<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJMSi</journal-id><journal-title-group><journal-title>Open Journal of Modelling and Simulation</journal-title></journal-title-group><issn pub-type="epub">2327-4018</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojmsi.2016.43010</article-id><article-id pub-id-type="publisher-id">OJMSi-68347</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  A Model for the Risk of Microcephaly Induced by the Zika Virus (ZIKV)
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dalia</surname><given-names>M. Muñoz Pizza</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Anibal</surname><given-names>Muñoz Loaiza</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>John</surname><given-names>F. Arredondo Montoya</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Oscar</surname><given-names>A. Manrique</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Vanessa</surname><given-names>Abello Sossa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Carlos</surname><given-names>A. Abello Muñoz</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Steven</surname><given-names>Raigosa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hans</surname><given-names>Meyer Contreras</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Irma</surname><given-names>Pérez Contreras</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Maria</surname><given-names>E. Cardenas Perea</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Miguel</surname><given-names>A. Enríquez</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Grupo de Modelación Matemática en Epidemiología (GMME), Facultad de Educación, Universidad del Quindío, Quindío, Colombia</addr-line></aff><aff id="aff2"><addr-line>Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, México</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>marcolombia86@hotmail.com(DMMP)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>20</day><month>06</month><year>2016</year></pub-date><volume>04</volume><issue>03</issue><fpage>109</fpage><lpage>117</lpage><history><date date-type="received"><day>11</day>	<month>May</month>	<year>2016</year></date><date date-type="rev-recd"><day>accepted</day>	<month>11</month>	<year>July</year>	</date><date date-type="accepted"><day>14</day>	<month>July</month>	<year>2016</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  It has been introduced and analyzed a mathematical model based on integral equations, which turns into a dynamical system of non-linear differential equations to account for the risk of microcephaly incidence caused by the Zika virus. A specific pregnant women susceptible group has been accounted for. The epidemic threshold (basic reproduction number) has been obtained by implementing the next generation matrix method. A sensitivity analysis with respect to each parameter has been applied to that threshold. Finally, the incidence to the exposure is obtained by performing several system simulations.
 
</p></abstract><kwd-group><kwd>Model</kwd><kwd> Microcephaly</kwd><kwd> Zika Virus</kwd><kwd> Basic Reproduction Number</kwd><kwd> Sensitivity Analysis</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Zika virus (ZIKV) is an arbovirosis that belongs to the flavivirus family and is transmitted by Aedes aegypti mosquitoes [<xref ref-type="bibr" rid="scirp.68347-ref1">1</xref>] . The first insight of the ZIKV dates back to 1947 in a monkey at the Zika forest in Uganda [<xref ref-type="bibr" rid="scirp.68347-ref2">2</xref>] . The first cases in humans were reported in 1952 in Eastern Africa. Between the years 1977 and 1978, it was reported an outbreak in Malaysia and Indonesia, that it was attributed to a strong rainy season. Several cases were detected again until the year 2007 in the Yap Island at the Micronesia [<xref ref-type="bibr" rid="scirp.68347-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref4">4</xref>] . The WHO and other health care institutions of the affected countries consider the ZIKV as a public health problem. Besides the breeding places increase due to the climatic change, there exists evidence of perinatal transmission in the French Polynesia. Two cases were reported in December (2013) and February (2014). In the first case, the pregnant woman has presented ZIKV symptoms two days before the delivery, in the second one, the mother and the newborn have showed ZIKV symptoms three and four days after the delivery, respectively [<xref ref-type="bibr" rid="scirp.68347-ref5">5</xref>] . Moreover, evidence of sexual transmission has been reported. There were a couple of cases: the first one in Southeastern Senegal in 2008 and the second one during a ZIKV outbreak in Tahiti (2013) [<xref ref-type="bibr" rid="scirp.68347-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref7">7</xref>] .</p><p>As the fourth mechanism of transmission, it has been studied the possibility of transmission through blood transfusions [<xref ref-type="bibr" rid="scirp.68347-ref8">8</xref>] . All these facts together lead to the increase of the susceptible people to this disease.</p><p>It is very interesting to analyze the possible perinatal transmission since there is not enough information about the potential consequences that ZIKV may cause in the central nervous system of the fetus or the newborn. Specially, taking into account the complications that other arboviruses may cause by the same way. As example, the Chikungunya produces encephalopathy and hemorrhagic fever, or the Dengue may cause a premature delivery or fetal anomalies [<xref ref-type="bibr" rid="scirp.68347-ref5">5</xref>] .</p><p>On the other hand, the WHO and the Brazilian ministry of health have alerted about a possible connection between ZIKV and the congenital microcephaly [<xref ref-type="bibr" rid="scirp.68347-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref9">9</xref>] . The WHO has reported that till November 21, 2015 there were detected 739 cases of microcephaly in 9 states of Brazil [<xref ref-type="bibr" rid="scirp.68347-ref9">9</xref>] . Although it is necessary to have more evidence about this issue, this one has turned out in a severe problem for pregnant women since there is no vaccination against this disease.</p><p>Taking into account the importance of these previous reports about of the relation between ZIKV and microcephaly in newborns, it is proposed a mathematical model based on non-linear differential equations to describe the dynamics of the ZIKV transmission, with emphasis in a group of susceptible pregnant women.</p></sec><sec id="s2"><title>2. The Model</title><p>It has been introduced a theoretical model based in non-linear ordinary differential equations to describe the dynamics of the population incidence of the infected pregnant women that may present fetal microcephaly induced by the ZIKV virus. The variables of the model are as follows: <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x6.png" xlink:type="simple"/></inline-formula>average number of susceptible people, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x7.png" xlink:type="simple"/></inline-formula>average number of ZIKV infected pregnant women that may induce fetal microcephaly, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x8.png" xlink:type="simple"/></inline-formula>average number of persons infected by ZIKV, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x9.png" xlink:type="simple"/></inline-formula>average number of non-carrier mosquitoes, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x10.png" xlink:type="simple"/></inline-formula>average number of virus-carrier mosquitoes,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x11.png" xlink:type="simple"/></inline-formula> total people population and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x12.png" xlink:type="simple"/></inline-formula> total population of mosquitoes at time t, respectively. On the other hand, the parameters used for the simulations are: δ: constant flux of susceptible people, μ: the people natural death rate, β: the virus transmission probability from the virus-carrier mosquitoes to the susceptible people, σ: the virus transmission probability from the infected pregnant women to the non-carrier mosquitoes, γ: virus transmission probability from infected people to the non-carrier mosquitoes,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x13.png" xlink:type="simple"/></inline-formula>: the adult mosquitoes death rate, θ: the recovery rate of the infected pregnant women, α: the infected people recovery rate, f: the fraction of infected people,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x14.png" xlink:type="simple"/></inline-formula>: is the fraction of pregnant women infected by ZIKV.</p><p>The differential equations system of the infectious process is (<xref ref-type="fig" rid="fig1">Figure 1</xref>):</p><disp-formula id="scirp.68347-formula205"><label>(1)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x15.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula206"><label>(2)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x16.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula207"><label>(3)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x17.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula208"><label>(4)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x18.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula209"><label>(5)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x19.png"  xlink:type="simple"/></disp-formula><p>where, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x20.png" xlink:type="simple"/></inline-formula>and initial conditions<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x20.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x21.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x20.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x21.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x22.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x20.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x21.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x22.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x23.png" xlink:type="simple"/></inline-formula>,</p><fig id="fig1"  position="float"><label><xref ref-type="fig" rid="fig1">Figure 1</xref></label><caption><title> Flux diagram of the dynamics</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x24.png"/></fig><p><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x25.png" xlink:type="simple"/></inline-formula>,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x25.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x26.png" xlink:type="simple"/></inline-formula>. By integrating Equations (1)-(5), the system trajectories were obtained:</p><disp-formula id="scirp.68347-formula210"><label>(6)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x27.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula211"><label>(7)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x28.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula212"><label>(8)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x29.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula213"><label>(9)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x30.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula214"><label>(10)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x31.png"  xlink:type="simple"/></disp-formula><p>These trajectories correspond to the solutions of each population, as shown in the simulations.</p></sec><sec id="s3"><title>3. Stability Analysis</title><p>Accounting for an average temperature of around 23˚C, at Armenia (Quind&#237;o), we have estimated the transmission probabilities<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x32.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x32.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x33.png" xlink:type="simple"/></inline-formula>and<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x32.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x33.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x34.png" xlink:type="simple"/></inline-formula>,using the functions reported in [<xref ref-type="bibr" rid="scirp.68347-ref10">10</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref11">11</xref>] .</p><disp-formula id="scirp.68347-formula215"><label>(11)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x35.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula216"><label>(12)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x36.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula217"><label>(13)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x37.png"  xlink:type="simple"/></disp-formula><p>where,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x38.png" xlink:type="simple"/></inline-formula>. The parameters <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x38.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x39.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x38.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x39.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x40.png" xlink:type="simple"/></inline-formula> were estimated considering the Poisson’s process</p><p>theory in epidemiology<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x41.png" xlink:type="simple"/></inline-formula>, accounting for a life expectancy in Colombia of 75 years, and an average</p><p>transmissibility period of 7 days<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x42.png" xlink:type="simple"/></inline-formula>. The parameters values <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x42.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x43.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x42.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x43.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x44.png" xlink:type="simple"/></inline-formula> were assigned according to other ones previously reported, as shown in the <xref ref-type="table" rid="table1">Table 1</xref>.</p><p>The local stability analysis of the model was made by using the data of <xref ref-type="table" rid="table1">Table 1</xref>. We begin with the calculation of the free of infection and prevalence equilibrium points.</p><p>These ones were obtained by solving the following non-linear algebraic system.</p><disp-formula id="scirp.68347-formula218"><label>(14)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x45.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula219"><label>(15)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x46.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula220"><label>(16)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x47.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula221"><label>(17)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x48.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula222"><label>(18)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x49.png"  xlink:type="simple"/></disp-formula><p>By applying the MAPLE software, the following equilibrium points were obtained, as seen in <xref ref-type="table" rid="table2">Table 2</xref>.</p><p>To achieve the linearization of the non-linear system 1-5, we have calculated the Jacobianin the generic</p><p>equilibrium point<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x50.png" xlink:type="simple"/></inline-formula>,</p><disp-formula id="scirp.68347-formula223"><label>(19)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x51.png"  xlink:type="simple"/></disp-formula><p>here,</p><disp-formula id="scirp.68347-formula224"><graphic  xlink:href="http://html.scirp.org/file/3-2860081x52.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.68347-formula225"><graphic  xlink:href="http://html.scirp.org/file/3-2860081x53.png"  xlink:type="simple"/></disp-formula><p>With the data of <xref ref-type="table" rid="table1">Table 1</xref> and the equilibrium points, the analysis of local stability is realized.</p><p>By applying the Jacobian, we obtain the following results.</p><p>In <xref ref-type="table" rid="table2">Table 2</xref>, the local stability analysis of the dynamics system (1 - 5) corresponding to the infected women fraction is summarized. For each equilibrium point are indicated the eigenvalues which describe the stability according to the epidemic threshold (R<sub>0</sub>).</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Parameters values</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Parameter</th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x54.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x55.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x56.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x57.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x58.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x59.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x60.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x61.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x62.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x63.png" xlink:type="simple"/></inline-formula></th></tr></thead><tr><td align="center" valign="middle" >Value</td><td align="center" valign="middle" >0.773</td><td align="center" valign="middle" >0.7913</td><td align="center" valign="middle" >0.6</td><td align="center" valign="middle" >0.0352</td><td align="center" valign="middle" >0.14</td><td align="center" valign="middle" >0.0003</td><td align="center" valign="middle" >0.05</td><td align="center" valign="middle" >30</td><td align="center" valign="middle" >20</td><td align="center" valign="middle" >0.3, 0.6, 0.85, 1</td></tr></tbody></table></table-wrap><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Local stability analysis of the system for each f</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >f</th><th align="center" valign="middle" >Equilibrium point</th><th align="center" valign="middle" >Eigenvalues</th><th align="center" valign="middle" >Stability</th><th align="center" valign="middle" >Threshold R<sub>0 </sub></th></tr></thead><tr><td align="center" valign="middle" >0.3</td><td align="center" valign="middle" >(66667, 0, 0, 857, 0)</td><td align="center" valign="middle" >0.67, −0.0002, −0.070, −0.107, −0.761</td><td align="center" valign="middle" >Unstable</td><td align="center" valign="middle" >14.9869</td></tr><tr><td align="center" valign="middle" >0.3</td><td align="center" valign="middle" >(27, 278, 43, 49, 808)</td><td align="center" valign="middle" >−0.035, −0.050, −0.140, −0.595, −0.761</td><td align="center" valign="middle" >Stable</td><td align="center" valign="middle" >14.9869</td></tr><tr><td align="center" valign="middle" >0.6</td><td align="center" valign="middle" >(66667, 0,0, 857, 0)</td><td align="center" valign="middle" >0.693, −0.0003, −0.070, −0.080, −0.803</td><td align="center" valign="middle" >Unstable</td><td align="center" valign="middle" >13.4672</td></tr><tr><td align="center" valign="middle" >0.6</td><td align="center" valign="middle" >(27, 159, 86, 48, 810)</td><td align="center" valign="middle" >−0.035, −0.050, −0.140, −0.608, −0.769</td><td align="center" valign="middle" >Stable</td><td align="center" valign="middle" >13.4672</td></tr><tr><td align="center" valign="middle" >0.85</td><td align="center" valign="middle" >(66667, 0,0, 857, 0)</td><td align="center" valign="middle" >0.7065, −0.0002, −0.061, −0.070, −0.836</td><td align="center" valign="middle" >Unstable</td><td align="center" valign="middle" >12.0555</td></tr><tr><td align="center" valign="middle" >0.85</td><td align="center" valign="middle" >(27, 60, 121, 46, 812)</td><td align="center" valign="middle" >0.0349, −0.005, −0.140, −0.625, −0.781</td><td align="center" valign="middle" >Stable</td><td align="center" valign="middle" >12.0555</td></tr><tr><td align="center" valign="middle" >1</td><td align="center" valign="middle" >(66667, 0, 851, 0)</td><td align="center" valign="middle" >0.714, −0.0002, −0.0703, −0.8540</td><td align="center" valign="middle" >Unstable</td><td align="center" valign="middle" >11.1227</td></tr><tr><td align="center" valign="middle" >1</td><td align="center" valign="middle" >(27, 143, 44, 808)</td><td align="center" valign="middle" >−0.0348, −0.1404, −0.6424, −0.7952</td><td align="center" valign="middle" >Stable</td><td align="center" valign="middle" >11.1227</td></tr></tbody></table></table-wrap></sec><sec id="s4"><title>4. Basic Reproduction Number R<sub>0</sub></title><p>The epidemic threshold R<sub>0 </sub>indicates the average number of cases generated by an infected person during the average time of infection in a susceptible population [<xref ref-type="bibr" rid="scirp.68347-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref13">13</xref>] . This one is calculated applying the next generation matrix [<xref ref-type="bibr" rid="scirp.68347-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.68347-ref14">14</xref>] . To achieve this goal we come back to the dynamic system (1-5) in the following form:</p><disp-formula id="scirp.68347-formula226"><label>(20)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x64.png"  xlink:type="simple"/></disp-formula><p>From the first three equations of the infectious process, the matrixes were achieved,</p><disp-formula id="scirp.68347-formula227"><label>(21)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x65.png"  xlink:type="simple"/></disp-formula><p>And the next generation matrix,</p><disp-formula id="scirp.68347-formula228"><label>(22)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x66.png"  xlink:type="simple"/></disp-formula><p>That it has a characteristic equation with the form,</p><disp-formula id="scirp.68347-formula229"><label>(23)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x67.png"  xlink:type="simple"/></disp-formula><p>And eigenvalues</p><disp-formula id="scirp.68347-formula230"><label>(24)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x68.png"  xlink:type="simple"/></disp-formula><p>So then, the spectral radio (dominant eigenvalue) is</p><disp-formula id="scirp.68347-formula231"><label>(25)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x69.png"  xlink:type="simple"/></disp-formula><p>The local sensitivity is a relative measure of the change in a variable when a parameter changes [<xref ref-type="bibr" rid="scirp.68347-ref15">15</xref>] - [<xref ref-type="bibr" rid="scirp.68347-ref17">17</xref>] . The sensitivity index for R<sub>0</sub> is calculated as:</p><disp-formula id="scirp.68347-formula232"><label>(26)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x70.png"  xlink:type="simple"/></disp-formula><p>where, p is a parameter. From this equation the following indexes are obtained,</p><disp-formula id="scirp.68347-formula233"><label>(27)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/3-2860081x71.png"  xlink:type="simple"/></disp-formula><p><xref ref-type="table" rid="table3">Table 3</xref> shows the sensitivity values respecting to each parameter. It is possible to see that <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x72.png" xlink:type="simple"/></inline-formula> is proportional to the infected people recovery rate<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x72.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x73.png" xlink:type="simple"/></inline-formula>. Likewise, if the adult death rate increases the <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x72.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x73.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x74.png" xlink:type="simple"/></inline-formula> decreases, proving that control strategies applied to increase the mosquitoes’ mortality rate help to decrease the ZIKV incidence, and particularly the risk of microcephaly incidence.</p></sec><sec id="s5"><title>5. Simulations and Discussion</title><p>The simulations of the system (1 - 5) were performed with the data reported in <xref ref-type="table" rid="table1">Table 1</xref> and the MAPLE software. The first graph of <xref ref-type="fig" rid="fig2">Figure 2</xref> shows an almost linear-like behavior of the R<sub>0</sub> respecting to the infected people (f) with<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x75.png" xlink:type="simple"/></inline-formula>. The right part of <xref ref-type="fig" rid="fig2">Figure 2</xref> shows the lines of each sensitivity index respecting to each parameter.</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Sensitivity indexes of the R<sub>0</sub> as function of each parameter</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Parameter</th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x76.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x77.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x78.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x79.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x80.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x81.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x82.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x83.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x84.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x85.png" xlink:type="simple"/></inline-formula></th></tr></thead><tr><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x86.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.5668</td><td align="center" valign="middle" >0.5000</td><td align="center" valign="middle" >0.1382</td><td align="center" valign="middle" >−0.50</td><td align="center" valign="middle" >0.7220</td><td align="center" valign="middle" >0.00002</td><td align="center" valign="middle" >−0.1373</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr></tbody></table></table-wrap><fig-group id="fig2"><label><xref ref-type="fig" rid="fig2">Figure 2</xref></label><caption><title> The R<sub>0</sub> behavior and local sensitivity index <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x89.png" xlink:type="simple"/></inline-formula> with α black line, β orange line, γ blue line, μ red line, f green line, r brown line, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x89.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x90.png" xlink:type="simple"/></inline-formula>the leaf green line.</title></caption><fig id ="fig2_1"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x87.png"/></fig><fig id ="fig2_2"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x88.png"/></fig></fig-group><fig-group id="fig3"><label><xref ref-type="fig" rid="fig3">Figure 3</xref></label><caption><title> Behavior of the infected pregnant women (<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x93.png" xlink:type="simple"/></inline-formula>) and infected people (<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x93.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/3-2860081x94.png" xlink:type="simple"/></inline-formula>) by the Zika virus.</title></caption><fig id ="fig3_1"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x91.png"/></fig><fig id ="fig3_2"><label></label><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x92.png"/></fig></fig-group><p>In <xref ref-type="fig" rid="fig3">Figure 3</xref>, it is observed that if f increase, the pregnant women population achieves a major epidemic peak in the first 10 days. When there is no infection in the pregnant women population the ZIKV virus incidence is around 1700 cases each 10 days. Over 80 days the populations tend to stabilize.</p><p>Regarding to the remaining part of the infected population there is a similar behavior with small variations in the epidemic peaks. This population tends to stabilize in values underneath 200 persons in around 40 days.</p><p>Finally, <xref ref-type="fig" rid="fig4">Figure 4</xref> shows the trajectories of the infectious process for a small fraction of pregnant women infected by ZIKV. Under the hypothesis of microcephaly induced by ZIKV virus, the proposed model shows the risk of fetal exposition to acquire microcephaly.</p><fig id="fig4"  position="float"><label><xref ref-type="fig" rid="fig4">Figure 4</xref></label><caption><title> Behavior of populations with f = 0.85</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/3-2860081x95.png"/></fig></sec><sec id="s6"><title>6. Conclusion</title><p>From the analysis of the proposed model, it is observed the effect of the ZIKV acquirement by changing the pregnant women fraction, with the subsequent fetal exposition risk. So, in perspective it is important to model the dynamics including measures to prevent pregnancy as well as control strategies against the vector.</p></sec><sec id="s7"><title>Acknowledgements</title><p>AML thanks to Grupo de Modelaci&#243;n Matem&#225;tica en Epidemiolog&#237;a (GMME), Facultad de Educaci&#243;n, Univ- ersidad del Quind&#237;o-Colombia and to the Facultad de Medicina, Benem&#233;rita Universidad Aut&#243;noma de Puebla- M&#233;xico.</p></sec><sec id="s8"><title>Cite this paper</title><p>Dalia M. Mu&#241;oz Pizza,Anibal Mu&#241;oz Loaiza,John F. Arredondo Montoya,Oscar A. Manrique,Vanessa Abello Sossa,Carlos A. Abello Mu&#241;oz,Steven Raigosa,Hans Meyer Contreras,Irma P&#233;rez Contreras,Maria E. Cardenas Perea,Miguel A. Enr&#237;quez, (2016) A Model for the Risk of Microcephaly Induced by the Zika Virus (ZIKV). 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