Table 1

Parameters used in the models

ParameterDefinitionDefault valueRange of values used in the model
n/a, not available.
μEntry rate. To maintain a constant population size, the entry and exit rates are assumed to be equal.0.02 per yearn/a
βAk, βBkTransmission rate of strain A or strain B to sex k per contact0.5 per contact0<β<1
σAk, σBkRecovery rate from asymptomatic infection with A or B per year (recovery rate = 1/duration)σ = 2 per year without treatment, increasing to 10 per year, with treatmentWith treatment, recovery depends on efficacy of treatment and the average time taken to seek treatment
σ = 2 per year—that is, average duration of 6 months without treatment, decreasing to 10 per year (1.2 months duration with treatment)
γA, γBProportion of contacts with superinfected individuals, which result in transmission of A or B only. (If γα + γβ = 0, then all contacts result in transmission of superinfection, if γα + γβ = 1, then all contacts with coinfected individuals result in the transmission of a single strainγα = γβ = 0.40 ≤ γ ≥1
Therefore proportion of contacts which result direct transmission of coinfection is: 1−(γα + γβ) = 0.2γα + γβ ≤1
ωα, ωβProportion of those recovering from superinfection who remain infected with strain A or B. The extreme cases are when either all recovery is from mixed infection to the susceptible class (ωα = ωβ = 0); or all recovery is from single infections (ωα + ωβ = 1)ωα = ωβ = 0.20 ≤ ω ≥0.5
ωα + ωβ ≤1
In the examples given in the text, 40% of recovery from coinfection is from a single strain (equally split between the two strains), and 60% is recovery to the susceptible class directly, for example due to treatment
ϕA, ϕBProtective effect of infection with strain A, or strain B on likelihood of transmission of different strains (total protective effect, no coinfection (ϕα = ϕβ = 0) to no protective effect (ϕα = ϕβ = 1)). An enhancing effect of transmission due to prior infection could also be given by ϕα or ϕβ >1ϕA = ϕB = 0.50 ≤ ϕ ≤1 for protective effect, or ϕ >1 for enhancing effect
ρklmMixing matrix, element klm is the probability that individual of sex k in activity class l will form a partnership with a member of activity class m of the opposite sexSee appendixn/a
cklContact rate of individual of sex k, activity class l (see below)See appendixn/a
εPattern of mixing (0 = fully assortative, 1 = random)1 (random)0 ≤ ε ≥ 1