21
Nonlinear Dyn (2020) 102:489–509 https://doi.org/10.1007/s11071-020-05929-4 ORIGINAL PAPER Global dynamics of a multi-strain SEIR epidemic model with general incidence rates: application to COVID-19 pandemic Omar Khyar · Karam Allali Received: 11 April 2020 / Accepted: 29 August 2020 / Published online: 8 September 2020 © Springer Nature B.V. 2020 Abstract This paper investigates the global stabil- ity analysis of two-strain epidemic model with two general incidence rates. The problem is modelled by a system of six nonlinear ordinary differential equa- tions describing the evolution of susceptible, exposed, infected and removed individuals. The wellposedness of the suggested model is established in terms of exis- tence, positivity and boundedness of solutions. Four equilibrium points are given, namely the disease-free equilibrium, the endemic equilibrium with respect to strain 1, the endemic equilibrium with respect to strain 2, and the last endemic equilibrium with respect to both strains. By constructing suitable Lyapunov functional, the global stability of the disease-free equilibrium is proved depending on the basic reproduction number R 0 . Furthermore, using other appropriate Lyapunov functionals, the global stability results of the endemic equilibria are established depending on the strain 1 reproduction number R 1 0 and the strain 2 reproduc- tion number R 2 0 . Numerical simulations are performed in order to confirm the different theoretical results. It was observed that the model with a generalized inci- dence functions encompasses a large number of models with classical incidence functions and it gives a signifi- cant wide view about the equilibria stability. Numerical comparison between the model results and COVID-19 O. Khyar (B ) · K. Allali Laboratory of Mathematics and Applications, Faculty of Sciences and Technologies, University Hassan II of Casablanca, PO Box 146, Mohammedia, Morocco e-mail: [email protected] clinical data was conducted. Good fit of the model to the real clinical data was remarked. The impact of the quarantine strategy on controlling the infection spread is discussed. The generalization of the problem to a more complex compartmental model is illustrated at the end of this paper. Keywords Global stability analysis · SEIR · General incidence function · Multi-strain epidemic model · Basic reproduction number · COVID-19 1 Introduction Nowadays, several infectious diseases are still target- ing huge populations. They are considered amongst the principal causes of mortality, especially in many devel- oping countries. Accordingly, mathematical modelling in epidemiology occupies more and more an increas- ingly preponderant place in public health research. This research discipline contributes indeed to well under- stand the studied epidemiological phenomenon and apprehend the different factors that can lead to a severe epidemic or even to a dangerous pandemic worldwide. The classical susceptible-infected-recovered (SIR) epi- demic model was first introduced in [1]. Neverthe- less, in many cases, the infection incubation period may take a long time interval. In this period, an incu- bated individual remains latent but not yet infectious. Therefore, another class of exposed individuals should be added to SIR and the new epidemic model will 123

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Page 1: Globaldynamicsofamulti-strainSEIRepidemicmodelwith ......O. Khyar (B) · K. Allali Laboratory of Mathematics and Applications, Faculty of Sciences and Technologies, University Hassan

Nonlinear Dyn (2020) 102:489–509https://doi.org/10.1007/s11071-020-05929-4

ORIGINAL PAPER

Global dynamics of a multi-strain SEIR epidemic model withgeneral incidence rates: application to COVID-19 pandemic

Omar Khyar · Karam Allali

Received: 11 April 2020 / Accepted: 29 August 2020 / Published online: 8 September 2020© Springer Nature B.V. 2020

Abstract This paper investigates the global stabil-ity analysis of two-strain epidemic model with twogeneral incidence rates. The problem is modelled bya system of six nonlinear ordinary differential equa-tions describing the evolution of susceptible, exposed,infected and removed individuals. The wellposednessof the suggested model is established in terms of exis-tence, positivity and boundedness of solutions. Fourequilibrium points are given, namely the disease-freeequilibrium, the endemic equilibrium with respect tostrain 1, the endemic equilibrium with respect to strain2, and the last endemic equilibriumwith respect to bothstrains. By constructing suitable Lyapunov functional,the global stability of the disease-free equilibrium isproved depending on the basic reproduction numberR0. Furthermore, using other appropriate Lyapunovfunctionals, the global stability results of the endemicequilibria are established depending on the strain 1reproduction number R1

0 and the strain 2 reproduc-tion number R2

0. Numerical simulations are performedin order to confirm the different theoretical results. Itwas observed that the model with a generalized inci-dence functions encompasses a large number ofmodelswith classical incidence functions and it gives a signifi-cant wide view about the equilibria stability. Numericalcomparison between the model results and COVID-19

O. Khyar (B) · K. AllaliLaboratory of Mathematics and Applications, Faculty ofSciences and Technologies, University Hassan II ofCasablanca, PO Box 146, Mohammedia, Moroccoe-mail: [email protected]

clinical data was conducted. Good fit of the model tothe real clinical data was remarked. The impact of thequarantine strategy on controlling the infection spreadis discussed. The generalization of the problem to amore complex compartmental model is illustrated atthe end of this paper.

Keywords Global stability analysis · SEIR · Generalincidence function · Multi-strain epidemic model ·Basic reproduction number · COVID-19

1 Introduction

Nowadays, several infectious diseases are still target-ing huge populations. They are considered amongst theprincipal causes of mortality, especially in many devel-oping countries. Accordingly, mathematical modellingin epidemiology occupies more and more an increas-ingly preponderant place in public health research. Thisresearch discipline contributes indeed to well under-stand the studied epidemiological phenomenon andapprehend the different factors that can lead to a severeepidemic or even to a dangerous pandemic worldwide.The classical susceptible-infected-recovered (SIR) epi-demic model was first introduced in [1]. Neverthe-less, in many cases, the infection incubation periodmay take a long time interval. In this period, an incu-bated individual remains latent but not yet infectious.Therefore, another class of exposed individuals shouldbe added to SIR and the new epidemic model will

123

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490 O. Khyar, K. Allali

have SEIR abbreviation. Furthermore, epidemiologicalstudies have revealed that the phenomenon of mutationcauses more and more resistant viruses giving appear-ance of many new harmful epidemics or even new dan-gerous pandemics. Indeed, H1N1 flu virus is consid-ered as mutation of the seasonal influenza [2,3]. Also,the late coronavirus disease COVID-19 caused by thesevere acute respiratory syndrome-related coronavirusSARS-Cov-2 is classified as a strain of SARS-CoV-1 [4]. Other processes of mutation were observed inmany infections such as tuberculosis, human immun-odeficiency virus and dengue fever [5–7]. For this rea-son, the multi-strain SEIR epidemic models presentan important tool to study several infectious diseasesthat include a long incubation period and also vari-ous infection strains. The relevance of studying multi-strain models is to find out the different conditionspermitting the coexistence of all acting strains. Theglobal dynamics of one-strain SEIR model have beenthe subject ofmany investigations by considering eitherbilinear or nonlinear incidence rates [8–10]. The globalstability of two-strain SEIR model have been tackledin [11], the authors include to the studied model twoincidence functions, the first one is bilinear, while thesecond function is non-monotonic. Recently, the sameproblem was studied in [12] by assuming that the twoincidence functions are non-monotonic. It is worthy tomention that the incidence rate gives more informationof the disease transmission. Hence, the general inci-dence function has as goal to represent a large set ofinfection incidence rates. Accordingly, the purpose ofthis work is to generalize the previousmodels by takinginto account a multi-strain SEIR model with two gen-eral incidence rates. Hence, our study will be carriedout on the following two- strain generalized epidemicmodel:

⎧⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎩

dS

dt= Λ − f (S, I1)I1 − g(S, I2)I2 − δS,

dE1

dt= f (S, I1)I1 − (γ1 + δ)E1,

dE2

dt= g(S, I2)I2 − (γ2 + δ)E2,

dI1dt

= γ1E1 − (μ1 + δ)I1,

dI2dt

= γ2E2 − (μ2 + δ)I2,

dR

dt= μ1 I1 + μ2 I2 − δR,

(1.1)

with

S(0) ≥ 0, E1(0) ≥ 0, E2(0) ≥ 0,

I1(0) ≥ 0, I2(0) ≥ 0, R(0) ≥ 0.

where (S) is the number of susceptible individuals,(E1) and (E2) are, respectively, the numbers of eachlatent individuals class, (I1) and (I2) are, respectively,the numbers of each infectious individuals class and(R) is the number of removed individuals. The param-eter Λ is the recruitment rate, δ is the death rate ofthe population, γ1 and γ2 are, respectively, the latencyrates of strain 1 and strain 2,μ1 andμ2 are, respectively,the two-strain transfer rates from infected to recovered.The general incidence functions f (S, I1) and g(S, I2)stand for the infection transmission rates for strain 1 andstrain 2, respectively. The incidence functions f (S, I1)and g(S, I2) are assumed to be continuously differen-tiable in the interior of R2+ and satisfy the same prop-erties as in [13,14]:

f (0, I1) = 0,

g(0, I2) = 0, for all Ii ≥ 0, i = 1, 2, (H1)

∂ f

∂S(S, I1) > 0,

∂g

∂S(S, I2) > 0, ∀S > 0, ∀Ii ≥ 0, i = 1, 2, (H2)

∂ f

∂ I1(S, I1) ≤ 0,

∂g

∂ I2(S, I2) ≤ 0, ∀S ≥ 0, ∀Ii ≥ 0, i = 1, 2. (H3)

The properties (H1), (H2) and (H3), for the both func-tions f and g, are easily verified by several classicalbiological incidence rates such as the bilinear incidencefunctionβS [1,15,16], the saturated incidence function

βS

1 + α1Sor

βS

1 + α2 I[17,18], Beddington–DeAngelis

incidence functionβS

1 + α1S + α2 I[19–21], Crowley–

Martin incidence functionβS

1 + α1S + α2 I + α1α2SI[22–24], the specific nonlinear incidence function

βS

1 + α1S + α2 I + α3SI[25–29] and non-monotone

incidence functionβS

1 + α I 2[30–34]. The flowchart

of the two-strain epidemiological SEIR model is illus-trated in Fig. 1. Our main contribution centres aroundthe global stability of multi-strain SEIR epidemicmodel with general incidence rates. In addition, anumerical comparison between our two-strain epi-demic model results and COVID-19 clinical data will

123

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Global dynamics of a multi-strain SEIR epidemic model 491

be conducted. It will be worthy to notice that thedynamics of SEIR COVID-19 epidemic model withtwo bilinear incidence functions was tackled in [35],and the authors introduce seasonality and stochasticityin order to describe the infection rate parameters. Tak-ing into account non-monotone incidence function, thetechnique of sliding mode control was used to studyan SEIR epidemic model describing COVID-19 dis-ease [36]. TheCOVID-19SEIRepidemiologicalmodelwith Crowley–Martin incidence rate was studied [37],and the authors study the effect of different parame-ters on the disease spread. In our numerical compar-ison with COVID-19 clinical data, we will take intoaccount the three latter incidence functions along withBeddington–DeAngelis incidence rate. A brief analy-sis to a more complex compartmental epidemic modelwill be established in Appendix of this paper.

The rest of this paper is outlined as follows. In thenext section, we will establish the wellposedness ofthe suggested model by proving the existence, positiv-ity and boundedness of solutions. In Sect. 3, we presentan analysis of the model, we calculate the basic repro-duction number of our epidemic model and we provethe global stability of the equilibria. Numerical simu-lations are given in Sect. 4 by using different specificincidence functions, and the comparison between thenumerical results and COVID-19 clinical data is con-ducted in the same section. The generalization of theproblem to a more complex compartmental model aswell as concluding remarks is given at the end of thispaper.

2 The problem wellposedness and steady states

2.1 Positivity and boundedness of solutions

For the problems dealing with population dynamics,all the variables must be positive and bounded. We willassume first that all the model parameters are positive.

Proposition 1 For all non-negative initial data, thesolutions of the problem (1.1) exist, remain boundedand non-negative.

Moreover, we have N (t) ≤ Λδ

+ N (0).

Proof By the fundamental theory of differential equa-tions functional framework (see for instance [38] andthe references therein), we confirm that there exists aunique local solution to the problem (1.1).

In order to prove the positivity result, we will showthat any solution starting from non-negative orthantR6+ = {(S, E1, E2, I1, I2, R) ∈ R

6 : S ≥ 0, E1 ≥0, E2 ≥ 0, I1 ≥ 0, I2 ≥ 0 , R ≥ 0 } remains thereforever.

First, let

T = sup{τ ≥ 0 | ∀t ∈ [0, τ ] such that S(t) ≥ 0,

E1(t) ≥ 0, E2(t) ≥ 0, I1(t) ≥ 0,

I2(t) ≥ 0 , R(t) ≥ 0} (2.1)

Let us now prove that T = +∞. Suppose that T isfinite; by continuity of solutions, we have

S(T ) = 0 or E1(T ) = 0 or E2(T ) = 0 or

I1(T ) = 0 or I2(T ) = 0 or R(T ) = 0.

If S(T ) = 0 before the other variables E1, E2, I1, I2,R, become zero. Therefore,

dS(T )

dt= lim

t→T−S(T ) − S(t)

T − t= lim

t→T−−S(t)

T − t≤ 0.

(2.2)

From the first equation of system (1.1), we have

S(T ) = Λ − f (S(T ), I1(T )) I1(T )

− g(S(T ), I2(T )) I2(T ) − δS(T ), (2.3)

then,

S(T )=Λ − f (0, I1(T )) I1(T ) − g(0, I2(T )) I2(T ),

(2.4)

However, from (H1) we have

S(T ) = Λ > 0 (2.5)

which presents a contradiction.If E1(T ) = 0 before S, E2, I1, I2 and R. Then,

dE1(T )

dt= lim

t→T−E1(T ) − E1(t)

T − t= lim

t→T−−E1(t)

T − t≤ 0.

(2.6)

Again, from the second equation of the system (1.1)with the fact E1(T ) = 0, we will have

dE1(T )

dt= f (S, I1)I1. (2.7)

However, from (H1) and (H2), f (S, I1)I1 is positive,then we will have

dE1(T )

dt> 0. (2.8)

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492 O. Khyar, K. Allali

Fig. 1 Flowchart oftwo-strain SEIR model

ΛS(t)

δS

f(S, I1)I1

E1(t)

δE1

γ1E1I1(t)

δI1

E2(t)

δE2

g(S, I2)I2

γ2E2

I2(t)

δI2

μ1I1

μ2I2

R(t)δR

Also, if I1 = 0 before S, E1, E2, I2, R become zerothen

dI1(T )

dt= lim

t→T−I1(T ) − I1(t)

T − t= lim

t→T−−I1(t)

T − t≤ 0.

(2.9)

But from the fourth equation of the system (1.1) withI1(T ) = 0, we will have

dI1(T )

dt= γ1E1. (2.10)

Since γ1 > 0, we have

dI1(T )

dt= γ1E1 > 0. (2.11)

This leads to contradiction.Similar proofs for E2(t), I2(t) and R(t).We conclude that T could not be finite, which

implies that S(t) ≥ 0, E1(t) ≥ 0, E2(t) ≥0, I1(t) ≥ 0, I2(t) ≥ 0 , R(t) ≥ 0 for all positivetimes. This proves the positivity of solutions.

About boundedness, let the total population

N (t) = S(t)+E1(t)+E2(t)+I1(t)+I2(t) + R(t).

(2.12)

From the system (1.1), we have

dN (t)

dt= Λ − δN (t), (2.13)

and therefore,

N (t) = Λ

δ+ K e−δt , (2.14)

at t = 0, we have

N (0) = Λ

δ+ K , (2.15)

then

N (t) = Λ

δ+ (N (0) − Λ

δ)e−δt , (2.16)

consequently

N (t) ≤ Λ

δ+ N (0)e−δt , (2.17)

since 0 < e−δt ≤ 1, for all t ≥ 0, we conclude that

N (t) ≤ Λ

δ+ N (0) . (2.18)

This implies that N (t) is bounded, and so are S(t),E1(t), E2(t), I1(t), I2(t) and R(t). Thus, the localsolution can be prolonged to any positive time, whichmeans that the unique solution exists globally. �

2.2 The steady states

In this subsection, we show that there exist a disease-free equilibrium and three endemic equilibria. First,since the first five equations of the system (1.1) areindependent of R and knowing that the number of thetotal population verifies the Eq. (2.14), so we can omitthe sixth equation of the system (1.1). Therefore, theproblem can be reduced to:⎧⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎩

dS

dt= Λ − f (S, I1)I1 − g(S, I2)I2 − δS,

dE1

dt= f (S, I1)I1 − (γ1 + δ)E1,

dE2

dt= g(S, I2)I2 − (γ2 + δ)E2,

dI1dt

= γ1E1 − (μ1 + δ)I1,

dI2dt

= γ2E2 − (μ2 + δ)I2,

(2.19)

123

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Global dynamics of a multi-strain SEIR epidemic model 493

with

R = N − S − E1 − E2 − I1 − I2. (2.20)

As usual, the basic reproduction number can be definedas the average number of new cases of an infectioncaused by one infected individual when all the pop-ulation individuals are susceptibles. We will use thenext generation matrix FV−1 to calculate the basicreproduction number R0. The formula that gives us thebasic reproduction number is: R0 = ρ(FV−1), whereρ stands for the spectral radius, F is the non-negativematrix of new infection cases and V is the matrix ofthe transition of infections associated with the model(2.19). We have

F =

⎜⎜⎝

0 0 f (Λδ, 0) 0

0 0 0 g(Λδ, 0)

0 0 0 00 0 0 0

⎟⎟⎠ ,

V =

⎜⎜⎝

γ1 + δ 0 0 00 γ2 + δ 0 0

−γ1 0 μ1 + δ 00 −γ2 0 μ2 + δ

⎟⎟⎠ .

So,

FV−1 =

⎜⎜⎜⎜⎜⎜⎝

f (Λδ, 0)γ1

(γ1 + δ)(μ1 + δ)0

f (Λδ, 0)

(μ1 + δ)0

0g(Λ

δ, 0)γ2

(γ2 + δ)(μ2 + δ)0

g(Λδ, 0)

(μ1 + δ)0 0 0 00 0 0 0

⎟⎟⎟⎟⎟⎟⎠

.

The basic reproduction number is the spectral radius ofthe matrix FV−1. This fact implies that

R0 = max{R10, R

20}, (2.21)

with

R10 = f (Λ

δ, 0)γ1

(γ1 + δ)(μ1 + δ)(2.22)

and

R20 = g(Λ

δ, 0)γ2

(γ2 + δ)(μ2 + δ). (2.23)

We denote

a = γ1 + δ, b = γ2 + δ, c = μ1 + δ, e = μ2 + δ,

then

R10 = f (Λ

δ, 0)γ1ac

(2.24)

and

R20 = g(Λ

δ, 0)γ2be

. (2.25)

We call R10 the strain 1 reproduction number and R2

0the strain 2 reproduction number.

Theorem 1 The problem (2.19) have the disease-freeequilibrium E f and three endemic equilibria Es1 , Es2and Est . Moreover, we have

– The strain 1 endemic equilibrium Es1 exists whenR10 > 1.

– The strain 2 endemic equilibrium Es2 exists whenR20 > 1.

– The third endemic equilibriumEst existswhen R10 >

1 and R10 > 1.

Proof In order to find the steady states of the system(2.19), we solve the following equations

Λ − f (S, I1)I1 − g(S, I2)I2 − δS = 0, (2.26)

f (S, I1)I1 − (γ1 + δ)E1 = 0, (2.27)

g(S, I2)I2 − (γ2 + δ)E2 = 0, (2.28)

γ1E1 − (μ1 + δ)I1 = 0, (2.29)

γ2E2 − (μ2 + δ)I2 = 0. (2.30)

From where, we obtain

– When I1 = 0 and I2 = 0, we find the disease-freeequilibrium

E f =(

Λ

δ, 0, 0, 0, 0

)

.

– When I1 = 0 and I2 = 0, we find the strain 1endemic equilibrium defined as follows

Es1 =(

S∗1 ,

1

a(Λ − δS∗

1 ), 0,γ1

ac(Λ − δS∗

1 ), 0

)

,

where S∗1 ∈

[

0,Λ

δ

]

.

Define now a function Ψ on [0,+∞[ as followsΨ (S) = f (S,

γ1

ac(Λ − δS)) − ac

γ1. (2.31)

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494 O. Khyar, K. Allali

We have

∂Ψ (S)

∂S= ∂ f (S, I1)

∂S+ ∂ f (S, I1)

∂ I1

(−δγ1

ac

)

,

(2.32)

using the conditions (H2) and (H3), we deduce that

∂Ψ (S)

∂S≥ 0. (2.33)

However, Ψ (0) = f (0, I ∗1,s1

) − ac

γ1= −ac

γ1< 0.

Therefore, for R10 > 1, we he have

Ψ

δ

)

= f

δ, 0

)

− ac

γ1= ac

γ1(R1

0 − 1) > 0.

(2.34)

Hence, there exists a unique strain 1 endemic equi-librium

Es1 = (S∗1 , E

∗1,s1 , E

∗2,s1 , I

∗1,s1 , I

∗2,s1

), (2.35)

with S∗1 ∈ ]

0,Λ

δ

[, E∗

1,s1> 0, I ∗

1,s1> 0 and E∗

2,s1=

I ∗2,s1

= 0.– When I2 = 0 and I1 = 0, we find the strain 2endemic equilibrium defined as follows

Es2 =(

S∗2 , 0,

1

b(Λ − δS∗

2 ), 0,γ2

be(Λ − δS∗

2 )

)

,

where S∗2 ∈

[

0,Λ

δ

]

.

Define also a function Φ on [0,+∞[ as followsΦ(S) = g(S,

γ2

be(Λ − δS)) − be

γ2. (2.36)

We have

∂Φ(S)

∂S= ∂g(S, I2)

∂S+ ∂g(S, I2)

∂ I2

(−δγ2

be

)

,

(2.37)

using the conditions (H2) and (H3), we concludethat

∂Φ(S)

∂S≥ 0. (2.38)

However, Φ(0) = g(0, I ∗2,s2

) − be

γ2= −be

γ2< 0.

So, for R20 > 1, we have

Φ

δ

)

= g

δ, 0

)

− be

γ2= be

γ2(R2

0 − 1) > 0.

(2.39)

Hence, there exists a unique strain 2 endemic equi-librium

Es2 = (S∗2 , E

∗1,s2 , E

∗2,s2 , I

∗1,s2 , I

∗2,s2

), (2.40)

with S∗2 ∈

]

0,Λ

δ

[

, E∗2,s2

> 0, I ∗2,s2

> 0 and

E∗1,s2

= I ∗1,s2

= 0.– When I1 = 0 and I2 = 0, we find the thirdendemic equilibrium defined as follows

Et = (S∗t , E

∗1,t , E

∗2,t , I

∗1,t , I

∗2,t

), (2.41)

where

E∗1,t = c

γ1I ∗1,t , E∗

2,t = e

γ2I ∗2,t , (2.42)

S∗t = 1

δ

[

Λ − f (Λδ, 0)

R10

I ∗1,t − g(Λ

δ, 0)

R20

I ∗2,t ,

]

(2.43)

with Λ ≥ f (Λδ, 0)

R10

I ∗1,t + g(Λ

δ, 0)

R20

I ∗2,t , R

10 > 1 and

R20 > 1. �

3 Global stability of equilibria

3.1 Global stability of disease-free equilibrium

Theorem 2 If R0 ≤ 1, then the disease-free equilib-rium E f is globally asymptotically stable.

Proof First, we consider the following Lyapunov func-tion in R5+:

L f (S, E1, E2, I1, I2) = S − S∗0 −

∫ S

S∗0

f (S∗0 , 0)

f (X, 0)dX

+E1 + E2 + a

γ1I1 + b

γ2I2.

(3.1)

The time derivative is given by

L f (S, E1, E2, I1, I2) = S − f (S∗0 , 0)

f (S, 0)S + E1 + E2

+ a

γ1I1 + b

γ2I2,

= δS∗0

(

1 − S

S∗0

) (

1 − f (S∗0 , 0)

f (S, 0)

)

+ ac

γ1I1

(f (S, I1)

f (S, 0)R10 − 1

)

(3.2)

123

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Global dynamics of a multi-strain SEIR epidemic model 495

+ be

γ2I2

(f (S∗

0 , 0)

f (S, 0)

g(S, I2)

g(S∗0 , 0)

R20 − 1

)

(3.3)

≤ δS∗0

(

1 − S

S∗0

)(

1 − f (S∗0 , 0)

f (S, 0)

)

+ ac

γ1I1

(R10 − 1

)

+ be

γ2I2

(f (S∗

0 , 0)

f (S, 0)

g(S, I2)

g(S∗0 , 0)

R20 − 1

)

(3.4)

We will discuss two cases:

– If S ≤ S∗0 , using (H2), we will have

g(S, I2)

g(S∗0 , 0)

≤ 1,

then,

L f (S, E1, E2, I1, I2) ≤ δS∗0

(

1 − S

S∗0

)(

1 − f (S∗0 , 0)

f (S, 0)

)

+ ac

γ1I1

(R10 − 1

)

+ be

γ2I2

(f (S∗

0 , 0)

f (S, 0)R20 − 1

)

. (3.5)

Since R20 ≤ f (S, 0)

f (S∗0 , 0)

≤ 1, we obtain

f (S∗0 , 0)

f (S, 0)R20 − 1 ≤ 0. (3.6)

Otherwise, 1 − f (S∗0 , 0)

f (S, 0)≤ 0, therefore

δS∗0

(

1 − S

S∗0

) (

1 − f (S∗0 , 0)

f (S, 0)

)

≤ 0. (3.7)

– If S∗0 < S, using (H2), we will have

g(S, I2)

g(S∗0 , 0)

> 1

andf (S∗

0 , 0)

f (S, 0)< 1 then,

L f (S, E1, E2, I1, I2) ≤ δS∗0

(

1 − S

S∗0

)(

1 − f (S∗0 , 0)

f (S, 0)

)

+ ac

γ1I1

(R10 − 1

)

+ be

γ2I2

(g(S, I2)

g(S∗0 , 0)

R20 − 1

)

. (3.8)

Since R20 <

g(S∗0 , 0)

g(S, I2)< 1, we obtain

g(S, I2)

g(S∗0 , 0)

R20 − 1 < 0. (3.9)

Fromf (S∗

0 , 0)

f (S, 0)< 1, we have

δS∗0

(

1 − S

S∗0

)(

1 − f (S∗0 , 0)

f (S, 0)

)

≤ 0. (3.10)

By the above discussion, we deduce that, if R20 ≤ 1 and

R10 ≤ 1 (which means that R0 ≤ 1), then

L f (S, E1, E2, I1, I2) ≤ 0. (3.11)

Thus, the disease-free equilibrium point E f is globallyasymptotically stable when R0 ≤ 1. �

3.2 Global stability of strain 1 endemic equilibrium

For the global stability of Es1 , we assume that the func-tion f satisfies the following condition:(

1 − f (S, I1)

f (S, I ∗1,s1

)

) (f (S, I ∗

1,s1)

f (S, I1)− I1

I ∗1,s1

)

≤ 0,

∀ S, I1 > 0.

(3.12)

Theorem 3 The strain 1 endemic equilibrium Es1 isglobally asymptotically stable when R2

0 ≤ 1 < R10 .

Proof First, we consider the Lyapunov function L1

defined by:

L1(S, E1, E2, I1, I2) = S − S∗1 −

∫ S

S∗1

f (S∗1 , I

∗1,s1

)

f (X, I ∗1,s1

)dX + E∗

1

(E1

E∗1,s1

− ln

(E1

E∗1,s1

)

− 1

)

+ E2 + a

γ1I ∗1,s1

(I1I ∗1,s1

− ln

(I1I ∗1,s1

)

− 1

)

+ b

γ2I2. (3.13)

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496 O. Khyar, K. Allali

The time derivative is given byL1(S, E1, E2, I1, I2) = (Λ − f (S, I1)I1 − g(S, I2)I2 − δS)

(

1 − f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)

)

+ ( f (S, I1)I1 − aE1)

(

1 − E∗1,s1

E1

)

+ (g(S, I2)I2 − bE2)

+ a

γ1(γ1E1 − cI1)

(

1 − I ∗1,s1

I1

)

+ b

γ2(γ2E2 − eI2) . (3.14)

We have⎧⎪⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎪⎩

Λ = δS∗1 + f (S∗

1 , I∗1,s1)I

∗1,s1 ,

f (S∗1 , I

∗1,s1)I

∗1,s1 = ac

γ1I ∗1,s1 = aE∗

1,s1 ,

E∗1,s1

I ∗1,s1

= c

γ1.

(3.15)

Therefore,

L1(S, E1, E2, I1, I2) = δS∗1

(

1 − f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)

)

− δS

(

1 − f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)

)

+ f (S∗1 , I ∗

1,s1 )I∗1,s1

− f (S∗1 , I ∗

1,s1 )I∗1,s1

f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)

+ f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)f (S, I1)I1

− f (S, I1)I1E∗

1,s1

E1+ aE∗

1,s1

− ac

γ1I1 − aI ∗

1,s1

I1E1 + ac

γ1I ∗1,s1

+ f (S∗1 , I ∗

1,s1)

f (S, I ∗1,s1

)g(S, I2)I2 − be

γ2I2.

(3.16)

Then,

L1(S, E1, E2, I1, I2) = aE∗1,s1

(

4 − aE∗1,s1

f (S, I ∗1,s1

)I ∗1,s1

− f (S, I1)I1aE1

− I ∗1,s1

E1

I1E∗1,s1

− f (S, I ∗1,s1

)

f (S, I1)

)

+ aE∗1,s1

(f (S, I ∗

1,s1)

f (S, I1)+ f (S, I1)

f (S, I ∗1,s1

)

I1I ∗1,s1

− I1I ∗1,s1

− 1

)

+ f (S∗1 , I

∗1,s1

)

f (S, I ∗1,s1

)g(S, I2)I2 − be

γ2I2 (3.17)

L1(S, E1, E2, I1, I2) = aE∗1,s1

(

4 − aE∗1,s1

f (S, I ∗1,s1

)I ∗1,s1

− f (S, I1)I1aE1

− I ∗1,s1

E1

I1E∗1,s1

− f (S, I ∗1,s1

)

f (S, I1)

)

+ aE∗1,s1

(f (S, I ∗

1,s1)

f (S, I1)+ f (S, I1)

f (S, I ∗1,s1

)

I1I ∗1,s1

− I1I ∗1,s1

− 1

)

+ be

γ2I2

(f (S∗

1 , I∗1,s1

)

f (S, I ∗1,s1

)

g(S, I2)

g(S∗0 , 0)

R20 − 1

)

. (3.18)

123

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Global dynamics of a multi-strain SEIR epidemic model 497

From (H2) and (H3), we haveg(S, I2)

g(S∗0 , 0)

≤ 1, then,

L1(S, E1, E2, I1, I2) ≤ aE∗1,s1

(

4 − aE∗1,s1

f (S, I ∗1,s1

)I ∗1,s1

− f (S, I1)I1aE1

− I ∗1,s1

E1

I1E∗1,s1

− f (S, I ∗1,s1

)

f (S, I1)

)

+ aE∗1,s1

(f (S, I ∗

1,s1)

f (S, I1)+ f (S, I1)

f (S, I ∗1,s1

)

I1I ∗1,s1

− I1I ∗1,s1

− 1

)

+ be

γ2I2

(f (S∗

1 , I∗1,s1

)

f (S, I ∗1,s1

)R20 − 1

)

, (3.19)

From (3.12), we have

(f (S, I ∗

1,s1)

f (S, I1)+ f (S, I1)

f (S, I ∗1,s1

)

I1I ∗1,s1

− I1I ∗1,s1

− 1

)

=(

1 − f (S, I1)

f (S, I ∗1,s1

)

)(f (S, I ∗

1,s1)

f (S, I1)− I1

I ∗1,s1

)

≤ 0,

(3.20)

by the relation between arithmetic and geometricmeans, we have(

4 − aE∗1,s1

f (S, I ∗1,s1

)I ∗1,s1

− f (S, I1)I1aE1

− I ∗1,s1

E1

I1E∗1,s1

− f (S, I ∗1,s1

)

f (S, I1)

)

≤ 0,

(3.21)

We discuss two cases:

– If S∗1 ≤ S, from (H2), we will have

f (S∗1 , I

∗1,s1

)

f (S, I ∗1,s1

)≤

1, since

(f (S∗

1 , I∗1,s1

)

f (S, I ∗1,s1

)R20 − 1

)

≤ 0, we obtain, for

R20 ≤ 1, the following L1 ≤ 0.

– If S ≤ S∗1 , from (H2), we will have

f (S∗1 , I

∗1,s1

)

f (S, I ∗1,s1

)≥

1, since R20 ≤ f (S, I ∗

1,s1)

f (S∗1 , I

∗1,s1

)≤ 1, we obtain

f (S∗1 , I

∗1,s1

)

f (S, I ∗1,s1

)R20 − 1 ≤ 0,

which implies, L1 ≤ 0.By the above discussion, we deduce that if R2

0 ≤ 1,we will have L1 ≤ 0.

Weconclude that the steady state Es1 is globally asymp-totically stable when R2

0 ≤ 1 and 1 < R10. �

3.3 Global stability of strain 2 endemic equilibrium

For the global stability of Es2 , we assume that the func-tion g satisfies the following condition:

(

1 − g(S, I2)

g(S, I ∗2,s2

)

)(g(S, I ∗

2,s2)

g(S, I2)− I2

I ∗2,s2

)

≤ 0, ∀ S, I2 > 0.

(3.22)

Theorem 4 The strain 2 endemic equilibriumpointEs2is globally asymptotically stable when R1

0 ≤ 1 < R20 .

Proof First, we consider the Lyapunov function L2defined by:

L2(S, E1, E2, I1, I2) =S − S∗2 −

∫ S

S∗2

g(S∗2 , I ∗

2,s2)

g(X, I ∗2,s2

)dX

+ E∗2,s2

(E2

E∗2,s2

− ln

(E2

E∗2,s2

)

− 1

)

+ E1 + a

γ1I1

+ b

γ2I ∗2,s2

(I2I ∗2,s2

− ln

(I2I ∗2,s2

)

− 1

)

.

(3.23)

The time derivative is given by

L2(S, E1, E2, I1, I2) = (Λ − f (S, I1)I1 − g(S, I2)I2 − δS)(

1 − g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)

)

+ (g(S, I2)I2 − bE2)

(

1 − E∗2,s2

E2

)

+ ( f (S, I1)I1 − aE1)

+ b

γ2(γ2E2 − eI2)

(

1 − I ∗2,s2

I2

)

+ a

γ1(γ1E1 − cI1) . (3.24)

We have⎧⎪⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎪⎩

Λ = δS∗2 + g(S∗

2 , I∗2,s2)I

∗2,s2 ,

g(S∗2 , I

∗2,s2)I

∗2,s2 = be

γ2I ∗2,s2 = bE∗

2,s2 ,

E∗2,s2

I ∗2,s2

= e

γ2.

(3.25)

123

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498 O. Khyar, K. Allali

Therefore,

L2(S, E1, E2, I1, I2) = δS∗2

(

1 − g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)

)

− δS

(

1 − g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)

)

+ g(S∗2 , I ∗

2,s2 )I∗2,s2

− g(S∗2 , I ∗

2,s2 )I∗2,s2

g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)

+ g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)g(S, I2)I2

− g(S, I2)I2E∗

2,s2

E2+ bE∗

2,s2 − be

γ2I2

− bI ∗2,s2

I2E2 + be

γ2I ∗2,s2

+ g(S∗2 , I ∗

2,s2)

g(S, I ∗2,s2

)f (S, I1)I1 − ac

γ1I1,

(3.26)

then

L2(S, E1, E2, I1, I2) = bE∗2,s2

(

4 − bE∗2,s2

g(S, I ∗2,s2

)I ∗2,s2

− g(S, I2)I2bE2

− I ∗2,s2

E2

I2E∗2,s2

− g(S, I ∗2,s2

)

g(S, I2)

)

+ bE∗2,s2

(g(S, I ∗

2,s2)

g(S, I2)+ g(S, I2)

g(S, I ∗2,s2

)

I2I ∗2,s2

− I2I ∗2,s2

− 1

)

+ g(S∗2 , I

∗2,s2

)

g(S, I ∗12,s2

)f (S, I1)I1 − ac

γ1I1

(3.27)

L2(S, E1, E2, I1, I2) = bE∗2,s2

(

4 − bE∗2,s2

g(S, I ∗2,s2

)I ∗2,s2

− g(S, I2)I2bE2

− I ∗2,s2

E2

I2E∗2,s2

− g(S, I ∗2,s2

)

g(S, I2)

)

+ bE∗2,s2

(g(S, I ∗

2,s2)

g(S, I2)+ g(S, I2)

g(S, I ∗2,s2

)

I2I ∗2,s2

− I2I ∗2,s2

− 1

)

+ ac

γ1I1

(g(S∗

2 , I∗2,s2

)

g(S, I ∗2,s2

)

f (S, I1)

f (S∗0 , 0)

R10 − 1

)

. (3.28)

From (H2) and (H3), we havef (S, I1)

f (S∗0 , 0)

≤ 1, then,

L2(S, E1, E2, I1, I2) ≤ bE∗2,s2

(

4 − bE∗2,s2

g(S, I ∗2,s2

)I ∗2,s2

− g(S, I2)I2bE2

− I ∗2,s2

E2

I2E∗2,s2

− g(S, I ∗2,s2

)

g(S, I2)

)

+ bE∗2,s2

(g(S, I ∗

2,s2)

g(S, I2)+ g(S, I2)

g(S, I ∗2,s2

)

I2I ∗2,s2

− I2I ∗2,s2

− 1

)

+ ac

γ1I1

(g(S∗

2 , I∗2,s2

)

g(S, I ∗2,s2

)R10 − 1

)

,

(3.29)

From (3.22), we have

(g(S, I ∗

2,s2)

g(S, I2)+ g(S, I2)

g(S, I ∗2,s2

)

I2I ∗2,s2

− I2I ∗2,s2

− 1

)

=(

1 − g(S, I2)

g(S, I ∗2,s2

)

) (g(S, I ∗

2,s2)

g(S, I2)− I2

I ∗2,s2

)

≤ 0.

(3.30)

By the relation between arithmetic and geometricmeans, we have(

4 − bE∗2,s2

g(S, I ∗2,s2

)I ∗2,s2

− g(S, I2)I2bE2

− I ∗2,s2

E2

I2E∗2,s2

− g(S, I ∗2,s2

)

g(S, I2)

)

≤ 0

(3.31)

We discuss two cases:

• If S∗2 ≤ S, then from (H2), we will have

g(S∗2 , I

∗2,s2

)

g(S, I ∗2,s2

)≤ 1, since

(g(S∗

2 , I∗2,s2

)

g(S, I ∗2,s2

)R10 − 1

)

≤0, from R1

0 ≤ 1, we will have L2 ≤ 0.

123

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Global dynamics of a multi-strain SEIR epidemic model 499

• If S ≤ S∗2 , then from (H2) we will obtain

g(S∗2 , I

∗2,s2

)

g(S, I ∗2,s2

)≥ 1, from R1

0 ≤ g(S, I ∗2,s2

)

g(S∗2 , I

∗2,s2

)≤ 1,

we will getg(S∗

2 , I∗2,s2

)

g(S, I ∗2,s2

)R10 − 1 ≤ 0,

which implies, L2 ≤ 0.By the above discussion, we deduce that if R1

0 ≤ 1,then L2 ≤ 0.

We conclude that the steady state Es2 is globallyasymptotically stable when R1

0 ≤ 1 and 1 < R20. �

3.4 Global stability of the third endemic equilibrium

For the global stability of Et , we assume that the func-tions f and g satisfy the following condition:

(

1 − g(S, I2)

g(S∗t , I ∗

2,t )

f (S∗t , I ∗

1,t )

f (S, I ∗1,t )

)(g(S∗

t , I ∗2,t )

g(S, I2)

f (S, I ∗1,t )

f (S∗t , I ∗

1,t )− I2

I ∗2,s2

)

≤ 0, ∀ S, I1, I2 > 0. (3.32)

Theorem 5 The endemic equilibrium Est is globallyasymptotically stable when R1

0 > 1 and R20 > 1.

Proof We consider the Lyapunov function L3 definedby:

L3(S, E1, E2, I1, I2) = S − S∗t −

∫ S

S∗t

f (S∗t , I ∗

1,t )

f (X, I ∗1,t )

dX

+ E∗1,t

(E1

E∗1,t

− ln

(E1

E∗1,t

)

− 1

)

+ E∗2,t

(E2

E∗2,t

− ln

(E2

E∗2,t

)

− 1

)

+ a

γ1I ∗1,t

(I1I ∗1,t

− ln

(I1I ∗1,t

)

− 1

)

+ b

γ2I ∗2,t

(I2I ∗2,t

− ln

(I2I ∗2,t

)

− 1

)

,

(3.33)

then

L3(S, E1, E2, I1, I2) =(

1 − f (S∗t , I ∗

1,t )

f (S, I ∗1,t )

)

S

+(

1 − E∗1,t

E1

)

E1 +(

1 − E∗2,t

E2

)

E2

+ a

γ1

(

1 − I ∗1,t

I1

)

I1 + b

γ2

(

1 − I ∗2,t

I2

)

I2.

(3.34)

It is easy to verify that⎧⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎩

Λ = δS∗t + f (S∗

t , I∗1,t )I∗1,t + g(S∗t , I∗2,t )I∗2,t ,

f (S∗t , I∗1,t )I∗1,t = aE∗

1,t , g(S∗t , I∗2,t )I∗2,t = bE∗

2,t ,

E∗1,t

I∗1,t= c

γ1,E∗2,t

I∗2,t= e

γ2.

(3.35)

As a result,

L3(S, E1, E2, I1, I2) = δS∗t

(

1 − S

S∗t

) (

1 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

)

+ aE∗1,t

(

4 − aE∗1,t

f (S, I ∗1,t )I

∗1,t

− f (S, I1)I1aE1

− I ∗1,t E1

I1E∗1,t

− f (S, I ∗1,t )

f (S, I1)

)

+ bE∗2,t

(

4 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

− g(S, I2)I2bE2

− I ∗2,t E2

I2E∗2,t

− bE∗2,t f (S, I ∗

1,t )

g(S, I2) f (S∗t , I

∗1,t )I

∗2,t

)

+ aE∗1,t

(f (S, I ∗

1,t )

f (S, I1)+ f (S, I1)

f (S, I ∗1,t )

I1I ∗1,t

− I1I ∗1,t

− 1

)

+ bE∗2,s2

(g(S∗

t , I∗2,t )

g(S, I2)

f (S, I ∗1,t )

f (S∗t , I

∗1,t )

+ g(S, I2)

g(S∗t , I

∗2,t )

f (S∗t , I

∗1,t )

f (S, I ∗1,t )

I2I ∗2,t

− I2I ∗2,t

− 1

)

. (3.36)

123

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500 O. Khyar, K. Allali

Using the following trivial inequalities

1 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

≥ 0 for S ≥ S∗t (3.37)

1 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

< 0 for S < S∗t , (3.38)

then(

1 − S

S∗t

) (

1 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

)

≤ 0, (3.39)

by the relation between arithmetic and geometricmeans, we have

(

4 − aE∗1,t

f (S, I ∗1,t )I

∗1,t

− f (S, I1)I1aE1

− I ∗1,t E1

I1E∗1,t

− f (S, I ∗1,t )

f (S, I1)

)

≤ 0 (3.40)

(

4 − f (S∗t , I

∗1,t )

f (S, I ∗1,t )

− g(S, I2)I2bE2

− I ∗2,t E2

I2E∗2,t

− bE∗2,t f (S, I ∗

1,t )

g(S, I2) f (S∗t , I

∗1,t )I

∗2,t

)

≤ 0, (3.41)

from (3.12) we have

(f (S, I ∗

1,t )

f (S, I1)+ f (S, I1)

f (S, I ∗1,t )

I1I ∗1,t

− I1I ∗1,t

− 1

)

=(

1 − f (S, I1)

f (S, I ∗1,t )

)(f (S, I ∗

1,t )

f (S, I1)− I1

I ∗1,t

)

≤ 0,

(3.42)

also from (3.32) we have(g(S∗

t ,I ∗2,t )

g(S,I2)f (S,I ∗

1,t )

f (S∗t ,I ∗

1,t )+ g(S,I2)

g(S∗t ,I ∗

2,t )

f (S∗t ,I ∗

1,t )

f (S,I ∗1,t )

I2I ∗2,t

− 1 − I2I ∗2,t

)

= (1 − Γ )(

− I2I ∗2,t

)≤ 0, (3.43)

with Γ = g(S, I2)

g(S∗t , I

∗2,t )

f (S∗t , I

∗1,t )

f (S, I ∗1,t )

We conclude that the steady state Et is globallyasymptotically stable when 1 < R1

0 and 1 < R20. �

4 Numerical simulations

In this section, we will perform some numerical sim-ulations in order to examine numerically the SEIRinfection dynamics under various incidence functionsand also validating our theoretical results. Indeed,we will restrict ourselves to four cases, the first oneis to consider the model (1.1) along with the sim-plest two bilinear incidence functions f (S, I1) =

αS and g(S, I2) = βS, the second case dealswith two Beddington–DeAngelis incidence functions,

f (S, I1) = αS

1 + ω1S + ω2 I1and g(S, I2) =

βS

1 + ω3S + ω4 I2, while the third case is devoted to

check the impact of choosing both incidence functionsunder Crowley–Martin incidence form, f (S, I1) =

αS

1 + χ1S + χ2 I1 + χ1χ2SI1and g(S, I2) =

βS

1 + χ3S + χ4 I2 + χ3χ4SI2. The last case consists of

incorporating into the model two non-monotonic inci-

dence functions f (S, I1) = αS

1 + α1 I 21and g(S, I2) =

βS

1 + α2 I 22.

4.1 The stability of the disease-free equilibrium

The disease-free equilibrium is characterized by theextinction of the infection, and the disease cannotinvade the population. In this subsection, attention willbe focused to the numerical stability of such disease-free equilibrium. Indeed, Theorem 2 points out thatwe can expect the stability of disease-free equilibriumwhen the basic reproduction number is less than unity.This permits us to look for the right model parametersin order to check numerically the stability of the firststeady sate.

Figure 2 shows the behaviour of the infection forthe following parameter values: Λ = 1, α = 0.17,β = 0.15, γ1 = 0.3, γ2 = 0.4, μ1 = 0.65, μ2 =0.75, δ = 0.2, ω1 = 0.4, ω2 = 0.6, ω3 = 4.5,ω4 = 5.8, χ1 = 2.5, χ2 = 3, χ3 = 6.5, χ4 = 5,α1 = 2.5 and α2 = 3. We clearly see that thesolutions of the system, under the various suggestedincidence functions (bilinear, Beddington–DeAngelis,Crowley–Martin and non-monotonic functions), con-verge towards the same disease-free equilibrium pointE f = (5, 0, 0, 0, 0, 0). In this situation, the nature of

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Global dynamics of a multi-strain SEIR epidemic model 501

0 10 20 30 40 50 601

2

3

4

5

Time

S

0 5 10 15 20 25 300

5

10

15

Time

E1

0 5 10 15 20 25 300

2

4

6

8

10

Time

E2

0 10 20 30 40 500

2

4

6

8

10

Time

R

0 5 10 15 20 25 300

1

2

3

4

Time

I 1

0 5 10 15 20 25 300

0.5

1

1.5

2

2.5

3

Time

I 2

Fig. 2 Time evolution of susceptible (top left), the strain 1 latentindividuals (topmiddle), the strain 2 latent individuals (top right),the recovered (bottom left), the strain 1 infectious individuals(bottom middle) and the strain 2 infectious individuals (bottomright) illustrating the stability of the disease-free equilibrium

E f . The bilinear incidence functions (dotted red), Beddington–DeAngelis incidence functions (yellow), Crowley–Martin inci-dence functions (green) and the non-monotone incidence func-tions (blue). (Color figure online)

the incidence function has no effect on the steady-statevalue. Consequently, it was remarked that the disease-free equilibrium first nonzero component depends onlyon the birth and death rates of the susceptible indi-viduals and does not depend, in any way, on the inci-dence functions parameters. Here, the disease dies out,the susceptible reaches their maximum value, and theother variables vanish. With the chosen parameters, wecan easily calculate the two- strain basic reproductionnumbers; in our case, we will have R1

0 = 0.6 andR20 = 0.5263 for the bilinear incidence functions case;

we will have also R10 = 0.1 and R2

0 = 0.6579 for theBeddington–DeAngelis incidences case; R1

0 = 0.1154and R2

0 = 0.1645 are calculated for Crowley–Martinincidence functions case, and finally, we have R1

0 = 0.6and R2

0 = 0.5263 for the non-monotonic incidencefunctions case. In all these cases, we have the basicreproduction number R0 is less than unitywhich is con-sistent with the theoretical result concerning the stabil-ity of the disease-free equilibrium E f .

4.2 The stability of the endemic equilibria

The dynamics behaviour concerning the stability of thestrain 1 endemic equilibrium Es1 is shown in Fig. 3.Indeed, we have chosen the following parameter val-ues: Λ = 1, α = 0.5, β = 0.12, γ1 = 0.4,γ2 = 0.3, μ1 = 0.4, μ2 = 0.75, δ = 0.2, ω1 = 0.4,ω2 = 0.85, ω3 = 1.5, ω4 = 0.05, χ1 = 4, χ2 = 3.5,χ3 = 0.3, χ4 = 0.05, α1 = 2 and α2 = 1.5.For the bilinear incidence functions case, the solu-tion converges towards the strain 1 endemic equilib-rium (1.8, 1.0667, 0, 0.7111, 0, 1.4222) and with thechosen parameters we have R1

0 = 2.7778 and R20 =

0.3789. For themodelwithBeddington–DeAngelis,weobserve the convergence towards (3.1788, 0.6071, 0,0.4047, 0, 0.8094) and we have R1

0 = 11.1111 andR20 = 0.3609; for the third case, Crowley–Martin

incidence type, we observe the convergence towardsthe equilibrium (2.3664, 0.8779, 0, 0.5852, 0, 1.1705)and we have R1

0 = 11.1111 and R20 = 0.1024. For the

last non-monotonic incidence functions case, we see

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502 O. Khyar, K. Allali

0 20 40 60 800

1

2

3

4

Time

S

0 5 10 15 20 25 30 350

2

4

6

8

Time

E1

0 5 10 15 20 25 300

1

2

3

4

5

6

Time

E2

0 10 20 30 40 500

1

2

3

4

5

6

Time

R

0 10 20 30 400

1

2

3

4

Time

I 1

0 5 10 15 20 25 300

0.5

1

1.5

Time

I 2

Fig. 3 Time evolution of susceptible (top left), the strain 1 latentindividuals (topmiddle), the strain 2 latent individuals (top right),the recovered (bottom left), the strain 1 infectious individuals(bottom middle) and the strain 2 infectious individuals (bottomright) illustrating the stability of the strain 1 endemic equilibrium

Es1 . The bilinear incidence functions (dotted red), Beddington–DeAngelis incidence functions (yellow), Crowley–Martin inci-dence functions (green) and the non-monotone incidence func-tions (blue). (Color figure online)

in the figure the convergence towards the steady state(2.7223, 0.7592, 0, 0.5062, 0, 1.0123) and we haveR10 = 2.7778 and R2

0 = 0.3789.We remark that, for theall four cases, the strain 1 basic reproduction numberR10 is greater than unity while the other strain 2 basic

reproduction number R20 is less than one which con-

firms our theoretical findings concerning the stabilityof the strain 1 endemic equilibrium Es1 . This endemicequilibrium is characterized by the vanishing the strain2 latent and infectious individuals.

The strain 2 endemic equilibrium Es2 stability isillustrated in Fig. 4. In this figure, the following param-eters are chosen: Λ = 1, α = 0.2, β = 0.4, γ1 = 0.4,γ2 = 0.3, μ1 = 1, μ2 = 0.5, δ = 0.2, ω1 = 0.4, ω2 =0.85, ω3 = 1.5, ω4 = 0.05, χ1 = 4, χ2 = 3.5, χ3 =0.3, χ4 = 0.05, α1 = 2 and α2 = 1.5. We observe theconvergence of the solution towards the steady state(2.9167, 0, 0.8333, 0, 0.3571, 0.8928) for the bilinearincidence functions case and with the adopted param-eters we have R1

0 = 0.5556 and R20 = 1.7143. For

themodelwithBeddington–DeAngelis, we observe the

convergence towards (4.1559, 0, 0.3376, 0, 0.1447,0.3617) and we have R1

0 = 0.5291 and R20 =

6.8571; for the third case, Crowley–Martin incidencetype, we observe the convergence towards the equi-librium (3.6876, 0, 0.5250, 0, 0.2250, 0.5624) and wehave R1

0 = 0.1502 and R20 = 6.8571. For the last

non-monotonic incidence functions case, we see inthe figure the convergence towards the steady state(3.2918, 0, 0.6833, 0, 0.2928, 0.7321) and we haveR10 = 0.5556 and R2

0 = 1.7143. We remark that, forall the four cases, the strain 1 basic reproduction num-ber R1

0 is less than unity while the other strain 2 basicreproduction number R2

0 is greater than one which is ingood agreement with our theoretical findings concern-ing the stability of the strain 2 endemic equilibrium Es2 .From the components of this endemic equilibrium, weremark the clearance of the strain 1 latent and infectiousindividuals.

The last endemic equilibrium Et stability behaviouris depicted in Fig. 5 for Λ = 1, α = 0.6, β = 0.6,γ1 = 0.5, γ2 = 0.5, μ1 = 0.15, μ2 = 0.15, δ = 0.2,

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Global dynamics of a multi-strain SEIR epidemic model 503

0 20 40 60 800

1

2

3

4

5

Time

S

0 5 10 15 20 25 300

2

4

6

8

Time

E1

0 10 20 30 40 50 600

1

2

3

4

5

6

Time

E2

0 10 20 30 40 50 600

2

4

6

8

Time

R

0 5 10 15 20 250

0.5

1

1.5

2

2.5

3

Time

I 1

0 10 20 30 40 500

0.5

1

1.5

2

Time

I 2

Fig. 4 Time evolution of susceptible (top left), the strain 1 latentindividuals (topmiddle), the strain 2 latent individuals (top right),the recovered (bottom left), the strain 1 infectious individuals(bottom middle) and the strain 2 infectious individuals (bottomright) illustrating the stability of the strain 2 endemic equilibrium

Es2 . The bilinear incidence functions (dotted red), Beddington–DeAngelis incidence functions (yellow), Crowley–Martin inci-dence functions (green) and the non-monotone incidence func-tions (blue). (Color figure online)

ω1 = 1.2, ω2 = 0.06, ω3 = 1.2, ω4 = 0.06,χ1 = 0.4, χ2 = 0.05, χ3 = 0.4, χ4 = 0.05,α1 = 0.14 and α2 = 0.145. As the previous figures, thedynamics for the different suggested incidence func-tions are illustrated. For the first one, the bilinear inci-dence function, we observe the convergence towards(0.8167, 0.5196, 0.6757, 0.7422, 0.9652, 1.2806) andwith the adopted parameters we have R1

0 = 6.1224and R2

0 = 6.1224. For Beddington–DeAngelis case,we observe the convergence towards (1.5783, 0.4888,0.4888, 0.6983, 0.6983, 1.0474) and we have R1

0 =23.5479 and R2

0 = 23.5479, for the third case,Crowley–Martin incidence type, we observe the con-vergence towards the equilibrium (1.1353, 0.5519,0.5523, 0.7884, 0.7890, 1.1831) and we have R1

0 =24.4898 and R2

0 = 24.4898. About the last non-monotonic incidence functions case, we see the conver-gence towards the steady state (0.8982, 0.5904, 0.5815,0.8433, 0.8309, 1.2557) and we have R1

0 = 6.1224and R2

0 = 6.1224. We remark that both the two-strainbasic reproduction numbers R1

0 and R20 are greater than

unity which confirms our theoretical findings concern-ing the stability of the last endemic equilibrium Et . Thislast endemic equilibrium is characterized by the persis-tence of all strains latent and infectious individuals. Thenumerical simulations confirm that themodelwith gen-eral incidence functions encompasses a large number ofclassical well-known incidence functions. Therefore,the generalized mathematical model can give a wideview about the stability of the different problem equi-libria.

4.3 Comparison with COVID-19 clinical data

As we have mentioned in the introduction, the recentpandemic COVID-19 is amulti-strain infection. There-fore, the main interest of this subsection is to comparethe numerical simulations resulting from our multi-strain epidemic model with COVID-19 clinical data.We have chosen to make our comparison the Moroc-

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504 O. Khyar, K. Allali

0 10 20 30 40 50 600

0.5

1

1.5

2

Time

S

0 10 20 30 400

0.5

1

1.5

2

Time

E1

0 10 20 30 40 500

0.5

1

1.5

2

2.5

3

Time

E2

0 10 20 30 40 500

0.5

1

1.5

2

Time

R

0 10 20 30 40 50 60

0.8

1

1.2

1.4

1.6

Time

I 1

0 10 20 30 40 50 600.5

1

1.5

2

Time

I 2

Fig. 5 Time evolution of susceptible (top left), the strain 1 latentindividuals (topmiddle), the strain 2 latent individuals (top right),the recovered (bottom left), the strain 1 infectious individuals(bottom middle) and the strain 2 infectious individuals (bot-tom right) illustrating the stability of the endemic equilibrium

Et . The bilinear incidence functions (dotted red), Beddington–DeAngelis incidence functions (yellow), Crowley–Martin inci-dence functions (green) and the non-monotone incidence func-tions (blue). (Color figure online)

can clinical data during the year 2020 in the periodbetween March 31 and June 20 [39,40].

Figure 6 shows the time evolution of infected casesfor the following parameter values:Λ = 1.5,α = 1.67,β = 0.88, δ = 0.2, γ1 = 1.05, γ2 = 6.8, μ1 = 0.005,μ2 = 0.087, ω1 = 0.3, ω2 = 0.5, ω3 = 0.1, ω4 = 0.3,χ1 = 0.01, χ2 = 0.01, χ3 = 2.5, χ4 = 2.8, α1 =0.0005 and α2 = 0.007. We observe that a significantrelationship exists between the curve representing theCOVID-19 clinical data and the numerical simulationsresulting from our mathematical model for the differ-ent incidence functions. Indeed, a good fit between theinfected cases given by themathematical model and theclinical data is observed. Each numerical result with theincidence function (bilinear, Beddington–DeAngelis,Crowley–Martin or non-monotonic function) fits wellthe clinical data, especially for a certain period of obser-vation. Hence, the multi-strain mathematical modelwith generalized incidence functions is more appro-priate to represent the studied disease.

Mar. 31 2020 Apr. 10 Apr. 20 Apr. 30 May. 100

600

1200

1800

2400

3000

3600

Date

Infe

cted

Cas

es

Fig. 6 Time evolution of infected cases with the bilinear inci-dence functions (dotted red), Beddington–DeAngelis incidencefunctions (yellow), Crowley–Martin incidence functions (green)and the non-monotone incidence functions (blue). The clinicalinfected cases are illustrated by magenta circles. (Color figureonline)

Figure 7 (left-hand side) shows the time evolutionof infected cases for the following parameter values:

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Global dynamics of a multi-strain SEIR epidemic model 505

Apr. 17, 2020 May. 17 Jun. 16 Jul. 16 Aug. 15 Sep. 14 Oct. 140

775

1550

2325

3100

3875

Date

Infe

cted

Cas

es

Apr. 17, 2020 May. 17 Jun. 16 Jul. 16 Aug. 15 Sep. 14 Oct. 140

700

1400

2100

2800

3500

3875

Date

Infe

cted

Cas

es

Fig. 7 Time evolution of infected cases with the bilinear inci-dence functions (dotted red), Beddington–DeAngelis incidencefunctions (yellow), Crowley–Martin incidence functions (green)

and the non-monotone incidence functions (blue). The clinicalinfected cases are illustrated by magenta circles. (Color figureonline)

Λ = 2, α = 0.01, β = 0.01, γ1 = 0.3, γ2 = 0.4,μ1 = 0.07, μ2 = 0.5, δ = 0.2, ω1 = 0.5, ω2 = 0.6,ω3 = 0.1, ω4 = 0.3, χ1 = 1.5, χ2 = 2, χ3 = 0.7,χ4 = 3.7, α1 = 2 and α2 = 1.5. We see that the solu-tion of our model, under the various suggested inci-dence functions, converges towards the same disease-free equilibrium point E f . In this situation, the dis-ease dies out, the susceptible reaches their maximumvalue and the other variables vanish. Within the chosenparameters, we can easily calculate the basic reproduc-tion number; in our case we will have R0 = 0.23 forthe bilinear incidence functions case; we will have alsoR0 = 0.28 for the Beddington–DeAngelis incidencescase; R0 = 0.2 are calculated for Crowley–Martin inci-dence functions case, and finally, we have R0 = 0.23for the non-monotonic incidence functions case.

The COVID-19 disease persistence case is illus-trated in Fig. 7 (right-hand side). In this figure, thefollowing parameters are chosen: Λ = 1.2, α = 0.1,β = 0.52, γ1 = 0.4, γ2 = 0.1, μ1 = 0.23, μ2 = 0.2,δ = 0.03, ω1 = 0.5, ω2 = 0.6, ω3 = 0.1, ω4 = 0.3,χ1 = 1.5, χ2 = 4.5, χ3 = 0.7, χ4 = 0.12, α1 = 2and α2 = 1.5. We remark the convergence of the solu-tion towards the endemic equilibrium for all the takenincidence functions. Indeed, for the case with bilinearincidence functions, we have the basic reproductionnumber is greater than unity R0 = 14.31. For othercases, the basic reproduction number is also greater

than one; indeed for Beddington–DeAngelis case, wehave R0 = 36.6956; for the third case, Crowley–Martin incidence type, we have R0 = 14.3113. Forthe last non-monotonic incidence functions case, wehave R0 = 14.3113 which means that the disease per-sists. We can conclude that the numerical simulationsfit well COVID-19 clinical data. Our numerical simu-lations reveal two scenarios of evolution for this pan-demic, and within the first scenario the disease will dieout. The other scenario happens when the basic repro-duction number is greater than unity; in this case thediseasewill persist. In this situation, it will be importantto eventually undertake some strategies like quarantine,isolation, wearing of masks, disinfection and if it willbe possible vaccination.

4.4 The effect of quarantine strategy

In this subsection, wewill study the effect of quarantinestrategy in controlling the infection spread. To illustratethis effect and for simplicity, we will restrict ourselvesto the case of the bilinear incidence function. Moreprecisely, we will take the following incidence forms:

f (S, I1)=α(1 − u1)S and g(S, I2) = β(1 − u2)S,

(4.1)

where u1 stands for the efficiency of the quarantinestrategy concerning the first strain infection rate, while

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506 O. Khyar, K. Allali

0 10 20 30 40 50 60 700

1

2

3

4

5

Time

S

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

0 10 20 30 400

0.5

1

1.5

2

Time

E1

0 10 20 30 400

1

2

3

Time

E2

0 10 20 30 40 50 600

0.5

1

1.5

2

Time

R

0 10 20 30 40 500

0.5

1

1.5

Time

I 1

0 10 20 30 40 500

0.5

1

1.5

2

Time

I 2

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

u1=u2 =0u1=u2 =0.3u1=u2 =0.6u1=u2 =0.9

Fig. 8 Effect of quarantine strategy on the SEIR model dynamics

u2 represents the efficacy of the quarantine measuresconcerning the second-strain infection rate.Our numer-ical simulations will be performed in order to check theimpact of the quarantine strategy for the case of the lastendemic equilibrium.

Figure 8 shows the time evolution of the susceptible,the two- strain latent individuals, two-strain infectedindividuals and the recovered for the following param-eter values: Λ = 1, α = 0.6, β = 0.6, γ1 = 0.5,γ2 = 0.5, μ1 = 0.15, μ2 = 0.15, δ = 0.2 and for dif-ferent values of the strategy controls u1 and u2. Whenno strategy is applied, we find the same result as inFig. 5. By increasing the efficiency of the quarantinemeasures, we observe an interesting result. Indeed, thenumber of the susceptible individuals increases whenu1 and u2 increase. For higher values of these twocontrol parameters, the number of two-strain latentand infected individuals is reduced considerably, whichmeans that the quarantine strategy can reduce the infec-tion in efficient manner.

5 Conclusion

In this paper,wehave studied theglobal stability of two-strain epidemicmodelwith two general incidence func-tions. The model included six compartments, namelythe susceptible, two categories of the exposed, two cat-egories of the infected and the removed individuals,this kind of model takes the abbreviation SEIR. Wehave established the existence, positivity and bound-edness of solutions results which guarantee the well-posedness of our SEIR model. The disease-free equi-librium, the endemic equilibrium with respect to strain1, the endemic equilibrium with respect to strain 2 andthe endemic equilibrium with respect to both strainsare given. By using an appropriate Lyapunov func-tionals, the global stability of the equilibria is estab-lished depending on the basic reproduction number R0,the strain 1 reproduction number R1

0 and the strain 2reproduction number R2

0. Numerical simulations areperformed in order to confirm our different theoretical

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Global dynamics of a multi-strain SEIR epidemic model 507

results. It was observed that the model with a gener-alized incidence function encompasses a large numberof classical incidence functions and it can give moreclear view about the equilibria stability. In addition,a numerical comparison between our model resultsand COVID-19 clinical data is conducted. We haveobserved a good fit between our numerical simulationsand the clinical data which indicates that our multi-strain mathematical model can fit and predict the evo-lution of the infection. We have observed that strictquarantine measures can reduce significantly the infec-tion spread. It is worthy to notice that a generalizationform of this problem to amore complex compartmentalmodel is proposed in Appendix of this paper. For thiscomplex model, we have given its basic reproductionnumber and each strain reproduction number. Further-more, the forms of the Lyapunov functionals for thiscomplex compartmental model are also formulated.

Compliance with ethical standards

Conflict of interest The authors declare that they have no con-flict of interest.

Appendix

Multi-strain compartmental epidemiological model

The generalization of the problem to a more complexcompartmental model with general incidence rates isformulated as follows

(P)

⎧⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎨

⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎪⎩

dS

dt= Λ −

i=n∑

i=1

fi (S, Ii )Ii − δS,

dEidt

= fi (S, Ii )Ii − (γi + δ)Ei , i = 1, 2, . . . , n

dIidt

= γi Ei − (μi + δ)Ii , i = 1, 2, . . . , n

dR

dt=

i=n∑

i=1

μi Ii − δR,

(A.1)

with

S(0) ≥ 0, Ei (0) ≥ 0, Ii (0) ≥ 0, R(0) ≥ 0,

∀i ∈ {1, 2, . . . , n}.This model contains 2n+2 variables (n ∈ N

∗) that are:the susceptible individuals S, removed individuals R,n categories of latent individuals E1, E2 . . . , En andn categories of infectious individuals I1, I2, . . . , In .

The parameter1

δrepresents the average life expectancy

of the population,1

μirepresents the average infection

period of strain i ,1

γirepresents the average latency

period of strain i . Finally, fi (S, Ii ) represents the gen-eral incidence rate for the strain i and verifies the fol-lows conditions:

fi (0, Ii ) = 0, ∀Ii ≥ 0, i = 1, 2, . . . , n∂ fi (S, Ii )

∂S> 0, ∀S > 0, ∀Ii ≥ 0, i = 1, 2, . . . , n

∂ fi (S, Ii )

∂ Ii≤ 0, ∀S ≥ 0, ∀Ii ≥ 0, i = 1, 2, . . . , n.

Main steps of the global analysis

The model is well defined, all solutions with non-negative initial conditions exist, remain non-negativeand bounded. Let N (t) be the total population, we have

N (t) = S(t) +i=n∑

i=1

Ei (t) +i=n∑

i=1

Ii (t) + R(t). (A.2)

By adding all equations of the problem (P), we willhave

dN (t)

dt= Λ − δN (t), (A.3)

then,

N (t) = Λ

δ+ (N (0) − Λ

δ)e−δt , (A.4)

and consequently,

limt→+∞ N (t) = Λ

δ. (A.5)

This means that the biological feasible region is givenby

H = {(S, E1, E2, . . . , En , I1, I2, . . . , In , R) ∈ R2n+2+ such that

S +i=n∑

i=1

Ei +i=n∑

i=1

Ii + R ≤ Λ

δ} (A.6)

is positively invariant.

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508 O. Khyar, K. Allali

The basic reproduction number is given by

R0 = maxi∈{1,2,...,n}

{fi (

Λδ, 0)γi

(γi + δ)(μi + δ)

}

. (A.7)

and the strain i reproduction number is given by

Ri0 = fi (

Λδ, 0)γi

(γi + δ)(μi + δ), i = 1, 2, . . . , n. (A.8)

By simple reasoning, we can easily prove that thisproblem has 2n steady states.

It is clear that the disease-free equilibrium pointE f (

Λδ, 0, . . . , 0) is globally asymptotically stable if

R0 ≤ 1.In order to study the global stability for each equi-

librium point Esi (∀ i ∈ {1, 2, . . . , n}), it appears thatthe Lyapunov functional can take the following form

Li (S, E1, E2, . . . , En, I1, I2, . . . , In)

= S − S∗si −

∫ S

S∗si

f (S∗si , I

∗i,si

)

f (X, I ∗i,si

)dX

+i=n∑

i=1

E∗i,si

(Ei

E∗i,si

− ln

(Ei

E∗i,si

)

− 1

)

+i=n∑

i=1

γi + δ

γiI ∗i,si

(IiI ∗i,si

− ln

(IiI ∗i,si

)

− 1

)

.

(A.9)

The functions fi are assumed to verify the followingcondition:

(1 − Γ )

(1

Γ− Ii

I∗i,si

)

≤ 0, ∀ S, Ii > 0 i = 1, 2, . . . , n,

with Γ =i=n∏

i=1

fi (S, I ∗i,si

)

fi (S∗si , I

∗i,si

)

f j (S∗si , I

∗j,s j

)

f j (S, I ∗j,s j

)such that I ∗

i,si

= 0, I ∗j,s j

= 0, i ∈ {1, 2, . . . , n}, j ∈ {1, 2, . . . , n}andi = j .

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