An epidemiological model with waning immunity and reinfection

Fuente: arXiv
Saved in:
Bibliographic Details
Main Authors: Kovacevic, Raimund M., Stilianakis, Nikolaos I., Veliov, Vladimir M.
Format: Preprint
Published: 2025
Subjects:
Online Access:
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1866914415646867456
author Kovacevic, Raimund M.
Stilianakis, Nikolaos I.
Veliov, Vladimir M.
author_facet Kovacevic, Raimund M.
Stilianakis, Nikolaos I.
Veliov, Vladimir M.
contents Waning immunity and reinfection are critical features of many infectious diseases, but epidemiological models often fail to capture the intricate interaction between an individual's history of immunity and their current infection status; when they do, the approach is usually overly simplistic. We develop a novel dual-age structured model that simultaneously tracks immunity age (time since the last recovery from infection) and infection age (time since infection) to analyze epidemic dynamics under conditions of waning immunity and reinfection. The model is formulated as a system of age-structured partial differential equations that describe susceptible and infected populations stratified by both immunity and infection ages. We derive basic reproduction numbers associated with the model and numerically solve the system using a second-order Runge-Kutta scheme along the characteristic lines. We further extend the model to explore vaccination interventions, specifically targeting individuals according to their immunity age. Numerical results reveal that higher contact rates produce larger amplitude oscillations with longer interepidemic periods. The relationship between initial infection levels and long-term epidemic behavior is nonmonotonic. Vaccination efficiency depends critically on the viral load profile across immunity and infection age, with more pronounced viral load distributions requiring higher vaccination rates for disease elimination. Most efficient vaccination strategies begin with intermediate immunity ages rather than targeting only fully susceptible individuals. The structured dual-age framework provides a flexible approach to analyzing the dynamics of reinfection and evaluating targeted vaccination strategies based on the history of immunity.
format Preprint
id arxiv_https___arxiv_org_abs_2511_05688
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle An epidemiological model with waning immunity and reinfection
Kovacevic, Raimund M.
Stilianakis, Nikolaos I.
Veliov, Vladimir M.
Populations and Evolution
92D30, 35F20
Waning immunity and reinfection are critical features of many infectious diseases, but epidemiological models often fail to capture the intricate interaction between an individual's history of immunity and their current infection status; when they do, the approach is usually overly simplistic. We develop a novel dual-age structured model that simultaneously tracks immunity age (time since the last recovery from infection) and infection age (time since infection) to analyze epidemic dynamics under conditions of waning immunity and reinfection. The model is formulated as a system of age-structured partial differential equations that describe susceptible and infected populations stratified by both immunity and infection ages. We derive basic reproduction numbers associated with the model and numerically solve the system using a second-order Runge-Kutta scheme along the characteristic lines. We further extend the model to explore vaccination interventions, specifically targeting individuals according to their immunity age. Numerical results reveal that higher contact rates produce larger amplitude oscillations with longer interepidemic periods. The relationship between initial infection levels and long-term epidemic behavior is nonmonotonic. Vaccination efficiency depends critically on the viral load profile across immunity and infection age, with more pronounced viral load distributions requiring higher vaccination rates for disease elimination. Most efficient vaccination strategies begin with intermediate immunity ages rather than targeting only fully susceptible individuals. The structured dual-age framework provides a flexible approach to analyzing the dynamics of reinfection and evaluating targeted vaccination strategies based on the history of immunity.
title An epidemiological model with waning immunity and reinfection
topic Populations and Evolution
92D30, 35F20
url https://arxiv.org/abs/2511.05688