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. 2023;12(1):7.
doi: 10.1007/s13721-022-00403-0. Epub 2022 Dec 23.

Optimal control of a two-group malaria transmission model with vaccination

Affiliations

Optimal control of a two-group malaria transmission model with vaccination

S Y Tchoumi et al. Netw Model Anal Health Inform Bioinform. 2023.

Abstract

Malaria is a vector-borne disease that poses major health challenges globally, with the highest burden in children less than 5 years old. Prevention and treatment have been the main interventions measures until the recent groundbreaking highly recommended malaria vaccine by WHO for children below five. A two-group malaria model structured by age with vaccination of individuals aged below 5 years old is formulated and theoretically analyzed. The disease-free equilibrium is globally asymptotically stable when the disease-induced death rate in both human groups is zero. Descarte's rule of signs is used to discuss the possible existence of multiple endemic equilibria. By construction, mathematical models inherit the loss of information that could make prediction of model outcomes imprecise. Thus, a global sensitivity analysis of the basic reproduction number and the vaccination class as response functions using Latin-Hypercube Sampling in combination with partial rank correlation coefficient are graphically depicted. As expected, the most sensitive parameters are related to children under 5 years old. Through the application of optimal control theory, the best combination of interventions measures to mitigate the spread of malaria is investigated. Simulations results show that concurrently applying the three intervention measures, namely: personal protection, treatment, and vaccination of childreen under-five is the best strategy for fighting against malaria epidemic in a community, relative to using either single or any dual combination of intervention(s) at a time.

Keywords: Malaria; Optimal control; Sensitivity analysis; Vaccination.

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Conflict of interest statement

Conflict of InterestNone.

Figures

Fig. 1
Fig. 1
Model flow diagram of the human component of the model
Fig. 2
Fig. 2
Model flow diagram of the mosquito component of the model
Fig. 3
Fig. 3
Tonardo plot showing all the model parameters against RCm. The longer the bar, the more sensitive if the corresponding parameter
Fig. 4
Fig. 4
Scatter plots simulation showing the PRCC values of parameters λa ϑe,ξ and μh against the vaccination class Ve
Fig. 5
Fig. 5
Effect of implementing controls of the model state variables for (a) Susceptible humans under 5-years. (b) Susceptible humans over 5-years. (c) Infectious humans under 5-years. (d) Infectious humans over 5-years. (e) Vaccinated humans under 5-years
Fig. 6
Fig. 6
Control profiles for the use of optimal control variables (a) c1-personal protective measures. (b) c2-Treatment effort (c) c3-vaccination effort
Fig. 7
Fig. 7
Effect of implementing only control c1 of the model state variables for (a) Susceptible humans under 5-years. (b) Susceptible humans over 5-years. (c) Infectious humans under 5-years. (d) Infectious humans over 5-years. (e) Vaccinated humans under 5-years
Fig. 8
Fig. 8
Effect of implementing only control c2 of the model state variables for (a) Susceptible humans under 5-years. (b) Susceptible humans over 5-years. (c) Infectious humans under 5-years. (d) Infectious humans over 5-years. (e) Vaccinated humans under 5-years
Fig. 9
Fig. 9
Effect of implementing only control c3 of the model state variables for (a) Susceptible humans under 5-years. (b) Susceptible humans over 5-years. (c) Infectious humans under 5-years. (d) Infectious humans over 5-years. (e) Vaccinated humans under 5-years

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