Tuberculosis (TB) remains one of deadly infectious diseases worldwide. Smoking habits are a significant factor that can increase TB transmission rates, as smokers are more susceptible to contracting TB than nonsmokers. Therefore, a control strategy that focused on minimizing TB transmission among smokers was essential. The control of TB transmission was evaluated based on the case detection rate. Undetected TB cases often resulted from economic challenges, low awareness, negative stigma toward TB patients, and health system delay (HSD). In this study, we developed a mathematical model that captured the dynamics of TB transmission specifically among smokers, incorporating the effects of case detection. Our innovative approach lied in the integration of smoking behavior as a key factor in TB transmission dynamics, which has been underexplored in previous models. We analyzed the existence and stability of the TB model equilibrium based on the basic reproduction number. Additionally, parameter sensitivity analysis was conducted to identify the most influential factors in the spread of the disease. Furthermore, this study investigated the effectiveness of various control strategies, including social distancing for smokers, TB screening in high-risk populations, and TB treatment in low-income communities. By employing the Pontryagin maximum principle, we solved optimal control problems to determine the most effective combination of interventions. Simulation results demonstrated that a targeted combination of control measures can effectively reduce the number of TB-infected individuals.
Citation: Cicik Alfiniyah, Wanwha Sonia Putri Artha Soetjianto, Ahmadin, Muhamad Hifzhudin Noor Aziz, Siti Maisharah Sheikh Ghadzi. Mathematical modeling and optimal control of tuberculosis spread among smokers with case detection[J]. AIMS Mathematics, 2024, 9(11): 30472-30492. doi: 10.3934/math.20241471
Tuberculosis (TB) remains one of deadly infectious diseases worldwide. Smoking habits are a significant factor that can increase TB transmission rates, as smokers are more susceptible to contracting TB than nonsmokers. Therefore, a control strategy that focused on minimizing TB transmission among smokers was essential. The control of TB transmission was evaluated based on the case detection rate. Undetected TB cases often resulted from economic challenges, low awareness, negative stigma toward TB patients, and health system delay (HSD). In this study, we developed a mathematical model that captured the dynamics of TB transmission specifically among smokers, incorporating the effects of case detection. Our innovative approach lied in the integration of smoking behavior as a key factor in TB transmission dynamics, which has been underexplored in previous models. We analyzed the existence and stability of the TB model equilibrium based on the basic reproduction number. Additionally, parameter sensitivity analysis was conducted to identify the most influential factors in the spread of the disease. Furthermore, this study investigated the effectiveness of various control strategies, including social distancing for smokers, TB screening in high-risk populations, and TB treatment in low-income communities. By employing the Pontryagin maximum principle, we solved optimal control problems to determine the most effective combination of interventions. Simulation results demonstrated that a targeted combination of control measures can effectively reduce the number of TB-infected individuals.
[1] | R. Miggiano, M. Rizzi, D. M. Ferraris, Mycobacterium tuberculosis pathogenesis, infection prevention and treatment, Pathogens, 9 (2020), 385. https://doi.org/10.3390/pathogens9050385 doi: 10.3390/pathogens9050385 |
[2] | A. Selmani, M. Coenen, S. Voss, C. Jung-Sievers, Health indices for the evaluation and monitoring of health in children and adolescents in prevention and health promotion: a scoping review, BMC Public Health, 21 (2021), 2309. https://doi.org/10.1186/s12889-021-12335-x doi: 10.1186/s12889-021-12335-x |
[3] | B. Mathema, J. R. Andrews, T. Cohen, M. W. Borgdorff, M. Behr, J. R. Glynn, et al., Drivers of tuberculosis transmission, J. Infect. Dis., 216 (2017), S644–S653. https://doi.org/10.1093/infdis/jix354 doi: 10.1093/infdis/jix354 |
[4] | S. Kiazyk, T. B. Ball, Latent tuberculosis infection: an overview, Can. Commun. Dis. Rep., 43 (2017), 62–66. https://doi.org/10.14745/ccdr.v43i34a01 doi: 10.14745/ccdr.v43i34a01 |
[5] | M. Farman, C. Alfiniyah, A. Shehzad, Modelling and analysis tuberculosis (TB) model with hybrid fractional operator, Alex. Eng. J., 72 (2023), 463–478. https://doi.org/10.1016/j.aej.2023.04.017 doi: 10.1016/j.aej.2023.04.017 |
[6] | Fatmawati, U. D. Purwati, M. I. Utoyo, C. Alfiniyah, Y. Prihartini, The dynamics of tuberculosis transmission with optimal control analysis in Indonesia, Commun. Math. Biol. Neurosci., 2020 (2020), 25. https://doi.org/10.28919/cmbn/4605 doi: 10.28919/cmbn/4605 |
[7] | T. Fanirana, A. Alib, M. O. Adewolec, B. Adebod, O. O. Akannie, Asymptotic behavior of Tuberculosis between smokers and non-smokers, Partial Differ. Equations Appl. Math., 5 (2022), 100244. https://doi.org/10.1016/j.padiff.2021.100244 doi: 10.1016/j.padiff.2021.100244 |
[8] | K. Slama, C. Y. Chiang, D. A. Enaderson, K. Hasmiller, A. Fanning, P. Gupta, et al., Tobacco and tuberculosis: a qualitative systematic review and meta-analysis, Int. J. Tuberc. Lung Dis., 11 (2007), 1049–1061. |
[9] | D. Gao, N. Huang, Optimal control analysis of a tuberculosis model, Appl. Math. Modell., 58 (2018), 47–64. https://doi.org/10.1016/j.apm.2017.12.027 doi: 10.1016/j.apm.2017.12.027 |
[10] | A. Y. Ayinla, W. A. M. Othman, M. Rabiu, A mathematical model of the tuberculosis epidemic, Acta Biotheor., 69 (2021), 225–255. https://doi.org/10.1007/s10441-020-09406-8 doi: 10.1007/s10441-020-09406-8 |
[11] | S. Basu, D. Stuckler, A. Bitton, S. A. Glantz, Projected effects of tobacco smoking on worldwide tuberculosis control: mathematical modeling analysis, BMJ, 4 (2011), 343. https://doi.org/10.1136/bmj.d5506 doi: 10.1136/bmj.d5506 |
[12] | Fatmawati, M. A. Khan, E. Bonyah, Z. Hammouch, E. M. Shaiful, A mathematical model of tuberculosis (TB) transmission with children and adults groups: a fractional model, AIMS Math., 5 (2020), 2813–2842. https://doi.org/10.3934/math.2020181 doi: 10.3934/math.2020181 |
[13] | C. P. Bhunu, Mathematical analysis of a three-strain tuberculosis transmission model, Appl. Math. Model., 35 (2011), 4647–4660. https://doi.org/10.1016/J.APM.2011.03.037 doi: 10.1016/J.APM.2011.03.037 |
[14] | J. J. Tewa, S. Bowong, B. Mewoli, Mathematical analysis of two-patch model for the dynamical transmission of tuberculosis, Appl. Math. Model., 36 (2012), 2466–2485. https://doi.org/10.1016/J.APM.2011.09.004 doi: 10.1016/J.APM.2011.09.004 |
[15] | J. Liu, T. Zhang, Global stability for a tuberculosis model, Math. Comput. Model., 54 (2011), 836–845. https://doi.org/10.1016/j.mcm.2011.03.033 doi: 10.1016/j.mcm.2011.03.033 |
[16] | S. Ullah, M. A. Khan, M. Farooq, A fractional model for the dynamics of TB virus, Chaos Solitons Fract., 116 (2018), 63–71. https://doi.org/10.1016/j.chaos.2018.09.001 doi: 10.1016/j.chaos.2018.09.001 |
[17] | M. A. Khan, M. Ahmad, S. Ullah, M. Farooq, T. Gul, Modeling the transmission dynamics of tuberculosis in Khyber Pakhtunkhwa Pakistan, Adv. Mech. Eng., 11 (2019), 1–13. https://doi.org/10.1177/1687814019854835 doi: 10.1177/1687814019854835 |
[18] | F. B. Agusto, Optimal chemoprophylaxis and treatment control strategies of a tuberculosis transmission model, World J. Model. Simul., 5 (2009), 163–173. |
[19] | C. J. Silva, D. F. M. Torres, Optimal control for a tuberculosis model with reinfection and post-exposure interventions, Math. Biosci., 244 (2013), 154–164. https://doi.org/10.1016/j.mbs.2013.05.005 doi: 10.1016/j.mbs.2013.05.005 |
[20] | P. Rodrigues, C. J. Silva, D. F. M. Torres, Cost-effectiveness analysis of optimal control measures for tuberculosis, Bull. Math. Bio., 76 (2014), 2627–2645. https://doi.org/10.1007/s11538-014-0028-6 doi: 10.1007/s11538-014-0028-6 |
[21] | D. Okuonghae, Analysis of stochastic mathematical model for tuberculosis with case detection, Int. J. Dyn. Control, 10 (2022), 734–747. https://doi.org/10.1007/s40435-021-00863-8 doi: 10.1007/s40435-021-00863-8 |
[22] | O. Diekmann, J. A. P. Heesterbeek, J. A. J. Metz, On the definition and the computation of the basic reproduction ratio $R_0$ in models for infectious diseases in heterogenous populations, J. Math. Biol., 28 (1990), 362–382. https://doi.org/10.1007/BF00178324 doi: 10.1007/BF00178324 |
[23] | O. Diekmann, J. A. P. Heesterbeek, Mathematical epidemiology of infectious diseases: model building, analysis and interpretation, John Wiley & Sons, Inc., 2000. |
[24] | P. van den Driessche, J. Watmough, Reproduction numbers and sub-threshold endemic equilibria for compartmental models of disease transmition, Math. Biosci., 180 (2002), 29–48. https://doi.org/10.1016/S0025-5564(02)00108-6 doi: 10.1016/S0025-5564(02)00108-6 |
[25] | H. Abboubakar, J. C. Kamgang, L. N. Nkamba, D. Tieudjo, Bifurcation thresholds and optimal control in transmission dynamics of arboviral diseases, J. Math. Biol., 76 (2018), 379–427. https://doi.org/10.1007/s00285-017-1146-1 doi: 10.1007/s00285-017-1146-1 |
[26] | L. N. Nkamba, T. T. Manga, F. Agouanet, M. L. M. Manyombe, Mathematical model to assess vaccination and effective contact rate impact in the spread of tuberculosis, J. Biol. Dyn., 13 (2019), 26–42. https://doi.org/10.1080/17513758.2018.1563218 doi: 10.1080/17513758.2018.1563218 |
[27] | N. Chitnis, J. M. Hyman, J. M. Cushing, Determining important parameters in the spread of malaria through the sensitivity analysis of a mathematical model, Bull. Math. Biol., 70 (2008), 1272–1296. https://doi.org/10.1007/s11538-008-9299-0 doi: 10.1007/s11538-008-9299-0 |
[28] | K. O. Okosun, O. D. Makinde, A co-infection model of malaria and cholera diseases with optimal control, Math. Biosci., 258 (2014), 19–32. https://doi.org/10.1016/j.mbs.2014.09.008 doi: 10.1016/j.mbs.2014.09.008 |
[29] | K. O. Okosun, O. D. Makinde, Optimal control analysis of hepatitis C virus with acute and chronic stages in the presence of treatment and infected immigrants, Int. J. Biomath., 7 (2014), 1450019. https://doi.org/10.1142/S1793524514500193 doi: 10.1142/S1793524514500193 |
[30] | G. T. Tilahun, O. D. Makinde, D. Malonza, Co-dynamics of pneumonia and typhoid fever diseases with cost effective optimal control analysis, Appl. Math. Comput., 316 (2018), 438–459. https://doi.org/10.1016/j.amc.2017.07.063 doi: 10.1016/j.amc.2017.07.063 |
[31] | E. Ziv, C. L. Daley, S. Blower, Early therapy for latent tuberculosis infection, Am. J. Epidemiol., 153 (2001), 381–385. https://doi.org/10.1093/aje/153.4.381 doi: 10.1093/aje/153.4.381 |
[32] | E. Vynnycky, P. E. Fine, The natural history of tuberculosis: the implications of age-dependent risks of disease and the role of reinfection, Epidemiol. Infect., 119 (1997), 183–201. https://doi.org/10.1017/s0950268897007917 doi: 10.1017/s0950268897007917 |
[33] | K. Hattaf, A new mixed fractional derivative with applications in computational biology, Computation, 12 (2024), 7. https://doi.org/10.3390/computation12010007 doi: 10.3390/computation12010007 |