Figure 2

Proportion of hypervirulent Clostridium difficile introductions that successfully invade (along with fitted logistic regression curves; black left y-axis) and the new level to which they equilibrate (per 10,000 individuals, red right y-axis).
Output from 1000 simulated introductions are displayed for each parameter level under all mechanistic scenarios. Left plot: hypervirulent strains are more infectious (modelled by increasing the transmission coefficient); Middle plot: hypervirulent strains give rise to a higher symptomatic rate; Right plot: hypervirulent strains can outcompete endemic strains in the host’s gut.