<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "https://jats.nlm.nih.gov/publishing/1.3/JATS-journalpublishing1-3.dtd"><article xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" dtd-version="1.3" article-type="research-article"><front><journal-meta><journal-id journal-id-type="issn">2460-0245</journal-id><journal-title-group><journal-title>Journal of the Indonesian Mathematical Society</journal-title><abbrev-journal-title>JIMS</abbrev-journal-title></journal-title-group><issn pub-type="epub">2460-0245</issn><issn pub-type="ppub">2086-8952</issn><publisher><publisher-name>IndoMS</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.22342/jims.v32i2.2106</article-id><article-categories><subj-group><subject>From Equations to Action: Mathematical Models Driving Epidemics Control Strategies</subject></subj-group></article-categories><title-group><article-title>Mathematical Analysis of 2-Strain Endemic Equilibrium using a SEIR Model with Behavioral Effect</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hasmani</surname><given-names>Abdulvahid H.</given-names></name><address><country country="IN">India</country><email>ah_hasmani@spuvvn.edu</email></address><xref ref-type="aff" rid="AFF-1"></xref></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Viralkumar D.</given-names></name><address><country country="IN">India</country><email>atviralmaths@gmail.com</email></address><xref ref-type="aff" rid="AFF-2"></xref><xref ref-type="corresp" rid="cor-0"></xref></contrib></contrib-group><contrib-group><contrib contrib-type="editor"><name><surname>Aldila</surname><given-names>Dipo</given-names></name><address><email>aldiladipo@sci.ui.ac.id</email></address><xref ref-type="aff" rid="EDITOR-AFF-1"></xref></contrib></contrib-group><aff id="AFF-1"><institution content-type="dept">Department of Mathematics</institution><institution-wrap><institution>Sardar Patel University</institution><institution-id institution-id-type="ror">https://ror.org/05kfstc28</institution-id></institution-wrap><country country="IN">India</country></aff><aff id="AFF-2"><institution content-type="dept">Department of Mathematics</institution><country>Shri Alpesh N. Patel Post Graduate Institute of Science &amp; Research</country></aff><aff id="EDITOR-AFF-1"><institution content-type="dept">Department of Mathematics, Faculty of Mathematics and Natural Sciences</institution><institution-wrap><institution>University of Indonesia</institution><institution-id institution-id-type="ror">https://ror.org/0116zj450</institution-id></institution-wrap><country country="ID">Indonesia</country></aff><author-notes><corresp id="cor-0">Corresponding author: Viralkumar D. Patel. Email: <email>atviralmaths@gmail.com</email></corresp></author-notes><pub-date date-type="pub" iso-8601-date="2026-05-11" publication-format="electronic"><day>11</day><month>05</month><year>2026</year></pub-date><pub-date date-type="collection" iso-8601-date="2026-04-23" publication-format="electronic"><day>23</day><month>04</month><year>2026</year></pub-date><volume>32</volume><issue>2</issue><issue-title>JUNE</issue-title><fpage>1</fpage><lpage>18</lpage><history><date date-type="received" iso-8601-date="2025-06-23"><day>23</day><month>06</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-02-15"><day>15</day><month>02</month><year>2026</year></date></history><permissions><copyright-statement>Copyright (c) 2026 Journal of the Indonesian Mathematical Society</copyright-statement><copyright-year>2026</copyright-year><copyright-holder>Journal of the Indonesian Mathematical Society</copyright-holder><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref><license-p>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</license-p></license></permissions><self-uri xlink:href="https://jims-a.org/index.php/jimsa/article/view/2106" xlink:title="2106"></self-uri><abstract><p>Multi-strain epidemic dynamics have been analyzed using two-strain SEIR models. We have taken into consideration a two-strain SEIR model that incorporates behavioural alterations for strain 2 among the susceptibles, with nonmonotone incidence for strain 2 and bilinear incidence for strain 1. We have focused on the co-dynamics of both strains and analytically derived a suficient condition, <inline-formula><tex-math id="math-1"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1 + \mathcal { R } _ { k } ^ { * } < \mathcal { R } _ { 0 1 } < \mathcal { R } _ { 0 2 } \end{document} ]]></tex-math></inline-formula>, for the existence of the two-strain endemic equilibrium, where <inline-formula><tex-math id="math-2"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle R_01 \end{document} ]]></tex-math></inline-formula> and <inline-formula><tex-math id="math-3"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle R_02 \end{document} ]]></tex-math></inline-formula> are basic reproduction numbers of respective strains and, <inline-formula><tex-math id="math-4"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { k } ^ { * } > 0 \end{document} ]]></tex-math></inline-formula> is a value derived from endemic state of the model. Under this suficient condition, we establish the lobal stabilit of the two-strain endemic equilibrium usin the Lyapunov function method in terms of reproduction numbers and behavioural parameter <inline-formula><tex-math id="math-5"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula>. Additionally, the condition, <inline-formula><tex-math id="math-6"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } = \mathcal { R } _ { 0 1 } > 1 \end{document} ]]></tex-math></inline-formula>, result in instability of the two-strain endemic equilibrium. Lastly, to support these analytical results regarding the existence and stability of the two-strain endemic equilibrium, we have presented numerical simulations. Interestingly, the study reveals that the principle of competitive exclusion relaxing in this model, as behavioural heterogeneity among susceptibles efectively partitions the population. This partitioning reduces interstrain competition and enables strain coexistence even when <inline-formula><tex-math id="math-7"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } > \mathcal { R } _ { 0 1 } > 1 \end{document} ]]></tex-math></inline-formula>.</p></abstract><kwd-group><kwd>multi-strain epidemic dynamics</kwd><kwd>behavioural heterogeneity</kwd><kwd>Lyapunov stability</kwd><kwd>strain coexistence</kwd><kwd>principle of competitive exclusion</kwd></kwd-group><funding-group><funding-statement>This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.</funding-statement></funding-group><custom-meta-group><custom-meta><meta-name>File created by JATS Editor</meta-name><meta-value>https://jatseditor.com</meta-value></custom-meta><custom-meta><meta-name>issue-created-year</meta-name><meta-value>2026</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="sec-1"><title>1. INTRODUCTION</title><p>Mathematical modelling of infectious diseases has evolved over more than two centuries, beginning with early formal attempts by Daniel Bernoulli, who analysed smallpox dynamics in 1766 [<xref ref-type="bibr" rid="BIBR-1">1</xref>, <xref ref-type="bibr" rid="BIBR-2">2</xref>], and followed by William Farr’s statistical studies of cholera outbreaks in 1852 [<xref ref-type="bibr" rid="BIBR-3">3</xref>, <xref ref-type="bibr" rid="BIBR-2">2</xref>]. Later, Ronald Ross developed a threshold-based compartmental framework for malaria transmission between 1908 and 1911 [<xref ref-type="bibr" rid="BIBR-4">4</xref>, <xref ref-type="bibr" rid="BIBR-5">5</xref>], providing a conceptual foundation for modern infectious-disease modelling. This foundation was significantly strengthened in 1927 by Kermack and McKendrick, who introduced the classical SIR model and the epidemic threshold theorem [<xref ref-type="bibr" rid="BIBR-6">6</xref>, <xref ref-type="bibr" rid="BIBR-7">7</xref>, <xref ref-type="bibr" rid="BIBR-8">8</xref>]. Subsequent extensions, including SEIR-type formulations incorporating latent periods [<xref ref-type="bibr" rid="BIBR-9">9</xref>, <xref ref-type="bibr" rid="BIBR-10">10</xref>], and the formalization of the modern use of the basic reproduction number <inline-formula><tex-math id="math-8"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle (R_0) \end{document} ]]></tex-math></inline-formula> by Dietz, Anderson, and May <xref ref-type="bibr" rid="BIBR-11">[11]</xref>, shaped contemporary epidemiological theory.</p><p>Despite major advances in the 21st century, infectious diseases continue to impose substantial global burdens. The recent COVID-19 pandemic illustrated the dificulty of managing multi-strain diseases driven by emergent variants <xref ref-type="bibr" rid="BIBR-12">[12]</xref>. Similar mutational mechanisms are observed in diseases such as tuberculosis, dengue, and HIV [<xref ref-type="bibr" rid="BIBR-13">13</xref>, <xref ref-type="bibr" rid="BIBR-14">14</xref>, <xref ref-type="bibr" rid="BIBR-15">15</xref>]. Modelling these systems requires accounting for multi-strain structure and incidence mechanisms that incorporate infectiousness, behavioural responses, public awareness, and healthcare availability.</p><p>Diferent strains often vary in both their transmissibility and their perceived severity, leading to behavioural heterogeneity among susceptible individuals. As a result, distinct incidence functions may more realistically capture strain-specific transmission. The literature documents several incidence functions, including bilinear <xref ref-type="bibr" rid="BIBR-16">[16]</xref>, saturated [<xref ref-type="bibr" rid="BIBR-17">17</xref>, <xref ref-type="bibr" rid="BIBR-18">18</xref>], Beddington–DeAngelis [<xref ref-type="bibr" rid="BIBR-19">19</xref>, <xref ref-type="bibr" rid="BIBR-20">20</xref>], Crowley–Martin [<xref ref-type="bibr" rid="BIBR-21">21</xref>, <xref ref-type="bibr" rid="BIBR-22">22</xref>], and non-monotone structures [<xref ref-type="bibr" rid="BIBR-23">23</xref>, <xref ref-type="bibr" rid="BIBR-24">24</xref>, <xref ref-type="bibr" rid="BIBR-25">25</xref>, <xref ref-type="bibr" rid="BIBR-26">26</xref>].</p><p>Researchers have therefore developed multi-strain SEIR models. Some studies [<xref ref-type="bibr" rid="BIBR-27">27</xref>, <xref ref-type="bibr" rid="BIBR-28">28</xref>, <xref ref-type="bibr" rid="BIBR-29">29</xref>] assume bilinear incidence rate for all strains, while others [<xref ref-type="bibr" rid="BIBR-30">30</xref>, <xref ref-type="bibr" rid="BIBR-31">31</xref>] incorporate non-monotone incidence functions. A recent study <xref ref-type="bibr" rid="BIBR-32">[32]</xref> considers general incidence forms for all strains and derives necessary conditions for equilibria and global stability under certain structural assumptions. However, the epidemiological interpretation of these assumptions is not clearly articulated, and suficient conditions for the existence of equilibria are not explicitly established. Moreover, all of these studies efectively impose homogeneous behavioural responses across strains, which limits their ability to capture realistic behaviour-driven diferences in transmission. Despite these advances, there remains no general framework that provides behaviourally interpretable, mathematically rigorous conditions for the existence and stability of two-strain endemic equilibria under heterogeneous incidence structures.</p><p>Behavioural heterogeneity plays an important role in multi-strain outbreaks. Populations often react more cautiously to newly emerged or mutated strains because of uncertainty and perceived risk, whereas older, better-understood strains tend to elicit weaker precautionary responses. This motivates modelling the original strain using bilinear incidence and the mutated strain using non-monotone incidence. Such a formulation captures realistic, behaviour-driven diferences in contact patterns. A model of this type is analysed in <xref ref-type="bibr" rid="BIBR-33">[33]</xref>. For such multi-strain diseases, understanding strain coexistence requires analysing the co-dynamics before either strain is eradicated. Thus, the study of the two-strain endemic equilibrium is a foundational step.</p><p>The authors in <xref ref-type="bibr" rid="BIBR-33">[33]</xref> show that a two-strain (co-existence) endemic equilibrium exists and is globally stable if <inline-formula><tex-math id="math-9"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 1 } = \mathcal { R } _ { 0 2 } > 1 \end{document} ]]></tex-math></inline-formula>. However, because the strains difer in transmission mechanisms and behavioural responses, and because the condition does not involve any behavioural parameter, this symmetry requirement is rarely satisfied in realistic settings. Motivated by this, we re-examine the co-dynamics of a two-strain SEIR model incorporating behavioural heterogeneity and derive general, epidemiologically interpretable conditions for the existence and stability of a two-strain endemic equilibrium.</p><p>In this article, we study a two-strain SEIR model in which one strain follows bilinear incidence and the other a non-monotone incidence rate reflecting behavioural efect. The key contributions of this manuscript are: (i) the development of mathematically rigorous, necessary and suficient conditions for the existence of the two-strain endemic equilibrium; (ii) the formulation of global stability criteria expressed in terms of the basic reproduction numbers and the behavioural parameter; and (iii) the epidemiological interpretation of these analytical conditions. Finally, all analytical results are supported by numerical simulations to verify consistency between theory and model behaviour.</p></sec><sec id="sec-2"><title>2. Model Description</title><p>We consider a two-strain SEIR model, as illustrated in <xref ref-type="fig" rid="figure-1">Figure 1</xref>, with a bilinear incidence rate for strain 1 and a non-monotone incidence rate for strain 2 to reflect behavioural changes among susceptible individuals. The model consists of six compartments: susceptible <inline-formula><tex-math id="math-10"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle (S) \end{document} ]]></tex-math></inline-formula>, exposed to strain-1 and strain-2 <inline-formula><tex-math id="math-11"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \left( E _ { 1 } , E _ { 2 } \right) \end{document} ]]></tex-math></inline-formula>， infectious with strain-1 and strain-2 <inline-formula><tex-math id="math-12"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle ( I _ { 1 } , I _ { 2 } ) \end{document} ]]></tex-math></inline-formula>, and recovered <inline-formula><tex-math id="math-13"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle (R) \end{document} ]]></tex-math></inline-formula>, described in <xref ref-type="table" rid="table-1">Table 1</xref>; following the structure in <xref ref-type="bibr" rid="BIBR-33">[33]</xref> with a key modification.</p><p>To capture behavioural responses to strain–2, we adopt the non-monotone incidence function <inline-formula><tex-math id="math-14"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}}, \end{document} ]]></tex-math></inline-formula></p><p>with <inline-formula><tex-math id="math-15"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k > 0 \end{document} ]]></tex-math></inline-formula>. Since behavioural responses to infection typically intensify in a nonlinear manner as disease signals become more prominent, the quadratic term represents the minimal nonlinear form capable of reflecting this efect. It provides a stronger-than-linear reduction in transmission while avoiding the unnecessary complexity, instability, or steepness introduced by cubic or higher-order exponents. In <xref ref-type="bibr" rid="BIBR-33">[33]</xref>, the parameter <inline-formula><tex-math id="math-16"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> is considered in the range [0,1], which accounts for mild to moderate behavioural efects. However, empirical studies and simulations (e.g., <xref ref-type="bibr" rid="BIBR-34">[34]</xref> and <xref ref-type="bibr" rid="BIBR-35">[35]</xref>) show that stronger behavioural responses may occur in severe outbreaks. To capture this, we extend the model by allowing <inline-formula><tex-math id="math-17"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k > 0 \end{document} ]]></tex-math></inline-formula>, including values greater than 1. We exclude the case <inline-formula><tex-math id="math-18"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k = 0 \end{document} ]]></tex-math></inline-formula>, which corresponds to a purely monotonic incidence rate, as our focus is on dynamics impacted by behavioural modifications. Transitions between model compartments are represented by various parameters described in <xref ref-type="table" rid="table-1">Table 1</xref>.</p><fig id="figure-1"><label>Figure 1</label><caption><p>Schismatic Diagram</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13908" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 1</alt-text></graphic></fig><p>We have chosen this compartmental model over others as it has separate compartments for each strain, which help to understand the dynamics of each strain separately. Also, it is not complicating the dynamics as in models with more compartments. We are considering cross-immunity between strains for simplicity and better understanding of co-existence dynamics <xref ref-type="bibr" rid="BIBR-36">[36]</xref>. There is no loss of temporary immunity, and so the recovered individuals stay in the recovered compartment <inline-formula><tex-math id="math-19"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle (R) \end{document} ]]></tex-math></inline-formula>.</p><table-wrap id="table-1"><label>Table 1</label><caption><p>Description of Parameter for Model (1)</p></caption><table><colgroup><col></col><col></col></colgroup><thead><tr><th scope="col">Variable</th><th scope="col">Description</th></tr></thead><tbody><tr><td><inline-formula><tex-math id="math-20"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle S(t) \end{document} ]]></tex-math></inline-formula></td><td>Susceptible individuals</td></tr><tr><td><inline-formula><tex-math id="math-21"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle E_1(t) \end{document} ]]></tex-math></inline-formula></td><td>Exposed individuals infected with strain-1</td></tr><tr><td><inline-formula><tex-math id="math-22"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle E_2(t) \end{document} ]]></tex-math></inline-formula></td><td>Exposed individuals infected with strain-2</td></tr><tr><td><inline-formula><tex-math id="math-23"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I_1(t) \end{document} ]]></tex-math></inline-formula></td><td>Infected individuals with strain-1</td></tr><tr><td><inline-formula><tex-math id="math-24"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I_2(t) \end{document} ]]></tex-math></inline-formula></td><td>Infected individuals with strain-2</td></tr><tr><td><inline-formula><tex-math id="math-25"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle R(t) \end{document} ]]></tex-math></inline-formula></td><td>Recovered individual</td></tr><tr><td>Parameters</td><td>Description</td></tr><tr><td><inline-formula><tex-math id="math-26"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \Lambda \end{document} ]]></tex-math></inline-formula></td><td>Recruitment rate</td></tr><tr><td><inline-formula><tex-math id="math-27"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1/\delta \end{document} ]]></tex-math></inline-formula></td><td>Average mortality rate</td></tr><tr><td><inline-formula><tex-math id="math-28"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \alpha_1 \end{document} ]]></tex-math></inline-formula></td><td>Infection rate of strain-1</td></tr><tr><td><inline-formula><tex-math id="math-29"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \alpha_2 \end{document} ]]></tex-math></inline-formula></td><td>Infection rate of strain-2</td></tr><tr><td><inline-formula><tex-math id="math-30"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1/\beta_1 \end{document} ]]></tex-math></inline-formula></td><td>Average incubation period of strain-1</td></tr><tr><td><inline-formula><tex-math id="math-31"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1/\beta_2 \end{document} ]]></tex-math></inline-formula></td><td>Average incubation period of strain-2</td></tr><tr><td><inline-formula><tex-math id="math-32"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \gamma_1 \end{document} ]]></tex-math></inline-formula></td><td>Recovery rate of strain-1</td></tr><tr><td><inline-formula><tex-math id="math-33"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \gamma_2 \end{document} ]]></tex-math></inline-formula></td><td>Recovery rate of strain-2</td></tr><tr><td><inline-formula><tex-math id="math-34"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula></td><td>Parameter of behavioural response</td></tr></tbody></table></table-wrap><sec id="sec-3"><title>2.1. Mathematical Equations of Model.</title><p>Based on the model description given above and <xref ref-type="table" rid="table-1">Table 1</xref> along with the model diagram in <xref ref-type="fig" rid="figure-1">Figure 1</xref>, following equations govern the model:</p><disp-formula id="equation-1"><tex-math id="math-35"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d S}{d t} = \Lambda - \alpha_ {1} S I _ {1} - \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} - \delta S, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-2"><tex-math id="math-36"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d E _ {1}}{d t} = \alpha_ {1} S I _ {1} - (\beta_ {1} + \delta) E _ {1}, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-3"><tex-math id="math-37"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d E _ {2}}{d t} = \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} - (\beta_ {2} + \delta) E _ {2}, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-4"><tex-math id="math-38"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d I _ {1}}{d t} = \beta_ {1} E _ {1} - (\gamma_ {1} + \delta) I _ {1}, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-5"><tex-math id="math-39"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d I _ {2}}{d t} = \beta_ {2} E _ {2} - (\gamma_ {1} + \delta) I _ {2}, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-6"><tex-math id="math-40"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d R}{d t} = \gamma_ {1} I _ {1} + \gamma_ {2} I _ {2} - \delta R.\tag{1} \end{document} ]]></tex-math></disp-formula><p>with <inline-formula><tex-math id="math-41"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle S ( 0 ) \geq 0 , E _ { 1 } ( 0 ) \geq 0 , E _ { 2 } ( 0 ) \geq 0 , I _ { 1 } ( 0 ) \geq 0 , I _ { 2 } ( 0 ) \geq 0 \mathrm { ~ a n d , ~ } R ( 0 ) \geq 0 . \end{document} ]]></tex-math></inline-formula></p></sec><sec id="sec-4"><title>2.2. Positivity of the solutions.</title><p><bold>Theorem 2.1. </bold><italic>Any solution of the system </italic><xref ref-type="disp-formula" rid="equation-6">(1)</xref><italic> with non-negative initial values remains non-negative over the time.</italic></p><p><italic>Proof</italic>. Let <inline-formula><tex-math id="math-42"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle ( S ( t ) , E _ { 1 } ( t ) , E _ { 2 } ( t ) , I _ { 1 } ( t ) , I _ { 2 } ( t ) , R ( t ) ) \end{document} ]]></tex-math></inline-formula> be any solution of <xref ref-type="disp-formula" rid="equation-6">(1)</xref> with with non-negative initial conditions for each compartment and, <inline-formula><tex-math id="math-43"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \tau > 0 \end{document} ]]></tex-math></inline-formula> From the equation of susceptible compartment of <xref ref-type="disp-formula" rid="equation-6">(1)</xref>, we have</p><p><inline-formula><tex-math id="math-44"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d S}{d t} = \Lambda - (\alpha_ {1} I _ {1} + \alpha_ {2} I _ {2} + \delta) S, \end{document} ]]></tex-math></inline-formula></p><p>then</p><p><inline-formula><tex-math id="math-45"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d S}{d t} \geq - (\alpha_ {1} I _ {1} + \alpha_ {2} I _ {2} + \delta) S. \end{document} ]]></tex-math></inline-formula></p><p>That is</p><disp-formula id="equation-7"><tex-math id="math-46"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \int_ {0} ^ {\tau} \frac {1}{S} d s \geq \int_ {0} ^ {\tau} - (\alpha_ {1} I _ {1} + \alpha_ {2} I _ {2} + \delta) d t. \end{document} ]]></tex-math></disp-formula><p>This gives</p><disp-formula id="equation-8"><tex-math id="math-47"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle S (\tau) \geq S (0) \left(1 / \exp \left(\delta \tau + \int_ {0} ^ {\tau} [ \alpha_ {1} I _ {1} (t) + \alpha_ {2} I _ {2} (t) ] d t\right)\right) \geq 0. \end{document} ]]></tex-math></disp-formula><p>Similarly, from the equation of all other compartments,</p><disp-formula id="equation-9"><tex-math id="math-48"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle E _ {1} (\tau) \geq E _ {1} (0) \exp (- (\beta_ {1} + \delta) \tau)) \geq 0, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-10"><tex-math id="math-49"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle E _ {2} (\tau) \geq E _ {2} (0) \exp (- (\beta_ {2} + \delta) \tau)) \geq 0, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-11"><tex-math id="math-50"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ {1} (\tau) \geq E _ {2} (0) \exp (- (\gamma_ {1} + \delta) \tau)) \geq 0, \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-12"><tex-math id="math-51"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{c} I _ {2} (\tau) \geq I _ {2} (0) \exp (- (\gamma_ {2} + \delta) \tau)) \geq 0, \\ R (\tau) \geq R (0) \exp (- \delta \tau)) \geq 0. \end{array} \end{document} ]]></tex-math></disp-formula><p>Hence the proof.</p><p><bold>Theorem 2.2. </bold><italic>Let </italic><inline-formula><tex-math id="math-52"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle N = S + E _ { 1 } + E _ { 2 } + I _ { 1 } + I _ { 2 } \end{document} ]]></tex-math></inline-formula><italic>, then the set</italic></p><disp-formula id="equation-13"><tex-math id="math-53"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {D} = \left\{\left(S, E _ {1}, E _ {2}, I _ {1}, I _ {2}\right) \in \left(\mathbb {R} _ {+} \cup \{0 \}\right) ^ {5}: N (t) \leq \frac {\Lambda}{\delta} \right\} \end{document} ]]></tex-math></disp-formula><p>is invariant.</p><p><italic>Proof</italic>. Let <inline-formula><tex-math id="math-54"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle ( S ( t ) , E _ { 1 } ( t ) , E _ { 2 } ( t ) , I _ { 1 } ( t ) , I _ { 2 } ( t ) ) \end{document} ]]></tex-math></inline-formula> be any solution of <xref ref-type="disp-formula" rid="equation-6">(1)</xref> with</p><disp-formula id="equation-14"><tex-math id="math-55"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle (S (0), E _ {1} (0), E _ {2} (0), I _ {1} (0), I _ {2} (0)) \in \mathcal {D}. \end{document} ]]></tex-math></disp-formula><p>Then, we have</p><p><inline-formula><tex-math id="math-56"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle N (0) = S (0) + E _ {1} (0) + E _ {2} (0) + I _ {1} (0) + I _ {2} (0) \end{document} ]]></tex-math></inline-formula></p><p>and so <inline-formula><tex-math id="math-57"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { N ( 0 ) \le \frac { \Lambda } { \delta } } \end{array}. \end{document} ]]></tex-math></inline-formula></p><p>Next, by adding all the equations of the system <xref ref-type="disp-formula" rid="equation-6">(1)</xref>, we have</p><disp-formula id="equation-15"><tex-math id="math-58"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {d N}{d t} \leq \Lambda - \delta N. \end{document} ]]></tex-math></disp-formula><p>Consequently,</p><disp-formula id="equation-16"><tex-math id="math-59"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle N (t) \leq \frac {\Lambda}{\delta} + \left(N (0) - \frac {\Lambda}{\delta}\right) e ^ {- \delta t} = N (0) e ^ {- \delta t} + \frac {\Lambda}{\delta} \left((1 - e ^ {- \delta t}) \right. \end{document} ]]></tex-math></disp-formula><p>As <inline-formula><tex-math id="math-60"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { N ( 0 ) \le \frac { \Lambda } { \delta } } \end{array} \end{document} ]]></tex-math></inline-formula>, we get</p><disp-formula id="equation-17"><tex-math id="math-61"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle N (t) \leq \frac {\Lambda}{\delta}, \text { for all } t \geq 0. \end{document} ]]></tex-math></disp-formula><p>This indicates that any solution of <xref ref-type="disp-formula" rid="equation-6">(1)</xref> with initial values in <inline-formula><tex-math id="math-62"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {D} \end{document} ]]></tex-math></inline-formula> remains in it. That is, <inline-formula><tex-math id="math-63"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {D} \end{document} ]]></tex-math></inline-formula> is invariant. </p></sec><sec id="sec-5"><title>2.3. Disease-Free Equilibrium.</title><p>Since <inline-formula><tex-math id="math-64"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle R \end{document} ]]></tex-math></inline-formula> does not appear in any of the other equations in <xref ref-type="disp-formula" rid="equation-6">(1)</xref>, and we are interested in studying the dynamics of the infectious population, <xref ref-type="disp-formula" rid="equation-6">(1)</xref> can be minimized to the system as follows:</p><disp-formula id="equation-18"><tex-math id="math-65"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{aligned}\frac{dS}{dt} &= \Lambda-\alpha_1SI_1-\frac{\alpha_2SI_2}{1+kI_2^2}-\delta S,\\\frac{dE_1}{dt} &= \alpha_1SI_1-a_1E_1,\\\frac{dE_2}{dt} &= \frac{\alpha_2SI_2}{1+kI_2^2}-a_2E_2,\\\frac{dI_1}{dt} &= \beta_1E_1-b_1I_1,\\\frac{dI_2}{dt} &= \beta_2E_2-b_2I_2.\end{aligned}\tag{2} \end{document} ]]></tex-math></disp-formula><p>with <inline-formula><tex-math id="math-66"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle S ( 0 ) \geq 0 , E _ { 1 } ( 0 ) \geq 0 , E _ { 2 } ( 0 ) \geq 0 , I _ { 1 } ( 0 ) \geq 0 \mathrm { ~ a n d , ~ } I _ { 2 } ( 0 ) \geq 0 \end{document} ]]></tex-math></inline-formula>, where</p><disp-formula id="equation-19"><tex-math id="math-67"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle a _ {1} = \beta_ {1} + \delta , \quad a _ {2} = \beta_ {2} + \delta , \quad b _ {1} = \gamma_ {1} + \delta , \quad b _ {2} = \gamma_ {2} + \delta . \end{document} ]]></tex-math></disp-formula><p>The disease-free equilibrium is a steady state solution of model <xref ref-type="disp-formula" rid="equation-18">(2)</xref> with no infectious individuals in population. Let <inline-formula><tex-math id="math-68"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle { \mathcal { E } } _ { 0 } \end{document} ]]></tex-math></inline-formula> denote the disease-free equilibrium, then</p><disp-formula id="equation-20"><tex-math id="math-69"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} _ {0} = \left(\frac {\Lambda}{\delta}, 0, 0, 0, 0\right).\tag{3} \end{document} ]]></tex-math></disp-formula></sec><sec id="sec-6"><title>2.4. Basic Reproduction Number.</title><p>To find the basic reproduction number, we use the next-generation matrix method given in <xref ref-type="bibr" rid="BIBR-37">[37]</xref>. Let <inline-formula><tex-math id="math-70"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle F \end{document} ]]></tex-math></inline-formula> contain new infections and <inline-formula><tex-math id="math-71"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle V \end{document} ]]></tex-math></inline-formula> contain all transitions involved in the model <xref ref-type="disp-formula" rid="equation-18">(2)</xref> be given by</p><disp-formula id="equation-21"><tex-math id="math-72"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {F} = \left( \begin{array}{c} 0 \\ \alpha_ {1} S I _ {1} \\ \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} \\ 0 \\ 0 \end{array} \right), \qquad \qquad \mathcal {V} = \left( \begin{array}{c} - \Lambda + \alpha_ {1} S I _ {1} + \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} + \delta S \\ a _ {1} \\ a _ {2} \\ - \beta_ {1} E _ {1} + b _ {1} \\ - \beta_ {2} E _ {2} + b _ {2} \end{array} \right). \end{document} ]]></tex-math></disp-formula><p>Then</p><disp-formula id="equation-22"><tex-math id="math-73"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle F = D \mathcal {F} (\mathcal {E} _ {0}) = \left( \begin{array}{c c c c c} 0 & 0 & 0 & 0 & 0 \\ 0 & 0 & 0 & \alpha_ {1} S _ {0} ^ {*} & 0 \\ 0 & 0 & 0 & 0 & \alpha_ {2} S _ {0} ^ {*} \\ 0 & 0 & 0 & 0 & 0 \\ 0 & 0 & 0 & 0 & 0 \end{array} \right), \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-23"><tex-math id="math-74"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle V = D \mathcal {V} (\mathcal {E} _ {0}) = \left( \begin{array}{c c c c c} \delta & 0 & 0 & 0 & 0 \\ 0 & a _ {1} & 0 & 0 & 0 \\ 0 & 0 & a _ {2} & 0 & 0 \\ 0 & - \beta_ {1} & 0 & b _ {1} & 0 \\ 0 & 0 & - \beta_ {2} & 0 & b _ {2} \end{array} \right), \end{document} ]]></tex-math></disp-formula><p>be the Jacobian matrices of <inline-formula><tex-math id="math-75"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { F } \end{document} ]]></tex-math></inline-formula> and <inline-formula><tex-math id="math-76"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { V } \end{document} ]]></tex-math></inline-formula> respectively. Therefore, the next generation matrix is given by</p><disp-formula id="equation-24"><tex-math id="math-77"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle F V ^ {- 1} = \left( \begin{array}{c c c c c} 0 & 0 & 0 & 0 & 0 \\ 0 & \frac {\alpha_ {1} \beta_ {1} S _ {0} ^ {*}}{a _ {1} b _ {1}} & 0 & \frac {\alpha_ {1} S _ {0} ^ {*}}{b _ {1}} & 0 \\ 0 & 0 & \frac {\alpha_ {2} \beta_ {2} S _ {0} ^ {*}}{a _ {2} b _ {2}} & 0 & \frac {\alpha_ {2} S _ {0} ^ {*}}{b _ {2}} \\ 0 & 0 & 0 & 0 & 0 \\ 0 & 0 & 0 & 0 & 0 \end{array} \right). \end{document} ]]></tex-math></disp-formula><p>The basic reproduction number <inline-formula><tex-math id="math-78"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 } \end{document} ]]></tex-math></inline-formula> is given by the spectral radius of the matrix <inline-formula><tex-math id="math-79"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle F V ^ { - 1 } \end{document} ]]></tex-math></inline-formula> . So</p><disp-formula id="equation-25"><tex-math id="math-80"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0} = \max \left\{\frac {\alpha_ {1} \beta_ {1} S _ {0} ^ {*}}{a _ {1} b _ {1}}, \frac {\alpha_ {2} \beta_ {2} S _ {0} ^ {*}}{a _ {2} b _ {2}} \right\}. \end{document} ]]></tex-math></disp-formula><p>Say</p><disp-formula id="equation-26"><tex-math id="math-81"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0, 1} = \frac {\alpha_ {1} \beta_ {1} S _ {0} ^ {*}}{a _ {1} b _ {1}} = \frac {\Lambda \alpha_ {1} \beta_ {1}}{\delta a _ {1} b _ {1}} \quad \text {and} \quad \mathcal {R} _ {0, 2} = \frac {\alpha_ {2} \beta_ {2} S _ {0} ^ {*}}{a _ {2} b _ {2}} = \frac {\Lambda \alpha_ {2} \beta_ {2}}{\delta a _ {2} b _ {2}}.\tag{4} \end{document} ]]></tex-math></disp-formula><p>That is, the basic reproduction number of the model <xref ref-type="disp-formula" rid="equation-18">(2)</xref> is given by</p><disp-formula id="equation-27"><tex-math id="math-82"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0} = \max \{\mathcal {R} _ {0, 1}, \mathcal {R} _ {0, 2} \}. \end{document} ]]></tex-math></disp-formula><p>It is observed that, <inline-formula><tex-math id="math-83"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 , 1 } \end{document} ]]></tex-math></inline-formula> and <inline-formula><tex-math id="math-84"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 , 2 } \end{document} ]]></tex-math></inline-formula> are reproduction numbers of strain 1 and strain 2 respectively.</p></sec><sec id="sec-7"><title>2.5. Existence two-strain Endemic Equilibrium.</title><p>This section discusses findings on the existence and global stability of a two-strain (coexistence) endemic equilibrium, which is a steady-state solution of 2 such that both strains persist in the population.</p><p>Let <inline-formula><tex-math id="math-85"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { E } \in \mathcal { D } \end{document} ]]></tex-math></inline-formula> denotes two-strain endemic equilibrium, then</p><disp-formula id="equation-28"><tex-math id="math-86"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} = (S ^ {*}, E _ {1} ^ {*}, E _ {2} ^ {*}, I _ {1} ^ {*}, I _ {2} ^ {*}),\tag{5} \end{document} ]]></tex-math></disp-formula><p>where</p><disp-formula id="equation-29"><tex-math id="math-87"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{aligned}S^*&=\frac{a_1b_1}{\beta_1\alpha_1}=\frac{a_2b_2}{\alpha_2\beta_2}\left(1+kI_2^{*2}\right),\\E_1^*&=\frac{b_1}{\beta_1}I_1^*,\\E_2^*&=\frac{b_2}{\beta_2}I_2^*,\\I_1^*&=\frac{\delta}{\alpha_1}(\mathcal{R}_{01}-1)-\frac{\alpha_2I_2^*}{\alpha_1(1+kI_2^{*2})},\\I_2^*&=\sqrt{\frac{1}{k}\left(\frac{\mathcal{R}_{02}}{\mathcal{R}_{01}}-1\right)}.\end{aligned}\tag{6} \end{document} ]]></tex-math></disp-formula><p>Notice that</p><disp-formula id="equation-30"><tex-math id="math-88"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ {1} ^ {*} > 0 \iff \mathcal {R} _ {0, 1} > 1 + \frac {\alpha_ {2} I _ {2} ^ {*}}{\delta (1 + k I _ {2} ^ {* 2})},\tag{7} \end{document} ]]></tex-math></disp-formula><p>and</p><disp-formula id="equation-31"><tex-math id="math-89"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ {2} ^ {*} > 0 \iff \frac {\mathcal {R} _ {0 2}}{\mathcal {R} _ {0 1}} - 1 > 0\tag{8} \end{document} ]]></tex-math></disp-formula><disp-formula id="equation-32"><tex-math id="math-90"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \Longleftrightarrow \mathcal {R} _ {0, 2} > \mathcal {R} _ {0, 1}. \end{document} ]]></tex-math></disp-formula><p>Thus, <inline-formula><tex-math id="math-91"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} \end{document} ]]></tex-math></inline-formula> exists and epidemiologically meaningful if and only if <inline-formula><tex-math id="math-92"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } > \mathcal { R } _ { 0 1 } > 1 + \mathcal { R } _ { k } ^ { * } \end{document} ]]></tex-math></inline-formula> , where <inline-formula><tex-math id="math-93"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \mathcal { R } _ { k } ^ { * } = \frac { \alpha _ { 2 } I _ { 2 } ^ { * } } { \delta ( 1 + k I _ { 2 } ^ { * 2 } ) } } \end{array} \end{document} ]]></tex-math></inline-formula>. Based on the aforementioned discussion, we have the following lemma.</p><p><bold>Lemma 2.3.</bold><italic>For endemic equilibria </italic><xref ref-type="disp-formula" rid="equation-28">(5)</xref><italic> of the the model </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic>, we have</italic></p><list list-type="order"><list-item><p><inline-formula><tex-math id="math-94"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 1 } > 1 \end{document} ]]></tex-math></inline-formula><italic> and </italic><inline-formula><tex-math id="math-95"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } > 1 \end{document} ]]></tex-math></inline-formula><italic> is necessary condition for existence of two-strain endemic equilibrium </italic><inline-formula><tex-math id="math-96"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} \end{document} ]]></tex-math></inline-formula><italic> but not suficient.</italic><xref ref-type="fig" rid="figure-2">Figure 2</xref><italic>, </italic><xref ref-type="fig" rid="figure-3">Figure 3</xref><italic>, </italic><xref ref-type="fig" rid="figure-4">Figure 4</xref></p></list-item><list-item><p><inline-formula><tex-math id="math-97"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } > \mathcal { R } _ { 0 1 } > 1 + \mathcal { R } _ { k } ^ { * } \end{document} ]]></tex-math></inline-formula><italic> is suficient condition for existence of two-strain endemic equilibrium </italic><inline-formula><tex-math id="math-98"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} \end{document} ]]></tex-math></inline-formula><italic>.</italic><xref ref-type="fig" rid="figure-5">Figure 5</xref><italic>, </italic><xref ref-type="fig" rid="figure-6">Figure 6</xref><italic> .</italic></p></list-item></list><p>Remark 2.4. <inline-formula><tex-math id="math-99"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { k } ^ { * } \end{document} ]]></tex-math></inline-formula><italic> is depends on </italic><inline-formula><tex-math id="math-100"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula><italic> and reproduction numbers as given below.</italic></p><disp-formula id="equation-33"><tex-math id="math-101"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {k} ^ {*} = \frac {\alpha_ {2} I _ {2} ^ {*}}{\delta (1 + k I _ {2} ^ {* 2})} = \frac {\alpha_ {2} \mathcal {R} _ {0 1}}{\delta \mathcal {R} _ {0 2}} \sqrt {\frac {1}{k} \left(\frac {\mathcal {R} _ {0 2}}{\mathcal {R} _ {0 1}} - 1\right)} > 0 \end{document} ]]></tex-math></disp-formula><p><bold>Remark 2.5.</bold><bold><italic></italic></bold><italic>The model </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic> has strain-1 (respectively, strain-2) endemic equilibrium when </italic><inline-formula><tex-math id="math-102"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 2 } ^ { * } = 0 \end{document} ]]></tex-math></inline-formula><italic> (respectively, </italic><inline-formula><tex-math id="math-103"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 1 } ^ { * } = 0 ~ ) \end{document} ]]></tex-math></inline-formula><italic> and condition for its existence is stated in equation-(4.2) of </italic><xref ref-type="bibr" rid="BIBR-33">[33]</xref><italic> (respectively, Remark 1 of </italic><xref ref-type="bibr" rid="BIBR-31">[31]</xref><italic>). The stability condition for it is stated in Theorem 4.1 of </italic><xref ref-type="bibr" rid="BIBR-33">[33]</xref><italic> (respectively, Theorem 3 of </italic><xref ref-type="bibr" rid="BIBR-31">[31]</xref><italic>).</italic></p></sec></sec><sec id="sec-8"><title>3. Global Stability Analysis of two-strain Endemic Equilibrium</title><p>This section discusses global stability analysis of the two-strain equilibrium of the model using the Lyapunov direct method on <inline-formula><tex-math id="math-104"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \Lambda \end{document} ]]></tex-math></inline-formula>. Throughout this section, we take</p><disp-formula id="equation-34"><tex-math id="math-105"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle a _ {1} = \beta_ {1} + \delta , \quad a _ {2} = \beta_ {2} + \delta , \quad b _ {1} = \gamma_ {1} + \delta , \quad b _ {2} = \gamma_ {2} + \delta . \end{document} ]]></tex-math></disp-formula><p>Proposition <target id="anchor-becc662a-a98b-4f67-9a16-9b164a1ab588" target-type="reference-target"/>3.1. <italic>Consider system </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic> and its two-strain endemic equilibrium </italic><xref ref-type="disp-formula" rid="equation-28">(5)</xref><italic>. </italic><inline-formula><tex-math id="math-106"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { I f \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \left( 1 + \frac { \delta ^ { 2 } } { k \Lambda ^ { 2 } } \right) } \end{array} \end{document} ]]></tex-math></inline-formula><italic>, then </italic><inline-formula><tex-math id="math-107"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k I _ { 2 } ^ { * } I _ { 2 } - 1 \le 0 \end{document} ]]></tex-math></inline-formula><italic>.</italic></p><p><italic>Proof</italic>. Using <xref ref-type="disp-formula" rid="equation-29">(6)</xref>, we get</p><disp-formula id="equation-35"><tex-math id="math-108"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {\mathcal {R} _ {0 2}}{\mathcal {R} _ {0 1}} \leq 1 + \frac {\delta^ {2}}{k \Lambda^ {2}} \iff k I _ {2} ^ {* 2} \leq \frac {\delta^ {2}}{k \Lambda^ {2}} \iff \frac {k \Lambda}{\delta} I _ {2} ^ {*} - 1 \leq 0.\tag{9} \end{document} ]]></tex-math></disp-formula><p>As <inline-formula><tex-math id="math-109"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { I _ { 2 } \le \frac { \Lambda } { \delta } } \end{array} \end{document} ]]></tex-math></inline-formula>, we get, <inline-formula><tex-math id="math-110"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { k I _ { 2 } I _ { 2 } ^ { * } - 1 \le \frac { k \Lambda } { \delta } I _ { 2 } ^ { * } - 1 \le 0 . } \end{array} \end{document} ]]></tex-math></inline-formula></p><p>Corollary <target id="anchor-261df05b-8439-4fe6-92c5-964f0dbc6534" target-type="reference-target"/>3.2. <italic>Consider system </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic> and its two-strain endemic equilibrium </italic><xref ref-type="disp-formula" rid="equation-28">(5)</xref><italic>. If </italic><inline-formula><tex-math id="math-111"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } {\ \frac { k \Lambda ^ { 2 } } { \delta ^ { 2 } } \leq 1 } \end{array} \end{document} ]]></tex-math></inline-formula><italic>, then </italic><inline-formula><tex-math id="math-112"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \left( 1 + \frac { \delta ^ { 2 } } { k \Lambda ^ { 2 } } \right) } \end{array} \end{document} ]]></tex-math></inline-formula><italic>. In particular, </italic><inline-formula><tex-math id="math-113"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k I _ { 2 } ^ { * } I _ { 2 } - 1 \le 0 \end{document} ]]></tex-math></inline-formula><italic>.</italic></p><p><italic>Proof</italic>. As <inline-formula><tex-math id="math-114"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { I _ { 2 } ^ { * } \leq \frac { \Lambda } { \delta } } \end{array} \end{document} ]]></tex-math></inline-formula>, we get</p><disp-formula id="equation-36"><tex-math id="math-115"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \frac {k \Lambda}{\delta} I _ {2} ^ {*} - 1 \leq \frac {k \Lambda^ {2}}{\delta^ {2}} - 1 \end{document} ]]></tex-math></disp-formula><p>Thus, from Equation <xref ref-type="disp-formula" rid="equation-35">(9)</xref> of Proposition <xref ref-type="custom" custom-type="reference-target" rid="anchor-becc662a-a98b-4f67-9a16-9b164a1ab588">3.1</xref>, <inline-formula><tex-math id="math-116"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \left( 1 + \frac { \delta ^ { 2 } } { k \Lambda ^ { 2 } } \right) } \end{array} \end{document} ]]></tex-math></inline-formula>. Again, from Proposition <xref ref-type="custom" custom-type="reference-target" rid="anchor-becc662a-a98b-4f67-9a16-9b164a1ab588">3.1</xref>, <inline-formula><tex-math id="math-117"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k I _ { 2 } ^ { * } I _ { 2 } - 1 \le 0 \end{document} ]]></tex-math></inline-formula> .</p><p>Theorem <target id="anchor-871ad98c-6f3b-4042-a1c9-994083297289" target-type="reference-target"/>3.3. <italic>The two-strain endemic equilibrium of </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic> is globally asymptomatically stable in </italic><inline-formula><tex-math id="math-118"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal{D} \end{document} ]]></tex-math></inline-formula><italic></italic><inline-formula><tex-math id="math-119"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { i f 1 + \mathcal { R } _ { k } ^ { * } < \mathcal { R } _ { 0 1 } < \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \left( 1 + \frac { \delta ^ { 2 } } { k \Lambda ^ { 2 } } \right) } \end{array} \end{document} ]]></tex-math></inline-formula></p><p><italic>Proof</italic>. Consider Lyapunov function on <inline-formula><tex-math id="math-120"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal{D} \end{document} ]]></tex-math></inline-formula> as follows:</p><disp-formula id="equation-37"><tex-math id="math-121"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{l} \mathcal {L} (S, E _ {1}, E _ {2}, I _ {1}, I _ {2}) \\ = S - S ^ {*} \left(1 + \ln \left(\frac {S}{S ^ {*}}\right)\right) + E _ {1} - E _ {1} ^ {*} \left(1 + \ln \left(\frac {E _ {1}}{E _ {1} ^ {*}}\right)\right) + E _ {2} - E _ {2} ^ {*} \left(1 + \ln \left(\frac {E _ {2}}{E _ {2} ^ {*}}\right)\right) \\ + \frac {a _ {1}}{\beta_ {1}} \left(I _ {1} - I _ {1} ^ {*} - I _ {1} ^ {*} \ln \left(\frac {I _ {1}}{I _ {1} ^ {*}}\right)\right) I _ {1} + \frac {a _ {2}}{\beta_ {2}} \left(I _ {2} - I _ {2} ^ {*} - I _ {2} ^ {*} \ln \left(\frac {I _ {2}}{I _ {2} ^ {*}}\right)\right). \end{array} \tag {10} \end{document} ]]></tex-math></disp-formula><p>Note that, <inline-formula><tex-math id="math-122"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \mathcal { L } ( \mathcal { E } ) = 0 } \end{array} \end{document} ]]></tex-math></inline-formula> and <inline-formula><tex-math id="math-123"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { L } > 0 \end{document} ]]></tex-math></inline-formula>, over <inline-formula><tex-math id="math-124"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { D } \end{document} ]]></tex-math></inline-formula> except <inline-formula><tex-math id="math-125"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { E } \in \mathcal { D } \end{document} ]]></tex-math></inline-formula>. Also, <inline-formula><tex-math id="math-126"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { L } \end{document} ]]></tex-math></inline-formula> is radically unbounded.</p><p>By taking time derivative of <inline-formula><tex-math id="math-127"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle { \mathcal { L } } , \end{document} ]]></tex-math></inline-formula> we have</p><disp-formula id="equation-38"><tex-math id="math-128"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{l} \dot {\mathcal {L}} (S, E _ {1}, E _ {2}, I _ {1}, I _ {2}) \\ = \left(1 - \frac {S ^ {*}}{S}\right) \left(\Lambda - \alpha_ {1} S I _ {1} - \frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} - \delta S\right) + \left(1 - \frac {E _ {1} ^ {*}}{E _ {1}}\right) (\alpha_ {1} S I _ {1} - a _ {1} E _ {1}) \\ \quad + \left(1 - \frac {E _ {2} ^ {*}}{E _ {2}}\right) \left(\frac {\alpha_ {2} S I _ {2}}{1 + k I _ {2} ^ {2}} - a _ {2} E _ {2}\right) + \frac {a _ {1}}{\beta_ {1}} \left(1 - \frac {I _ {1} ^ {*}}{I _ {1}}\right) (\beta_ {1} E _ {1} - b _ {1} I _ {1}) \\ \quad + \frac {a _ {2}}{\beta_ {2}} \left(1 - \frac {I _ {2} ^ {*}}{I _ {2}}\right) (\beta_ {2} E _ {2} - b _ {2} I _ {2}) \\ = \Lambda - \delta S - \frac {S ^ {*}}{S} (\Lambda) + \alpha_ {1} S ^ {*} I _ {1} + \frac {\alpha_ {2} S ^ {*} I _ {2}}{1 + k I _ {2} ^ {2}} + \delta S ^ {*} - \frac {\alpha_ {1} E _ {1} ^ {*} S I _ {1}}{E _ {1}} + a _ {1} E _ {1} ^ {*} - \frac {\alpha_ {2} E _ {2} ^ {*} S I _ {2}}{E _ {2} (1 + k I _ {2} ^ {2})} \\ \quad + a _ {2} E _ {2, 2} ^ {*} - \frac {a _ {1} b _ {1}}{\beta_ {1}} I _ {1} - \frac {a _ {1} I _ {1} ^ {*} E _ {1}}{I _ {1}} + \frac {a _ {1} b _ {1}}{\beta_ {1}} I _ {1} ^ {*} - \frac {a _ {2} b _ {2}}{\beta_ {2}} I _ {2} - \frac {a _ {2} I _ {2} ^ {*} E _ {2}}{I _ {2}} + \frac {a _ {2} b _ {2}}{\beta_ {2}} I _ {2} ^ {*}. \end{array}\tag{11} \end{document} ]]></tex-math></disp-formula><p>Using the endemic equilibrium state</p><disp-formula id="equation-39"><tex-math id="math-129"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{c} \Lambda = \alpha_ {1} S ^ {*} I _ {1} ^ {*} + \alpha_ {2} S ^ {*} I _ {2, 2} ^ {*} + \delta S ^ {*}, \\ \alpha_ {1} S ^ {*} I _ {1} ^ {*} = a _ {1} E _ {1} ^ {*} = \frac {a _ {1} b _ {1}}{\beta_ {1}} I _ {1} ^ {*}, \\ \frac {\alpha_ {2} S ^ {*} I _ {2} ^ {*}}{1 + k I _ {2} ^ {* 2}} = a _ {2} E _ {2} ^ {*} = \frac {a _ {2} b _ {2}}{\beta_ {2}} I _ {2} ^ {*}, \end{array}\tag{12} \end{document} ]]></tex-math></disp-formula><p>and, by collecting appropriate terms, we get</p><disp-formula id="equation-40"><tex-math id="math-130"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{l}\dot {\mathcal {L}} = \delta S ^ {*} \left(1 - \frac {S ^ {*}}{S} - \frac {S}{S _ {2} ^ {*}}\right) + \alpha_ {1} S ^ {*} I _ {1} ^ {*} \left(3 - \frac {S ^ {*}}{S} - \frac {E _ {1} ^ {*} S I _ {1}}{E _ {1} S ^ {*} I _ {1} ^ {*}} - \frac {E _ {1} I _ {1} ^ {*}}{E _ {1} ^ {*} I _ {1}}\right) \\\quad + \frac {a _ {2} S ^ {*} I _ {2} ^ {*}}{1 + k I _ {2} ^ {* 2}} \left(4 - \frac {S ^ {*}}{S} - \frac {E _ {2} ^ {*} S I _ {2} (1 + k I _ {2} ^ {* 2})}{E _ {2} S ^ {*} I _ {2} ^ {*} (1 + k I _ {2} ^ {2})} - \frac {E _ {2} I _ {2} ^ {*}}{E _ {2} ^ {*} I _ {2}} - \frac {1 + k I _ {2} ^ {* 2}}{1 + k I _ {2} ^ {2}}\right) \\\quad + \left(\alpha_ {1} S ^ {*} - \frac {a _ {1} b _ {1}}{\beta_ {1}}\right) I _ {1} + \frac {a _ {2} b _ {2}}{\beta_ {2}} \left(\frac {1 + k I _ {2} ^ {* 2}}{1 + k I _ {2} ^ {2}} - 1\right) I _ {2} + \frac {a _ {2} b _ {2}}{\beta_ {2}} I _ {2} ^ {*} \left(\frac {1 + k I _ {2} ^ {2}}{1 + k I _ {2} ^ {* 2}} - 1\right).\end{array}\tag{13} \end{document} ]]></tex-math></disp-formula><p>From <xref ref-type="disp-formula" rid="equation-29">(6)</xref>, we have <inline-formula><tex-math id="math-131"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { S ^ { * } = \frac { a _ { 1 } b _ { 1 } } { \alpha _ { 1 } \beta _ { 1 } } } \end{array} \end{document} ]]></tex-math></inline-formula>, then</p><disp-formula id="equation-41"><tex-math id="math-132"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{l} \dot {\mathcal {L}} = \delta S ^ {*} \left(1 - \frac {S ^ {*}}{S} - \frac {S}{S _ {2} ^ {*}}\right) + \alpha_ {1} S ^ {*} I _ {1} ^ {*} \left(3 - \frac {S ^ {*}}{S} - \frac {E _ {1} ^ {*} S I _ {1}}{E _ {1} S ^ {*} I _ {1} ^ {*}} - \frac {E _ {1} I _ {1} ^ {*}}{E _ {1} ^ {*} I _ {1}}\right) \\ \qquad + \frac {a _ {2} S ^ {*} I _ {2} ^ {*}}{1 + k I _ {2} ^ {* 2}} \left(4 - \frac {S ^ {*}}{S} - \frac {E _ {2} ^ {*} S I _ {2} (1 + k I _ {2} ^ {* 2})}{E _ {2} S ^ {*} I _ {2} ^ {*} (1 + k I _ {2} ^ {2})} - \frac {E _ {2} I _ {2} ^ {*}}{E _ {2} ^ {*} I _ {2}} - \frac {1 + k I _ {2} ^ {* 2}}{(1 + k I _ {2} ^ {2})}\right) \\ \qquad + \frac {k a _ {2} b _ {2} (I _ {2} + I _ {2} ^ {*}) (I _ {2} - I _ {2} ^ {*}) ^ {2}}{\beta_ {2} (1 + k I _ {2} ^ {2}) (1 + k I _ {2} ^ {* 2})} (k I _ {2} ^ {*} I _ {2} - 1). \end{array}\tag{14} \end{document} ]]></tex-math></disp-formula><p>Using the connection between geometric and arithmetic mean, we have</p><disp-formula id="equation-42"><tex-math id="math-133"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array}{c} \left(1 - \frac {S ^ {*}}{S} - \frac {S}{S _ {2} ^ {*}}\right) \leq 0 \\ \left(3 - \frac {S ^ {*}}{S} - \frac {E _ {1} ^ {*} S I _ {1}}{E _ {1} S ^ {*} I _ {1} ^ {*}} - \frac {E _ {1} I _ {1} ^ {*}}{E _ {1} ^ {*} I _ {1}}\right) \leq 0 \\ \left(4 - \frac {S ^ {*}}{S} - \frac {E _ {2} ^ {*} S I _ {2} (1 + k I _ {2} ^ {* 2})}{E _ {2} S ^ {*} I _ {2} ^ {*} (1 + k I _ {2} ^ {2})} - \frac {E _ {2} I _ {2} ^ {*}}{E _ {2} ^ {*} I _ {2}} - \frac {1 + k I _ {2} ^ {* 2}}{(1 + k I _ {2} ^ {2})}\right) \leq 0, \end{array}\tag{15} \end{document} ]]></tex-math></disp-formula><p>and by Proposition <xref ref-type="custom" custom-type="reference-target" rid="anchor-becc662a-a98b-4f67-9a16-9b164a1ab588">3.1</xref>, <inline-formula><tex-math id="math-134"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k I _ { 2 } ^ { * } I _ { 2 } - 1 \leq 0 \end{document} ]]></tex-math></inline-formula>. Thus, <inline-formula><tex-math id="math-135"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { L } \ \leq \ 0 \end{document} ]]></tex-math></inline-formula>. Moreover, <inline-formula><tex-math id="math-136"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \{ X \ \in \ { \mathcal { D } } : { \mathcal { L } } ( X ) = 0 \} = \{ { \mathcal { E } } \} \end{document} ]]></tex-math></inline-formula>. Hence, from Lassale’s principle of invariance <xref ref-type="bibr" rid="BIBR-38">[38]</xref>, <inline-formula><tex-math id="math-137"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {E} \end{document} ]]></tex-math></inline-formula> is globally asymptotically stable.</p><p><bold>Corollary 3.4. </bold><italic>The two-strain endemic equilibrium of </italic><xref ref-type="disp-formula" rid="equation-18">(2)</xref><italic> is globally asymptomatically stable in D if </italic><inline-formula><tex-math id="math-138"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1 + \mathcal { R } _ { k } ^ { * } < \mathcal { R } _ { 0 1 } < \mathcal { R } _ { 0 2 } \end{document} ]]></tex-math></inline-formula><italic> and </italic><inline-formula><tex-math id="math-139"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \frac { k \Lambda ^ { 2 } } { \delta ^ { 2 } } \leq 1 } \end{array} \end{document} ]]></tex-math></inline-formula><italic>.</italic></p><p>The proof of this corollary follows from Theorem <xref ref-type="custom" custom-type="reference-target" rid="anchor-871ad98c-6f3b-4042-a1c9-994083297289">3.3</xref> and Corollary <xref ref-type="custom" custom-type="reference-target" rid="anchor-261df05b-8439-4fe6-92c5-964f0dbc6534">3.2</xref>.</p></sec><sec id="sec-9"><title>4. Numerical Simulations and Discussion</title><p>In this section, we numerically illustrate and validate the analytical results obtained in the previous sections. Simulations are performed using the assumed parameter values listed in <xref ref-type="table" rid="table-2">Table 2</xref>, and the ODE system is solved using a standard fourth-order Runge–Kutta scheme with biologically plausible initial conditions. The objective is to confirm the existence and global stability of the two-strain endemic equilibrium under the conditions derived in Lemma 2.3 and Theorem <xref ref-type="custom" custom-type="reference-target" rid="anchor-871ad98c-6f3b-4042-a1c9-994083297289">3.3</xref> .</p><p>Throughout, we focus on verifying the inequalities</p><disp-formula id="equation-43"><tex-math id="math-140"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 1} \left(1 + \frac {\delta^ {2}}{k \Lambda^ {2}}\right) \geq \mathcal {R} _ {0 2} > \mathcal {R} _ {0 1} > 1 + \mathcal {R} _ {k} ^ {*},\tag{16} \end{document} ]]></tex-math></disp-formula><p>which characterize the parameter region where coexistence is possible and globally stable.</p><table-wrap id="table-2"><label>Table 2</label><caption><p>Parameter Table</p></caption><table><colgroup><col></col><col></col><col></col><col></col><col></col><col></col></colgroup><thead><tr><th scope="col">Parameter</th><th scope="col">Figure 2</th><th scope="col">Figure 3</th><th scope="col">Figure 4</th><th scope="col">Figure 5</th><th scope="col">Figure 6</th></tr></thead><tbody><tr><td><inline-formula><tex-math id="math-141"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \Lambda \end{document} ]]></tex-math></inline-formula></td><td>1</td><td>1</td><td>1</td><td>1</td><td>1</td></tr><tr><td><inline-formula><tex-math id="math-142"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula></td><td>0.1</td><td>0.1</td><td>0.5</td><td>0.1</td><td>0.2</td></tr><tr><td><inline-formula><tex-math id="math-143"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \delta \end{document} ]]></tex-math></inline-formula></td><td>0.1</td><td>0.1</td><td>0.1</td><td>0.1</td><td>0.1</td></tr><tr><td><inline-formula><tex-math id="math-144"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \alpha_{1} \end{document} ]]></tex-math></inline-formula></td><td>0.131</td><td>0.16</td><td>0.16</td><td>0.16</td><td>0.16</td></tr><tr><td><inline-formula><tex-math id="math-145"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \alpha_{2} \end{document} ]]></tex-math></inline-formula></td><td>0.2</td><td>0.16</td><td>0.16</td><td>0.165</td><td>0.165</td></tr><tr><td><inline-formula><tex-math id="math-146"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \beta_{1} \end{document} ]]></tex-math></inline-formula></td><td>0.16</td><td>0.2</td><td>0.2</td><td>0.17</td><td>0.17</td></tr><tr><td><inline-formula><tex-math id="math-147"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \beta_{2} \end{document} ]]></tex-math></inline-formula></td><td>0.2</td><td>0.2</td><td>0.2</td><td>0.2</td><td>0.2</td></tr><tr><td><inline-formula><tex-math id="math-148"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \gamma_{1} \end{document} ]]></tex-math></inline-formula></td><td>0.1</td><td>0.1</td><td>0.1</td><td>0.1</td><td>0.1</td></tr><tr><td><inline-formula><tex-math id="math-149"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \gamma_{2} \end{document} ]]></tex-math></inline-formula></td><td>0.11</td><td>0.1</td><td>0.1</td><td>0.11</td><td>0.11</td></tr></tbody></table></table-wrap><sec id="sec-10"><title>4.1. Validation of Analytical Results.</title><list list-type="order"><list-item><p><italic>Failure of coexistence under classical conditions.</italic><xref ref-type="fig" rid="figure-2">Figure 2</xref>, <xref ref-type="fig" rid="figure-3">Figure 3</xref>, <xref ref-type="fig" rid="figure-4">Figure 4</xref> show that the usual requirement</p><p><inline-formula><tex-math id="math-150"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 1} > 1, \qquad \mathcal {R} _ {0 2} > 1 \end{document} ]]></tex-math></inline-formula></p><p>does not guarantee coexistence. One of the strains always goes extinct, confirming that classical threshold conditions are insuficient when behavioural modification is present. Moreover, <xref ref-type="fig" rid="figure-3">Figure 3</xref> demonstrates that the conventional condition</p><disp-formula id="equation-44"><tex-math id="math-151"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 1} = \mathcal {R} _ {0 2} > 1 \end{document} ]]></tex-math></disp-formula><p>(discussed in <xref ref-type="bibr" rid="BIBR-33">[33]</xref>) also fails to ensure coexistence as behavioural avoidance suppresses strain 2, leading to <inline-formula><tex-math id="math-152"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 2 } ^ { * } = 0 \end{document} ]]></tex-math></inline-formula>.</p></list-item><list-item><p><italic>Role of the coexistence condition</italic><inline-formula><tex-math id="math-153"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 1 } > 1 + \mathcal { R } _ { k } ^ { * } \end{document} ]]></tex-math></inline-formula>. <xref ref-type="fig" rid="figure-2">Figure 2</xref> confirms the prediction of Lemma 2.3: if</p><p><inline-formula><tex-math id="math-154"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 1} \leq 1 + \mathcal {R} _ {k} ^ {*}, \end{document} ]]></tex-math></inline-formula></p><p>the coexistence equilibrium loses stability and strain 1 dies out. <xref ref-type="fig" rid="figure-3">Figure 3</xref>, <xref ref-type="fig" rid="figure-4">Figure 4</xref> further illustrate that increasing the behavioural parameter <inline-formula><tex-math id="math-155"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> intensifies suppression of strain 2, causing its extinction unless its transmission potential exceeds that of strain 1 by a suficient margin. These observations align with the analytical condition.</p><disp-formula id="equation-45"><tex-math id="math-156"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 2} > \mathcal {R} _ {0 1} > 1 + \mathcal {R} _ {k} ^ {*}. \end{document} ]]></tex-math></disp-formula><p>The inequality means that strain 2 has the higher reproduction number, and strain-1 is suficiently transmissible (above <inline-formula><tex-math id="math-157"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle 1 + R _ { k } ^ { * } ) \end{document} ]]></tex-math></inline-formula> to co-persist but not strong enough to outcompete strain 2. Thus, strain 2 requires a higher reproduction number to ofset the behavioural suppression acting against it and thereby maintain coexistence with strain 1.</p></list-item><list-item><p><italic>Stability of the two-strain endemic equilibrium.</italic><xref ref-type="fig" rid="figure-5">Figure 5</xref>, <xref ref-type="fig" rid="figure-6">Figure 6</xref> confirm Theorem <xref ref-type="custom" custom-type="reference-target" rid="anchor-871ad98c-6f3b-4042-a1c9-994083297289">3.3</xref> : whenever</p></list-item></list><disp-formula id="equation-46"><tex-math id="math-158"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal {R} _ {0 1} \left(1 + \frac {\delta^ {2}}{k \Lambda^ {2}}\right) \geq \mathcal {R} _ {0 2} > \mathcal {R} _ {0 1} > 1 + \mathcal {R} _ {k} ^ {*}, \end{document} ]]></tex-math></disp-formula><p>the coexistence equilibrium is globally asymptotically stable. In this regime, both strains persist with positive equilibrium values. The upper bound <inline-formula><tex-math id="math-159"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{array} { r } { \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \left( 1 + \frac { \delta ^ { 2 } } { k \Lambda ^ { 2 } } \right) } \end{array} \end{document} ]]></tex-math></inline-formula> indicates that behavioural avoidance due to <inline-formula><tex-math id="math-160"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> prevents strain 2 from becoming excessively dominant and ensures co-existence. For large <inline-formula><tex-math id="math-161"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula>, this condition approaches <inline-formula><tex-math id="math-162"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } \leq \mathcal { R } _ { 0 1 } \end{document} ]]></tex-math></inline-formula>, implying that strong behavioural modification may eliminate strain 2.</p><fig id="figure-2"><label>Figure 2</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13909" mime-subtype="png" mimetype="image"><alt-text>Figure 2</alt-text></graphic></fig><fig id="figure-3"><label>Figure 3</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13910" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 3</alt-text></graphic></fig><fig id="figure-4"><label>Figure 4</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13911" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 4</alt-text></graphic></fig><p><inline-formula><tex-math id="math-163"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal{R}_{01}=\mathcal{R}_{02}=5.3333>1\text{ with }k=0.1\text{ (left) and }k=0.5\text{ (right)} \end{document} ]]></tex-math></inline-formula></p><fig id="figure-5"><label>Figure 5</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13912" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 5</alt-text></graphic></fig><fig id="figure-6"><label>Figure 6</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13913" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 6</alt-text></graphic></fig><p><inline-formula><tex-math id="math-164"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal{R}_{01}\left(1+\frac{\delta^2}{k\Lambda^2}\right)=5.5407\ge\mathcal{R}_{02}=5.2381>\mathcal{R}_{01}=5.0370>1+\mathcal{R}_k^{*}=2.0024>1\text{ with }k=0.1\text{ (left) and }k=0.2\text{ (right)} \end{document} ]]></tex-math></inline-formula></p><fig id="figure-7"><label>Figure 7</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13914" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 7</alt-text></graphic></fig><fig id="figure-8"><label>Figure 8</label><caption><p>.</p></caption><graphic xlink:href="https://www.jims-a.org/index.php/jimsa/article/download/2106/550/13915" mime-subtype="jpeg" mimetype="image"><alt-text>Figure 8</alt-text></graphic></fig><p><inline-formula><tex-math id="math-165"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \begin{equation*}\begin{aligned}&\text{Effect of }k\text{ on }I_1^*\text{ and }I_2^*\\&\mathcal{R}_{02}=\mathcal{R}_{01}>1\text{ (left),}\qquad\mathcal{R}_{02}>\mathcal{R}_{01}>1+\mathcal{R}_k^*\text{ (right)}\end{aligned}\end{equation*} \end{document} ]]></tex-math></inline-formula></p></sec><sec id="sec-11"><title>4.2. Interpretation of Behavioural Efects.</title><p>The numerical results highlight the crucial role of the behavioural parameter <inline-formula><tex-math id="math-166"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula>. A stronger behavioural response (large <inline-formula><tex-math id="math-167"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula>) significantly reduces efective contact between susceptible individuals and those infected with strain 2. This behavioural avoidance:</p><list list-type="bullet"><list-item><p>allows strain 1 to dominate even when <inline-formula><tex-math id="math-168"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 2 } > \mathcal { R } _ { 0 1 } \mathrm { : } \end{document} ]]></tex-math></inline-formula><xref ref-type="fig" rid="figure-3">Figure 3</xref>,</p></list-item><list-item><p>creates a range where coexistence occurs despite asymmetric transmission mechanisms: Equation <xref ref-type="disp-formula" rid="equation-43">(16)</xref> and <xref ref-type="fig" rid="figure-5">Figure 5</xref>, <xref ref-type="fig" rid="figure-6">Figure 6</xref>,</p></list-item><list-item><p>suppress <inline-formula><tex-math id="math-169"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 2 } ^ { * } \end{document} ]]></tex-math></inline-formula> : compare <xref ref-type="fig" rid="figure-3">Figure 3</xref> with <xref ref-type="fig" rid="figure-4">Figure 4</xref>, and <xref ref-type="fig" rid="figure-5">Figure 5</xref> with <xref ref-type="fig" rid="figure-6">Figure 6</xref>.</p></list-item><list-item><p>let <inline-formula><tex-math id="math-170"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 2 } ^ { * } \end{document} ]]></tex-math></inline-formula> decreases with k while <inline-formula><tex-math id="math-171"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 1 } ^ { * } \end{document} ]]></tex-math></inline-formula> increasing; illustrating the competitive advantage gained by strain 1 due to behavioural avoidance directed at strain 2: <xref ref-type="fig" rid="figure-8">Figure 8</xref>.</p></list-item><list-item><p>has no impact on <inline-formula><tex-math id="math-172"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 1 } ^ { * } \end{document} ]]></tex-math></inline-formula> once <inline-formula><tex-math id="math-173"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle I _ { 2 } \end{document} ]]></tex-math></inline-formula> eliminated: <xref ref-type="fig" rid="figure-7">Figure 7</xref>.</p></list-item></list><p>Hence, the simulations reinforce the analytical conclusion that behavioural heterogeneity fundamentally alters competitive outcomes in multi-strain systems.</p><p>Although our model represents only a modest extension of <xref ref-type="bibr" rid="BIBR-33">[33]</xref>, the present qualitative analysis refines and improves their conclusions. The authors of <xref ref-type="bibr" rid="BIBR-33">[33]</xref> state that a two-strain endemic equilibrium exists and is globally stable whenever <inline-formula><tex-math id="math-174"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle \mathcal { R } _ { 0 1 } = \mathcal { R } _ { 0 2 } > 1 \end{document} ]]></tex-math></inline-formula> Our analysis shows that this criterion is incomplete because it does not account for the influence of the behavioural parameter <inline-formula><tex-math id="math-175"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> and does not guarantee the existence of a two-strain endemic equilibrium. In contrast, our work incorporates the behavioural response explicitly and establishes the correct coexistence conditions, which depend jointly on <inline-formula><tex-math id="math-176"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> and the reproduction numbers. Additionally, it provides a clear interpretation of how the parameter <inline-formula><tex-math id="math-177"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> influences the coexistence of the two strains.</p></sec></sec><sec id="sec-12"><title>5. Conclusion</title><p>This study investigated a two-strain SEIR model incorporating behavioural heterogeneity, motivated by the observation that mutated or newly emergent strains often elicit stronger behavioural responses due to unfamiliarity and perceived risk. To capture this mechanism, strain 1 was modelled with a bilinear incidence function, whereas strain 2 was modelled using a non-monotone incidence function modulated by a behavioural parameter <inline-formula><tex-math id="math-178"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula>.</p><p>We established mathematically rigorous, necessary and suficient conditions for the existence and global stability of a two-strain endemic equilibrium. These conditions explain that, because behavioural avoidance suppresses strain 2, it must possess a suficiently higher reproduction number to overcome this behavioural suppression and maintain coexistence. The stability condition further shows that behavioural avoidance modulated by <inline-formula><tex-math id="math-179"><![CDATA[ \documentclass{article} \usepackage{amsmath} \begin{document} \displaystyle k \end{document} ]]></tex-math></inline-formula> prevents strain 2 from becoming excessively dominant, thereby supporting long-term coexistence. Moreover, suficiently strong behavioural modification may even eliminate strain 2 altogether.</p><p>Numerical simulations corroborated all analytical results, confirming the predicted coexistence range and demonstrating how behavioural responses reshape the long-term competition between strains. Behavioural heterogeneity efectively partitions the susceptible population into groups with diferent transmission pathways, thereby relaxing the classical competitive exclusion principle and allowing coexistence even when one strain is intrinsically more transmissible.</p><p>Overall, this work provides mathematically grounded and epidemiologically meaningful insights into how behavioural responses influence multi-strain epidemic dynamics. Future investigations may incorporate adaptive behavioural changes, vaccination, treatment interventions, or stochastic efects to further enhance understanding of behaviour-driven epidemiological processes.</p></sec></body><back><sec sec-type="data-availability"><title>Data Availability Statement.</title><p>The data used to support the findings of this study are available from the corresponding author upon request.</p></sec><sec><title>Declarations.</title><p>The authors declare no conflict of interest.</p></sec><sec sec-type="author-contributions"><title>Author Contributions.</title><p>All authors have read and agreed to the published version of the manuscript. All authors contributed equally to this paper. 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