MATHEMATICAL MODELLING ON THE TRANSFER OF HIV/AIDS BASED ON SEX GROUPS

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Product Code: 00006532

No of Pages: 36

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ABSTRACT 

In this project, a mathematical model connecting the occurrence of HIV/AIDS transmission with the number of infected and uninfected individuals was used to describe the occurrence of HIV/AIDS transmission in different sex groups. The study was conducted using data from Barau Dikko Teaching Hospital Kaduna, Kaduna State. In this research the rate of infection for the various sex groups were calculated and analyzed. Graphs were plotted to show the rate of infection in males and females, then an extra graph was plotted to show which sex group had more infected individuals. The result of the analysis shows that the occurrence is almost the same in the spread of the virus among the different sex groups in the period of study but it is higher in that of females. It is concluded that HIV/AIDS is a killer disease claiming larger number of lives every day. Therefore, all hands must be on deck by government and non-governmental organizations to minimize the rate of spread of the killer disease.   



TABLE OF CONTENTS
DECLARATION ii
CERTIFICATION iii
DEDICATION iv
ACKNOWLEDGEMENT v
ABSTRACT vi
TABLE OF CONTENTS vii

CHAPTER ONE
GENERAL INTRODUCTION
1.1 Background of the Study 1
1.2 Transmission of HIV 2
1.3 Test for Identification of HIV 3
1.4 Signs and Symptoms of HIV 3
1.5 Control and Treatment of HIV 4
1.6 Prevention/Vaccine of HIV 6
1.7 Brief Story of HIV in Kaduna State 6
1.8 Scope and Limitation of Research 7
1.9 Statement of the Problem 7
1.10 Aim and Objectives of the Study 7
1.11 Definition of Terms 8
1.11.1 Dynamical system 8
1.11.2 Mathematical model 8
1.11.3 Model Validation 9
1.11.4 Model 9

CHAPTER TWO
LITERATURE REVIEW
2.1 Introduction 10

CHAPTER THREE
METHODOLOGY
3.1 Introduction 13
3.2 Model Formulation 13

CHAPTER FOUR
ANALYSIS AND DISCUSSION OF RESULT
4.1 Introduction 18
4.2 Application of the Model to Different Sex Groups of Individuals 18
4.2.1 Applying model to male sex 18
4   .2.2 Applying model to female sex 21

CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATION
5.1 Summary 29
5.2 Conclusion 29
5.3 Recommendation 30
REFERENCES 32
 




CHAPTER ONE
GENERAL INTRODUCTION

1.1 Background of the Study
Human Immunodeficiency Virus (HIV) is a highly complex and potentially life-threatening virus that primarily attacks the immune system, specifically targeting CD4+ T cells, which play a crucial role in the body's ability to fight off infections. HIV weakens the immune system over time, leaving the infected individual more vulnerable to various infections and diseases.

HIV is a member of the retrovirus family and is transmitted through certain body fluids, such as blood, semen, vaginal fluids, breast milk, and rectal fluids. The most common modes of transmission include unprotected sexual intercourse with an infected person, sharing contaminated needles or syringes for drug use, and from an infected mother to her child during childbirth or breastfeeding. As HIV gradually damages the immune system, the individual becomes susceptible to various opportunistic infections and certain types of cancer. Without proper medical treatment, the infection progresses to the final stage known as Acquired Immunodeficiency Syndrome (AIDS). At this point, the immune system is severely compromised, and the individual becomes vulnerable to life-threatening infections and illnesses. However, with advancements in medical science, there are highly effective antiretroviral therapies (ART) available that can effectively control HIV replication, slow down disease progression, and improve the quality of life for those living with HIV. While ART cannot cure HIV, it has transformed HIV infection into a manageable chronic condition for many people, enabling them to live long and healthy lives. (James N. and Philip M., 2002).

1.2 Transmission of HIV  
HIV (Human Immunodeficiency Virus) can be transmitted through certain body fluids from an infected person to an uninfected person. The primary modes of HIV transmission include:

Unprotected Sexual Contact: HIV is most commonly transmitted through sexual intercourse, particularly unprotected vaginal, anal, or oral sex with an infected partner. The virus can enter the body through small cuts or sores in the mucous membranes of the genital or rectal area.

Sharing Contaminated Needles and Syringes: HIV can be transmitted through sharing needles or syringes used for injecting drugs, steroids, or medications. This mode of transmission is common among intravenous drug users.

Mother-to-Child Transmission: An HIV-infected mother can pass the virus to her child during childbirth or through breastfeeding. However, with appropriate medical interventions during pregnancy, childbirth, and breastfeeding, the risk of transmission can be significantly reduced.

Occupational Exposure: Healthcare workers may be at risk of HIV transmission if they are accidentally exposed to infected blood through needle stick injuries or other sharps injuries. Precautions and post-exposure prophylaxis (PEP) can reduce the risk of infection.

Needlestick Injuries and Accidental Exposure: People who handle needles or other sharp instruments, such as tattoo artists or body piercers, may be at risk if accidental needlestick injuries occur with an HIV-infected individual. (Michael H. Merson, 2011).

1.3 Test for Identification of HIV
There are several types of tests available for the identification of HIV infection. These tests are designed to detect the presence of HIV antibodies, antigens, or genetic material (RNA/DNA) in a person's blood or other body fluids. The most common types of HIV tests include

HIV Antibody Tests,

ELISA (Enzyme-Linked Immunosorbent Assay),

Western Blot,

Rapid Antibody Tests,

HIV Antigen Tests,

HIV RNA/DNA Tests,

Home HIV Test Kits.

It's essential to remember that no HIV test is 100% accurate immediately after infection. If there's a recent exposure and the test result is negative, it's recommended to repeat the test after the window period (usually 3 months) to confirm the result.

1.4 Signs and Symptoms of HIV 
HIV is a virus that attacks the body's defense system, called the immune system. It makes it harder for your body to fight off infections and illnesses. When a person gets infected with HIV, they may go through different stages. In the beginning, they might experience flu-like symptoms, such as fever, tiredness, sore throat, and swollen glands. But some people may not have any noticeable symptoms at all. After this early stage, HIV can stay in the body for a long time without causing any major problems. During this time, the person may not feel sick, but the virus is still there and can be passed on to others.

As the infection progresses, the immune system gets weaker, and the person becomes more vulnerable to infections and other health issues. This is the stage called AIDS (acquired immunodeficiency syndrome). At the AIDS stage, the person might experience more severe symptoms, like significant weight loss, chronic diarrhea, fever, night sweats, and frequent infections that don't go away easily. It's important to remember that not everyone infected with HIV will have the same symptoms or go through all the stages. Some people may not even realize they have HIV because they feel fine. Finally, the best way to know if someone has HIV is to get tested. Testing can help detect the virus early, and if HIV is diagnosed, there are effective treatments available to manage the infection and live a healthy life.

1.5 Control and Treatment of HIV
Control and treatment of HIV involves a comprehensive approach aimed at preventing the transmission of the virus and managing the infection in individuals already living with HIV. Here's a detailed explanation:
Prevention:
o Education and awareness: Public health campaigns promote awareness about HIV transmission and prevention methods.
o Safe sex practices: Encouraging the use of condoms and reducing the number of sexual partners helps prevent HIV transmission during sexual intercourse.
o Needle exchange programs: Providing clean needles and syringes to intravenous drug users reduces the risk of HIV transmission through sharing contaminated needles.
o Pre-exposure prophylaxis (PrEP): High-risk individuals can take PrEP, a daily medication, to reduce the risk of contracting HIV.

HIV Testing:
o Regular testing: Encouraging people to get tested for HIV helps identify infections early and allows for timely intervention.
o Confidentiality: Ensuring that HIV testing is confidential and non-discriminatory encourages more people to come forward for testing.

Antiretroviral Therapy (ART):
o ART is the standard treatment for HIV-positive individuals. It involves a combination of antiretroviral drugs taken daily to suppress the replication of the virus.
o ART helps maintain a low viral load, allowing the immune system to function better and reducing the risk of opportunistic infections and complications.

Undetectable = Untransmittable (U=U):
o People living with HIV who maintain an undetectable viral load through successful ART cannot transmit the virus to others during sexual contact.
o U=U is an essential concept in HIV prevention and helps reduce stigma associated with HIV.

Prevention of Mother-to-Child Transmission (PMTCT):
o Pregnant women with HIV receive ART to reduce the risk of transmitting the virus to their babies during pregnancy, childbirth, or breastfeeding.

Supportive Care:
o Psychosocial support, counseling, and access to support groups are essential for people living with HIV to cope with the emotional and social challenges they may face.

Continued Research and Innovation:
o Ongoing research aims to improve existing treatments, develop new medications, and eventually find a cure for HIV/AIDS.

The control and treatment of HIV are dynamic processes that require cooperation between individuals, communities, healthcare providers, governments, and organizations. Early diagnosis, access to care, and adherence to treatment are critical factors in managing HIV and improving the quality of life for those affected by the virus.

1.6 Prevention/Vaccine of HIV
There is no widely available vaccine for HIV. Developing an effective HIV vaccine has been an ongoing challenge due to the complex nature of the virus and its ability to mutate rapidly. However, extensive research and clinical trials continue in the quest to find a safe and effective vaccine against HIV. (WHO, 2022). In the absence of a vaccine, prevention remains the primary approach to reduce HIV transmission. It's important to note that even with these preventive measures, it's not possible to eliminate the risk of HIV entirely. Therefore, a comprehensive approach that combines various prevention strategies is essential in the fight against HIV/AIDS. (NIAID, 2010). As research on HIV continues, progress toward developing an effective vaccine remains a significant goal in the global effort to control and ultimately eradicate HIV. Researchers and public health experts are committed to finding new and innovative ways to prevent the spread of HIV and improve the lives of those living with the virus. (UNAIDS, 2023)

1.7 Brief Story of HIV in Kaduna State
Kaduna State, like many other regions in Nigeria, faces significant challenges in addressing the HIV epidemic. HIV prevalence in Kaduna State was higher than the national average, and efforts were being made to improve prevention, testing, and treatment services.

For the most current and specific information about HIV in Kaduna State, including prevalence rates, prevention efforts, and treatment services, I recommend referring to official sources such as the Kaduna State Ministry of Health, the Nigerian National Agency for the Control of AIDS (NACA), or the World Health Organization (WHO). These sources can provide the latest data and updates on HIV in Kaduna State. UNAIDS, author. Global summary of the AIDS Epidemic. 

1.8 Scope and Limitation of Research
This research is mainly on Kaduna North, to study HIV transmission dynamics among the selected sex groups. A mathematical model is used to describe the effect of HIV/AIDS on the different sex groups in Kaduna North. It does not consider any other place. Due to the timing constraint, data collected for the research is limited to a hospital in Kaduna North, Kaduna State.

1.9 Statement of the Problem
So far, Kaduna North is not having a model which I know of, that the people are using to study HIV transmission dynamics, and it is because of that we are now trying to develop a mathematical model which will help the people to understand and investigate HIV/AIDS in both sex groups.

1.10 Aim and Objectives of the Study
The aim of this research is to develop a mathematical model of HIV transmission dynamics for Kaduna North, to help investigating and explaining the prevalence of HIV and to make prediction about HIV transmission.
The above aim can be achieved through the following objectives:
a) Collection of data from Barau Dikko Teaching Hospital 
b) Developing a mathematical model 
c) Using the data to determine the value of the constant infection rate 
d) Applying the data collected on the model to come out with results
e) Interpreting the data obtained 
f) Representing the data obtained graphically 

1.11 Definition of Terms
1.11.1 Dynamical system  
Dynamical system is a set of state variables and a set of equations or rules that determine how these variables change over time. These equations can be expressed as differential equations, difference equations, or other mathematical formulations, depending on the nature of the system. The state of the dynamical system at any given time is represented by a state vector, which contains the values of all the state variables at that particular moment. As time progresses, the system evolves, and the state vector changes, leading to different trajectories or paths in the system's state space. (Steven H. Strogatz, 2018).

1.11.2 Mathematical model
A mathematical model is a representation of a real-world system or phenomenon using mathematical equations, formulas, and rules. It is a simplified abstraction of the real system designed to describe and analyze its behavior, make predictions, or test hypotheses. Mathematical models are widely used in various fields, including physics, engineering, biology, economics, social sciences, and many others, to understand complex systems and make informed decisions. Mathematical models serve as powerful tools for understanding, predicting, and optimizing the behavior of systems and processes. They play a crucial role in scientific research, engineering design, policy analysis, and decision-making across a wide range of disciplines. However, it's essential to use models responsibly, considering their limitations and potential uncertainties when interpreting their results and implications. (Sandip and Koushik, 2018).

1.11.3 Model Validation
Model validation is a crucial step in the process of developing and using mathematical models. It involves assessing the accuracy, reliability, and performance of a model by comparing its predictions or outputs to real-world data or observations. The main goal of model validation is to determine whether the model is an adequate representation of the system it is intended to describe and whether it provides reasonable and trustworthy results. Model validation is essential for ensuring the credibility and usefulness of mathematical models. Proper validation provides confidence in the model's predictions and enhances its applicability in various real-world scenarios, supporting informed decision-making and problem-solving. (Daniel J. Rixen et al., 2019).

1.11.4 Model
Model is a simplified representation or abstraction of a complex system or concept. Models are used to better understand, analyze, and predict the behavior of the real-world system they represent. They are a fundamental tool in various fields, including science, engineering, economics, social sciences, and more. (Ramin S.E., 2014).

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