Research Article
Condition for Global Stability for a SEIR Model Incorporating
Exogenous Reinfection and Primary Infection Mechanisms
Isaac Mwangi Wangari
Department of Mathematics and Actuarial Science, The Catholic University of Eastern Africa (CUEA), I Langata Main Campus I
Bogani East Rd, Off Magadi Rd, P.O. Box 62157-00200 Nairobi, Kenya
Correspondence should be addressed to Isaac Mwangi Wangari; mwangiisaac@aims.ac.za
Received 14 June 2020; Revised 9 September 2020; Accepted 15 October 2020; Published 18 November 2020
Academic Editor: Markos G. Tsipouras
Copyright © 2020 Isaac Mwangi Wangari. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
A mathematical model incorporating exogenous reinfection and primary progression infection processes is proposed. Global
stability is examined using the geometric approach which involves the generalization of Poincare-Bendixson criterion for
systems of n-ordinary differential equations. Analytical results show that for a Susceptible-Exposed-Infective-Recovered (SEIR)
model incorporating exogenous reinfection and primary progression infection mechanisms, an additional condition is required
to fulfill the Bendixson criterion for global stability. That is, the model is globally asymptotically stable whenever a parameter
accounting for exogenous reinfection is less than the ratio of background mortality to effective contact rate. Numerical
simulations are also presented to support theoretical findings.
1. Introduction
Mathematical models, in particular, models tracking dynam-
ics of infectious diseases, are of utmost importance due to
their application in the assessment of public health policies
by national and international agencies. In such models, one
of the intriguing aspects that often occurs is when modellers
need to know whether the disease will disappear or will per-
manently remain in the population. This question is
answered mainly through investigating the asymptotic stabil-
ity of the disease-free equilibrium (DFE) as well the endemic
equilibrium. It is already known that if the DFE is globally
asymptotically stable, then the disease eradication is assured
regardless of the initial number of infected individuals in
the population [1]. An influx of infected cases may trigger
an isolated epidemic outbreak, but they may not make the
disease endemic in the population [2]. In contradiction to
DFE, if the endemic equilibrium is globally asymptotically
stable (GAS) and a few infected individuals are initially intro-
duced, then, the disease will be permanently present in the
population.
In the sequel, there are two major methods used in the
analysis of global stability of endemic equilibrium: Lyapunov
direct method and geometric method. Although the Lyapu-
nov direct method is often used in proving global stability
of infectious diseases models, it is sometimes difficult to use
because it requires an auxiliary function which is hard to con-
struct. This is because there are no existing general methods
for constructing such Lyapunov functions. Moreover,
Lyapunov functions for models with parameter(s) that
induce bistability phenomena may not even exist. The second
method, sometimes referred to as geometric approach to
global stability, is a generalization of the Poincare-
Bendixson criterion for systems of n ordinary differential
equations. This method was developed by Li and Muldowney
[3, 4] in midnineties to address problems encountered with
the Lyapunov direct method. The technique is extensively
being used to analyze global properties of mathematical
models emanating in mathematical epidemiology as well as
in other biomathematical contexts. For instance, its applica-
tions can be seen in toxicant-population interaction models,
Lotka-Volterra models incorporating delay [5, 6], and
Hindawi
Computational and Mathematical Methods in Medicine
Volume 2020, Article ID 9435819, 11 pages
https://doi.org/10.1155/2020/9435819