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. 2024 Feb 23;10(5):e26611. doi: 10.1016/j.heliyon.2024.e26611

Mathematical modeling and stability analysis of the novel fractional model in the Caputo derivative operator: A case study

Rania Saadeh a,, Mohamed A Abdoon b, Ahmad Qazza a, Mohammed Berir c, Fathelrhman EL Guma c,d, Naseam Al-kuleab e, Abdoelnaser M Degoot f
PMCID: PMC10907653  PMID: 38434353

Abstract

The fundamental goal of this research is to suggest a novel mathematical operator for modeling visceral leishmaniasis, specifically the Caputo fractional-order derivative. By utilizing the Fractional Euler Method, we were able to simulate the dynamics of the fractional visceral leishmaniasis model, evaluate the stability of the equilibrium point, and devise a treatment strategy for the disease. The endemic and disease-free equilibrium points are studied as symmetrical components of the proposed dynamical model, together with their stabilities. It was shown that the fractional calculus model was more accurate in representing the situation under investigation than the classical framework at α = 0.99 and α = 0.98. We provide justification for the usage of fractional models in mathematical modeling by comparing results to real-world data and finding that the new fractional formalism more accurately mimics reality than did the classical framework. Additional research in the future into the fractional model and the impact of vaccinations and medications is necessary to discover the most effective methods of disease control.

Keywords: Fractional model, Visceral leishmaniasis, Disease transmission, Stability analysis, Caputo fractional derivative, Simulation

1. Introduction

The utilization of models of illnesses is of utmost importance as it facilitates the comprehension of their dynamics, enables the prediction of their propagation, and aids in the development of efficient management measures [1]. Through the utilization of mathematical equations, researchers are able to get valuable insights into the complex interplay between hosts, infections, and environmental factors, which may not be readily discernible through empirical data alone. These models facilitate the elucidation of the fundamental mechanisms of disease transmission, assessment of the effectiveness of therapies, and examination of various hypothetical situations. Nevertheless, the resolution of these intricate mathematical equations frequently necessitates the utilization of numerical techniques owing to the arduousness associated with acquiring analytical answers. Numerical methodologies such as numerical methods [2], [3], Laplace residual power series [4], facilitate the estimation of solutions, the simulation of illness trajectories, and the evaluation of the implications of diverse intervention options for researchers. The integration of mathematical modeling and numerical approaches provides us with the capability to make well-informed judgments, effectively control outbreaks, and eventually ensure the protection of public health on a worldwide level.

Leishmaniasis is a neglected parasitic illness that affects 97 nations in the Americas, Africa, Asia, and Europe. More than 20 different species of Leishmania are the primary causes of the disease, and infected female phlebotomine sand flies bite people to spread the disease. The three primary leishmaniasis clinical manifestations are caused by different species of the Leishmania donovani complex: cutaneous (CL), mucocutaneous (MCL), and visceral (VL) [5].

Leishmaniasis is a neglected parasitic illness that affects 97 nations in America, Africa, Asia, and Europe. More than 20 different species of Leishmania are the primary cause of the disease, and infected female phlebotomine sand flies bite people to spread the disease. Various species of the Leishmania donovani complex cause the three main clinical presentations of leishmaniasis: cutaneous (CL), mucocutaneous (MCL), and visceral (VL) [5].

The parasite that causes VL in Sudan is a member of the Leishmania donovani sensulato cluster. Leishmania archibaldi and Leishmania infantum have been isolated from people and canines in Gedaref state, eastern Sudan. Leishmania major zymodeme LON-1 is a parasite that causes CL in Sudan [6]. Increased population movement associated with armed conflicts, as well as exposure to sandfly vectors, has contributed to the disease's expansion into previously non-endemic areas of East Africa [7], [8], [9]. India, Bangladesh, Sudan, South Sudan, Brazil, and Ethiopia account for more than 90% of all cases of visceral leishmaniasis (VL) worldwide, accounting for between 20,000 and 40,000 fatalities annually [9]. Sudan has three main locations where VL is common: the east, center, and south. There are also a few places where it happens occasionally, such as Kordofan State and the central and western parts of Darfur State [10].

Many mathematical models of VL transmission dynamics have been developed in recent years (e.g., [11], [12]), revolving around people, reservoirs, and sandflies. Song et al. [13] fitted a VL model to cumulative cases from 2004 to 2016 for the epidemic in Kashgar and found that it was very likely that the cumulative incidence of kalaazar would increase in Kashgar. Similarly, the fundamental replicability index is calculated. Sensitivity analysis showed that decreasing the amount of time sandflies spent around dogs was an efficient strategy for decreasing the prevalence of kala-azar. To study the dynamics of visceral leishmaniasis in Sudan, Elmojtaba et al. [14]constructed a mathematical model that considers three groups, analyzed the equilibrium point and its stability, and provided a foundation for the control and eventual eradication of the illness. To acquire threshold conditions and provide numerical simulation results, Sinan et al. [15] presented a mathematical analysis of a cutaneous leishmaniasis disease model that includes properties such as positivity, equilibrium points, and reproductive number. Local and global stability analyses of the equilibrium points were also performed using the Lyapunov function method and the third additive compound matrix technique. Sensitivity analysis was also performed using a nonstandard finite-difference scheme. Many researchers, both from old research and modern research, dealt with this topic with fractional models [16], [17], [18].

The main objective of this study is to propose a new mathematical operator, the Caputo fractional-order derivative operator, for modeling leishmaniasis. The fractional Euler approach was successfully used to simulate the dynamics of a new fractional visceral leishmaniasis model. The fractional visceral leishmaniasis model outperformed the traditional model, according to numerical comparisons with actual data from Gedaref State in eastern Sudan.

The use of Caputo fractional derivatives in disease modeling is a promising avenue for future research. It can offer more accurate and nuanced insights into disease dynamics, which can be invaluable in improving disease control and management strategies. As the field of fractional calculus and epidemiology continues to evolve, it's likely that more innovative applications and approaches will emerge [19], [20], [21], [22].

This paper consists of the following sections: section 2, model construction, section 3, parameter estimate, section 4, model analysis, section 5, fractional Euler method, section 6, numerical simulation The final conclusion of this paper is provided.

2. Model construction

This section describes VL dynamics by using modified SEIR model. The model comprises three distinct populations: reservoirs, vectors, and human beings. The entire human population (Nh) is partitioned into six sub-populations: exposed (Eh), susceptible (Sh), detected infected (Id), undetected infected (Iu), PKDL-infected (Ph), and recovered individuals (Rh). The total vector population Nv is split into two sub-populations, similar to how the reservoir population is split into susceptible Sr reservoirs and infected reservoirs Ir:

Nh(t)=Sh(t)+Eh(t)+Id(t)+Iu(t)+Ph(t)+Rh(t),Nv(t)=Sv(t)+Iv(t),Nr(t)=Sr(t)+Ir(t).

Initially, the parasite infects human, vector, and reservoir populations, which with constant birth rates λh,λv and λr and die naturally at μh,μv, and μr The parasite infects susceptible people with f1=β1Iv(t)Nh(t)(1αh(t)), where β1 is vector-borne infection probability and αh(t)[0,1] Effective non-pharmaceutical human population protection strategies include treated bed-nets. If interventions were 100% effective αh(t)=1, no new VL cases would occur.

Individuals in Eh survive for 1ω days before dying naturally at μh, becoming infectious at Id at ϵ(t), or undetected at 1ϵ(t). At time t, the parameter epsilon(t) measures the effectiveness of focused surveillance actions for case detection, such as capacity development and early diagnosis. Without monitoring, all infected would go unnoticed. Individuals in Id compartment get therapy, recover at σ1, acquire PKDL at ρ1, or die at δ1 and μh owing to VL infection and natural causes, respectively.

Surveillance systems do not record or treat Iu. However, these individuals recover naturally at γ1 due to immunity, acquire PKDL at ρ2, and die at δ2 and μh due to VL infection and natural mortality, respectively. Asymptomatic, sub-clinical, and health program-covered individuals are in Iu. Ph class individuals, Ph, recover naturally and treatment-induced at rates of σ2 and γ2, respectively, and die naturally at rate μh. Rh, individuals die naturally at μh and face re-exposure at η due to reduced VL-induced immunity. (Sv(t)) contract VL from infected vectors f2=β1Iv(t)Nr(t)), and are reduced by the effectiveness of methods used to reduce the reservoir population, like euthanizing diseased animals and vaccinating dogs. The transmission probability from an infected vector (beta1) is considered to be the same for susceptible persons and reservoirs. Host stage determines the likelihood of VL transmission from infected to vector [23]. We use parameters beta2,beta3,beta4, and beta5 to indicate transmission probability per discovered, undetected, PKDL, and infected reservoir. The vector population's overall infection force is

f3=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t).

(Sv(t)) further lowered by αv(t), which reflects the effectiveness of vector control efforts like pesticide spraying. The differential equations in System 1 quantify the VL transmission dynamic, as shown in 1.

Sh(t)=λhβ1Iv(t)((1αh(t))Sh(t)Nh(t)+ηRh(t)μhSh(t),Eh(t)=β1Iv(t)((1αh(t))Sh(t)Nh(t)(ω+μh)Eh(t),Id(t)=ϵ(t)ωEh(t)(σ1+ρ1+δ1+μh)Id(t),Iu(t)=ω[1ϵ(t)]Eh(t)(μh+δ2+ρ2+γ1)Iu(t),Ph(t)=ρ1Id(t)+ρ2Iu(t)(σ2+γ2+μh)Ph(t),Rh(t)=σ1Id(t)+γ1Iu(t)+(σ2+γ2)Ph(t)(η+μh)Rh(t),Sr(t)=λrβ1Iv(t)Sr(t)Nr(t)(αr(t)+μr)Sr(t),Ir(t)=β1Iv(t)Sr(t)Nr(t)(αr(t)+μr)Ir(t),Sv(t)=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t)+λv(αv(t)+μv)Sv(t),Iv(t)=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t)(αv(t)+μv)Iv(t). (1)

The model's formulation implicitly contains the following three equations:

Nh(t)=λhμhNh(t)δ1Id(t)δ2Iu(t),Nr(t)=λr(αr(t)+μr)Nr(t),Nv(t)=λv(αv(t)+μv)Nv(t). (2)

Figure 1.

Figure 1

Diagram of the proposed VL transmission model.

In system (1), every parameter, beginning value, and compartment is non-negative. In section 4, Here are several tables with model parameters and values. The proposed VL transmission model includes variables, parameters, transition rates, and infection forces for human, reservoir, and vector populations (Fig. 1).

2.1. Mathematical analysis

In system (2), the disease-free state (δ1=δ2=0) and long-term population (t) are defined by natural growth and death rates, Nh=λhμh. Malaria programmes use pesticide spraying to reduce reservoir and vector populations, which may continue after VL is eradicated. Consequently, natural causes and interventions determine reservoir and vector populations. We know of no other programme for regulating animal populations in the region of concern. It is appropriate to set αr=0, even though mathematical analysis allows for certain differences. In the long term, Nr=λrμrandNv=λvαv+μv represents the disease-free equilibrium coordinates of system (1), represented by E0.

E0=(λhμh,0,0,0,0,0,λrμr,0,λvαv+μv,0).

Since system (1) figures out the number of live things, l there is a logica area in which to examine it is

Ω={(Iv,Sv,Ir,Sr,Rh,Ph,Iu,Id,Eh,Sh,)R+10:Iu+Id+Eh+Sh+Rh+PhNh(0),Ir+SrNr(0),Iv+SvNv(0)}

which is a limited, positively-invariant domain for model (1) and has non-negative initial conditions in R+10 (see Section 4.2. R0 (The reproduction number) of model (1) was calculated using the next generation operator [24] according to Equation (7). In Section 4.2, we demonstrated the disease-free equilibrium and system stability using R0.

3. Fractional-order model

In this section, we discuss The Fractional VL model and the one described above using the ten differential equations in system (3), and Table 1 provides descriptions, values, and ranges for all model parameters. Fractional models are memory-based systems; therefore, they have requirements and tools to describe them. Researchers in the fields of biology, physics, and engineering have found that fractional-order models can yield more accurate predictions of experimental outcomes than their integer-order counterparts [25], [26], [1], [27]. Due to this crucial property, Models of fractional order are suitable for the dynamical systems that are being studied. One of these tools is Caputo operator, the focus in this research is on the Caputo fractional derivative because this derivative has a property because it is accurate in describing the dynamics of the disease, the following nonlinear system stands in for the Caputo fractional-order model:

D0CSh(t)=λhβ1Iv(t)((1αh(t))Sh(t)Nh(t)+ηRh(t)μhSh(t),D0CEh(t)=β1Iv(t)((1αh(t))Sh(t)Nh(t)(ω+μh)Eh(t),D0CId(t)=ϵ(t)ωEh(t)(σ1+ρ1+δ1+μh)Id(t),D0CIu(t)=ω[1ϵ(t)]Eh(t)(μh+δ2+ρ2+γ1)Iu(t),D0CPh(t)=ρ1Id(t)+ρ2Iu(t)(σ2+γ2+μh)Ph(t),D0CRh(t)=σ1Id(t)+γ1Iu(t)+(σ2+γ2)Ph(t)(η+μh)Rh(t),D0CSr(t)=λrβ1Iv(t)Sr(t)Nr(t)(αr(t)+μr)Sr(t),D0CIr(t)=β1Iv(t)Sr(t)Nr(t)(αr(t)+μr)Ir(t),D0CSv(t)=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t)+λv(αv(t)+μv)Sv(t),D0CIv(t)=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t)(αv(t)+μv)Iv(t). (3)

Where D0C(.), is the Caputo fractional derivative.

Table 1.

Description of the model parameters.

Par. Description Value Range Source
ϵ(t) Average detection rate 0.170 [0.1, 0.5] Fitted
αh(t) Non-pharmaceutical intervention efficacy 0.70 [0.29, 0.8] Fitted
αr(t) The effectiveness of initiatives for reservoir control 0.150 [0.01, 0.44] Fitted
αv(t) Interventional effectiveness in vector control 0.5 [0.13, 1] Fitted
β1 VL transmission likelihood from Iv to susceptible host 0.560 [0.2212, 0.94] Fitted
β2 The likelihood of VL transmission from an infected person to Sv 0.340 [0.004, 0.923] Fitted
β3 Transmission likelihood of VL from Iu to Sv. 0.40 [0.04, 0.93] Fitted
β4 Probability of VL transmission from Ph to Sv 0.370 [0.02, 0.94] Fitted
β5 VL transmission likelihood from Ir to Sv 0.74 [0.3, 0.97] Fitted
1ω Human average VL incubation time 60 days [30,180] [34], [35]
δ1 VL-induced mortality rate in Id group 4.015 TBD [23], [35]
δ2 VL-induced mortality rate in Iu group 4.015 TBD [23], [35]
δ3 Treatment rate for Ph group 4.015 TBD [23], [35]
σ1 Treatment rate for Id group Id class 0.030  day−1 - [23]
σ2 Treatment rate for Ph group 0.0330  day−1 - [36]
γ1 Rate of natural recovery for Iu class 0.840 [0.8,0.9] [23]
γ2 rate of natural recovery for Ph group 0.005  day−1 [0.001,0.005] [23]
ρ1 Rate of progression from Id class to Ph group 0.360 - [36]
ρ2 Rate of Iu class to Ph class progression 0.0001 [0.0001, 0.0002] [23]
η Rate of progression from Rh to Sh group 0.002 day−1 [0.001,0.006] [23]
λh Constant population growth 0.0270 - [37]
λr Constant Population growth in reservoirs μh×Nr(0) - [23], [38]
λv Constant rate of growth of the Nv μh×Nv(0) - [23], [38]
μh Constant death rate of human population 0.00670 - [37]
μr Constant death rate of human reservoir 0.00170 day−1 - [39]
μv Constant death rate of vector population 0.06680 day−1 - [23]

Definition 1: ([[28]]). The fractional-order derivative of a function f(t) based upon the Caputo definition with order α>0 is given by

D0,tαc(f(t))=1Γ(mα)0t(ts)mα1f(m)(s)ds,t>0,

where m1<αm,mN.

4. Analysis of the VL model

We want to analyze the dynamic aspects of the VL disease model in this part. (1) in the primary text, which measures the extinction or spread of illness within a population.

4.1. Boundedness and positivism

Theorem 1

(positivity) The matching solution set will exist if the beginning conditions are non-negative.

(Iv(t),Sv(t),Ir(t),Sr(t),Rh(t),Ph(t),Iu(t),Id(t),Eh(t),Sh(t)),

of system (1) is non-negative for all t>0 . Moreover,

limtNv(t)Nv(0),limtNr(t)Nr(0),limtNh(t)Nh(0)

and the region

Ω={(Iv,Sv,Ir,Sr,Rh,Ph,Iu,Id,Eh,Sh)R+10:Sh+Eh+Id+Iu+Ph+RhNh(0),Sr+IrNr(0),Sv+IvNv(0)},

is positively-invariant for the model (1) any non-negative initial conditions in R+10 .

Since all equations and initial conditions are non-negative Proposition and You can refer to the proof of the theorem in [29], we can conclude that Sh(t)0,Eh(t)0,Id(t)0,Iu(t)0,Ph(t)0,Rh(t)0,Sr(t)0,Ir(t)0,Sv(t)0, and Iv(t)0, for all t>0.

4.2. The fundamental number for reproduction

R0 represents the fundamental reproduction number, which is the expected value of the secondary infection rate per time unit. Eh, Id, Iu, Ph, Ir, and Iv are the six infected classes in system (1). Consequently, system (1) is simplified to the new system that follows:

Eh(t)=β1Iv(t)((1αh(t))Sh(t)Nh(t)(ω+μh)Eh(t),Id(t)=ϵ(t)ωEh(t)(σ1+ρ1+δ1+μh)Id(t),Iu(t)=ω[1ϵ(t)]Eh(t)(μh+δ2+ρ2+γ1)Iu(t),Ph(t)=ρ1Id(t)+ρ2Iu(t)(σ2+γ2+μh)Ph(t),Ir(t)=β1Iv(t)Sr(t)Nr(t)(αr(t)+μr)Ir(t),Iv(t)=((β2Id(t)Nh(t)+β3Iu(t)Nh(t)+β4Ph(t)Nh(t))(1αh(t))+β5Ir(t)Nr(t))Sv(t)(αv(t)+μv)Iv(t). (4)

The average detection rate ϵ(t) is assumed to be constant for non-pharmaceutical interventions αh(t)=αh, reservoir control interventions αh(t)=αh, and vector control interventions αh(t)=αh. Rewrite system (4) in vector form [30].

dxdt=f(x)=F(x)V(x),

where

F(x)=[β1IvSh(1αh)Nh000β1IvSrNr[(β2IdNh+β3IuNh+β4PhNh)(1αh)+β5IrNr]Sv],

and V(x)=V(x)V+(x) such that

V+(x)=[0ϵωEh(1ϵ)ωEhρ1Id+ρ2Iu00]andV(x)=[(ω+μh)Eh(σ1+ρ1+δ1+μh)Id(γ1+ρ2+δ2+μh)Iu(γ2+σ2+μh)Ph(αr+μr)Ir(αv+μv)Iv].

We can confirm that the requirements (A1)–(A5) in [24] are met by system (4). It is simple to determine that from the aforementioned functions that: (A1) Fi(x),Vi+(x),andVi(x)0, for i=1,2,3,4,5,6. This is because xi0. Therefore, all of the compartments are non-negative since they involve directed transfers of living things; keep in mind that ϵ and α[0,1].

(A2) then Vi(x)=0, if xi=0, for i=1,2,3,4,5,6. i.e., the elimination of living things does not occur from a compartment that is empty.

(A3) Fi=0 for i{1,2,3,4,5,6}. i.e., the incidence of infection for uninfected compartments (Sh,Rh,Sr, and Sv) is zero, see the main text.

(A4) then Fi(x)=0 and Vi+(x)=0, if xE0, for i=1,2,3,4,5,6.

(A5) if F(x)=0, then the Jacobian matrix of system (4) is given by

Df(x0)=[(ω+μh)00000ϵω(σ1+ρ1+δ1+μh)0000(1ϵ)ω0(γ1+ρ2+δ2+μh)0000ρ1ρ2(γ2+σ2+μh)000000(αr+μr)000000(αv+μv)].

The eigenvalues of Df(x0) are: (ω+μh),(σ1+ρ1+δ1+μh),(γ1+ρ2+δ2+μh),(γ2+σ2+δ3+μh),(αr+μr), and (αv+μv), and each one has negative real part given by

F=[00000β1(1αh)00000000000000000000000β10β2K1β3K1β4K1β5K20], (5)

where K1=(1αh)μvNv(αv+μv)Nh, and K2=μvNv(αv+μv)Nr.

V=[(ω+μh)00000ϵωσ1+ρ1+δ1+μh0000(1ϵ)ω0γ1+ρ2+δ2+μh0000ρ1ρ2γ2+σ2+μh000000αr+μr000000αv+μv]. (6)

Equations (5) and (6) yield the reproduction number of the system (2), R0, is given by equation (7)

R0=ρ(FV1). (7)

Letting

A1=σ1+ρ1+δ1+μh,A2=γ1+ρ2+δ2+μh,A3=γ2+σ2+μh.

Thus

R0=β1(K1ω(1αh)(αr+μr)(A1(1ϵ)(A3β3+β4ρ2)+ϵA2(A3β2+B4ρ1))+K2(ω+μh)A1A2A3β5)A1A2A3(ω+μh)(μv+αv)(μr+αr).

4.3. Stability analysis of the model

Theorem 2

System (1) at disease-free equilibrium point Edfe is locally asymptotically stable if R0<1 and unstable if R0>1 .

Proof

Regarding the system of equation (1), the Jacobian matrix [24] Equation (8) gives the value at Edfe.

J0(Edfe)=[μh0000η000A40A70000000A40ϵωA100000000A120A200000000ρ1ρ2A30000000σ1γ1A8A90000000000A1000A60000000A100A600β2A5β3A5β4A500A13A11000β2A5β3A5β4A500A130A11], (8)

where

A4=β1λ1(1αh0)μhNh,A5=λ3(1αh0)Nh(αv0+μv),A6=β1λ2(αr0+μr)Nr,A7=(ω+μh),A8=γ2+σ2,A9=η+μh,A10=αr0+μr,A11=αv0+μv,A12=(1ϵ0)ω,A13=β5λ3Nr(αv0+μv).

It is evident that Z1=μh, Z2=A9, and Z3=A10, Z4=A11 are the four negative eigenvalues. We take into consideration the following reduced matrix [31] for the remaining eigenvalues:

J1(Edfe)=[A70000A4ϵωA10000A120A20000ρ1ρ2A3000000A10A60β2A5β3A5β4A5A13A11].

After simplification, we get equation (9):

J1(Edfe)=[A70000A40A1A7000+ϵωA400A2A700+A4A12000A3A1A7A2000000A10A600000L] (9)

L=λvβ1λh(1αh0)2ω(A2A3β2ϵ0+β4ϵ0ρ1A2+A1(1ϵ0)(A3β3+β4ρ2))(ω+μh)A1A2A3μhNh2+λvβ1β5λr(μr+αr0)2Nr2(μv+αv0)A11. The eigenvalues of J1(Edfe) take the following form:

Z5=A7,Z6=A1A7,Z7=A2A7,Z8=A3A1A7A2,Z9=A10,Z10=R02(μr+αr0)A11.

The last eigenvalue also has the negative real part since

R02(μr+αr0)(μv+αv0)<1,

which implies that

R0(μr+αr0)(μv+αv0)<1,

implying that Z10<0, then R0<1, so the system of equation (1) is locally asymptotically stable for R0<1, and implying that

R0>(μr+αr0)(μv+αv0),

then Z10>0, we obtain that R0>1, hence the system (1) is unstable for R0>1. □

Data-fitting was used to calculate model (3) parameters and coefficients in Table 1. The Markov Chain Monte Carlo method fitting strategy was used to simulate and evaluate parameters based on eastern Sudan's yearly cumulative VL cases [32], [33]. Table 2 summarizes the starting settings for the Fractional VL model.

Table 2.

Descriptions for the initial values.

Par. Description Formula Range (95% CI)
Nh(0) Initial size of Nh 0.10859 × 107 [1.0084,1.37]×106
Sh(0) Initial size of Sh 0.27×Nh(0) [0.01,0.87]×Nh(0)
Eh(0) Initial size of Eh 0.210×Sh(0) [0.01,0.9]×Sh(0)
Iu(0) Initial size of Iu 0.36590×Eh(0) [0.08,0.9]×Eh(0)
Ph(0) Initial size of Ph 0.3659×[Id(0)+Iu(0)] [0.08, 0.93]
Rh(0) Initial size of Rh TBE
Nr(0) Initial size of Nr 0.180×Nh(0) [0.1,0.3]×Nh(0)
Ir(0) Initial size of Ir 0.070×Nr(0) [0.02,0.3]×Nr(0)
Nv(0) Initial size of Nv 6.150×Nh(0) [2.14,9.3]×Nh(0)
Iv(0) Initial size of infected vector population 0.2×Nv(0) [0.05,0.54]×Nv(0)
R0 Estimated reproduction number 8.040 [6.41,9.03]

Table 1 extensively discusses model parameters, including values and ranges. The table displays detection, intervention, transmission, incubation, mortality, treatment, natural recovery, progression, and constant growth and death rates for human, reservoir, and vector populations. Parameter values, calculated or obtained from various sources, are crucial for the model's dynamics.

In Table 2 shows initial value estimations, which are essential to model setup. These statistics represent the initial numbers of susceptible, exposed, undetected infected, PKDL, and immune people, as well as the size of human, reservoir, and vector populations. The table displays the estimated reproduction number R0, which provides insight into the disease's potential spread.

4.4. Sensitivity analysis

Model (1) was sensitivity analyzed using Latin Hypercube Sampling (LHS) and Partial Rank Correlation Coefficient. This research identifies model dynamics-affecting parameters [40]. LHS stratifies sampling by partitioning each parameter's range of interest into N equidistant intervals and randomly sampled from each. PRCC is helpful for examining nonlinear, monotonic input-output relationships [40]. PRCC findings quantify parameter-outcome relationships. Positive results suggest that raising the parameter improves the outcome, whereas negative results indicate the opposite.

A uniform distribution was assumed for each parameter in θ, 3000 samples were randomly generated, and PRCC results were calculated for the total number of reported cases Id and the basic reproduction number R0. Fig. 2 displays the analysis findings at a 95% confidence level for each input parameter. According to Fig. 2 A, ϵ,β1,β5,Nv,Sh have a substantial positive impact on Id, while αh and Nr have a considerable negative impact. ϵ has the greatest beneficial impact on Id see Table 3), as higher reporting rates lead to more cases being recognized. The most significant negative impact on Id is from αh see Table 3), indicating that greater human population protection efforts lead to fewer community cases.

Figure 2.

Figure 2

shows PRCC findings for model parameters, including Id(A) and R0(B). The bars' height represents correction intensity, with blue indicating positive correlation and red indicating negative correlation.

Table 3.

Partial rank correlation coefficient r and p-value of each parameter with both Id and R0.

PRCC with Id
PRCC with R0
Parameter r p-value r p-value
ϵ 56.2e − 2 15.9e − 4 −1.29e − 2 0.214
αh −0.192 0.000283 −0.0579 0.000961
αr −0.0213 0.427 −0.255 0
αv 0.00033 0.145 −0.0613 0.00153
β1 0.21 6.27e − 8 0.676 0
β2 −0.000256 0.0636 0.0159 0.178
β3 0.0533 0.466 0.0266 0.0316
β4 0.0134 0.73 0.00571 0.219
β5 14.5e − 2 0.0202e − 3 −0.047 0.0.113e − 2
Nr −6.32e − 2 0.184e − 8 −0.459 0
Nv 0.145 8.98e − 6 0.37 0
Sh 0.456 0.0159 0.0187 0.44
Eh 0.401 0.577 0.000359 0.877
Iu 2.45e − 2 32.3e − 2 −0.00276 0.874
Ir 7.81e − 2 2.51e − 2 −0.00067 0.168
Iv −0.000326 0.954 −0.0222 0.143

However, only a small number of parameters have a considerable impact on the value of R0 (see to Fig. 2 B). These parameters include β1,Nv,αr,αv, and Nr. It is interesting to note that we discovered two discoveries that are consistent with the findings of those of other studies: There is a significant correlation between an increase in β1, which represents the interaction rate between sand-flies and hosts (humans and reservoirs), and an increase in the basic reproduction number R0 [35]. Additionally, a decrease in Nr, which represents the total size of the reservoir population, can lead to an increase in the number of cases of VL among the human population [41], [42].

5. Numerical simulations

Our fractional-order model's dynamics were successfully simulated using the Fractional Euler Method see [43], and we present a graphical numerical solution of our proposed model in the sense of the Caputo fractional derivative for a value of α=1,0.99,0.98,0.97 and 0.96. Using the Caputo operator, various fractional-order values were used to depict numerical simulations of susceptible, exposed, infected, and recovered individuals. MATLAB was used to run all numerical simulations in this investigation, using the initial and parameter values listed in Table 1 and Table 2, respectively. Data were collected by the Sudanese Ministry of Health in Gedaref State, Eastern Sudan.

To examine the approximate solutions for the Susceptible, Exposed, detected, and undetected infected individuals within the human population, as well as the Susceptible and Infected vectors and Susceptible and Infected reservoirs, our proposed model is presented. Figure 3, Figure 4 visually depicts these solutions, which represent the overall population size for each category (Susceptible, Exposed, Detected Infected, and undetected infected) over time (t). The aforementioned figures have been derived based on a variety of fractional-order values. Fig. 3 illustrates the population size of individuals who are susceptible to a particular condition, revealing a gradual decline over a span of two decades. According to Fig. 3, there is an anticipated upward trend in the number of exposed cases during the specified time frame. The number of detected infected cases is depicted in Fig. 4, indicating an anticipated increase in the future. The projected increase in the number of undetected infected individuals is anticipated to occur gradually, as depicted in Fig. 4. Additionally, it can be observed from Fig. 5 that there is a simultaneous decline in the population of susceptible and infected vectors during the given time frame. Ultimately, it is anticipated that the Susceptible and Infected reservoirs will exhibit a decline in magnitude as time progresses, as visually depicted in Fig. 6.

Figure 3.

Figure 3

The state variables Sh(t) and Eh(t) for different fractional orders.

Figure 4.

Figure 4

The state variables Id(t) and Iu(t) for different fractional orders.

Figure 5.

Figure 5

The state variables Ir(t) and Sr(t) for different fractional orders.

Figure 6.

Figure 6

The state variables Iv(t) and Sv(t) for different fractional orders.

Furthermore, the computations of absolute and relative errors for various fractional orders are included in Table 4 within the table.

Table 4.

Absolute and relative errors for different fractional orders.

Fractional-order Absolute error Relative error
0.96 6.3774 × 103 0.92217
0.97 4.3394 × 103 0.64501
0.98 2.2419 × 103 0.3613
0.99 1.2769 × 103 0.23471
1 3.2468 × 103 0.50423

The comparison findings from the error analysis presented in Table 4 indicate that the curves exhibit higher levels of accuracy when the non-integer order α is set to 0.99. Notably, the fractional response with α=0.99 demonstrates superior precision compared to the classical response with α=1.

The aforementioned advantages can be attributed to the inherent flexibility of the fractional model, which allows for the adaptation of its fractional order to effectively capture real-world data. So, the results shown in Fig. 7 and Table 4 show that a fractional calculus modeling approach, instead of the current integer-order scheme, is more likely to accurately represent what happens in the real world.

Figure 7.

Figure 7

Simulation results versus real data.

It is worth noting that the computational cost of the fractional-order models will be more expensive than the integer-order models, but some fast and parallel method like [44], [45] can be used to reduce the computational complexity well, so it is not a serious problem and furthermore this fact can be attributed to the increased flexibility offered by fractional models.

6. Conclusion

In this study, the primary innovation lies in the application of the Caputo fractional derivative to model the dynamics of disease spread. This approach allows us to capture more complex behaviors of the system, such as memory effects, which are not possible with standard derivatives. By focusing on local stability around the disease-free equilibrium, we've provided essential insights into the initial stages of disease outbreaks, which are crucial for immediate public health interventions. This is contextualized through the calculation of the basic reproduction number R0, a key parameter in epidemiological studies. While the paper does not delve into global stability or multiple steady states, it lays the groundwork for such analyses in future research. The model is designed to be extensible, allowing other researchers to build upon it to explore these and other complexities specially in new models with fractional derivatives such as [46] and [47]. The manuscript aims to strike a balance between mathematical rigor and practical applicability. By introducing a fractional-order model in the context of disease spread, we hope to inspire further interdisciplinary work that brings complex systems theory into public health.

Ethics statement

This research employs a thorough modeling analysis of de-identified data on leishmaniasis statistics gathered by the Health Information Centre, Ministry of Health, Gedaref State, Sudan. Therefore, this study activity does not need ethical examination and approval.

CRediT authorship contribution statement

Rania Saadeh: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Mohamed A. Abdoon: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Ahmad Qazza: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Mohammed Berir: Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Fathelrhman EL Guma: Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Naseam Al-kuleab: Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Abdoelnaser M Degoot: Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization.

Declaration of Competing Interest

The authors of this manuscript declare no conflict of interests.

Data availability

The data are available from the corresponding authors upon request.

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Associated Data

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Data Availability Statement

The data are available from the corresponding authors upon request.


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