Ross-Macdonald models: Which one should we use?

Ross-Macdonald models are the building blocks of most vector-borne disease models. Even for the same disease, different authors use different model formulations, but a study of the dynamical consequences of assuming different hypotheses is missing. In this work we present different formulations of the basic Ross-Macdonald model together with a careful discussion of the assumptions behind each model. The most general model presented is an agent based model for which arbitrary distributions for latency and infectious periods for both, host and vectors, is considered. At population level we also developed a deterministic Volterra integral equations model for which also arbitrary distributions in the waiting times are included. We compare the model solutions using different distributions for the infectious and latency periods using statistics, like the epidemic peak, or epidemic final size, to characterize the epidemic curves. The basic reproduction number (R) for each formulation is computed and compared with empirical estimations obtained with the agent based models. The importance of considering realistic distributions for the latent and infectious periods is highlighted and discussed. We also show that seasonality is a key driver of vector-borne disease dynamics shaping the epidemic curve and its duration.