Abstract
In this paper, we investigate the nature of rational expectations equilibria for economic epidemiological models, with a particular focus on the behavioral origins and dynamics of epidemiological bifurcations. Unlike mathematical epidemiological models, economic epidemiological models can produce regions of indeterminacy or instability around the endemic steady states due to endogenous human responses to epidemiological circumstance variation, medical technology change, or health policy reform. We consider SI, SIS, SIR and SIRS versions of economic compartmental models and show how well-intentioned public policy may contribute to disease instability, uncertainty, and welfare losses.
Funding source: National Institute of General Medical Sciences (NIGMS) at the National Institutes of Health
Award Identifier / Grant number: 1R01GM100471-01
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: This publication was made possible in part by grant number 1R01GM100471-01 from the National Institute of General Medical Sciences (NIGMS) at the National Institutes of Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIGMS.
Conflict of interest statement: The authors declare no conflicts of interest regarding this article.
Appendix A. Derivation of the economic SIRS Euler equation with observable immunity
Here we derive the Euler equation for the economic SIRS model with observable immunity. To begin, note that Equations (9) and (10) imply
while Equations (8) and (9) imply
Using Equation (11), we have
for all t. Next, rearrange (A.2) as
Take Et−1 on both sides of (A.4) and substitute (A.3) to get
Now rewrite Equation (A.1) as
Move (A.6) ahead one period, take Et−1 of both sides, and set equal to (A.5) to get
Impose perfect foresight, move ahead one period, and rearrange to get
where
Appendix B. SIRS economic epidemiological (EE) steady-state and matrix systems
Here, we describe the steady state EE system and the linearized EE matrix system used in the bifurcation and stability analyses. The endemic steady states solve time-invariant versions of (6), (7), and the Euler equation. The Euler equation either takes the form of (12) when an indicator variable set at ϕ = 1 (observable immunity) or the form of (13) when ϕ = 0 (unobservable immunity). The steady-state system can therefore be rewritten as three equations:
in three unknown variables (in, r, x), where the immunity externality is given by
Similar to Goenka, Liu, and Nguyen (2012), we also note the existence of an eradication steady state and focus on the local stability properties around the endemic steady states.
To analyze these transition dynamics, we linearize around the endemic steady states:
where hats (^) over the variables indicate deviation from one of the steady states. The linearized Euler equation is:
where
and
In matrix form, the EE system can be written as
where
Specifically, if we impose perfect foresight, the ϕ = 0 linearized EE matrix system can be written as:
and
When ϕ = 1, we have
and
where
We use the method of Blanchard and Kahn (1980) to analyze the nature of the rational expectation EE equilibrium. When ϕ = 0 the three-variable system contains one jump
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Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/snde-2019-0111).
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