The impact of hospital resources and environmental perturbations to the dynamics of SIRS model

Incorporating the environmental perturbations and available resources of the public health system, we construct both deterministic and stochastic models of SIRS type. The deterministic model exhibits very rich dynamics, such as Hopf bifurcation and backward bifurcation which leads to the co-existence of the stable disease-free state and a stable endemic equilibrium. For the stochastic model, we show that under mild extra conditions, if the basic reproduction number is less than one, then the disease will be eradicated almost surely, and if the basic reproduction number is greater than one, the stochastic model will admit a unique ergodic stationary distribution, which implies that the disease persists almost surely. Part of our numerical simulations indicate that: (i) The introduction of environmental perturbations may drift the endemic equilibrium to the disease-free equilibrium, or vice versa; (ii) Increasing available resources is necessary in order to mitigate the infections.