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On a Generalized TimeVarying SEIR Epidemic Model with Mixed Point and Distributed TimeVarying Delays and Combined Regular and Impulsive Vaccination Controls
Advances in Difference Equations volume 2010, Article number: 281612 (2010)
Abstract
This paper discusses a generalized timevarying SEIR propagation disease model subject to delays which potentially involves mixed regular and impulsive vaccination rules. The model takes also into account the natural population growing and the mortality associated to the disease, and the potential presence of disease endemic thresholds for both the infected and infectious population dynamics as well as the lost of immunity of newborns. The presence of outsider infectious is also considered. It is assumed that there is a finite number of timevarying distributed delays in the susceptibleinfected coupling dynamics influencing the susceptible and infected differential equations. It is also assumed that there are timevarying point delays for the susceptibleinfected coupled dynamics influencing the infected, infectious, and removedbyimmunity differential equations. The proposed regular vaccination control objective is the tracking of a prescribed suited infectious trajectory for a set of given initial conditions. The impulsive vaccination can be used to improve discrepancies between the SEIR model and its suitable reference one.
1. Introduction
Important control problems nowadays related to Life Sciences are the control of ecological models like, for instance, those of population evolution (BevertonHolt model, Hassell model, Ricker model, etc. [1–5]) via the online adjustment of the species environment carrying capacity, that of the population growth or that of the regulated harvesting quota as well as the disease propagation via vaccination control. In a set of papers, several variants and generalizations of the BevertonHolt model (standard timeinvariant, timevarying parameterized, generalized model, or modified generalized model) have been investigated at the levels of stability, cycleoscillatory behavior, permanence, and control through the manipulation of the carrying capacity (see, e.g., [1–5]). The design of related control actions has been proved to be important in those papers at the levels, for instance, of aquaculture exploitation or plague fighting. On the other hand, the literature about epidemic mathematical models is exhaustive in many books and papers. A nonexhaustive list of references is given in this manuscript compare [6–14] (see also the references listed therein). The sets of models include the following most basic ones [6, 7]:

(i)
SImodels where not removedbyimmunity population is assumed. In other words, only susceptible and infected populations are assumed,

(ii)
SIRmodels, which include susceptible, infected, and removedbyimmunity populations,

(iii)
SEIR models where the infected populations are split into two ones (namely, the "infected" which incubate the disease but do not still have any disease symptoms and the "infectious" or "infective" which do exhibit the external disease symptoms).
The three above models have two possible major variants, namely, the socalled "pseudomass action models," where the total population is not taken into account as a relevant disease contagious factor or disease transmission power, and the socalled "true mass action models," where the total population is more realistically considered as being an inverse factor of the disease transmission rates. There are other many variants of the above models, for instance, including vaccination of different kinds: constant [8], impulsive [12], discretetime, and so forth, by incorporating point or distributed delays [12, 13], oscillatory behaviors [14], and so forth. On the other hand, variants of such models become considerably simpler for the disease transmission among plants [6, 7]. In this paper, a mixed regular continuoustime/impulsive vaccination control strategy is proposed for a generalized timevarying SEIR epidemic model which is subject to point and distributed timevarying delays [12, 13, 15–17]. The model takes also into account the natural population growing and the mortality associated to the disease as well as the lost of immunity of newborns, [6, 7, 18] plus the potential presence of infectious outsiders which increases the total infectious numbers of the environment under study. The parameters are not assumed to be constant but being defined by piecewise continuous real functions, the transmission coefficient included [19]. Another novelty of the proposed generalized SEIR model is the potential presence of unparameterized disease thresholds for both the infected and infectious populations. It is assumed that a finite number of timevarying distributed delays might exist in the susceptibleinfected coupling dynamics influencing the susceptible and infected differential equations. It is also assumed that there are potential timevarying point delays for the susceptibleinfected coupled dynamics influencing the infected, infectious, and removedbyimmunity differential equations [20–22]. The proposed regulation vaccination control objective is the tracking of a prescribed suited infectious trajectory for a set of given initial conditions. The impulsive vaccination action can be used for correction of the possible discrepancies between the solutions of the SEIR model and that of its reference one due, for instance, to parameterization errors. It is assumed that the total population as well as the infectious one can be directly known by inspecting the daytoday disease effects by directly taking the required data. Those data are injected to the vaccination rules. Other techniques could be implemented to evaluate the remaining populations. For instance, the infectious population is close to the previously infected one affected with some delay related to the incubation period. Also, either the use of the disease statistical data related to the percentages of each of the populations or the use of observers could be incorporated to the scheme to have either approximate estimations or very adjusted asymptotic estimations of each of the partial populations.
1.1. List of Main Symbols
SEIR epidemic model, namely, that consisting of four partial populations related to the disease being the susceptible, infected, infectious, and immune.
: Susceptible population, that is, those who can be infected by the disease
: Infected population, that is, those who are infected but do not still have external symptoms
: Infectious population, that is, those who are infected exhibiting external symptoms
: Immune population
: Total population
: Function associated with the infected floating outsiders in the SEIR model
: Disease transmission function
: Natural growth rate function of the population
: Natural rate function of deaths from causes unrelated to the infection
: Takes into account the potential immediate vaccination of new borns
: Functions that and are, respectively, the instantaneous durations per populations averages of the latent and infectious periods at time .
: the rate of lost of immunity function
: related to the mortality caused by the disease
: Thresholds of infected and infectious populations
: Different point and impulsive delays in the epidemic model
: Functions associated with the regular and impulsive vaccination strategies
: Weighting functions associated with distributed delays in the SEIR model.
2. Generalized True Mass Action SEIR Model with Real and Distributed Delays and Combined Regular and Impulsive Vaccination
Let be the "susceptible" population of infection at time the "infected" (i.e., those which incubate the illness but do not still have any symptoms) at time the "infectious" (or "infective") population at time , and the "removedbyimmunity" (or "immune") population at time . Consider the extended SEIRtype epidemic model of true mass type
for all subject to initial conditions, and , with which are absolutely continuous functions with eventual bounded discontinuities on a subset of zero measure of their definition domain and
is the maximum delay at time of the SEIR model (2.1)–(2.4) subject to (2.5) under a potentially jointly regular vaccination action and an impulsive vaccination action at a strictly ordered finite or infinite real sequence of time instants , with being bounded and piecewise continuous real functions used to build the impulsive vaccination term and being the indexing set of the impulsive time instants. It is assumed
and which give sense of the asymptotic limit of the trajectory solutions.
The real function in (2.5) is a perturbation in the susceptible dynamics (see, e.g., [18]) where function , subject to the point wise constraint , takes into account the possible decreasing in the susceptible population while increasing the infective one due to a fluctuant external infectious population entering the investigated habitat and contributing partly to the disease spread. In the above SEIR model,

(i)
is the total population at time .
The following functions parameterize the SEIR model.

(i)
is a bounded piecewisecontinuous function related to the natural growth rate of the population. is assumed to be zero if the total population at time is less tan unity, that is, , implying that it becomes extinguished.

(ii)
is a bounded piecewisecontinuous function meaning the natural rate of deaths from causes unrelated to the infection.

(iii)
is a bounded piecewisecontinuous function which takes into account the immediate vaccination of new borns at a rate .

(iv)
is a bounded piecewisecontinuous function which takes into account the number of deaths due to the infection.

(v)
is a bounded piecewisecontinuous function meaning the rate of losing immunity.

(vi)
is a bounded piecewisecontinuous transmission function with the total number of infections per unity of time at time .

(vii)
is a transmission term accounting for the total rate at which susceptible become exposed to illness which replaces in the standard SEIR model in (2.1)–(2.2) which has a constant transmission constant . It generalizes the onedelay distributed approach proposed in [20] for a SIRSmodel with distributed delays, while it describes a transmission process weighted through a weighting function with a finite number of terms over previous time intervals to describe the process of removing the susceptible as proportional to the infectious. The functions , with are nonnegative weighting real functions being everywhere continuous on their definition domains subject to Assumption 1(1) below, and are the relevant delay functions describing the delay distributedtype for this part of the SEIR model. Note that a punctual delay can be modeled with a Diracdelta distribution within some of the integrals and the absence of delays is modeled with all the functions being identically zero.

(viii)
are bounded continuous functions defined so that and are, respectively, the instantaneous durations per populations averages of the latent and infective periods at time .

(ix)
are piecewisecontinuous functions being integrable on any subset of which are threshold functions for the infected and the infectious growing rates, respectively, which take into account (if they are not identically zero) the respective endemic populations which cannot be removed. This is a common situation for some diseases like, for instance, malaria, dengue, or cholera in certain regions where they are endemic.

(x)
The two following coupling infectedinfectious dynamics contributions:
(2..8)are single pointdelay and twopoint delay dynamic terms linked, respectively, to the couplings of dynamics between infectedversusinfectious populations and infectiousversusimmune populations, which take into account a singledelay effect and a doubledelay effect approximating the real mutual onestage and twostaged delayed influence between the corresponding dynamics, where are the gain and their associate infected and infectious delay functions which are everywhere continuous in . In the timeinvariant version of a simplified pseudomasstype SIRSmodel proposed in [21], the constant gains are and .

(xi)
in (2.1) and (2.4) are nonnegative nonidentically zero vaccination weighting real functions everywhere on their definition domains subject to distributed delays governed by the functions where , with is a vaccination function to be appropriately normalized to the daytoday population to be vaccinated subject to . As for the case of the transmission term, punctual delays could be included by using appropriate Dirac deltas within the corresponding integrals.

(xii)
The SEIR model is subject to a joint regular vaccination action plus an impulsive one at a strictly ordered finite or countable infinite real sequence of time instants. Specifically, it is a single Dirac impulse of amplitude if and zero if . The weighting function can be defined in several ways. For instance, if when , and , otherwise, then when and it is zero, otherwise. Thus, the impulsive vaccination is proportional to the total population at time instants in the sequence . If , then the impulsive vaccination is proportional to the susceptible at such time instants. The vaccination term in (2.1) and (2.4) is related to a instantaneous (i.e., pulsetype) vaccination applied in particular time instants belonging to the real sequence if a reinforcement of the regular vaccination is required at certain time instants, because, for instance, the number of infectious exceeds a prescribed threshold. Pulse control is an important tool in controlling certain dynamical systems [15, 23, 24] and, in particular, ecological systems, [4, 5, 25]. Pulse vaccination has gained in prominence as a result of its highly successfully application in the control of poliomyelitis and measles and in a combined measles and rubella vaccine. Note that if , then neither the natural increase of the population nor the loss of maternal lost of immunity of the newborns is taken into account. If , then some of the newborns are not vaccinated with the consequent increase of the susceptible population compared to the case . If , then such a lost of immunity is partly removed by vaccinating at birth a proportion of newborns.
Assumption.

(1)
.

(2)
There exist continuous functions with such that for some prefixed and any given .
Assumption 1(1) for the distributed delay weighting functions is proposed in [20]. Assumption 1(2) implies that the infected and infectious minimum thresholds, affecting to the infected, infectious, and removedbyimmunity time derivatives, may be negative on certain intervals but their timeintegrals on each interval on some fixed nonzero measure is nonnegative and bounded. This ensures that the infected and infectious threshold minimum contributions to their respective populations are always nonnegative for all time. From PicardLindelöff theorem, it exists a unique solution of (2.1)–(2.5) on for each set of admissible initial conditions and each set of vaccination impulses which is continuous and timedifferentiable on for time instant , provided that it exists, being such that , or on , if such a finite impulsive time instant does not exist, that is, if the impulsive vaccination does not end in finite time. The solution of the generalized SEIR model for a given set of admissible functions of initial conditions is made explicit in Appendix A.
3. Positivity and Boundedness of the Total Population Irrespective of the Vaccination Law
In this section, the positivity of the solutions and their boundedness for all time under bounded non negative initial conditions are discussed. Summing up both sides on (2.1)–(2.4) yields directly
The unique solution of the above scalar equation for any given initial conditions obeys the formula
where is the mild evolution operator which satisfies is the forcing function in (3.1). This yields the following unique solution for (3.1) for given bounded initial conditions:
Consider a Lyapunov function candidate whose timederivative becomes
Note that , and
if .
Decompose uniquely any nonnegative real interval as the following disjoint union of subintervals
where are all numerable and of nonzero Lebesgue measure with the finite or infinite real sequence of all the time instants where the time derivative of the above candidate changes its sign which are defined by construction so that the above disjoint union decomposition of the real interval is feasible for any real , that is, if it consists of at least one element), as
Note that the identity of cardinals of sets holds since is the indexing set of ST and, furthermore,

(a)
the sequence ST trivially exists if and only if . Then, with at least one of the real interval unions being nonempty, are disjoint subsets of satisfying,
(3.8)and defined as follows:

(i)
for any given if and only if ,

(ii)
for any given if and only if , and define also ,

(i)

(b)
, where unit cardinal means that the timederivative of the candidate has no change of sign and infinite cardinal means that there exist infinitely many changes of sign in ,

(c)
if it exists a finite such that , and then, the sequence ST is finite (i.e., the total number of changes of sign of the time derivative of the candidate is finite) as they are the sets ,

(d)
if there is no finite such that and, then, the sequence ST is infinite and the set has infinite cardinal.
It turns out that
The following result is obtained from the above discussion under conditions which guarantee that the candidate is bounded for all time.
Theorem 3.1.
The total population of the SEIR model is nonnegative and bounded for all time irrespective of the vaccination law if and only if
Remark 3.2.
Note that Theorem 3.1 may be validated since both the total population used in the construction of the candidate and the infectious one (exhibiting explicit disease symptoms) can be either known or tightly estimated by direct inspection of the disease evolution data. Theorem 3.1 gives the most general condition of boundedness through time of the total population. It is allowed for to change through time provided that the intervals of positive derivative are compensated with sufficiently large time intervals of negative time derivative. Of course, there are simpler sufficiencytype conditions of fulfilment of Theorem 3.1 as now discussed. Assume that . Thus, from (3.4):
leads to if , irrespective of since is bounded, so that and then cannot diverge what leads to a contradiction. Thus, a sufficient condition for Theorem 3.1 to hold, under the ultimate boundedness property, is that if the infectious population is non negative through time. Another less tighter bound of the above expression for is bounded by taking into account that as since if and only if . Then,
what leads to if which again contradicts that as and it is a weaker condition than the above one.
Note that the above condition is much more restrictive in general than that of Theorem 3.1 although easier to test.
Since the impulsivefree SEIR model (2.1)–(2.5) has a unique mild solution (then being necessarily continuous) on , it is bounded for all finite time so that Theorem 3.1 is guaranteed under an equivalent simpler condition as follows.
Corollary 3.3.
Theorem 3.1 holds if and only if
and, equivalently,
Corollary 3.3 may also be simplified to the light of more restrictive alternative and dependent on the parameters conditions which are easier to test, as it has been made in Theorem 3.1. The following result, which is weaker than Theorem 3.1, holds.
Theorem 3.4.
Assume that
there exists such that ,
and
for some constants and some prefixed finite . Then, the total population of the SEIR model is nonnegative and bounded for all time, and asymptotically extinguishes at exponential rate irrespective of the vaccination law.
If the second condition is changed to
then the total population of the SEIR model is nonnegative and bounded for all time.
The proof of Theorem 3.4 is given in Appendix B. The proofs of the remaining results which follow requiring mathematical proofs are also given in Appendix B. Note that the extinction condition of Theorem 3.4 is associated with a sufficiently small natural growth rate compared to the infection propagation in the case that the average immediate vaccination of new borns (of instantaneous rate) is less than zero. Another stability result based on Gronwall's Lemma follows.
Theorem 3.5.
Assume that exists such that
for some prefixed finite . Then, the total population of the SEIR model is nonnegative and bounded for all time irrespective of the vaccination law. Furthermore, converges to zero at an exponential rate if the above second inequality is strict within some subinterval of of infinite Lebesgue measure.
Remark 3.6.
Condition (3.17) for Theorem 3.5 can be fulfilled in a very restrictive, but easily testable fashion, by fulfilling the comparisons for the integrands for all time for the following constraints on the parametrical functions:
which is achievable, irrespective of the infectious population evolution provided that , by vaccinating a proportion of newborns at birth what tends to decrease the susceptible population by this action compared to the typical constraint . See Remark 3.2 concerning a sufficient condition for Theorem 3.1 to hold. Another sufficiencytype condition, alternative to (3.17), to fulfil Theorem 3.5, which involves the infectious population is
Note that the infectious population is usually known with a good approximation (see Remark 3.2).
4. Positivity of the SEIR Generalized Model (2.1)–(2.5)
The vaccination effort depends on the total population and has two parts, the continuoustime one and the impulsive one (see (2.1) and (2.4)).
4.1. Positivity of the Susceptible Population of the Generalized SEIR Model
The total infected plus infectious plus removedbyimmunity populations obeys the differential equation
where
The nonnegativity of any considered partial population is equivalent to the sum of the other three partial populations being less than or equal to the total population. Then, the following result holds from (3.3) and (4.1) concerning the non negative of the solution of the susceptible population for all time.
Assertion 1.
in the SEIR generalized model (2.1)–(2.5) if and only if
4.2. Positivity of the Infected Population of the Generalized SEIR Model
The total susceptible plus infectious plus removed obeys the differential equation
where
Then, the following result holds concerning the non negativity of the infected population.
Assertion 2.
if and only if
4.3. Positivity of the Infectious Population of the Generalized SEIR Model
The total susceptible plus infected plus removed population obeys the following differential equation:
where
Thus, we have the following result concerning the non negativity of the infectious population.
Assertion 3.
in the SEIR generalized model (2.1)–(2.5) if and only if
4.4. Positivity of the Removed by Immunity Population of the Generalized SEIR Model
The total numbers of susceptible, infected, and infectious populations obey the following differential equation
where
Then, the following result holds concerning the non negativity of the immune population.
Assertion 4.
in the SEIR generalized model (2.1)–(2.5) if and only if
Assertions 1–4, Theorem 3.1, Corollary 3.3, and Theorems 3.43.5 yield directly the following combined positivity and stability theorem whose proof is direct from the above results.
Theorem 4.1.
The following properties hold.

(i)
If Assertions 1–4 hold jointly, then, the populations , and in the generalized SEIR model (2.1)–(2.5) are lower bounded by zero and upper bounded by . If, furthermore, either Theorem 3.1, or Corollary 3.3, or Theorem 3.4 or Theorem 3.5 holds, then , , , and are bounded .

(ii)
Assume that
for each time instant , any three assertions among weakly formulated Assertions 1–4 hold jointly in the sense that their given statements are reformulated for such a time instant instead for all time,
the three corresponding inequalities within the set of four inequalities (4.3), (4.6), (4.9), and (4.12) are, furthermore, upper bounded by for such a time instant,
either Theorem 3.1, or Corollary 3.3, or Theorem 3.4 or Theorem 3.5 holds, then , , and are bounded .
Then, the populations , , , and of the generalized SEIR model (2.1)–(2.5) are lower bounded by zero and upper bounded by what is, in addition, bounded, .
4.5. Easily Testable Positivity Conditions
The following positivity results for the solution of (2.1)–(2.4), subject to (2.5), are direct and easy to test.
Assertion 5.
Assume that . Then, if and only if the conditions below hold:

(a)
and

(b)
(4.13)
for some sufficiently small .
Remark 4.2.
The positivity of the susceptible population has to be kept also in the absence of vaccination. In this way, note that if Assertion 5 holds for a given vaccination function and a given impulsive vaccination distribution , then it also holds if those vaccination function and distribution are identically zero.
Assertion 6.
Assume that . Then, if and only if
for some sufficiently small .
Assertion 7.
Assume that . Then, if and only if
for some sufficiently small .
The following result follows from (2.3) and it is proved in a close way to the proof of Assertions 5–7.
Assertion 8.
Assume that . Then, for any given vaccination law satisfying and if
for some sufficiently small .
The subsequent result is related to the first positivity interval of all the partial susceptible, infected, infectious, and immune populations under not very strong conditions requiring the (practically expected) strict positivity of the susceptible population at , the infectedinfectious threshold constraint and a time first interval monitored boundedness of the infectious population which is feasible under the technical assumption that the infection spread starts at time zero.
Assertion 9.
Assume that
the set of absolutely continuous with eventual bounded discontinuities functions of initial conditions satisfy, furthermore, the subsequent constraints:
and, furthermore, it exists such that the infectious population satisfies the integral inequality,
Then, , and irrespective of the delays and vaccination laws that satisfy (even if the SEIR model (2.1)–(2.5) is vaccination free). Furthermore, ,, irrespective of the delays and vaccination law even if the SEIR model (2.1)–(2.5) is vaccinationfree.
Note that , that is, the set of impulsive time instants in is identical to that in if and only if and includes if and only if . Note also that if and only if , in particular, if . A related result to Assertion 9 follows.
Assertion 10.
Assume that the constraints of Assertion 9 hold except that is replaced by . Then, the conclusion of Assertion 9 remains valid.
A positivity result for the whole epidemic model (2.1)–(2.5) follows.
Theorem 4.3.
Assume that the SEIR model (2.1)–(2.5) under any given set of absolutely continuous initial conditions , eventually subject to a set of isolated bounded discontinuities, is impulsive vaccination free, satisfies Assumptions 1, the constraints (4.14)–(4.16) and, furthermore,
Then, its unique mild solution is nonnegative for all time.
Theorem 4.3 is now directly extended to the presence of impulsive vaccination as follows. The proof is direct from that of Theorem 4.3 and then omitted.
Theorem 4.4.
Assume that the hypotheses of Theorem 4.3 hold and, furthermore, such that . Then, the solution of the SEIR model (2.1)–(2.5) is nonnegative for all time.
5. Vaccination Law for the Achievement of a Prescribed Infectious Trajectory Solution
A problem of interest is the calculation of a vaccination law such that a prescribed suitable infectious trajectory solution is achieved for all time for any given set of initial conditions of the SEIR model (2.1)–(2.5). The remaining solution trajectories of the various populations in (2.1)–(2.4) are obtained accordingly. In this section, the infected trajectory is calculated so that the infectious one is the suitable one for the given initial conditions. Then, the suited susceptible trajectory is such that the infected and infectious ones are the suited prescribed ones. Finally, the vaccination law is calculated to achieve the immune population trajectory such that the above suited susceptible trajectory is calculated. In this way, the whole solution of the SEIR model is a prescribed trajectory solution which makes the infectious trajectory to be a prescribed suited one (for instance, exponentially decaying) for the given delay intervaltype set of initial condition functions. The precise mathematical discussion of this topic follows through Assertions 11–13 and Theorem 5.1 below.
Assertion 11.
Consider any prescribed suitable infectious trajectory fulfilling and assume that the infected population trajectory is given by the expression:
which is in for any susceptible trajectory under initial conditions , where the desired total population is calculated from (3.3) as the desired population is given by
with initial conditions being identical to those of . Then, the infected population trajectory (5.1) guarantees the exact tracking of the infectious population of the given reference infectious trajectory which furthermore satisfies the differential equation (2.3).
Assertion 12.
Assume that and that . Consider the prescribed suitable infectious trajectory of Assertion 11 and assume also that the infected population trajectory is given by (5.1). Then, the susceptible population trajectory given by the expression
is in under initial conditions with being given by (5.2) with initial conditions . Then, the susceptible population trajectory (5.3), subject to the infected one (5.1), guarantees the exact tracking of the infectious population of the given reference infectious trajectory with the suited reference infected population differential equation satisfying (2.2).
Assertion 13.
Assume that and that fulfils in addition . Assume also that
Consider the prescribed suitable infectious trajectory of Assertions 11–12 under initial conditions with being given by (5.2) with initial conditions. Then, the vaccination law
makes the immune population trajectory to be given by the expression
which follows from (2.1) and (A.8), such that and . Then, the immune population trajectory (5.7)(5.8), subject to the infected one (5.1) and the susceptible one (5.3), guarantees the exact tracking of the infectious population of the given reference infectious trajectory with the infected, susceptible, and immune population differential equations satisfying their reference ones (2.1), (2.3), and (2.4).
Note that the regular plus impulsive vaccination law (5.5)(5.6) ensures that a suitable immune population trajectory (5.7)(5.8) is achieved. The combination of Assertions 11–13 yields the subsequent result.
Theorem 5.1.
The vaccination law (5.5)–(5.6) makes the solution trajectory of the SEIR model (2.1)–(2.5), to be identical to the suited reference one for all time provided that their functions of initial conditions are identical.
The impulsive part of the vaccination law might be used to correct discrepancies between the SEIR model (2.1)–(2.5) and its suited reference solution due, for instance, to an imperfect knowledge of the functions parameterizing (2.1)–(2.4) which are introduced with errors in the reference model. The following result is useful in that context.
Corollary 5.2.
Assume that for some and any given . Then, (prescribed) if with so that .
Note that guarantees the existence of a unique solution of (2.1)–(2.4) for each set of admissible initial conditions and a vaccination law. Corollary 5.2 is useful in practice in the following situation due to errors in the SEIR model (2.1)–(2.5) for some prefixed unsuitable sufficiently large . Then, an impulsive vaccination at time may be generated so that .
Extensions of the proposed methodology could include the introduction of hybrid models combining continuoustime and discrete systems and resetting systems by jointly borrowing the associate analysis of positive dynamic systems involving delays [15, 16, 26–28].
6. Simulation Example
This section contains a simulation example concerning the vaccination policy presented in Section 5. The freevaccination evolution and then vaccination policy given in (5.5)(5.6) are studied. The case under investigation relies on the propagation of influenza with the elementary parameterization data previously studied for a real case in [7, 29], for timeinvariant delayfree SIR and SEIR models without epidemic threshold functions. In the first subsection below, the ideal case when the parameterization is fully known is investigated while in the second subsection, some extra simulations are given for the case where some parameters including certain delays are not fully known in order to investigate the robustness against uncertainties of the proposed scheme.
6.1. Ideal Case of Perfect Parameterization
The timevarying parameters of the system described by equations (2.1)–(2.4) are given by: , which represent periodic oscillations around fixed values given by , days, (the natural growth rate is larger than the natural death rate), days, days, , and , which means that the 80% of newborns are immediately vaccinated. The frequency is , where the period , in the case of influenza, is fixed to one year. The remaining parameters are given by: per day, per day, per day, (a constant total contribution of external infectious is assumed), and the delays days, days, days, days, days, and days. The weighting functions are given by , , . The initial conditions are punctual at with , and individuals and remain constant during the interval days. The population evolution behavior without vaccination is depicted in Figure 1 while the total population is given by Figure 2.
As it can be appreciated from Figure 2, the total population increases slightly with time as it corresponds to a situation where the natural growth rate is larger than the combination of the natural and illnessassociated death rates. As Figure 1 points out, the infectious trajectory possesses a peak value of 2713 individuals and then it stabilizes at a constant value of 1074 individuals. The goals of the vaccination policy are twofold, namely, to decrease the trajectory peak and to reduce the number of infected individuals at the steadystate.
The vaccination policy of (5.5)(5.6) is implemented to fulfil those objectives. The desired infectious trajectory to be tracked by the vaccination law is selected as shown in Figure 3. Note that the shape of the desired trajectory is similar to the vaccinationfree trajectory but with the abovementioned goals incorporated: the peak and the steadystate values are much smaller. The partial populations are depicted in Figure 4 when the vaccination law (5.5)(5.6) is implemented.
On one hand, the populations reach the steadystate very quick. This occurs since the desired infectious trajectory reaches the steadystate in only 10 days. On the other hand, the aboveproposed goals are fulfilled as Figure 5 following on the infectious trajectory shows.
The peak in the infectious reaches only 607 individuals while the steadystate value is 65 individuals. These results are obtained with the vaccination policy depicted in Figure 6.
The vaccination effort is initially very high in order to make the system satisfies the desired infectious trajectory. Afterwards, it converges to a constant value. Moreover, note that with this vaccination strategy, the immune population increases while the susceptible, infected, and infectious reduces in comparison with the vaccinationfree case. However, since the total population increases in time (Figure 2), the number of susceptible and infected individuals would also increase through time as the infectious population remains constant. In order to reduce this effect, an impulse vaccination strategy is considered. The vaccination impulses according to the law (5.6) are injected in order to increase the immune population by 100 individuals while removing the same number of individuals from the susceptible. Figures 7 and 8 display a zoom on the immune and susceptible populations when the impulsive effect is considered. The vaccination law is shown in Figure 9.
Note that the impulsive vaccination allows to improve the numbers of the immune population at chosen time instants, for instance, in cases when the total population increases through time while the disease tends to spread rapidly.
6.2. Simulations with Uncertainties
This subsection contains some numerical examples concerning the case when small uncertainties in some of the parameters of the system are present. In particular, the new values for the parameters are: days, , and especially, the modified delays are: , and days. Furthermore, a small uncertainty in the initial susceptible and infected populations is considered with and instead of 9172 and 150, respectively, taken as initial nominal values. The following Figures 10, 11, and 12 show the ideal responses for the infectious, infective, and immune and the ones obtained when the real system possesses different parameters (i.e., system with uncertainties).
As it can be deduced from Figures 10, 11, and 12, the proposed vaccination strategy is robust to small uncertainties in its parameters, especially in the delays. Also, the impulsive vaccination possesses the same effect as in the example of the ideal case, that is, it increases the immune by 100 individuals at each impulsive instant and could be used to mitigate any potential deviation of the immune population due to the parameters mismatch. More technical solutions could be made for the case of presence of uncertainties, as for instance, the use of observers to estimate the state and the use of estimationbased adaptive control for the case of parametrical uncertainties.
7. Concluding Remarks
This paper has dealt with the proposal and subsequent investigation of a timevarying SEIRtype epidemic model of true massaction type. The model includes timevarying point delays for the infected and infectious populations and distributed delays for the disease transmission effect in the model. The model also admits a potential mortality associated with the disease, a potential lost of immunity of newborns at birth, the presence of threshold population residuals in the infected and infectious populations as well as the contribution to the disease propagation in the local population of potential outsiders taking part of a floating population. A combined regular plus impulsive vaccination strategy has been proposed to remove the disease effects, the second one being used to correct major discrepancies with respect to the suitable population trajectories. The main issues have been concerned with the stability, positivity, and modelfollowing of a suitable reference strategy via vaccination. Also, an example for the influenza disease has been given.
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Acknowledgments
The authors thank the Spanish Ministry of Education support by Grant no. DPI200907197. They are also grateful to the Basque Government by its support through Grants nos. IT37810, SAIOTEK SPE08UN15, and SAIOTEK SPE07UN04 and SPE09UN12. The authors are very grateful to the reviewers for their useful suggestions to improve the manuscript.
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Appendices
A. Explicit Solutions of the SEIR model
A close discussion to that used to obtain the total population (3.3) from (3.1) applies for several of the remaining formulas for the nonimpulsive time instants or to the left of such instants. Assume that are two consecutive impulsive time instants, that is, . Direct calculations of the solutions of (2.1)–(2.4), subject to (2.5) and some admissible set of functions of initial conditions, yield
Proof of Theorem 3.4.
Assume with no loss in generality, since is finite, that . Note from (3.4) that if for some so that , then for , since is zero if . This implies that . Thus, the continuity of everywhere in implies that is impossible if since if is the first time instant, if any, for which , then . Thus, the total population is nonnegative for all time for any bounded nonnegative initial value. The combined triangle and Schwartz's inequalities used in (3.3) yield
and converges to zero at an exponential rate less than any number larger than . The second part follows from (B.2) for leading to
Proof of Theorem 3.5.
Note from (3.17) and (3.3) that
for some prefixed finite . First, rewrite (3.3) as follows:
where
provided that and if , for some real constant , since then by hypothesis. Define leading to
Then, Gronwall's lemma yields after using (B.7) that so that
which is bounded for all time provided that
Furthermore, converges exponentially to zero if the second constraint is strict within some subinterval of of infinite Lebesgue measure.
Proof.
The unique solution of (4.1) for given initial conditions and vaccination function is calculated by an analogous expression to (3.3) with the replacements , and for the forcing terms, . Note for any that
Substituting in the above equation the solution (3.3) of and the equality for any initial conditions , it follows that for any and if and only if (4.3) holds.
Proof.
It follows from the solution (3.3) for the total population and the solution of (4.4) of , which is obtained in a similar way as (3.3) by replacing and , under any initial conditions , it follows directly that
for any and it follows that for any and which holds if and only if (4.6) holds, .
Proof.
From the solution (3.3) for the total population and the solution of (4.7) of , which is obtained in a similar way as (3.3) by replacing and , under any initial conditions , it follows directly that
for any and it follows that for any and which holds if and only if (4.9) holds, .
Proof.
Note that . From (3.3) and the solution of (4.10) for any initial conditions , it follows that the above inequality holds if and only if
so that for any and if and only if (4.12) holds, .
Proof.
(a) If and , then from (2.1).
If , then . Sufficiency of Conditions (a) has been proven. (b) Assume that . Then, for some sufficiently small . Also, for some sufficiently small . As a result, for some interval of time of nonzero measure and this conclusion result can be extended to the whole by the continuity of the solution of (2.1)–(2.5) for any set of admissible initial conditions. Sufficiency of Conditions (a)–(b) has been proven. Necessity follows directly by contradiction as follows. Assume that (a) fails for some or (b) fails for some . Then,
Proof.
Since and is continuous, it suffices to prove that if for some then for some sufficiently small . This holds from (2.2) if and only if either (guaranteed by the first part of the logic "or" of (4.14), or on some interval of nonzero measure, guaranteed by the second part of the logic "or" of (4.14), that is, if (4.14) holds. Then, for , some . The necessity follows by contradiction since and on some interval of nonzero measure implies the existence of such that .
Outline of Proof of Assertion 7
Similar to the proof of Assertion 6 by using (2.3) with and replacing . This guarantees at a time instant or within an open interval containing if . Then, is nonnegative for some interval if (4.15).
Outline of Proof of Assertion 8
Similar to the proof of Assertion 6 by using (2.4) with and replacing . This guarantees at a time instant or within an open interval containing if . Then, is nonnegative for some interval if (4.16) holds for the given regular vaccination rule. Also, is always nonnegative since for any impulsive vaccination law (see (B.22) in Appendix B).
Proof.
Since , and , it exist from continuity arguments such that and and . All the partial populations of susceptible, infected and infectious are upper bounded by since they are nonnegative provided that is nonnegative; . It remains to prove that . It follows directly by directly calculating the unique solution of (2.4) on for each given set of admissible initial conditions as follows:
since all the coefficient functions which parameterize the SEIR model (2.1)–(2.5) and all the delay functions are bounded and either everywhere piecewise continuous or continuous on , where is the set of impulsive time instants up till time . The above expression follows from (2.4) in a direct, but involved, way by taking into account the following facts:

(a)
with if and only if ,

(b)
the solutions of (2.4) are calculated as the homogeneous solution plus the forced one for each given initial conditions in the same way as it has been made before to obtain (3.3) from (3.1) for the total population with the replacements and the former forcing function by their current counterpart,

(c)
the solution of the forced part of the solution associated with the impulsive actions is calculated as follows , and
(B.16)
Outline of Proof of Assertion 10
The constraint together with the remaining valid ones of Assertion 9 imply from (2.2) so that the proof of Assertion 9 remains valid.
The following result gives conditions for the impulsivefree vaccination SEIR model (2.1)–(2.5) to be a positive dynamic system in the sense that any solution is nonnegative for all time under bounded absolutely continuous initial conditions , eventually subject to a set of isolated bounded discontinuities.
Proof of Theorem 4.3.
Several cases can occur, namely the following.
Case 1.
Assume that so that does not exist. Since the unique solution of (2.1)–(2.4), subject to (2.5), is continuous on for each admissible set of initial conditions , it follows that and . As a result, all the populations of the SEIR model (2.1)–(2.5) are nonnegative for all time and the result is proved for this case.
Assume that exists with with the following potentially possible included cases.
Case 2.
, Then, from (2.1), Assumption 1 and the above given hypotheses,
since , and . Then, for some and hence by constructively extending the above reasoning to decompose as a disjoint union of real positive intervals of nonzero bounded measures, that is, Condition (b) of Assertion 5 is guaranteed provided that .
Case 3.
. One gets from (2.2)
and some if and only if (4.14) holds, that is, if and only if Assertion 6 holds so that . Then, provided that .
Case 4.
. If Condition (4.15) holds for , then Assertion 7 holds and for some .
Case 5.
. If the impulsive vaccination function is null and Condition (4.16) holds for , then Assertion 8 holds and for any positive continuous vaccination law for some .
Proof.
Replace given by (5.1) in (2.3), with subject to . Then, on and satisfies (2.3), . Assume on the contrary that it exists a time instant such that . Since , and are everywhere continuous in , it exists an open real interval containing such that for a given susceptible trajectory in such an interval satisfying (2.1) since one gets by summingup both sides of (2.2)(2.3) that the combined infectedinfectious trajectory satisfies the differential equation
whose solution in is unique for given initial conditions and forcing function. Thus, in which leads to a contradiction.
Proof.
First, note that under the given differentiability constraints of the parameterizing functions , defined by (5.1), fulfills in addition . Then, the infected population trajectory given by the expression
. Take (B.20) for , provided that the prefixed in Assertion 11 satisfies and is calculated from (5.1) in Assertion 11, under given initial conditions , with what implies that . Then, (B.20) becomes equivalently with the suited reference infected population differential equation satisfying (2.2) by construction.
Proof.
First, note that , defined by (5.1) and (5.3), respectively, fulfill and . The vaccination law (5.5)(5.6) makes the immune reference trajectory (5.7)(5.8) to be identical to the solution of (2.4) which is obtained in a similar way as (3.3) has been obtained from (3.1) for the total population by decomposing it in the solution of the homogeneous equation plus the solution of the forced part. A correcting term for the solution is added for the impulsive vaccination at impulsive time instants (see (A.7)(A.8) in Appendix A). This leads to
under the same initial conditions with being given by (5.2) after using Assertions 1112.
Proof of Theorem 5.1.
The vaccination law (5.5)(5.6) makes the immune population to track the reference one which is the unique solution of (2.4) for a given set of admissible functions of initial conditions. This one is achievable for all time by the reference susceptible population which is achievable for all time by the reference infected one (Assertions 1213) while satisfying the differential equations (2.3), (2.4), and (2.1). The infected reference sequence is achieved by the reference infectious one for all time (Assertion 11) while satisfying the differential equation (2.2). The proof is complete from PicardLindeloff theorem for existence and uniqueness of the solution of (2.1)–(2.5) for each set of admissible functions of initial conditions.
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De la Sen, M., Agarwal, R.P., Ibeas, A. et al. On a Generalized TimeVarying SEIR Epidemic Model with Mixed Point and Distributed TimeVarying Delays and Combined Regular and Impulsive Vaccination Controls. Adv Differ Equ 2010, 281612 (2010) doi:10.1155/2010/281612
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Keywords
 Epidemic Model
 Susceptible Population
 Real Interval
 Infected Population
 Vaccination Policy