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IOSR Journal of Applied Physics (IOSR-JAP)
e-ISSN: 2278-4861.Volume 5, Issue 3 (Nov. - Dec. 2013), PP 07-13
www.iosrjournals.org
www.iosrjournals.org 7 | Page
On Stability Equilibrium Analysis of Endemic Malaria
1
I.I Raji, 1
A.A.Abdullahi and 2
M.O Ibrahim
1
Department of Mathematics and Statistics, Federal Polytechnic, Ado-Ekiti, Nigeria.
2
Department of Mathematics, University of Ilorin, Ilorin, kwara state, Nigeria.
Abstract:This paper considers the stability equilibrium of malaria in a varying population. We established the
Disease free equilibrium and the endemic equilibrium and carried out the stability analysis of the Disease free
equilibrium state (the state of complete eradication of malaria from the population).
Keywords: malaria, mathematical model, disease-free equilibrium, endemic equilibrium, basic reproduction
number.
I. Introduction
Several insects are known to be vectors of human disease. Mosquitoes in particular enjoy the
questionable honour of having been the first insects to be associated with the transmission of a disease.
Malaria is an infectious disease caused by the Plasmodium parasite and transmitted between
mosquitos.In 1898, the Italian Zoologist G.B. Grassi and his co-workers first described the complete cycle of the
human malaria parasites and pointed to a species of the genus Anopheles as responsible of malaria transmission.
Of more than 480 species of anopheles, only about 50 species transmit malaria. The habits of most of the
anopheles mosquitoes have been characterized as anthropophagic (prefer human blood meal), endothermic (bite
indoors), and nocturnal (bite at night) with peak biting at midnight, between 11pm and 2 am. The epidemiology
of malaria in a given environment is the result of a complex interplay among man, plasmodia, and anopheline
mosquitoes. These three elements have to be present for malaria transmission to occur in nature. The incidence
of malaria has been growing recently due to increasing parasite drug- resistance and mosquito insecticide
resistance.
It remains one of the most difficult epidemiological, pharmacological and immunological challenges in
sub-Sahara Africa. Its influence has been profound and sustained over the centuries and malaria remains a
major cause of morbidity and mortality. Moreover, the epidemiological situation appears to be changing for the
worse in many countries (Offosu, Amaah, 1991).
An estimated 40% of the world’s populations live in malaria endemic areas. Each year 300 to 500
million people develop malaria. It kills about 700,000 to 2.7 million people a year 75% of whom are Africa
children
Malaria is the ninth largest cause of death and disability globally.Malaria episodes lead to direct cost
associated with health care and health care – related transport and indirect costs associated with lost income for
patients, lost income for careers and school days missed by children.
In areas where malaria transmissions are high, the highest number of cases is concentrated among
young children. However, malaria illness affects all age groups which leads to a higher loss of income and
decreased productivity [8].
We develop a mathematical model to better understand the transmission and spread of malaria. This
model is used to determine which factors are most responsible for the spread of malaria.
II. Model Formulation
We formulate a model similar to that of [11,12] describing the transmission of malaria.The equations
for model is as described below
  hhhh
h
SRP
dt
dS
ο₯ 
  hhhhh
h
EiS
dt
dE
 
  hhhhhh
h
qIIEi
dt
dI
 
  hhh
h
RqI
dt
dR
ο₯ 
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 8 | Page
  vvv
v
SV
dt
dS
 
1.0
  vvvvv
v
EiS
dt
dE
 
vvvv
v
IEi
dt
dI

Table 1: The state variables for the malaria model equation 1.0
Parameter Description
π‘†β„Ž (𝑑) - Number of susceptible human hosts at time t
πΈβ„Ž (𝑑) - Number of exposed human hosts at time t
πΌβ„Ž (𝑑) - Number of infections human hosts at time t
π‘…β„Ž (𝑑) - Number of recovered human with temporary immunity of time t
𝑆𝑣(𝑑) - Number of susceptible mosquito vectors at time t
𝐸𝑣(𝑑) - Number of exposed mosquito vectors at time t
π‘β„Ž (𝑑) - Total human population
𝑁𝑣(𝑑) - Total mosquito population
Table II: Model parameters and their interpretations for the malaria model equation 1.0
Parameter Description
P Birth
h Natural death rate for humans
h Force of infection for humans from susceptible state to exposed state.
hi Incident rate for humans
Q Treatment of infected humans
h Disease- induced death rate for humans
ο₯ Rate of loss of immunity for humans
V Recruitment rate of mosquitoes
v Force of infection of mosquitoes from susceptible state to exposed state.
vi Incident rate for mosquitoes
vοͺ Natural death rate for mosquitoes
vh Probability of transmission of infection from an infectious mosquito to a susceptible human provided there is a
contact.
hv Probability of transmission of infection from an infectious human to a susceptible mosquitoes provided there is
a contact
TOTAL POPULATION DENSITY
The total population sizes are
π‘β„Ž = π‘†β„Ž + πΈβ„Ž + πΌβ„Ž + π‘…β„Ž
𝑁𝑣 = 𝑆𝑣 + 𝐸𝑣 + 𝐼𝑣
π‘‘π‘β„Ž
𝑑𝑑
= 𝑃 βˆ’ πœ‡β„Ž π‘β„Ž βˆ’ πœ‚β„Ž πΌβ„Ž
also
𝑑 𝑁 𝑣
𝑑𝑑
= 𝑉 βˆ’ πœ‘π‘£ 𝑁𝑣 2.0
whereπ›Ώβ„Ž= ᴧ π‘£β„Ž , 𝛿 𝑣 = hv
whereᴧ π‘£β„Ž denotes the rate at which the susceptible human Sh, become infected by infectious female Anopheles
mosquitoes Iv and hv represents the rate at which the susceptible mosquitoes Sv are infected by infectious
human hI .
The model is analysed to examine the critical factors which determine the persistence or eradication of malaria.
We hence determine if the mode is well posed.
Theorem (2.1): The solution of (2.0) are feasible for all t>0 and is defined in the subset
 ο‚΄ [0, ο‚₯) of 𝑅+
7
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 9 | Page
Proof:
Let h = (π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž , 𝑆𝑣, 𝐸𝑣, 𝐼𝑣)πœ–π‘…+
7
be any solution of the system (2.0) with non-negative initial
conditions.
In absence of the disease (malaria), πΌβ„Ž = 0,
π‘‘π‘β„Ž
𝑑𝑑
≀ 𝑃 βˆ’ πœ‡β„Ž π‘β„Ž
π‘‘π‘β„Ž
𝑑𝑑
+ πœ‡β„Ž π‘β„Ž ≀ 𝑃
𝑑
𝑑𝑑
π‘β„Ž 𝑒 πœ‡β„Ž 𝑑
≀ 𝑃𝑒 πœ‡β„Ž 𝑑
2.1
π‘β„Ž 𝑒 πœ‡β„Ž 𝑑
≀
𝑃𝑒 πœ‡β„Ž 𝑑
πœ‡β„Ž
+ 𝑐
Where c is a constant of integration
π‘β„Ž ≀
𝑃
πœ‡β„Ž
+ 𝑐𝑒 πœ‡β„Ž 𝑑
at t= 0
π‘β„Ž 0 ≀
𝑃
πœ‡β„Ž
+ 𝑐
π‘β„Ž 0 ≀
𝑃
πœ‡β„Ž
≀ 𝑐
With
π‘β„Ž ≀
𝑃
πœ‡β„Ž
+ (π‘β„Ž 0 βˆ’
𝑃
πœ‡β„Ž
)π‘’βˆ’πœ‡β„Ž 𝑑
2.2
0 ≀ π‘β„Ž ≀
𝑃
πœ‡β„Ž
π‘Žπ‘‘π‘‘ β†’ ∞
Therefore, as 𝑑 β†’ ∞ in (2.2), the human population.
π‘β„Ž π‘Žπ‘π‘π‘Ÿπ‘œπ‘Žπ‘β„Žπ‘’π‘ 
𝑃
πœ‡β„Ž
, π‘€β„Žπ‘’π‘Ÿπ‘’
𝑃
πœ‡β„Ž
= π‘˜Called the carrying capacity.
Hence all feasible solution set of the human of the human population of the model (2.1) enter the region.
h = π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž πœ–β„+
4
: π‘†β„Ž > 0, πΈβ„Ž β‰₯ 0, πΌβ„Ž β‰₯ 0, π‘…β„Ž β‰₯ 0 π‘Žπ‘›π‘‘π‘β„Ž ≀
𝑃
πœ‡β„Ž
In like manner, the feasible solutions set of the mosquito population enters the region
v = 𝑆𝑣, 𝐸𝑣, 𝐼𝑣 πœ–β„+
3
: 𝑆𝑣 > 0, 𝐸𝑣 β‰₯ 0, 𝐼𝑣 β‰₯ 0, 𝑁𝑣 β‰₯ 0 π‘Ž ≀
𝑉
πœ‘ 𝑣
𝑑 π‘†β„Ž
𝑑π‘₯
= 𝑃 + πœ€π‘…β„Ž βˆ’ π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž β‰₯ βˆ’π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž
𝑑 π‘†β„Ž
𝑑π‘₯
– π›Ώβ„Ž π‘†β„Ž + πœ‡β„Ž π‘†β„Ž β‰₯ βˆ’ π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž
𝑑 π‘†β„Ž
π‘†β„Ž
β‰₯ βˆ’ π›Ώβ„Ž + πœ‡β„Ž 𝑑𝑑
π‘‘π‘’π‘†β„Ž β‰₯ βˆ’ π›Ώβ„Ž + πœ‡β„Ž 𝑑 + 𝐢1
π‘†β„Ž β‰₯ π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑑+𝐢1 β‰₯ π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑒 𝐢1
π‘†β„Ž 𝑑 β‰₯ π΄π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑑
𝐴𝑑𝑑 = 0
π‘†β„Ž 0 β‰₯ 𝐴
π‘†β„Ž 0 π‘’βˆ’ π›Ώβ„Ž +πœ‡ 𝑑
β‰₯ 0
∴ π‘†β„Ž 𝑑 β‰₯ π‘†β„Ž 0 π‘’βˆ’ π›Ώβ„Ž +πœ‡ 𝑑
β‰₯ 0
Also the remaining equations of system (2.0) are all positive for𝑑 > 0.
Hence, the domain  is positively invariant, because no solution paths leave through any boundary. Since
paths cannot leave  , solutions exist for all positive time. Thus the model is mathematically and
epidemiologically well-posed.
Disease free equilibrium: We now solve the model equations to obtain the equilibrium states. At the
equilibrium state in the absence of the disease, we have πΈβ„Ž =πΌβ„Ž = 𝐸𝑣 =𝐼𝑣 = 0.
From (1.0)
P – πœ‡β„Ž βˆ’ π‘β„Ž = 0
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 10 | Page
ο€ͺ
hN =
𝑃
πœ‡β„Ž
- 3.5
Also 𝑉 βˆ’ πœ‘π‘£ 𝑁𝑣 = 0
𝑁𝑣
βˆ—
=
𝑉
πœ‘ 𝑣
- 3.6
Therefore, the disease free equilibrium point of the malaria mode (3.2) is πΈπ‘œ = π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž , 𝑆𝑣, 𝐸𝑣, 𝐼𝑣 =
(
𝑃
πœ‡β„Ž
, 0, 0, 0,
𝑉
πœ“ 𝑣
, 0,0) .
This is the state in which there is no infection (in the absence of malaria) in the society.
THE BASIC REPRODUCTION RATIO 𝑹 𝒐
This is the expected number of secondary cases, produced, in a completely susceptible population, by a
typical infected individual during its entire period of infectiousness, and mathematically as the dominant eigen
value of positive linear operator.
In the original parameters 𝑅 π‘œ =
π‘‰π‘–β„Ž 𝑖 𝑣 hv vh πœ‡
π‘ƒπœ“ π‘–β„Ž +πœ‡ π‘ž+πœ‡+πœ‚ (𝑖 𝑣+πœ“)πœ“
LOCAL STABILITY OF THE DISEASE-FREE EQUILIBRIUM
Theorem 3.1: The disease-free equilibrium point is locally asymptotically stable if 𝑅 π‘œ < 1 and is unstable if
𝑅 π‘œ > 1.
Proof: The matrix of the system of equation is
βˆ’ πœ‡β„Ž π‘–β„Ž 0 0 0 οͺvh
π‘£β„Ž
π‘–β„Ž βˆ’ πœ‡β„Ž + πœ‚ + π‘ž 0 0 0
0 q βˆ’ πœ‡β„Ž βˆ’ πœ€ 0 0
0
p
v
v
vhv

οͺ
0 βˆ’ πœ‘π‘£ 𝑖 𝑣 0
0 0 0 𝑖 𝑣 βˆ’πœ“ 𝑣
The Jacobian matrix is given as (𝐴 βˆ’β‹‹ 𝐼)
βˆ’ 𝑇1 +β‹‹ 0 0 0 𝑇2
J = 𝑇3 𝑇4 0 0 0
0 𝑇5 βˆ’ 𝑇6 +β‹‹ 0 0 = 0
0 𝑇0 0 βˆ’ 𝑇7 +β‹‹ 0
0 0 0 𝑇8 𝑇9
𝑇1 = πœ‡β„Ž + π‘–β„Ž , 𝑇2 = ᴧ π‘£β„Ž πœ‘, 𝑇3 = π‘–β„Ž , 𝑇4 = πœ‡β„Ž + πœ‚ + π‘ž
𝑇5 = π‘ž , 𝑇6 = πœ‡β„Ž βˆ’ πœ€ , 𝑇7 = πœ“ 𝑣 + 𝑖 𝑣 , 𝑇8 = 𝑖 𝑉
𝑇9 = πœ“ 𝑣 , 𝑇0 =
p
v
v
vhv

οͺ
From the third column, which has a diagonal entry, one of the eigenvalues is βˆ’ 𝑇6 +β‹‹ .
The matrices therefore reduces to
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 11 | Page
βˆ’ 𝑇1 +β‹‹ 0 0 𝑇2
J =
𝑇3 βˆ’ 𝑇4 +β‹‹ 0 0 = 0
0 𝑇0 βˆ’ 𝑇7 +β‹‹ 0
0 0 𝑇8 βˆ’ 𝑇9 +β‹‹
which forms the characteristics equation
𝑇1 +β‹‹ 𝑇4 +β‹‹ 𝑇7 +β‹‹ 𝑇9 +β‹‹ βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0 = 0
= 𝑇1 𝑇4 +β‹‹ 𝑇1 +β‹‹ 𝑇4 +β‹‹2
𝑇7 𝑇9 +β‹‹ 𝑇7 +β‹‹ 𝑇9 +β‹‹2
βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0 = 0
β‹‹4
+ β‹‹3
𝛾1 + β‹‹2
𝛾2 +β‹‹ 𝛾3 + 𝛾0 = 0
For
𝛾1 = 𝑇1 + 𝑇4 + 𝑇7 + 𝑇9
𝛾2 = 𝑇1 𝑇7 + 𝑇1 𝑇9 + 𝑇4 𝑇9 + 𝑇7 𝑇9 + 𝑇1 𝑇4
𝛾3 = 𝑇1 𝑇4 𝑇7 + 𝑇1 𝑇4 𝑇9 + 𝑇1 𝑇7 𝑇9 + 𝑇4 𝑇7 𝑇9 + 𝑇4 𝑇7
𝛾0 = 𝑇1 𝑇4 𝑇7 𝑇9 βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0
To evaluate the signs of the roots of, we use the Routh – Hurwitz criterion and Descartes’ Rule of sign.
Theorem 3.2: Routh-Hurwitz Criteria
Given the polynomial
𝑃 β‹‹ = β‹‹ 𝑛
+ 𝛾1 β‹‹ π‘›βˆ’1
+ … π›Ύπ‘›βˆ’1 β‹‹ + 𝛾𝑛
where the coefficients 𝛾𝑖 are real constants, 𝑖 = 1, … , 𝑛; define the n Hurwitz matrices is equal to the number of
sign changes 𝛾𝑖 of the characteristic polynomial.
1ο€½oF , 11 F ,
23
1
2
1


ο€½F ,
345
123
1
3
01



ο€½F ,
2345
123
1
4 1
001



ο€½F
where 𝛾𝑖 = 0 𝑖𝑓𝑖 > 𝑛. All of the roots of the polynomial 𝑃 β‹‹ are negatives or have negative real parts
if and only if the determinants of all Hurwitz matrices are positive: 𝑑𝑒𝑑 𝐹𝑗 > 0, 𝑗 = 1, 2, … . . , 𝑛.
We show that when 𝑅 π‘œ < 1, all the coefficients , 𝛾𝑖, of the characteristics equation
and𝐹𝑗 are positive.
From the characteristic equation, with n = 4, the Routh – Hurwitz criteria are
𝛾1 > 0 , 𝛾2 > 0, 𝛾3 > 0, 𝛾4 > 0 anddet 𝐹1 = 𝛾1 > 0 ,
 
2
1
2
0
1
det


ο€½F = 𝛾1 𝛾2 > 0,
 
3
123
1
3
00
01
det



ο€½F
= 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾3
2
> 0
i.e. = 𝛾1 𝛾2 βˆ’ 𝛾3 > 0
and
= 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾1
2
𝛾4 βˆ’ 𝛾3
2
> 0
= 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾3
2
βˆ’ 𝛾1
2
𝛾4 > 0
Since all the determinants of the Hurwitz are positive, which implies that all the Eigen values of the Jacobian
matrix have negative real part. Hence disease –free equilibrium point is asymptotically stable and 𝑅 π‘œ > 1.
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 12 | Page
The Endemic Equilibrium Point
Endemic equilibrium points are steady state situations where the disease persist in the population (all
state variables are positive). The endemic equilibrium of the model is given as
πΈβˆ—
= π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…βˆ—
, 𝑆𝑣 , πΈβˆ—
, 𝐼𝑣 > 0.
Consider equation
π‘‘π‘†β„Ž
𝑑𝑑
= 𝑃 + πœ€π‘…β„Ž βˆ’
h
hvvh
N
SIοͺ
βˆ’ πœ‡π‘†β„Ž
π‘‘πΈβ„Ž
𝑑𝑑
=
h
hvvh
N
SIοͺ
βˆ’ πœ‡β„Ž πΈβ„Ž βˆ’ π‘–β„Ž πΈβ„Ž = 0
π‘‘πΌβ„Ž
𝑑𝑑
= π‘–β„Ž πΈβ„Ž βˆ’ πœ‡β„Ž + α΄§β„Ž πΌβ„Ž βˆ’ π‘žπΌβ„Ž = 0
π‘‘π‘…β„Ž
𝑑𝑑
= π‘žπΌβ„Ž βˆ’ πœ‡β„Ž π‘…β„Ž βˆ’ πœ€π‘…β„Ž = 0
𝑑𝑆𝑣
𝑑𝑑
= 𝑣 βˆ’ πœ“ 𝑣 𝑆𝑣 βˆ’
h
vhhv
N
SIοͺ
𝑑𝐸𝑣
𝑑𝑑
=
h
vhhv
N
SIοͺ
βˆ’ πœ“ 𝑣 𝐸𝑣 βˆ’ 𝑖 𝑣 𝐸𝑣 = 0
𝑑𝐼𝑣
𝑑𝑑
= 𝑖 𝑣 𝐸𝑣 βˆ’ πœ“ 𝑣 𝐸𝑣 = 0
from
𝑖 𝑣 𝐸𝑣– πœ“ 𝑣 𝐼𝑣 = 0
πœ“ 𝑣 𝐼𝑣 = 𝑖 𝑣 𝐸𝑣
𝐼𝑣
βˆ—
=
𝑖 𝑣 𝐸 𝑣
πœ“ 𝑣
- - - - - - - - (i)
Also
𝐸𝑣 πœ“ 𝑣+𝑖 𝑣 =
h
vhhv
N
SIοͺ
𝐸𝑣
βˆ—
=
 vvh
vhhv
iN
SI



οͺ
- - - - - - - - (ii)
Substitute (ii) and (i)
𝐼𝑣
βˆ—
=
 vvhv
vhhv
iN
SI



οͺ
- - - - - - - - (iii)
from
𝑑 𝑆 𝑣
𝑑𝑑
= 𝑣 βˆ’ πœ“ 𝑣 𝑆𝑣 βˆ’
h
vhhv
N
SIοͺ
= 0
𝑆𝑣 (πœ“ 𝑣 +
h
vhv
N
Iοͺ ^ πœ‘β„Ž πœ‘ 𝐼 𝑣 π‘†β„Ž
πœ‡β„Ž
) = 𝑣
𝑆𝑣
βˆ—
=
vhvvh
h
IN
vN
οͺ οŒο€«
- - - - - - - - (iv)
Substitute (iv) in (iii)
𝐼𝑣
βˆ—
=
  vhvvhvvhv
hhhvv
INiN
vNIi
οͺ
οͺ
οŒο€«ο€«

- - - - - - - - (iv)
III. Conclusion
* * * **
On Stability Equilibrium Analysis of Endemic Malaria
www.iosrjournals.org 13 | Page
From our analysis, we found that the disease free equilibrium is stable when the threshold parameter is
less than unity. However, the disease could be reduced if the contact rate is avoided. This could be achieved
by the use of insecticide bed treated net and or indoor spraying..
References
[1]. Herbert .W. Hethcote (2000). The Mathematics of Infectious Diseases. Society for Industrial and Applied Mathematics. Vol.42(4),
599-653.
[2]. Ibrahim, M.O. and Egbetade, S.A. (2012). A Mathematical Model for the Epidemiology of Tuberculosis with estimate of the basic
reproduction number. Archimedes Journal Maths. Vol .2.
[3]. Jibril. L .and Ibrahim, M.O. (2011). Mathematical Modeling on the CDTI Prospects for elimination of Onchocerciasis: A
deterministic model Approach. Mathematics and Statistics. Vol.3(4), 136-140.
[4]. John, G. Ayisi, Anna. M.VanEijk, Robert D. Newman (2010). Maternal Malaria and Perinatal HIV Transmission, Western Kenya
Centers for Disease Control and Prevention. Vol.4(3).
[5]. JulienArino, Connell. C. Mccluskey, and Van Den Driessche (2003). Global results for an epidemic model with Vaccination that
exhibits Backward Bifurcation. Society for Industrialand Applied Mathematics. 64(1), 260-276.
[6]. Kakkilaya, B.S. (2012). Can Child Be Affected by Mother’s Malaria. Malariasite.com.
[7]. Kakkilaya, B.S. (2011). Transmission of malaria. Malariasite.com
[8]. Kakkilaya, B.S. (2011). Pregnancy and Malaria. Malariasite.com
[9]. Labadin. J., C. Kon , M.L and Juan, S.F.S.(2009). Deterministic Malaria Transmission Model with Acquired Immunity.
Proceedings of the World Congress on Engineering and Computer Science. Vol.2, 20-22
[10]. Lawi, G.O, Mugisha, J.Y.T and Omolo-ongati, N (2011). Mathematical Model for Malaria and Meningitis Co-infection among
Children. Applied Mathematical Sciences. Vol.5 (47), 2337-2359.
[11]. Nakul R.C (2005). Using mathematical models in controlling the spread of malaria. Ph.D. thesis.
[12]. George, T. A (2012). A mathematical model to control the spread of malaria in Ghana

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On Stability Equilibrium Analysis of Endemic Malaria

  • 1. IOSR Journal of Applied Physics (IOSR-JAP) e-ISSN: 2278-4861.Volume 5, Issue 3 (Nov. - Dec. 2013), PP 07-13 www.iosrjournals.org www.iosrjournals.org 7 | Page On Stability Equilibrium Analysis of Endemic Malaria 1 I.I Raji, 1 A.A.Abdullahi and 2 M.O Ibrahim 1 Department of Mathematics and Statistics, Federal Polytechnic, Ado-Ekiti, Nigeria. 2 Department of Mathematics, University of Ilorin, Ilorin, kwara state, Nigeria. Abstract:This paper considers the stability equilibrium of malaria in a varying population. We established the Disease free equilibrium and the endemic equilibrium and carried out the stability analysis of the Disease free equilibrium state (the state of complete eradication of malaria from the population). Keywords: malaria, mathematical model, disease-free equilibrium, endemic equilibrium, basic reproduction number. I. Introduction Several insects are known to be vectors of human disease. Mosquitoes in particular enjoy the questionable honour of having been the first insects to be associated with the transmission of a disease. Malaria is an infectious disease caused by the Plasmodium parasite and transmitted between mosquitos.In 1898, the Italian Zoologist G.B. Grassi and his co-workers first described the complete cycle of the human malaria parasites and pointed to a species of the genus Anopheles as responsible of malaria transmission. Of more than 480 species of anopheles, only about 50 species transmit malaria. The habits of most of the anopheles mosquitoes have been characterized as anthropophagic (prefer human blood meal), endothermic (bite indoors), and nocturnal (bite at night) with peak biting at midnight, between 11pm and 2 am. The epidemiology of malaria in a given environment is the result of a complex interplay among man, plasmodia, and anopheline mosquitoes. These three elements have to be present for malaria transmission to occur in nature. The incidence of malaria has been growing recently due to increasing parasite drug- resistance and mosquito insecticide resistance. It remains one of the most difficult epidemiological, pharmacological and immunological challenges in sub-Sahara Africa. Its influence has been profound and sustained over the centuries and malaria remains a major cause of morbidity and mortality. Moreover, the epidemiological situation appears to be changing for the worse in many countries (Offosu, Amaah, 1991). An estimated 40% of the world’s populations live in malaria endemic areas. Each year 300 to 500 million people develop malaria. It kills about 700,000 to 2.7 million people a year 75% of whom are Africa children Malaria is the ninth largest cause of death and disability globally.Malaria episodes lead to direct cost associated with health care and health care – related transport and indirect costs associated with lost income for patients, lost income for careers and school days missed by children. In areas where malaria transmissions are high, the highest number of cases is concentrated among young children. However, malaria illness affects all age groups which leads to a higher loss of income and decreased productivity [8]. We develop a mathematical model to better understand the transmission and spread of malaria. This model is used to determine which factors are most responsible for the spread of malaria. II. Model Formulation We formulate a model similar to that of [11,12] describing the transmission of malaria.The equations for model is as described below   hhhh h SRP dt dS ο₯    hhhhh h EiS dt dE     hhhhhh h qIIEi dt dI     hhh h RqI dt dR ο₯ 
  • 2. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 8 | Page   vvv v SV dt dS   1.0   vvvvv v EiS dt dE   vvvv v IEi dt dI  Table 1: The state variables for the malaria model equation 1.0 Parameter Description π‘†β„Ž (𝑑) - Number of susceptible human hosts at time t πΈβ„Ž (𝑑) - Number of exposed human hosts at time t πΌβ„Ž (𝑑) - Number of infections human hosts at time t π‘…β„Ž (𝑑) - Number of recovered human with temporary immunity of time t 𝑆𝑣(𝑑) - Number of susceptible mosquito vectors at time t 𝐸𝑣(𝑑) - Number of exposed mosquito vectors at time t π‘β„Ž (𝑑) - Total human population 𝑁𝑣(𝑑) - Total mosquito population Table II: Model parameters and their interpretations for the malaria model equation 1.0 Parameter Description P Birth h Natural death rate for humans h Force of infection for humans from susceptible state to exposed state. hi Incident rate for humans Q Treatment of infected humans h Disease- induced death rate for humans ο₯ Rate of loss of immunity for humans V Recruitment rate of mosquitoes v Force of infection of mosquitoes from susceptible state to exposed state. vi Incident rate for mosquitoes vοͺ Natural death rate for mosquitoes vh Probability of transmission of infection from an infectious mosquito to a susceptible human provided there is a contact. hv Probability of transmission of infection from an infectious human to a susceptible mosquitoes provided there is a contact TOTAL POPULATION DENSITY The total population sizes are π‘β„Ž = π‘†β„Ž + πΈβ„Ž + πΌβ„Ž + π‘…β„Ž 𝑁𝑣 = 𝑆𝑣 + 𝐸𝑣 + 𝐼𝑣 π‘‘π‘β„Ž 𝑑𝑑 = 𝑃 βˆ’ πœ‡β„Ž π‘β„Ž βˆ’ πœ‚β„Ž πΌβ„Ž also 𝑑 𝑁 𝑣 𝑑𝑑 = 𝑉 βˆ’ πœ‘π‘£ 𝑁𝑣 2.0 whereπ›Ώβ„Ž= ᴧ π‘£β„Ž , 𝛿 𝑣 = hv whereᴧ π‘£β„Ž denotes the rate at which the susceptible human Sh, become infected by infectious female Anopheles mosquitoes Iv and hv represents the rate at which the susceptible mosquitoes Sv are infected by infectious human hI . The model is analysed to examine the critical factors which determine the persistence or eradication of malaria. We hence determine if the mode is well posed. Theorem (2.1): The solution of (2.0) are feasible for all t>0 and is defined in the subset  ο‚΄ [0, ο‚₯) of 𝑅+ 7
  • 3. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 9 | Page Proof: Let h = (π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž , 𝑆𝑣, 𝐸𝑣, 𝐼𝑣)πœ–π‘…+ 7 be any solution of the system (2.0) with non-negative initial conditions. In absence of the disease (malaria), πΌβ„Ž = 0, π‘‘π‘β„Ž 𝑑𝑑 ≀ 𝑃 βˆ’ πœ‡β„Ž π‘β„Ž π‘‘π‘β„Ž 𝑑𝑑 + πœ‡β„Ž π‘β„Ž ≀ 𝑃 𝑑 𝑑𝑑 π‘β„Ž 𝑒 πœ‡β„Ž 𝑑 ≀ 𝑃𝑒 πœ‡β„Ž 𝑑 2.1 π‘β„Ž 𝑒 πœ‡β„Ž 𝑑 ≀ 𝑃𝑒 πœ‡β„Ž 𝑑 πœ‡β„Ž + 𝑐 Where c is a constant of integration π‘β„Ž ≀ 𝑃 πœ‡β„Ž + 𝑐𝑒 πœ‡β„Ž 𝑑 at t= 0 π‘β„Ž 0 ≀ 𝑃 πœ‡β„Ž + 𝑐 π‘β„Ž 0 ≀ 𝑃 πœ‡β„Ž ≀ 𝑐 With π‘β„Ž ≀ 𝑃 πœ‡β„Ž + (π‘β„Ž 0 βˆ’ 𝑃 πœ‡β„Ž )π‘’βˆ’πœ‡β„Ž 𝑑 2.2 0 ≀ π‘β„Ž ≀ 𝑃 πœ‡β„Ž π‘Žπ‘‘π‘‘ β†’ ∞ Therefore, as 𝑑 β†’ ∞ in (2.2), the human population. π‘β„Ž π‘Žπ‘π‘π‘Ÿπ‘œπ‘Žπ‘β„Žπ‘’π‘  𝑃 πœ‡β„Ž , π‘€β„Žπ‘’π‘Ÿπ‘’ 𝑃 πœ‡β„Ž = π‘˜Called the carrying capacity. Hence all feasible solution set of the human of the human population of the model (2.1) enter the region. h = π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž πœ–β„+ 4 : π‘†β„Ž > 0, πΈβ„Ž β‰₯ 0, πΌβ„Ž β‰₯ 0, π‘…β„Ž β‰₯ 0 π‘Žπ‘›π‘‘π‘β„Ž ≀ 𝑃 πœ‡β„Ž In like manner, the feasible solutions set of the mosquito population enters the region v = 𝑆𝑣, 𝐸𝑣, 𝐼𝑣 πœ–β„+ 3 : 𝑆𝑣 > 0, 𝐸𝑣 β‰₯ 0, 𝐼𝑣 β‰₯ 0, 𝑁𝑣 β‰₯ 0 π‘Ž ≀ 𝑉 πœ‘ 𝑣 𝑑 π‘†β„Ž 𝑑π‘₯ = 𝑃 + πœ€π‘…β„Ž βˆ’ π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž β‰₯ βˆ’π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž 𝑑 π‘†β„Ž 𝑑π‘₯ – π›Ώβ„Ž π‘†β„Ž + πœ‡β„Ž π‘†β„Ž β‰₯ βˆ’ π›Ώβ„Ž π‘†β„Ž βˆ’ πœ‡β„Ž π‘†β„Ž 𝑑 π‘†β„Ž π‘†β„Ž β‰₯ βˆ’ π›Ώβ„Ž + πœ‡β„Ž 𝑑𝑑 π‘‘π‘’π‘†β„Ž β‰₯ βˆ’ π›Ώβ„Ž + πœ‡β„Ž 𝑑 + 𝐢1 π‘†β„Ž β‰₯ π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑑+𝐢1 β‰₯ π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑒 𝐢1 π‘†β„Ž 𝑑 β‰₯ π΄π‘’βˆ’ π›Ώβ„Ž +πœ‡β„Ž 𝑑 𝐴𝑑𝑑 = 0 π‘†β„Ž 0 β‰₯ 𝐴 π‘†β„Ž 0 π‘’βˆ’ π›Ώβ„Ž +πœ‡ 𝑑 β‰₯ 0 ∴ π‘†β„Ž 𝑑 β‰₯ π‘†β„Ž 0 π‘’βˆ’ π›Ώβ„Ž +πœ‡ 𝑑 β‰₯ 0 Also the remaining equations of system (2.0) are all positive for𝑑 > 0. Hence, the domain  is positively invariant, because no solution paths leave through any boundary. Since paths cannot leave  , solutions exist for all positive time. Thus the model is mathematically and epidemiologically well-posed. Disease free equilibrium: We now solve the model equations to obtain the equilibrium states. At the equilibrium state in the absence of the disease, we have πΈβ„Ž =πΌβ„Ž = 𝐸𝑣 =𝐼𝑣 = 0. From (1.0) P – πœ‡β„Ž βˆ’ π‘β„Ž = 0
  • 4. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 10 | Page ο€ͺ hN = 𝑃 πœ‡β„Ž - 3.5 Also 𝑉 βˆ’ πœ‘π‘£ 𝑁𝑣 = 0 𝑁𝑣 βˆ— = 𝑉 πœ‘ 𝑣 - 3.6 Therefore, the disease free equilibrium point of the malaria mode (3.2) is πΈπ‘œ = π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…β„Ž , 𝑆𝑣, 𝐸𝑣, 𝐼𝑣 = ( 𝑃 πœ‡β„Ž , 0, 0, 0, 𝑉 πœ“ 𝑣 , 0,0) . This is the state in which there is no infection (in the absence of malaria) in the society. THE BASIC REPRODUCTION RATIO 𝑹 𝒐 This is the expected number of secondary cases, produced, in a completely susceptible population, by a typical infected individual during its entire period of infectiousness, and mathematically as the dominant eigen value of positive linear operator. In the original parameters 𝑅 π‘œ = π‘‰π‘–β„Ž 𝑖 𝑣 hv vh πœ‡ π‘ƒπœ“ π‘–β„Ž +πœ‡ π‘ž+πœ‡+πœ‚ (𝑖 𝑣+πœ“)πœ“ LOCAL STABILITY OF THE DISEASE-FREE EQUILIBRIUM Theorem 3.1: The disease-free equilibrium point is locally asymptotically stable if 𝑅 π‘œ < 1 and is unstable if 𝑅 π‘œ > 1. Proof: The matrix of the system of equation is βˆ’ πœ‡β„Ž π‘–β„Ž 0 0 0 οͺvh π‘£β„Ž π‘–β„Ž βˆ’ πœ‡β„Ž + πœ‚ + π‘ž 0 0 0 0 q βˆ’ πœ‡β„Ž βˆ’ πœ€ 0 0 0 p v v vhv  οͺ 0 βˆ’ πœ‘π‘£ 𝑖 𝑣 0 0 0 0 𝑖 𝑣 βˆ’πœ“ 𝑣 The Jacobian matrix is given as (𝐴 βˆ’β‹‹ 𝐼) βˆ’ 𝑇1 +β‹‹ 0 0 0 𝑇2 J = 𝑇3 𝑇4 0 0 0 0 𝑇5 βˆ’ 𝑇6 +β‹‹ 0 0 = 0 0 𝑇0 0 βˆ’ 𝑇7 +β‹‹ 0 0 0 0 𝑇8 𝑇9 𝑇1 = πœ‡β„Ž + π‘–β„Ž , 𝑇2 = ᴧ π‘£β„Ž πœ‘, 𝑇3 = π‘–β„Ž , 𝑇4 = πœ‡β„Ž + πœ‚ + π‘ž 𝑇5 = π‘ž , 𝑇6 = πœ‡β„Ž βˆ’ πœ€ , 𝑇7 = πœ“ 𝑣 + 𝑖 𝑣 , 𝑇8 = 𝑖 𝑉 𝑇9 = πœ“ 𝑣 , 𝑇0 = p v v vhv  οͺ From the third column, which has a diagonal entry, one of the eigenvalues is βˆ’ 𝑇6 +β‹‹ . The matrices therefore reduces to
  • 5. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 11 | Page βˆ’ 𝑇1 +β‹‹ 0 0 𝑇2 J = 𝑇3 βˆ’ 𝑇4 +β‹‹ 0 0 = 0 0 𝑇0 βˆ’ 𝑇7 +β‹‹ 0 0 0 𝑇8 βˆ’ 𝑇9 +β‹‹ which forms the characteristics equation 𝑇1 +β‹‹ 𝑇4 +β‹‹ 𝑇7 +β‹‹ 𝑇9 +β‹‹ βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0 = 0 = 𝑇1 𝑇4 +β‹‹ 𝑇1 +β‹‹ 𝑇4 +β‹‹2 𝑇7 𝑇9 +β‹‹ 𝑇7 +β‹‹ 𝑇9 +β‹‹2 βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0 = 0 β‹‹4 + β‹‹3 𝛾1 + β‹‹2 𝛾2 +β‹‹ 𝛾3 + 𝛾0 = 0 For 𝛾1 = 𝑇1 + 𝑇4 + 𝑇7 + 𝑇9 𝛾2 = 𝑇1 𝑇7 + 𝑇1 𝑇9 + 𝑇4 𝑇9 + 𝑇7 𝑇9 + 𝑇1 𝑇4 𝛾3 = 𝑇1 𝑇4 𝑇7 + 𝑇1 𝑇4 𝑇9 + 𝑇1 𝑇7 𝑇9 + 𝑇4 𝑇7 𝑇9 + 𝑇4 𝑇7 𝛾0 = 𝑇1 𝑇4 𝑇7 𝑇9 βˆ’ 𝑇2 𝑇3 𝑇8 𝑇0 To evaluate the signs of the roots of, we use the Routh – Hurwitz criterion and Descartes’ Rule of sign. Theorem 3.2: Routh-Hurwitz Criteria Given the polynomial 𝑃 β‹‹ = β‹‹ 𝑛 + 𝛾1 β‹‹ π‘›βˆ’1 + … π›Ύπ‘›βˆ’1 β‹‹ + 𝛾𝑛 where the coefficients 𝛾𝑖 are real constants, 𝑖 = 1, … , 𝑛; define the n Hurwitz matrices is equal to the number of sign changes 𝛾𝑖 of the characteristic polynomial. 1ο€½oF , 11 F , 23 1 2 1   ο€½F , 345 123 1 3 01    ο€½F , 2345 123 1 4 1 001    ο€½F where 𝛾𝑖 = 0 𝑖𝑓𝑖 > 𝑛. All of the roots of the polynomial 𝑃 β‹‹ are negatives or have negative real parts if and only if the determinants of all Hurwitz matrices are positive: 𝑑𝑒𝑑 𝐹𝑗 > 0, 𝑗 = 1, 2, … . . , 𝑛. We show that when 𝑅 π‘œ < 1, all the coefficients , 𝛾𝑖, of the characteristics equation and𝐹𝑗 are positive. From the characteristic equation, with n = 4, the Routh – Hurwitz criteria are 𝛾1 > 0 , 𝛾2 > 0, 𝛾3 > 0, 𝛾4 > 0 anddet 𝐹1 = 𝛾1 > 0 ,   2 1 2 0 1 det   ο€½F = 𝛾1 𝛾2 > 0,   3 123 1 3 00 01 det    ο€½F = 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾3 2 > 0 i.e. = 𝛾1 𝛾2 βˆ’ 𝛾3 > 0 and = 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾1 2 𝛾4 βˆ’ 𝛾3 2 > 0 = 𝛾1 𝛾2 𝛾3 βˆ’ 𝛾3 2 βˆ’ 𝛾1 2 𝛾4 > 0 Since all the determinants of the Hurwitz are positive, which implies that all the Eigen values of the Jacobian matrix have negative real part. Hence disease –free equilibrium point is asymptotically stable and 𝑅 π‘œ > 1.
  • 6. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 12 | Page The Endemic Equilibrium Point Endemic equilibrium points are steady state situations where the disease persist in the population (all state variables are positive). The endemic equilibrium of the model is given as πΈβˆ— = π‘†β„Ž , πΈβ„Ž , πΌβ„Ž , π‘…βˆ— , 𝑆𝑣 , πΈβˆ— , 𝐼𝑣 > 0. Consider equation π‘‘π‘†β„Ž 𝑑𝑑 = 𝑃 + πœ€π‘…β„Ž βˆ’ h hvvh N SIοͺ βˆ’ πœ‡π‘†β„Ž π‘‘πΈβ„Ž 𝑑𝑑 = h hvvh N SIοͺ βˆ’ πœ‡β„Ž πΈβ„Ž βˆ’ π‘–β„Ž πΈβ„Ž = 0 π‘‘πΌβ„Ž 𝑑𝑑 = π‘–β„Ž πΈβ„Ž βˆ’ πœ‡β„Ž + α΄§β„Ž πΌβ„Ž βˆ’ π‘žπΌβ„Ž = 0 π‘‘π‘…β„Ž 𝑑𝑑 = π‘žπΌβ„Ž βˆ’ πœ‡β„Ž π‘…β„Ž βˆ’ πœ€π‘…β„Ž = 0 𝑑𝑆𝑣 𝑑𝑑 = 𝑣 βˆ’ πœ“ 𝑣 𝑆𝑣 βˆ’ h vhhv N SIοͺ 𝑑𝐸𝑣 𝑑𝑑 = h vhhv N SIοͺ βˆ’ πœ“ 𝑣 𝐸𝑣 βˆ’ 𝑖 𝑣 𝐸𝑣 = 0 𝑑𝐼𝑣 𝑑𝑑 = 𝑖 𝑣 𝐸𝑣 βˆ’ πœ“ 𝑣 𝐸𝑣 = 0 from 𝑖 𝑣 𝐸𝑣– πœ“ 𝑣 𝐼𝑣 = 0 πœ“ 𝑣 𝐼𝑣 = 𝑖 𝑣 𝐸𝑣 𝐼𝑣 βˆ— = 𝑖 𝑣 𝐸 𝑣 πœ“ 𝑣 - - - - - - - - (i) Also 𝐸𝑣 πœ“ 𝑣+𝑖 𝑣 = h vhhv N SIοͺ 𝐸𝑣 βˆ— =  vvh vhhv iN SI    οͺ - - - - - - - - (ii) Substitute (ii) and (i) 𝐼𝑣 βˆ— =  vvhv vhhv iN SI    οͺ - - - - - - - - (iii) from 𝑑 𝑆 𝑣 𝑑𝑑 = 𝑣 βˆ’ πœ“ 𝑣 𝑆𝑣 βˆ’ h vhhv N SIοͺ = 0 𝑆𝑣 (πœ“ 𝑣 + h vhv N Iοͺ ^ πœ‘β„Ž πœ‘ 𝐼 𝑣 π‘†β„Ž πœ‡β„Ž ) = 𝑣 𝑆𝑣 βˆ— = vhvvh h IN vN οͺ οŒο€« - - - - - - - - (iv) Substitute (iv) in (iii) 𝐼𝑣 βˆ— =   vhvvhvvhv hhhvv INiN vNIi οͺ οͺ οŒο€«ο€«  - - - - - - - - (iv) III. Conclusion * * * **
  • 7. On Stability Equilibrium Analysis of Endemic Malaria www.iosrjournals.org 13 | Page From our analysis, we found that the disease free equilibrium is stable when the threshold parameter is less than unity. However, the disease could be reduced if the contact rate is avoided. This could be achieved by the use of insecticide bed treated net and or indoor spraying.. References [1]. Herbert .W. Hethcote (2000). The Mathematics of Infectious Diseases. Society for Industrial and Applied Mathematics. Vol.42(4), 599-653. [2]. Ibrahim, M.O. and Egbetade, S.A. (2012). A Mathematical Model for the Epidemiology of Tuberculosis with estimate of the basic reproduction number. Archimedes Journal Maths. Vol .2. [3]. Jibril. L .and Ibrahim, M.O. (2011). Mathematical Modeling on the CDTI Prospects for elimination of Onchocerciasis: A deterministic model Approach. Mathematics and Statistics. Vol.3(4), 136-140. [4]. John, G. Ayisi, Anna. M.VanEijk, Robert D. Newman (2010). Maternal Malaria and Perinatal HIV Transmission, Western Kenya Centers for Disease Control and Prevention. Vol.4(3). [5]. JulienArino, Connell. C. Mccluskey, and Van Den Driessche (2003). Global results for an epidemic model with Vaccination that exhibits Backward Bifurcation. Society for Industrialand Applied Mathematics. 64(1), 260-276. [6]. Kakkilaya, B.S. (2012). Can Child Be Affected by Mother’s Malaria. Malariasite.com. [7]. Kakkilaya, B.S. (2011). Transmission of malaria. Malariasite.com [8]. Kakkilaya, B.S. (2011). Pregnancy and Malaria. Malariasite.com [9]. Labadin. J., C. Kon , M.L and Juan, S.F.S.(2009). Deterministic Malaria Transmission Model with Acquired Immunity. Proceedings of the World Congress on Engineering and Computer Science. Vol.2, 20-22 [10]. Lawi, G.O, Mugisha, J.Y.T and Omolo-ongati, N (2011). Mathematical Model for Malaria and Meningitis Co-infection among Children. Applied Mathematical Sciences. Vol.5 (47), 2337-2359. [11]. Nakul R.C (2005). Using mathematical models in controlling the spread of malaria. Ph.D. thesis. [12]. George, T. A (2012). A mathematical model to control the spread of malaria in Ghana