Abstract

Antiretroviral treatment (ART) and oral pre-exposure prophylaxis (PrEP) have recently been used efficiently in management of HIV infection. Pre-exposure prophylaxis consists in the use of an antiretroviral medication to prevent the acquisition of HIV infection by uninfected individuals. We propose a new model for the transmission of HIV/AIDS including ART and PrEP. Our model can be used to test the effects of ART and of the uptake of PrEP in a given population, as we demonstrate through simulations. The model can also be used to estimate future projections of HIV prevalence. We prove global stability of the disease-free equilibrium. We also prove global stability of the endemic equilibrium for the most general case of the model, i.e., which allows for PrEP individuals to default. We include insightful simulations based on recently published South-African data.

Highlights

  • The HIV/AIDS epidemic continues to be among the most devastating diseases in human history despite the new scientific advances and serious public health interventions

  • Our aim in this paper is to demonstrate the extent to which pre-exposure prophylaxis (PrEP) can possibly reduce the prevalence of the HIV in a large population such as South Africa, in the presence of treatment

  • 5 Concluding remarks In this paper, we have investigated a model describing the population dynamics of HIV/AIDS including treatment and pre-exposure prophylaxis (PrEP) in the context of South Africa

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Summary

Introduction

The HIV/AIDS epidemic continues to be among the most devastating diseases in human history despite the new scientific advances and serious public health interventions. We introduce a model with two stages of infection and we assume that susceptible individuals have access to PrEP to prevent themselves from HIV. Assuming that R0 < 1, it is possible to find positive numbers ξ0 and ξ3 sufficiently small such as to have the following inequality: C2 = ξ0cβ2 + ξ3k2 + ξ4(R0 – 1) < 0. Using such ξ0 and ξ3, together with the numbers ξi introduced already, we define a function V2 as follows: V2(t) = ξ0 K – (S + E) + ξ1I1 + ξ2I2 + ξ3A.

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