SearcharxivSearch

arXiv · 1410.8207

The Potential Impact of Increased Hospital Capacity to Contain and Control Ebola in Liberia

Abstract

West Africa is currently experiencing a severe outbreak of Ebola virus disease (EVD). As part of the international effort to address this outbreak, the United States has committed to building specialized Ebola treatment facilities with 1700 beds. However, the effectiveness of this increase in the available healthcare facilities to treat Ebola is unclear, especially in light of the rapidly increasing number of cases. Adapting a previously validated mathematical model of Ebola in West Africa, we examine the potential impact of an increase in hospital capacity to mitigate the impact of Ebola under several scenarios, ranging from the planned scenario of 1700 beds in 10 weeks to a considerably more aggressive approach of twice the number of beds in 5 weeks. We find that even for the most aggressive scenarios, while increasing the availability of healthcare reduces the number of Ebola cases and slows the outbreak, it is not sufficient to stop the epidemic within the next three months. We find that only a combination of increased hospital beds and a dramatic decrease in the rate of transmission within the community can bring the epidemic under control within the near future.

Explore related subjects

Keep this discovery

BibTeXRIS

Eric T. Lofgren, Caitlin M. Rivers, Madhav V. Marathe, Stephen G. Eubank, Bryan L. Lewis. 2014-10-30. The Potential Impact of Increased Hospital Capacity to Contain and Control Ebola in Liberia. https://arxiv.org/abs/1410.8207

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

Competition drives excessive recruitment in collective search

Groups that search collectively often exploit what they find by recruiting: one member directs others to a site it has found. Recruitment raises the number of members foraging at a known site, but the return per forager may fall as that number grows, so there is an intermediate optimal recruitment rate. In addition, a site may be used by more than one group. Here we analyze a model of two groups that forage from a single site whose return declines with the total number of foragers present. The two groups interact only through this shared return. The long-run outcome is either coexistence at the foraging site or monopoly by one group, and we analyze the boundary between these two outcomes. A group's best response to its rival is not monotone: it increases its own recruitment rate with the rival's recruitment rate in an attempt to preserve a monopoly, and then its recruitment rate drops discontinuously when it is no longer optimal to preserve a monopoly. We analyze how model parameters govern this shift: a group relinquishes monopoly when the site saturates at few foragers and when the rival group is small. When the two groups have comparable size there are multiple Nash equilibria, so either group may end up with the larger share. And when two equally matched groups compete, both recruit above the rate that maximizes their common return, so that each individual ends with less than it would in a single undivided group of the same total size.

q-bio.PE

Selection Rules for Species Coexistence in a Hierarchical May-Leonard Model

One of the central challenges in evolutionary dynamics is understanding why some species combinations persist while others disappear. Although cyclic-interaction models have provided fundamental insights into biodiversity maintenance, much less is known about how hierarchical competitive interactions shape long-term community organization. Here, we investigate a hierarchical extension of the May-Leonard model, in which species interact through a directed predation chain while undergoing reproduction and mortality. Combining mean-field analysis with Monte Carlo simulations, we show that the fully coexisting state is generically unstable, causing the dynamics to evolve toward lower-dimensional coexistence states. The simulations further reveal stochastic extinctions dominating small populations with the dynamics progressively approaching the mean-field predictions as the system size increases. Rather than permitting arbitrary species combinations, the hierarchical-interaction structure dynamically constrains coexistence by selecting only specific subsets of species for long-term persistence. We show that these admissible coexistence states have a natural graph-theoretic interpretation as independent sets in the hierarchical interaction network, thereby providing general constraints on coexistence in hierarchical communities. Together, these results establish a theoretical framework linking hierarchical interactions, dynamical selection, graph topology, and biodiversity organization, extending the classical May-Leonard model beyond cyclic competition.

q-bio.PE

Persistence of n-Species Lotka-Volterra Models with Periodic Pulses

Periodic impulsive interventions arise naturally in the management of biological populations, including chemotherapy, pesticide application, and infectious-disease treatment. We develop general conditions for permanence in n-species population models subject to periodic multiplicative pulse disturbances. Our main result provides a sufficient condition for permanence in terms of weighted long-term growth rates on a Morse decomposition of the extinction set, explicitly separating the contributions of continuous population dynamics from those of the periodic pulse. To establish this result, we transform the impulsive system into an associated autonomous continuous-time dynamical system and use this correspondence to extend classical permanence theory to periodically pulsed models. We further show that the same conditions imply robust permanence under sufficiently small perturbations to the continuous dynamics, pulse period, and pulse effects. We illustrate the framework with two Lotka-Volterra models motivated by biological control: competition between chemotherapy-sensitive and chemotherapy-resistant cancer cells, and integrated control of an agricultural pest using pesticides and parasitoids. These examples demonstrate how intervention frequency and intensity interact with underlying ecological interactions to determine whether populations coexist or are excluded. Our results provide a general framework for analyzing persistence in ecological systems subject to repeated discrete disturbances.

q-bio.PE