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Elsevier - PMC COVID-19 Collection logoLink to Elsevier - PMC COVID-19 Collection
. 2021 Sep 10;152:111403. doi: 10.1016/j.chaos.2021.111403

A fractional-order model of COVID-19 considering the fear effect of the media and social networks on the community

Fatma Bozkurt a,b, Ali Yousef a, Thabet Abdeljawad c,d,e,, Adem Kalinli b,f, Qasem Al Mdallal g
PMCID: PMC8429358  PMID: 34522071

Abstract

Since December 2019, the world has experienced from a virus, known as Covid-19, that is highly transmittable and is now spread worldwide. Many mathematical models and studies have been implemented to work on the infection and transmission risks. Besides the virus's transmission effect, another discussion appears in the community: the fear effect. People who have never heard about coronavirus, face every day uncertain and different information regarding the effect of the virus and the daily death rates from sources like the media, the medical institutions or organizations. Thus, the fear of the virus in the community can possibly reach the point that people become scared and confused about information polluted from different networks with long-term trend discussions. In this work, we use the Routh-Hurwitz Criteria to analyze the local stability of two essential critical points: the disease-free and the co-existing critical point. Using the discretization process, our analysis have shown that one should distinguish between the spread of “awareness” or “fear” in the community through the media and others to control the virus's transmission. Finally, we conclude our theoretical findings with numerical simulations.

Keywords: Fractional-order differential equations, Stability, Coronavirus, Fear effect, Flip bifurcation

1. Introduction

1.1. A brief information about SARS-CoV-2

Coronaviruses are a large group of viruses in the Coronaviridae family. This Coronaviridae is sub-divided into four groups of coronaviruses; αCoronavirus, βCoronavirus, γ Coronavirus, and δCoronavirus [1]. These viruses were not seen as an attractive research field in applied sciences, since they are not highly pathogenic to humans until the outbreak of SARS-CoV in 2003 and MERS-CoV in 2012. Both viruses were transmitted directly from civets and dromedary camels (intermediate hosts) to the human hosts, respectively, and they showed the same natural host of bats in the epidemic spread [2,3]. Other coronaviruses such as HCoV-OC43 and HCoV-HKU1 that belong to the βCoronaviruses are mostly harmless. These viruses showed endemic behaviors, and therefore the related studies were restricted to some areas such as medicine and biology, rarely also applied mathematics [4,5].

In 2003, the community started to hear about the coronavirus with the epidemic outbreak of SARS-CoV in China. This virus was transmitted to humans through intermediate hosts such as market civets. After that, people faced another infection in the Middle East in 2012, known as MERS-CoV, which spilled over to dromedary camels. These viruses showed severe respiratory syndromes in humans, including fever, dizziness, and cough [6], [7], [8]. However, all the coronaviruses mentioned above were endemic in the human populations causing 15-30% of respiratory tract infections each year. In December 2019, a virus of the Coronaviridae was announced in China-Wuhan. The spread was reported from the fishmarket in Wuhan using reptilians as intermediate hosts and bats as a natural host. A scenario was designed that the spread started in Wuhan's local fish market, where the people used to buy bats. Apart from this point, another scenario was established in the community that a mutated virus from a Wuhan laboratory was spread to the world. The WHO later designated the novel coronavirus as COVID-19. Studies have shown that COVID-19 was characterized by two members of β-coronavirus; the human-origin coronavirus (SARS-CoV Tor2) and bat-origin coronavirus (bat-SL-CoVZC45) [9]. A virus that was expected to show a similar epidemic behavior like SARS or |MERS reached a pandemic point worldwide with many open questions such as; how it started and how we can stop its spread.

1.2. A pandemic located virus in the era and the media fear effect on the civilians

A novel Coronavirus that appeared in December 2019 in China was able to spread in a few months worldwide so that on March 16th, 2020, the WHO upgraded the status of COVID-19 from epidemic to pandemic. To prevent the spread of infections brought after that, several fundamental protections such as quarantines, culling, heavy travel restrictions, and social distancing [10]. Health institutions and organizations took high responsibilities to engage the public with ‘healthy practices’ such as hand washing, keeping social distance, and staying at home during the lock-down period. Simultaneously, the governments started to collaborate with the WHO, and the media played a significant role in informing the civilians about the infection rates, the necessary health protections, and lock-down announcements from the government. Besides this, many practical and unuseful (unrealistic) information were also spread by the internet. People started to create their scenarios related to the virus, which leads to a fear effect in the community. Even the vaccine was suddenly a hope in a tunnel, according to The Economist [11], and not the end of the pandemic spread. Considering all these discussions related to COVID-19, we want to emphasize the reality that the virus exists and is transmittable from human to human with a high reproduction number of R[1,9].

Until March 8th, 2021, which is more than one year after the spread in Wuhan, the number of infected reaches 117,476407 cases with 2,606,051 deaths and 92,981,853 recovered. The USA shows the highest infection rate with 29,696,250, followed by India with 11,229,398 infections, and Brazil that hits 11,019,344 total cases. On the other side, an infection that started in China reached 89,994 infections, where the daily new case is recorded as 19 individuals [10]. Interestingly, a spread in China (Wuhan) did not show infections and fatalities reported in Europe, the USA, or other counties. Additionally, the mutated form of the virus is recorded mainly in Europe and the USA, which increased the mortality rate more than before.

In our study, we want to investigate the fear effect spread through the media and associations to the human in giving different daily information about the virus, the vaccines, and the protection rules. Considering some psychological problems such as anxiety, fear, or worry, it is seen that there is a positive correlation between the epidemiological spread and the psychological health among the students in China [12].

If we define now the virus as a predator and the civilians as prey, we can transform an experimental study to our case, which showed that apart from direct killing, the fear of the virus (predation fears) itself can reduce the prey growth rate (psychological effect) by %40 [13]. Finally, many studies in medicine and related fields started to concern their researches on the psychosocial impact of COVID-19, which shows similar dangerous results as the virus itself [14], [15], [16], [17], [18], [19], [20]. Unfortunately, uncontrollable information about the virus, the spread, mutation, and the vaccines lead people to suffer from uncertainty and activate a fear of the present and future. Therefore, we want to analyze and formulate an essential research topic related to the balance between controlling the people with various mechanisms and the community's fear during the lock-down period. Beyond that, we want to analyze the psychological pressure on civilians. Significantly, one should see that the change of “the normal life” reaches a psychological breakdown because of several waves of “lock-downs” and information pollutions so that people started to ask what is the “new normal life” with and after corona.

2. Mathematical model

It has been seen that many biological and medical phenomena can be characterized via mathematical models. Some mathematical models are formulated to analyze biology and medicine events such as infections, treatments, or environmental phenomena [21], [22], [23], [24]. The study of these phenomena has been restricted to models of ODEs. However, it is realized that many problems in biology and other applied fields can be successfully formulated by the fractional-order differential equations (FDEs) that summarize the memory effect of the dynamical behavior. The nonlocal property of fractional-order models not only depends on the current state but also depends on its prior historical states. The transformation of an integer-order model into a fractional-order model needs to be precise with respect to the order of differentiation α. However, a small change in α may cause a big change in the behavior of the solutions Thus, it is preferred to use FDEs in biological models since they are relevant to memory and hereditary systems [25], [26], [27], [28], [29].

In this paper, we established SEIR+D model that describes the pandemic infection, in which the virus is located in the human body and continues to transmit the infection from human to human. The system is divided into six-compartments. S(t) shows the susceptible class that does not have any resistance to COVID-19. E(t) shows the exposed compartment that has been infected, but since the virus is in the incubation period, they carry and transmit the virus without showing any symptoms. The I(t) compartment is the infected group determined as COVID-19 positive, and Q(t) shows the isolated class under the quarantine. R(t) is the recovered compartment, while D(t) denotes the death class. We established our model considering that humans show two types of fear during the movement from one compartment to the other; the fear of the susceptible class to be infected and the fear of the individuals under quarantine who are worried about the daily updated death rates. Therefore, in the system, α1 and α2denote the level of the fear to be infected and the death from COVID-19. From a biological point,

f1(α1,I)=11+α1Iandf2(α2,D)11+α2D

can be reasonably assumed to satisfy the following statements;

2.1. Fear from infection COVID-19

  • Ø

    f1(0,I)=1; if there is no fear of the infection, then the susceptible class does not have the psychological pressure.

  • Ø

    f1(α1,0)=1; if the virus disappears, then the fear and the psychological effect disappear on the susceptible class.

  • Ø

    limα1f1(α1,I)=0; if the virus's fear continues to expand more for a long-term period, then the “mentally healthy” susceptible class decreases to extinct.

  • Ø

    limIf1(α1,I)=0; if the virus stays for a long-term period in a pandemic spread, the susceptible non-infected decreases to extinct.

  • Ø

    f1(α1,I)α1<0; if the fear effect increases, the offspring might be affected, and thus it decreases.

  • Ø

    f1(α1,I)I<0; if the infection increases, the offspring might be affected, and thus it decreases.

2.2. Fear from the death of COVID-19

  • Ø

    f2(0,D)=1; if there is no fear of death from COVID-19, then the individuals under quarantine do not have the psychological pressure.

  • Ø

    f2(α2,0)=1; if the death from COVID-19 decreases or extinct, then the fear and the psychological effect of it disappear on the individuals in the quarantine compartment.

  • Ø

    limα2f2(α2,D)=0; if the fear of death from COVID-19 increases and expands more for a long-term period, then the “mentally healthy” class of the under quarantine decreases to extinct.

  • Ø

    limDf2(α2,D)=0; if the death rate from COVID-19 increases in daily records, the quarantine compartment decreases to extinct because of death.

  • Ø

    f2(α2,D)α2<0; if the fear effect increases, the carrying capacity of the compartment under quarantine decreases.

  • Ø

    f2(α2,D)D<0; if the death rate from COVID-19 increases, the compartment is carrying capacity under quarantine decreases.

Thus, the mathematical model is modeled as follows;

{DαS(t)=Λ+S(t)r(1S(t)K1)11+α1I(t)β1E(t)S(t)γ1I(t)S(t)ηS(t)DαE(t)=E(t)(1E(t)K2)+β1(1ε1)E(t)S(t)θE(t)ηE(t)μE(t)DαI(t)=I(t)(1I(t)K3)+β1ε1E(t)S(t)+γ1I(t)S(t)+θE(t)β2I(t)ηI(t)μI(t)DαQ(t)=Q(t)(1Q(t)K4)11+α2D(t)+β2I(t)ηQ(t)μQ(t)γ2Q(t)DαR(t)=γ2Q(t)ηR(t)DαD(t)=μ(E(t)+I(t)+Q(t))μ1D(t) (2.1)

and

S(0)=S0,E(0)=E0,I(0)=I0,Q(0)=Q0,R(0)=R0andD(0)=D0, (2.2)

where the parameters are positive real numbers, 0<α1,Dα denotes the Caputo derivative and (S,E,I,Q,R,D)R+6.

The susceptible S(t) comprises individuals who have not contacted any infected person, but can get infected from COVID-19 infected people. S(t) can get infected through E(t), who do not know they are infected. It is also possible that the class S(t) noticed they were in contact with the infected class I(t). r is the growth rate of S(t), while Λ denotes the susceptible population's offspring per year. K1 shows the carrying capacity of S(t) .The susceptible class lost their population density following contacts with infectives E(t) and I(t) at a rate of β1 and γ1, respectively. η shows natural death rate of the susceptible class S(t).

The E(t) class does not know that they have COVID-19 because of the late appeared symptoms of the infection. In this equation K2 is the carrying capacity of E(t).This class population decreases after being informed about the health organizations' virus and becomes aware of screening at a rate θ. Another possibility is that after the symptoms appear with a rate of ε1 the class moves to the infected compartment I(t). For the exposed compartment,η shows the natural death and μ death from COVID-19.

I(t) is the infected COVID-19 class. The carrying capacity is given by K3. The population of this class increases with β1ε1 who noticed in the exposed class from the appeared symptoms that they are infected. Another parametric increase comes from the screening rate θ when the test shows COVID-19 positive. Moreover, any contact between S(t) andI(t) is realized by the susceptible class with γ1 that increase the population of the infected I(t) group. We assume that the individuals are aware to inform the health organizations when they feel the infection symptoms. From the infected compartment, a rate of β2 moves to a hospitalized compartment or stays under quarantine at home.

The Q(t) has a carrying capacity of K4. This class shows a fear effect α2of the daily recorded death rates. The population density of the compartment increases with β2I(t) who shows mainly severe symptoms and are hospitalized under quarantine. γ2 is the rate of recovered individuals during the quarantine period that changes the class from Q(t) to R(t). In this compartment, we expect two types of recorded deaths; natural death and death from COVID-19.

The R(t) compartment shows the class of recovered individuals. γ2Q(t) shows the increase of the compartment that is expected from class Q(t) after successful treatment, the recovered class shows only the natural death of a rate η.

The most discussed part in the community was the case of “death from COVID-19” and “death with COVID-19”. To distinguish this case in the compartment of D(t), the death of the infected population is subtracted from death who died from other symptoms that affect the immune system, which is denoted as μ1; this means, D(t) denotes the group that died from corona itself.

This study focuses mainly on five essential and sensitive parameters. These are; α1, the fear to be infected, α2, the fear to die from COVID-19, θ, the rate of screening, ε1, the rate of awareness and γ2, rate of recovering of successful treatment. In this work, we want to distinguish between “to fear” and “to get the awareness”. Specific and precise information from professional institutions without any confusion would lead civilians to be aware and not scared of the virus. To get used to considering how to live in this pandemic spread and to take the necessary actions can be explained without terrifying people such as “you may die”. Professional screening tests would reach to successful movements between the compartments. For example, why does the media do not show successful treatments and all networks are spread from the same source to show hope and, after that, to take the hope from a human? This study will analyze if the lock-down, pollution of information related to COVID-19, and daily announced record from only deaths and infections lead to awareness or fears

Definition 2.1

[30] Given a function φ(t), the fractional integral with order α>0 is given by Abdel's formula as

Iαφ(t)=1Γ(α)0x(xt)α1φ(t)dt,x>0. (2.3)

Definition 2.2

[30] Let φ:R+R be a continuous function. The Caputo fractional derivative of order α(n1,n), where n is a positive integer is defined as

D0αφ(x)=1Γ(nα)0xφ(n)(t)(xt)α+1n. (2.4)

When =n, the derivatives are defined to be the usual nth order derivatives.

Definition 2.3

[31] The Mittag-Leffler function of one variable is

Eα(λ,z)=Eα(λzα)=k=0λkzαkΓ(1+αk),(λ0,zC:Re(α)>0). (2.5)

The table of the parametric description is given as follows;

3. Equilibrium points of system (2.1) and the existence-uniqueness of the solutions in the system

To consider the system's biological validity, we need to show that for all non-negative initial values, the solutions of system (2.1) remain non-negative. Thus, the preliminary studies include proving that the domain is positive and that the IVP system has a unique solution in R+6. After that, two equilibrium points are defined to establish the core studies; the disease-free equilibrium point and positive co-existing point.

Denote R+6={BR6:B0} and let B(t)=(S(t),E(t),I(t),Q(t),R(t),D(t))T. For the proof of Theorem 3.1. we need the following lemma [32].

Lemma 3.1

[ 32 ] (Generalized Mean Value Theorem)

Let f(x)C[a,b] and Dαf(x)C[a,b] for 0<α1, then we have

f(x)=f(a)+1Γ(α)Dαf(ξ)(xa)α (3.1)

with 0ξx, x(a,b].

Lemma 3.2

[33] Suppose f(x)C[0,b] and Dαf(x)C[0,b] for 0<α1. Then, from Lemma 3.1. we have the following statements.

  • (i)

    f is non-decreasing if Dαf(x)0, x(0,b)

  • (ii)

    f is non-increasing if Dαf(x)0, x[0,b]

Theorem 3.1

The solution of the IVP in (2.1)-(2.2) is unique and the solutions are in R+6.

Proof

Lemma 3.1. and Lemma 3.2. show the existence and uniqueness of (2.1)-(2.2) in (0,). Thus, we want to show that the domain R+6 is positively invariant following the technique of [34]. Notice that

DαS(t)|S=0=Λ0
DαE(t)|E=0=0
DαI(t)|I=0=β1ε1E(t)S(t)+θE(t)0
DαQ(t)|Q=0=β2I(t)0
DαR(t)|R=0=γ2Q(t)0
DαD(t)|D=0=μ(E(t)+I(t)+Q(t))0

on each hyperplane bounding the nonnegative orthant. Hence the domain R+6 is positively invariant. This completes the proof.

Let us rewrite the system

DαS(t)=f1(S(t),E(t),I(t),Q(t),R(t),D(t))=Λ+S(t)r(1S(t)K1)11+α1I(t)β1E(t)S(t)γ1I(t)S(t)ηS(t)DαE(t)=f2(S(t),E(t),I(t),Q(t),R(t),D(t))=E(t)(1E(t)K2)+β1(1ε1)E(t)S(t)θE(t)ηE(t)μE(t)DαI(t)=f3(S(t),E(t),I(t),Q(t),R(t),D(t))=I(t)(1I(t)K3)+β1ε1E(t)S(t)+γ1I(t)S(t)+θE(t)β2I(t)ηI(t)μI(t)DαQ(t)=f4(S(t),E(t),I(t),Q(t),R(t),D(t))=Q(t)(1Q(t)K4)11+α2D(t)+β2I(t)ηQ(t)μQ(t)γ2Q(t)DαR(t)=f5(S(t),E(t),I(t),Q(t),R(t),D(t))=γ2Q(t)ηR(t)DαD(t)=f6(S(t),E(t),I(t),Q(t),R(t),D(t))=μ(E(t)+I(t)+Q(t))μ1D(t) (3.2)

To analyze the stability of (3.2), we perturb the equilibrium points by εi(t)>0,i=1,2,3,4,5,6, that is

S(t)S¯=ε1(t),E(t)E¯=ε2(t),I(t)I¯=ε3(t),Q(t)Q¯=ε4(t),
R(t)R¯=ε5(t)andD(t)D¯=ε6(t). (3.3)

Thus, we have

Dα(ε1(t))f1(S¯,E¯,I¯,Q¯,R¯,D¯)+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f1(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t),
Dα(ε2(t))f2(S¯,E¯,I¯,Q¯,R¯,D¯)+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f2(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t),
Dα(ε3(t))f3(S¯,E¯,I¯,Q¯,R¯,D¯)+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f3(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t),
Dα(ε4(t))f4(S¯,E¯,I¯,Q¯,R¯,D¯)+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f4(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t),
Dα(ε5(t))f5(S¯,E¯,I¯,Q¯,R¯,D¯)+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f5(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t)

and

Dα(ε6(t))f6(S¯,E¯,I¯,Q¯,R¯,D¯)+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Sε1(t)+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Eε2(t)+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Iε3(t)
+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Qε4(t)+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Rε5(t)+f6(S¯,E¯,I¯,Q¯,R¯,D¯)Dε6(t).

The perturbation around the equilibrium point is to linearize the nonlinear system based on a fractional-order Lotka-Volterra logistic equation. We use the property of equilibrium point that

fi(S¯,E¯,I¯,Q¯,R¯,D¯)=0,i=1,2,3,4,5,6, (3.4)

and therefore, a linearized system about the equilibrium point is obtained, such as

DαV=JV, (3.5)

where V=(ε1(t),ε2(t),ε3(t),ε4(t),ε5(t),ε6(t)). Furthermore, J is the Jacobian matrix at the equilibrium point. Moreover, we have W1JW=C such that C is the diagonal matrix of λi(i=1,2,3,4,5,6) and W shows the eigenvectors of J. Thus, we have

{Dαψ1=λ1ψ1,Dαψ2=λ2ψ2,Dαψ3=λ3ψ3,Dαψ4=λ4ψ4,Dαψ5=λ5ψ5,Dαψ6=λ6ψ6,whereψ=(ψ1ψ2ψ3ψ4ψ5ψ6), (3.6)

and the solutions are given by Mittag-Leffler functions such as

ψ1(t)=n=0(λ1)ntnαΓ(nα+1)ψ1(0)=Eα(λ1tα)ψ1(0),
ψ2(t)=n=0(λ2)ntnαΓ(nα+1)ψ2(0)=Eα(λ2tα)ψ2(0),
ψ3(t)=n=0(λ3)ntnαΓ(nα+1)ψ3(0)=Eα(λ3tα)ψ3(0),
ψ4(t)=n=0(λ4)ntnαΓ(nα+1)ψ4(0)=Eα(λ4tα)ψ4(0),
ψ5(t)=n=0(λ5)ntnαΓ(nα+1)ψ5(0)=Eα(λ5tα)ψ5(0)

and

ψ6(t)=n=0(λ6)ntnαΓ(nα+1)ψ6(0)=Eα(λ6tα)ψ6(0).

Matington studied in [35] a system of fractional order differential equations involving the Caputo derivative

Dαy(t)=Ay(t) (3.7)

with initial values y(0)=y0=(y10,y20,,yn0)T, where y=(y1,y2,,yn)T,α(0,1) and ARn×n. The stability of the system given in (3.7) was defined by Matington as follows.

Definition 3.1

The autonomous system (3.7) is said to be

  • (i)

    stable if and only if for any y0, there exists δ>0 such that yδ for t0,

  • (ii)

    asymptotically stable if and only if limny=0.

Theorem 3.2

[36] The system (3.7) is

  • (i)

    asymptotically stable if and only if |arg(λi)|>απ2 .

  • (ii)

    stable either it is asymptotically stable or the critical values which satisfy |arg(λi)|=απ2 have geometric multiplicity one.

Matington sketched the proof of Theorem 3.2 in [35], and Zeng et al. proved the theorem using the Mittag-Leffler functions [37]. Thus, considering system (3.5), we can say that if

|arg(λi)|>απ2(i=1,2,3,4,5,6), then ψi(i=1,2,3,4,5,6) are decreasing and therefore, εi(i=1,2,3,4,5,6) are decreasing. In other words, let the solution V=(ε1(t),ε2(t),ε3(t),ε4(t),ε5(t),ε6(t)) of (2.10) exist. If the solution of (3.5) is increasing, then the equilibrium point (S¯,E¯,I¯,Q¯,R¯,D¯)of the system is unstable. Similarly, if the solution of (3.5) is decreasing, then the equilibrium point (S¯,E¯,I¯,Q¯,R¯,D¯) is locally asymptotically stable.

This study focuses on two equilibrium points; the disease-free equilibrium point and the co-existing equilibrium point. These are given as follows;

Disease-free equilibrium point:χ1=(S¯1,0,0,0,0,0), where

S¯1=K1(rη)+K12(rη)2+4rΛ2rorr>η. (3.8)

Co-existing equilibrium point: χ2=(S¯2,E¯2,I¯2,Q¯2,R¯2,D¯2)

4. Local stability analysis of the disease-free and co-existing equilibrium points

This section analyzes the local stability of system (3.2) around each equilibrium point defined as χ1 and χ2. Hereafter, we assume that r>η.

The Jacobian matrix of the disease-free point χ1=(S¯1,0,0,0,0,0) is given by

J(χ1)=(a11a12a130000a2200000a31a3300000a43a4400000a54a5500a62a63a640a66) (4.1)

where

  • a11=r2rK1S¯1η,a12=β1S¯1,a13=γ1S¯1α1S¯1r(1S¯1K1),a14=a15=a16=0,a21=a23=a24=a25=a26=0,a22=1+β1(1ε1)S¯1(θ+η+μ),a31=a34=a35=a36=0,a32=β1ε1S¯1+θ,a33=1+γ1S¯1(β2+η+μ),a41=a42=a45=a46=0,a43=β2,a44=1(η+μ+γ2),a51=a52=a53=a56=0,a54=γ2,a55=η,a61=a65=0, a62=a63=a64=μ and a66=μ1.

Thus, the Eq. (4.1) around the positive equilibrium point χ1 is given by

(a11λ)(a22λ)(a33λ)(a44λ)(a55λ)(a66λ)=0. (4.2)

Theorem 4.1

Let χ1 be the disease-free equilibrium point of system (3.2). Assume that θ>β2>γ2>1, β1>γ1and ε1>β1γ1β1. Then χ1 is stable local asymptotic if and only if

S¯1<β2+η+μ1γ1. (4.3)

Proof

From (4.2), it follows that

  • (i)

    λ1=r2rK1S¯1η<0, since S¯1=K1(rη)+K12(rη)2+4rΛ2r for r>η.

  • (ii)
    λ2=1+β1(1ε1)S¯1(θ+η+μ)<0, if
    S¯1<θ+η+μ1β1(1ε1)forθ+η+μ>1andε1<1. (4.4)
  • (iii)
    λ3=1+γ1S¯1(β2+η+μ)<0, if
    S¯1<β2+η+μ1γ1forβ2+η+μ>1. (4.5)
  • (iv)

    (λ4=1(η+μ+γ2)<0, if η+μ+γ2>1.

  • (v)

    λ5=η<0.

  • (vi)

    λ5=μ1<0.

In considering both (4.4) and (4.5), we obtain

S¯1<β2+η+μ1γ1<θ+η+μ1β1(1ε1) (4.6)

since θ>β2 and ε1>β1γ1β1 for β1>γ1.

Remark 4.1

Theorem 4.1. shows how the epidemiological phenomena can be reduced to a disease-free event. The increase of the screening rate will detect the infected people before transmitting the disease to others. Thus, to reduce infection transmission, it is expected to increase the screening denoted as θ. The next stage is to expect successful isolation of the infected people and recovering in stabilizing the immune system of the human body. The awareness of the civilians, given as ε1, shows a critical role in minimizing the spread of infection. This awareness is to apply the rules like keeping social distance to individuals, wearing a mask,... The major risk of transmitting the disease to the susceptible group is seen from the exposed compartment, which does not show its symptoms. Therefore, we conclude that one cannot know or predict who is infected, so permanent health practices are advised to reach a disease-free community.

One can notice that the disease-free stability criteria do not contain any fear of the infection or die from the infection. The stability shows up in two primary parametric forms, the screening rate and the infection's awareness.

The Jacobian matrix of the co-existing equilibrium point χ2=(S¯2,E¯2,I¯2,Q¯2,R¯2,D¯2) is given as

J(χ2)=(a11a12a13000a21a220000a31a32a3300000a43a440a46000a54a5500a62a63a640a66) (4.7)

where

a11=r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η,a12=β1S¯2,a13=γ1S¯2α1S¯1r(1S¯1K1)·1(1+α1I¯2)2,
a21=β1(1ε1)E¯2,a22=12K2E¯2+β1(1ε1)S¯2(θ+η+μ),a31=β1ε1E¯2+γ1I¯2,a32=β1ε1S¯2+θ,a33=12K3I¯2+γ1S¯2(β2+η+μ),a43=β2,a44=(12K4Q¯2)·11+α2D¯2(η+μ+γ2),

a46=α2Q¯2(1Q¯2K4)1(1+α2D¯2)2, a54=γ2,a55=η,a62=a63=a64=μ and a66=μ1.

From the characteristic equation of (4.7), we obtain

{(a44λ)(a66λ)a46a64}{(a22λ){(a11λ)(a33λ)a13a31}+a21{a13a31a12(a33λ)}}=0, (4.8)

where

λ5=η<0. (4.9)

In (4.8), we consider at first the characteristic equation

λ2(a44+a66)λ+a44a66a46a64=0, (4.10)

which shows a basic reproduction number of R01=a46a64a44a66 . This has an equation of a form such as

λ2(a44+a66)λ+a44a66(1R01)=0. (4.11)

The reproduction number R01 is dependent mainly on the carrying capacity of the individuals who are under quarantine. The increase of the numbers in the Q compartment activates the fear of deaths of COVID-19 infected. The further studies in section 4 will show that the fear of human focus exactly on the total number of deaths announced from WHO (with and from COVID-19) and not the deaths of the infected groups who died from COVID-19.

Considering the characteristic equation (4.8) again, we want to incorporate a second reproductive number R02=a13a31a11a33, which belongs to the susceptible and infected compartments, which is

λ2(a11+a33)λ+a11a33(1R02)=0. (4.12)

The basic reproduction number R02 shows that a fear of the susceptible class to get infected with the novel coronavirus is proportional to the population density loss. If the infection rate increases, the fear of the susceptible compartment increases. This fear of the susceptible class being infected by COVID-19 started to exists after considering the total number of deaths of infected people (with and from COVID-19).

In this scenario, we assume a total awareness of ε1=1focuses mainly on the screening effect and the fear caused by different sources giving pollution of information. Thus, the characteristic equation in (4.8) changes to

(λ2(a44+a66)λ+a44a66(1R01))(λ2(a11+a33)λ+a11a33(1R02))=0, (4.13)

and

λ2<1forE¯2<K3(1(θ+η+μ))2(existenceoftheexposedcompartment), (4.14)

where θ+η+μ<1.

We assume in the following theorem that the compartments cannot exceed their carrying capacity.

Theorem 4.2

Let χ2 be the positive equilibrium point of system (3.2) and assume that R01<1 andR02<1. Moreover, let the conditions η+μ+γ2+μ1<1 and β2+η+μ>1 hold. If

1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)<α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)forQ¯2<K4{1(η+μ+γ2+μ1)}2 (4.15)
1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)<α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2<2K3γ1I¯2 (4.16)

where

β1E¯2+γ1I¯2<rηandK1K3>4rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ))

then the roots of (4.13) are real or complex conjugates with negative real parts and |arg(λi)|>απ2(i=1,2,3,4),α(0,1) is equivalent to the Routh-Hurwitz Criteria. This implies that χ2 is locally asymptotically stable.

Proof

Let us consider at first the isolated (under quarantine) and the death compartment, where

Δ1=(a44+a66)24a44a66(1R01)>0. (4.17)

From (4.17), we have

α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)andQ¯2<K4{1(η+μ+γ2)}2, (4.18)

where R01<1 and η+μ+γ2<1.

Moreover, computations show that

a44+a66<0(12K4Q¯2)·11+α2D¯2(η+μ+γ2)μ1<0, (4.19)

if

α2>1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)andQ¯2<K4{1(η+μ+γ2+μ1)}2, (4.20)

where η+μ+γ2+μ1<1. From both (4.18) and (4.20), we obtain

1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)<α2<1D¯2(K42Q¯2K4(η+μ+γ2)1), (4.21)

where Q¯2<K4{1(η+μ+γ2+μ1)}2 and η+μ+γ2+μ1<1.

Considering now the discriminant of the characteristic equation of the SI compartments, we have

Δ2=(a11+a33)24a11a33(1R02)>0, (4.22)

if R02<1 and the following statements hold;

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2<K1{rηβ1E¯2γ1I¯2}2r, (4.23)

where β1E¯2+γ1I¯2<rη, and

S¯22K3γ1I¯2forβ2+η+μ1, (4.24)

hold. From (4.23) and (2.24), we have K1K3>4rI¯2γ1(rηβ1E¯2γ1I¯2) such that

S¯2<2K3γ1I¯2<K1{rηβ1E¯2γ1I¯2}2r.

Furthermore, we get that

a11+a33<0r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯22K3I¯2+γ1S¯2(β2+2η+μ1)<0

if

α1>1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)whereS¯2<K1{r+1β1E¯2γ1I¯2(β2+2η+μ)}2r. (4.25)

From both (4.23) and (2.25), we get at the end that

1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)<α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1) (4.26)

where S¯2<K1{r+1β1E¯2γ1I¯2(β2+2η+μ)}2r. This completes the proof.

Remark 4.2

In the local stability of the co-existing equilibrium point, we assumed that the recognition of the infection is high enough such that ε1=1. Still, we expect that the individuals' screening rate is sufficient to keep a stable environment; however, the screening is applied after the symptoms appear, and thus, we can predict that the exposed compartment can continue to infect the susceptible class. In Theorem 4.2., we noticed that the fear of the death of COVID-19 is depended on the carrying capacity of the isolated individuals (people under quarantine). The fear is under control when the isolation does not exceed half of the carrying capacity of Qand when the individuals noticed the recovering rate of the infected people from successful treatment. The infection rate from the interaction SI compartments is mainly related to the infection's transmission capacity and the updated news of fear of being infected with COVID-19. We see that the awareness, and thus without pollution of information related to COVID-19, show an essential role in keeping the co-existing equilibrium point stable. Another essential parameter is the screening rate that reduced the exposed compartment. The fear of being infected by COVID-19 and dying from this infection is related to the daily updated news of numbers of infected people, isolation, and deaths. When the number of the carrying capacity of infected and isolated people decreases, the fear minimizes.

To support the following theorem, we assume that (4.9) holds, while

λ2>1forθ+η+μ<1(existenceoftheexposedcompartment). (4.27)

Theorem 4.3

Let χ2 be the co-existing equilibrium point of system (3.2) and assume that R01=1 andR02=1. Moreover, suppose that η+μ+γ2+μ1<1 and β2+η+μ>1.If

α2<1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)forQ¯2<K4{1(η+μ+γ2+μ1)}2, (4.28)
α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)for2K3γ1<S¯2<K1{r+1β1E¯2γ1I¯2(β2+2η+μ)}2r, (4.29)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ))

then the characteristic equation shows some non-negative eigenvalues such that |arg(λ*)|=0<απ2, where α(0,1). Thus the equilibrium point χ2is unstable.

Proof

Since R01=1, we have Δ1=(a44+a66)2>0.Furthermore,

a44+a66>0(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)>0, (4.30)

if

α2<1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)andQ¯2<K4{1(η+μ+γ2+μ1)}2, (4.31)

where η+μ+γ2+μ1<1.

On the other side, since R02=1, we obtain Δ1=(a11+a33)2>0 while

a11+a33>0r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯22K3I¯2+γ1S¯2(β2+2η+μ1)>0

if S¯2>2K3γ1I¯2, β2+η+μ>1 and

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1) (4.32)

where S¯2<K1{r+1β1E¯2γ1I¯2(β2+2η+μ)}2r. This completes the proof.

Remark 4.3

In Theorem 4.3, we consider the unstable (uncontrollable) case of the co-existing equilibrium point. (4.27) emphasizes the screening tools; this means, if the screening rate is low or insufficient, we expect undetected infectional cases. These infected individuals can continue to transmit the infection to the susceptible class with a rate of β1 and γ1 . The increase of the infected compartments (exposed and COVID-19 detected classes) decreases the susceptible density, which leads to a fear of mental health problems of the susceptible class. The trust in screening tests and belief in treatments decreases in this scenario. The basic reproduction numbers are assumed as R01=1 andR02=1. Moreover, we see that the susceptible group focuses mainly on the susceptible and infected class's carrying capacity. The fear to die from corona, which is given as α2, is based on the density capacity of the isolated compartment and the announcements of unsuccessful treatment alternatives.

Theorem 4.4

Let χ2 be the co-existing equilibrium point of system (3.2). Assume that η+μ+γ2+μ1<1 and β2+2η+μ>1. Let the basic reproduction numbers be

R01>1+{(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}24μ1{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}and1<R02<1+{r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}24(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2)

such that

α2<1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)forQ¯2<K4{1(η+μ+γ2+μ1)}2 (4.33)
α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)forS¯2<2K3γ1I¯2 (4.34)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)). (4.35)

Then the eigenvalues of (4.11) and (4.12) show complex conjugate, which implies that the SI and QD interaction show an asymptotic stable behavior such that

|arg(λ1,3)|=tan1|4(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2)(R021){r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}1|>απ2

and

|arg(λ4,6)|=tan1|4{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}μ1(R011){(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}21|>απ2.

Proof

Let us consider the isolated (under quarantine) and death compartment where

Δ1=(a44+a66)24a44a66(1R01)<0. (4.36)

From (4.36), we have

R01>1+{(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}24μ1{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}, (4.37)

where

α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)andQ¯2<K4{1(η+μ+γ2)}2forη+μ+γ2<1. (4.38)

Furthermore, straightforward computations show that

a44+a66>0(12K4Q¯2)·11+α2D¯2(η+μ+γ2)μ1>0, (4.39)

if

α2<1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)andQ¯2<K4{1(η+μ+γ2+μ1)}2forη+μ+γ2+μ1<1. (4.40)

This completes the proof of the QD interaction.

Considering now the discriminant of the characteristic equation includes the interaction of the SI compartments

Δ2=(a11+a33)24a11a33(1R02)<0, (4.41)

we obtain

R02<1+{r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}24(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2), (4.42)
S¯22K3γ1I¯2forβ2+η+μ1 (4.43)

and

α1<1I¯2(r(K12S¯2)K1(β1E¯2+γ1I¯2+η)1)forS¯2<K1{rηβ1E¯2γ1I¯2}2r. (4.44)

Furthermore, we get that

a11+a33>0r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯22K3I¯2+γ1S¯2(β2+2η+μ1)>0

if

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)forS¯2<2K3γ1I¯2<K1{r+1β1E¯2γ1I¯2(β2+2η+μ)}2r (4.45)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)) (4.46)

From (4.44) and (4.45), we obtain at the end that

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)<1I¯2(r(K12S¯2)K1(β1E¯2+γ1I¯2+η)1).

Remark 4.4

In Theorem 4.4. we proved that the characteristic equations' eigenvalues in (4.11) and (4.12) show complex eigenvalues under specific conditions. In this scenario, the treatment of recovering from COVID-19 is limited or needs a long time for a successful result; however, the death rate from the corona is less. The basic reproduction number of both R01>1 and R02>1.We discovered that the death caused by different symptoms during corona does not attract the susceptible class, and the main concern is the death in total without noticing the difference. The isolated compartment shows an increase, while the interaction of the susceptible and infected group is high. Thus, the fear to get infected α1 exists and is dependent on the carrying capacity of the SI compartments. While the fear to die from corona, which is α2shows an upper bound according to the decrease of death from corona, and even though the treatment takes time, hope exists, which keeps the compartments stable.

Theorem 4.5

Let χ2 be the co-existing equilibrium point of system (3.2). Assume that η+μ+γ2+μ11β2+2η+μ1. Let the basic reproduction numbers be

R01>1+{(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}24μ1{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}and1<R02<1+{r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}24(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2)

such that

1D¯2(K4Sdisp2Q¯2K4(η+μ+γ2+μ1)1)<α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)forQ¯2<K4{1(η+μ+γ2+μ1)}2 (4.47)
1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)<α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2<2K3γ1I¯2 (4.48)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)). (4.49)

Then the SI and QD compartments are asymptotic stable such that

0<α<22πtan1|4(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2)(R021){r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}21|

and

0<α<22πtan1|4{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}μ1(R011){(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}21|.

Proof

From

Δ1=(a44+a66)24a44a66(1R01)<0, (4.50)

we have

R01>1+{(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}24μ1{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}, (4.51)

where

α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)andQ¯2<K4{1(η+μ+γ2)}2forη+μ+γ2<1. (4.52)

Furthermore, we have

a44+a66<0(12K4Q¯2)·11+α2D¯2(η+μ+γ2)μ1<0, (4.53)

if

α2>1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)andQ¯2<K4{1(η+μ+γ2+μ1)}2forη+μ+γ2+μ1<1. (4.54)

From (4.52) and (4.54), we obtain

1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)<α2<1D¯2(K42Q¯2K4(η+μ+γ2)1).

Considering now the discriminant of the characteristic equation includes the interaction of the SI compartments

Δ2=(a11+a33)24a11a33(1R02)<0, (4.55)

we obtain

R02<1+{r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+12K3I¯2+γ1S¯2(β2+η+μ)}24(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1+2K3I¯2γ1S¯2), (4.56)

where S¯2<2K3γ1I¯2, β2+η+μ>1 and

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2<K1{rηβ1E¯2γ1I¯2}2r. (4.57)

Moreover, we get that

a11+a33<0r(12K1S¯2)·11+α1I¯22K3I¯2+γ1S¯2(β2+2η+μ1)<0

if

α1>1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1) (4.58)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)). (4.59)

Remark 4.5

In Theorem 4.5. we show that both fears, α1 and α2, are restricted to a bounded interval which is dependent on the carrying capacity of the isolated and infected compartments that do not exceed almost half of their carrying capacity. Additionally, the transmission from the susceptible compartment to the infected compartment is reduced. The fear effect α2 recognize the difference of death from corona and with corona, which keeps the compartments stable. Still, a long-term treatment exists; however, the death rate from the corona is low.

Theorem 4.6

Let χ2 be the co-existing equilibrium point of system (3.2). Assume that η+μ+γ2+μ11β2+2η+μ1andK1K3>2(rK3S¯2+K1I¯2)r . Let the basic reproduction numbers beR01>1 and R02>1

such that

1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)=α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)forQ¯2<K4{1(η+μ+γ2+μ1)}2, (4.60)
1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1)=α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2=2K3γ1I¯2 (4.61)

where

β1E¯2+γ1I¯2<rηandK1K3>4rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)).

Then the SI and QD compartments are asymptotic stable such that

tan1|4(r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η)((β2+η+μ)1)(R021){r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2η+1(β2+η+μ)}21|=π2

and

tan1|4{(12K4Q¯2)·11+α2D¯2(η+μ+γ2)}μ1(R011){(12K4Q¯2)·11+α2D¯2(η+μ+γ2+μ1)}21|=π2

Proof

. If R01>1, then Δ1=4a44a66(R011)<0, since

α2<1D¯2(K42Q¯2K4(η+μ+γ2)1)andQ¯2<K4{1(η+μ+γ2)}2forη+μ+γ2<1. (4.62)

In addition, we obtain

a44+a66=0(12K4Q¯2)·11+α2D¯2(η+μ+γ2)μ1=0,

if

α2=1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)andQ¯2<K4{1(η+μ+γ2+μ1)}2forη+μ+γ2+μ1<1, (4.63)

which means that

1D¯2(K42Q¯2K4(η+μ+γ2+μ1)1)=α2<1D¯2(K42Q¯2K4(η+μ+γ2)1).

On the other side if R02>1, then Δ2=4a11a33(R021)<0, since S¯2=2K3γ1I¯2 and β2+η+μ>1,while

α1<1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+η)1)forS¯2<K1{rηβ1E¯2γ1I¯2}2r. (4.64)

Furthermore, we get that

a11+a33=0r(12K1S¯2)·11+α1I¯2β1E¯2γ1I¯2(β2+2η+μ1)=0,

if

α1=1I¯2(K1r2rS¯2K1(β1E¯2+γ1I¯2+β2+2η+μ1)1) (4.65)

where

β1E¯2+γ1I¯2rηandK1K34rI¯2γ1((rηβ1E¯2γ1I¯2)+(1β2ημ)).

This completes the proof.

Remark 4.6

Theorem 4.6. shows the reality of high transmission with R01>1 and R02>1. The screening rate exists sufficiently to detect the exposed class; however, the transmission spread continues. Individuals under quarantine perceive death rates mainly related to corona. The uncertain treatment alternatives keep a limited trust and fear in the compartments. On the other side, the fear of the susceptible class, which is given as α1 is split into two forms; the increase of new cases scares the S compartment to be infected from the undetected exposed and or infected classes, and another form of the fear focuses on the isolation strategies.

5. Existence of flip bifurcation

In this part, we want to apply the discretization process to analyze Flip Bifurcation. We modify our model in (2.1) in considering the discrete-time effect. In this part, we assume an awareness of ε1=1. The discretization of the system (2.1) is as follows, where z=[tx]x;

{DαS(t)=Λ+S(z)r(1S(z)K1)11+α1I(z)β1E(z)S(z)γ1I(z)S(z)ηS(z)DαE(t)=E(z)(1E(z)K2)(θ+η+μ)E(z)DαI(t)=I(z)(1I(z)K3)+β1E(z)S(z)+γ1I(z)S(z)+θE(z)(β2+η+μ)I(z)DαQ(t)=Q(z)(1Q(z)K4)11+α2D(z)+β2I(z)(η+μ+γ2)Q(z)DαR(t)=γ2Q(z)ηR(z)DαD(t)=μ(E(z)+I(z)+Q(z))μ1D(z).

For t[0,h), th[0,1), we have

{DαS(t)=Λ+S0r(1S0K1)11+α1I0β1E0S0γ1I0S0ηS0DαE(t)=E0(1E0K2)(θ+η+μ)E0DαI(t)=I0(1I0K3)+β1E0S0+γ1I0S0+θE0(β2+η+μ)I0DαQ(t)=Q0(1Q0K4)11+α2D0+β2I0(η+μ+γ2)Q0DαR(t)=γ2Q0ηR0DαD(t)=μ(E0+I0+Q0)μ1D0. (5.1)

The solution of (5.1) reduces to

{S1(t)=S0+tαΓ(α+1){Λ+S0r(1S0K1)11+α1I0β1E0S0γ1I0S0ηS0}E1(t)=E0+tαΓ(α+1){E0(1E0K2)(θ+η+μ)E0}I1(t)=I0+tαΓ(α+1){I0(1I0K3)+β1E0S0+γ1I0S0+θE0(β2+η+μ)I0}Q1(t)=Q0+tαΓ(α+1){Q0(1Q0K4)11+α2D0+β2I0(η+μ+γ2)Q0}R1(t)=R0+tαΓ(α+1){γ2Q0ηR0}D1(t)=D0+tαΓ(α+1){μ(E0+I0+Q0)μ1D0} (5.2)

For t[h,2h),th[1,2) we get

{S2(t)=S1+(th)αΓ(α+1){Λ+S1r(1S1K1)11+α1I1β1E1S1γ1I1S1ηS1}E2(t)=E1+(th)αΓ(α+1){E1(1E1K2)(θ+η+μ)E1}I2(t)=I1+(th)αΓ(α+1){I1(1I1K3)+β1E1S1+γ1I1S1+θE1(β2+η+μ)I1}Q2(t)=Q1+(th)αΓ(α+1){Q1(1Q1K4)11+α2D1+β2I1(η+μ+γ2)Q1}R2(t)=R1+(th)αΓ(α+1){γ2Q1ηR1}D2(t)=D1+tαΓ(α+1){mu(E1+I1+Q1)μ1D1} (5.3)

Repeating the process n times, we obtain

{Sn+1(t)=Sn+(tnh)αΓ(α+1){Λ+Snr(1SnK1)11+α1Inβ1EnSnγ1InSnηSn}En+1(t)=En+(tnh)αΓ(α+1){En(1EnK2)(θ+η+μ)En}In+1(t)=In+(tnh)αΓ(α+1){In(1InK3)+β1EnSn+γ1InSn+θEn(β2+η+μ)In}Qn+1(t)=Qn+(tnh)αΓ(α+1){Qn(1QnK4)11+α2Dn+β2In(η+μ+γ2)Qn}Rn+1(t)=Rn+(tnh)αΓ(α+1){γ2QnηRn}Dn+1(t)=Dn+(tnh)αΓ(α+1){μ(En+In+Qn)μ1Dn}. (5.4)

For t[nh,(n+1)h), while t(n+1)h and α1, we have

{Sn+1(t)=Sn+hαΓ(α+1){Λ+Snr(1SnK1)11+α1Inβ1EnSnγ1InSnηSn}En+1(t)=En+hαΓ(α+1){En(1EnK2)(θ+η+μ)En}In+1(t)=In+hαΓ(α+1){In(1InK3)+β1EnSn+γ1InSn+θEn(β2+η+μ)In}Qn+1(t)=Qn+hαΓ(α+1){Qn(1QnK4)11+α2Dn+β2In(η+μ+γ2)Qn}Rn+1(t)=Rn+hαΓ(α+1){γ2QnηRn}Dn+1(t)=Dn+hαΓ(α+1){μ(En+In+Qn)μ1Dn}. (5.5)

The Jacobian matrix of (5.5) around the co-existing equilibrium point χ2=(S*,E*,I*,Q*,R*,D*) is given by

J(χ2)=(b11b22b130000b320000b31b32b3300000b43b440b46000b54b5500b62b63b640b66) (5.6)
b11=1+hαΓ(α+1){(r2rS*K1)·11+α1I*β1E*γ1I*η},b12=hαΓ(α+1){β1S*},
b13=hαΓ(α+1){α1S*r(1S*K1)·1(1+α1I*)2γ1S*},b22=1+hαΓ(α+1){(1E*K2)(θ+η+μ)}
b31=hαΓ(α+1){β1E*+γ1I*},b32=hαΓ(α+1){β1S*+θ},b33=1+hαΓ(α+1){12I*K3+γ1S*(β2+η+μ)}
b43=hαΓ(α+1)β2,b44=1+hαΓ(α+1){(12Q*K4)·11+α2D*(η+μ+γ2)},b46=hαΓ(α+1){α2Q*(1Q*K4)·1(1+α2D*)2}
b54=hαΓ(α+1)γ2,b55=1hαΓ(α+1)η,b62=b63=b64=hαΓ(α+1)μ,b66=1hαΓ(α+1)μ1.

The characteristic equation of (5.5) is given as

λ2=1+hαΓ(α+1){(1E*K2)(θ+η+μ)}, (5.7)
λ5=1hαΓ(α+1)η, (5.8)
λ2(b44+b66)λ+b44b66(1R01*)=0. (5.9)

and

λ2(b11+b33)λ+b11b33(1R02*)=0. (5.10)

Theorem 5.1

[38,39] For system (5.11), one of the eigenvalues is 1, and the other eigen value lies inside the unit circle if and only if the following statements hold;

  • (a)

    P(1)=1+p1+p0>0

  • (b)

    P(1)=1p1+p0=0

  • (c)

    D1+=1+p0>0,

  • (d)

    D1+=1p0>0,

where

P(λ)=λ2+p1λ+p0. (5.11)

Theorem 5.2

Let χ2 be the co-existing equilibrium point of system (5.5) and assume that R01*=1 and R02*=1. Moreover, suppose that

1>θ+η+μ,1>η+μ+γ2>μ1(Γ(α+1)hα,2Γ(α+1)hα)and1+Γ(α+1)hα<β2+η+μ<1+2Γ(α+1)hα,
E*=K2{1(θ+η+μ)}+2Γ(α+1)hα (5.12)
1D*{K42Q*K4(η+μ+γ2Γ(α+1)hα)1}<α2=1D*{K42Q*K4(η+μ+γ2+μ13Γ(α+1)hα)1}forQ*<K4(1(η+μ+γ2)+Γ(α+1)hα)2 (5.13)
1I*{r(K12S*)K1(β1E*+γ1I*+ηΓ(α+1)hα)1}<α1=1I*{r(K12S*)K1{(β2+2η+μ1)+β1E*+γ1I*3Γ(α+1)hα}1}forS*=2I*γ1K3 (5.14)

where

K1K3>2rI*γ1(r+Γ(α+1)hαβ1E*γ1I*η)andβ1E*+γ1I*<rη,

then the system undergoes a Flip Bifurcation.

Proof

From (5.8), it is evident that λ5<1, while

1+hαΓ(α+1){(1E*K2)(θ+η+μ)}=1E*=K2{1(θ+η+μ)}+2Γ(α+1)hα, (5.15)

where 1>θ+η+μ. Also, (5.9) holds the condition of Theorem 5.1. (a), if R01*=1 and

1+hαΓ(α+1){(12Q*K4)·11+α2D*(η+μ+γ2)}<0, (5.16)
1hαΓ(α+1)μ1<0. (5.17)

Considering both (5.16) and (5.17), we obtain μ1>Γ(α+1)hα and

α2>1D*{K42Q*K4(η+μ+γ2Γ(α+1)hα)1} (5.18)

where Q*<K4(1(η+μ+γ2)+Γ(α+1)hα)2 for 1>η+μ+γ2.

Moreover, from Theorem 5.1. (b), we have

3+hαΓ(α+1){(12Q*K4)·11+α2D*(η+μ+γ2+μ1)}=0
α2=1D*{K42Q*K4(η+μ+γ2+μ13Γ(α+1)hα)1} (5.19)

where Q*<K4(1(η+μ+γ2+μ1)+3Γ(α+1)hα)2 for 1>η+μ+γ2+μ1.

Thus, from (5.18) and (5.19), we get

1D*{K42Q*K4(η+μ+γ2Γ(α+1)hα)1}<α2=1D*{K42Q*K4(η+μ+γ2+μ13Γ(α+1)hα)1}

for μ1<2Γ(α+1)hα and Q*<K4(1(η+μ+γ2)+Γ(α+1)hα)2. On the other side, since R01*=1, (c) and (d) hold.

Let us now consider the characteristic equation of (5.10). Since R02*=1 the conditions of Theorem 5.1 (c) and (d) hold directly. Furthermore, (a) holds if

1+hαΓ(α+1){(r2rS*K1)·11+α1I*β1E*γ1I*η}<0 (5.20)

and

1+hαΓ(α+1){12I*K3+γ1S*(β2+η+μ)}<0. (5.21)

From (5.20), we have

α1>1I*{rK12rS*K1(β1E*+γ1I*+ηΓ(α+1)hα)1}forSK1(r+Γ(α+1)hαβ1E*γ1I*η)2randrηβ1E*+γ1I*. (5.22)

Besides, we have S*=2I*γ1K3 and β2+η+μ>1+Γ(α+1)hα from (5.21). Moreover, we obtain the condition of (b);

3+hαΓ(α+1){(r2rS*K1)·11+α1I*β1E*γ1I*+1(β2+2η+μ)}=0

if

α1=1I*{r(K12S*)K1{(β2+2η+μ1)+β1E*+γ1I*3Γ(α+1)hα}1}, (5.23)

where S*<K1(rη+3Γ(α+1)hαβ1E*γ1I*)2r. One can find that

2I*γ1K3=S*<K1(r+Γ(α+1)hαβ1E*γ1I*η)2r<K1(rη+3Γ(α+1)hαβ1E*γ1I*)2r

if K1K3>2rI*γ1(r+Γ(α+1)hαβ1E*γ1I*η), where β1E*+γ1I*<rη. This completes the proof.

Remark 5.1

We used the discretization process to establish a difference equation system of order one. The flip bifurcation showed that the infected group's death rate died from other symptoms activated by COVID-19 is one of the sensitive parameters, which means that the media or health institutions should emphasize the difference to control the fear effect of individuals. In all studies, we could see that the carrying capacity of the sensitive compartment and the compartment of people under quarantine determine humans' psychological change. Any decrease of the susceptible class shows mental sickness to be one of the infected individuals, while the increase of the quarantine compartment because of high infection or decrease because of total death rates leads to human fear about the death from COVID-19. The density of the exposed class changes related to applying successful tools to detect the virus. The basic reproduction numbers are considered as R01*=1 and R02*=1 to analyze the conditions of Flip bifurcation.

Since the reproduction numbers nowadays are incredibly high, which does not represent a flip bifurcation, we need to think between the difference of “recognition-management“ and “control-fear,” which is the major problem we humans are facing for more than one year.

6. Some numerical simulations by using MATLAB 2019

Finally, in this section, we want to illustrate the fear effect of α1 and α2 in using MATLAB 2019. On the other side, we will consider the effect of the parameters such as screening, recovering from the infection, and the death rates of infected people who die from different symptoms. Here we want to emphasize the psychological pressure on humans named from different organizations as controlling the spread. We determine the values of the parameters and the initial conditions of system (3.2), such as

Λ=12000,β1=0.02,β2=0.3,γ1=0.0001,γ2=0.08,ε1=1,θ=0.3,μ=0.005,η=0.0012,μ1=0.002,

K1=10000,K2=500,K3=200,K4=180, where the fear effect is chosen α1=α2=0 for the initial conditions S(0)=2000,E(0)=80,I(0)=40,Q(0)=30,R(0)=10,D(0)=2. Fig. 1 (a)-(b)-(d) show a case of successful treatment alternatives. The density of compartment R(t) increases, followed by a stable form of the death compartment. The existence of the infection affected the mental health of the susceptible class first; however, after recognizing the treatments and the screening tools, the susceptible class shows a stable equilibrium point. In Fig. 1(c) we can see that the screening period is still not sufficient so that the spread of the infection continuous, while on the other side supplements to hospitalize people under quarantine doesn't show the desired carrying capacity.

Fig. 1.

Fig 1

(a) Dynamical spread of system (3.2) (b) Stability of the susceptible and exposed compartment (c) Stability of the infected and quarantine. (d) Dynamical spread of the recovered individuals and death compartment.

Fig. 2 shows the significant increase of the exposed and infected compartment when the awareness is decreased to %60. Thus, to recognize the spread effect of the virus is the major point in this pandemic phenomena. Fig. 2(a)-(d) show that the exposed and infected compartments will continue the epidemiological spread for a long time if people are not aware of the serious case and protect themselves from the virus. This is a critical result that shows the dominant parameter ε1 to understand the circumstances of the environment that face a pandemic phenomenon.

Fig. 2.

Fig 2

(a) Dynamical spread of system (3.2). (b) Stability of the susceptible and exposed compartment. (c) Stability of the infected and quarantine 2. (d) Dynamical spread of the recovered individuals and death compartment.

In Fig. 3 (a)-(d), we reduced the screening rate θ=0.1 considering the discrepancy information related to the PCR test. We assume in addition that confusing information spread by media and long-term lock-down periods lead to a fear of the compartments with α1=0.3 and α2=0.3. The figure shows a psychological break-down of the susceptible class, which is restricted to a specific interval of time until the awareness ε1=1 started to control the compartment.

Fig. 3.

Fig 3

(a) Dynamical spread of system (3.2). (b) Stability of the susceptible and exposed compartment. (c) Stability of the infected and quarantine (d) Dynamical spread of the recovered individuals and death compartment.

Fig. 4(a)-(d) is applied to the same scenario when the community shows only %60 of awareness—both the exposed and the infected compartment increases. The fear is related to the screening rate and the treatment process; however, recognizing permanent health care regulations is applied in discrete time or ignored from the community.

Fig. 4.

Fig 4

(a) Dynamical spread of system (3.2). (b) Stability of the susceptible and exposed compartment (c) Stability of the infected and quarantine (d) Dynamical spread of the recovered individuals and death compartment.

7. Conclusion

In this study, we gave at first a brief information about the novel coronavirus COVID-19. Our main objective was to investigate the fear effect of the community spread through the media, social networks and the health organization. The psychological effect such as anxiety, fear, or worry showed a close relation to the epidemiological spread. Unrealistic information about the virus, the spread, mutation, and the vaccines lead people to suffer from uncertainty and activate a fear of the present and future. We formulated a fractional order system of a SEIR+D model to analyze the balance between controlling the people with various mechanisms and the community's fear during the lock-down period. The model showed two types of fear; the fear to get infected and the death from corona. The compartment of death was an essential part in the model, since from the statistical records it is still a discussion to distinguish between “death from corona” and “death with corona”.

From our theoretical and numerical findings we conclude that permanent health care regulations are essential to stabilize the community's recognition of the virus COVID-19. However, as necessary as the awareness, we emphasized improvements of the screening tools and treatment processes. Information from different sources causes fears about the virus and the consequences. The pandemic phenomena should not be seen as a trend of creating unrealistic stories, which affects human mental health during this challenging event (Table 1 ).

Table 1.

Parametric description of the dynamical system.

Notation Description of Parameter
α1 The fear effect of the susceptible class to be infected by COVID-19
α2 The fear effect of individuals under quarantine to die from COVID-19
β1 Infection rate from the SEinteraction
γ1 Infection rate from the SIinteraction
ε1 Recognition of infection
Θ Rate of screening
β2 The rate of infected people being isolated
γ2 The rate of recovering from the infection
K1 Carrying capacity of the susceptible class
K2 Carrying capacity of the exposed class
K3 Carrying capacity of the infected class of COVID-19
K4 Carrying capacity of individuals under quarantine
Λ The rate of offspring per year
μ The death rate of COVID-19 infected
μ1 The death rate of the infected group died from different symptoms that was activated by the virus COVID-19
η The natural death rate

CRediT authorship contribution statement

Fatma Bozkurt: Conceptualization, Methodology, Investigation, Visualization, Writing – original draft, Supervision. Ali Yousef: Conceptualization, Methodology, Investigation, Visualization, Writing – original draft, Supervision. Thabet Abdeljawad: Conceptualization, Methodology, Investigation, Visualization, Writing – original draft, Supervision. Adem Kalinli: Investigation, Visualization, Writing – original draft, Supervision. Qasem Al Mdallal: Investigation, Visualization, Writing – original draft, Supervision.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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