie voorgelˆe. Die model neem twee variante van TB in ag. Een van die variante is sensitief vir MTB behandeling, terwyl die ander weerstandig is vir ten minste een van die eerste-linie TB behandenings. Die impak van TB superinfeksie op die insidensie and prevalensie van TB in MIV negatiewe en MIV-TB ko-ge˜ınfekteerde individu word ondersoek. Veskeie beheer maatreels soos kondoom gebruik, anti-retrovirale behandeling (vir MIV) en isonazid voorkomende behandeling en verhoodge TB deteksie (vir TB) word ondersoek. Numeriese resultate wys TB superinfeksie verhoog die prevalense en insidensie van TB en dat dit ´n groter bydrae maak by MIV negatief as by MIV-TB ko-geinfekteerde individu. Die resultate wys veder TB superinfeksie promofeer variant kohabitasie en verhoog MIV verwante mortalitieit. Verhoogde kondoom gebruik is gevind om ´n positiewe bydrae te maak tot die beheer van beide epidemies. Anti-retrovirale terapie verlaag die TB aanmeldings koers en die impak van ART verhoog saam met ´n verhoging in die dekking en effektiwiteit daarvan. Voorkomende behandeling het ´n beduidende impak op TB prevalensie. Ons vind dat TB deteksie ´n beperkte impak maak op TB insidensie by MIV-TB ko-geinfekteerde individu 2009-03-06T13:09:37Z 2010-08-13T13:12:05Z 2009-03-06T13:09:37Z 2010-08-13T13:12:05Z 2009-03 Thesis http://hdl.handle.net/10019.1/4070 en University of Stellenbosch 84 p. : ill. application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Tuberculosis
Mathematical modelling
HIV
Coinfection
Dissertations -- Mathematics
Theses -- Mathematics
Epidemiology
Kajunguri, Damian
Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title_full Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title_fullStr Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title_full_unstemmed Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title_short Modelling the impact of TB superinfection on the dynamics of HIV-TB coinfection
title_sort modelling the impact of tb superinfection on the dynamics of hiv tb coinfection
topic Tuberculosis
Mathematical modelling
HIV
Coinfection
Dissertations -- Mathematics
Theses -- Mathematics
Epidemiology
url http://hdl.handle.net/10019.1/4070
work_keys_str_mv AT kajunguridamian modellingtheimpactoftbsuperinfectiononthedynamicsofhivtbcoinfection