Abstract

Rift Valley fever (RVF) outbreaks are recurrent, occurring at irregular intervals of up to 15 years at least in East Africa. Between outbreaks disease inter-epidemic activities exist and occur at low levels and are maintained by female Aedes mcintoshi mosquitoes which transmit the virus to their eggs leading to disease persistence during unfavourable seasons. Here we formulate and analyse a full stochastic host-vector model with two routes of transmission: vertical and horizontal. By applying branching process theory we establish novel relationships between the basic reproduction number, R0, vertical transmission and the invasion and extinction probabilities. Optimum climatic conditions and presence of mosquitoes have not fully explained the irregular oscillatory behaviour of RVF outbreaks. Using our model without seasonality and applying van Kampen system-size expansion techniques, we provide an analytical expression for the spectrum of stochastic fluctuations, revealing how outbreaks multi-year periodicity varies with the vertical transmission. Our theory predicts complex fluctuations with a dominant period of 1 to 10 years which essentially depends on the efficiency of vertical transmission. Our predictions are then compared to temporal patterns of disease outbreaks in Tanzania, Kenya and South Africa. Our analyses show that interaction between nonlinearity, stochasticity and vertical transmission provides a simple but plausible explanation for the irregular oscillatory nature of RVF outbreaks. Therefore, we argue that while rainfall might be the major determinant for the onset and switch-off of an outbreak, the occurrence of a particular outbreak is also a result of a build up phenomena that is correlated to vertical transmission efficiency.

Highlights

  • Rift Valley fever (RVF) is an emerging zoonotic disease with pronounced health and economic impacts, to vulnerable African communities with low resilience to economic and environmental challenges [1,2,3]

  • The epidemic activities have been found to be highly correlated to heavy rainfall and flooding that stimulate hatching of Aedes mosquito eggs, resulting in a massive emergence of both uninfected and infected Aedes mosquitoes [4, 6]

  • An interesting observation in host-vector systems is that R0,H can be greater that one even if either R12 or R21 is less than unity. This leads to an asymmetry relationships between either with the probability of extinction or invasion and the reproductive numbers which may stem from the disparity between the sizes of the host and vector populations [35]

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Summary

Introduction

Rift Valley fever (RVF) is an emerging zoonotic disease with pronounced health and economic impacts, to vulnerable African communities with low resilience to economic and environmental challenges [1,2,3]. An epizootic is mainly driven by the subsequent elevation of various Culex mosquito populations, which serve as excellent secondary vectors if immature mosquito habitats remain flooded for a long enough period [6, 7]. These disease epidemic activities occur at very irregular intervals of up to 15 years in the southern and eastern regions of Africa as well as in the horn of Africa [1, 3]

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