Modeling the Impact of Susceptibility Heterogeneity in Diphtheria Outbreaks within a Vaccinated Population Using Fractional-Order Dynamics
Keywords:
Fractional-order model , Stability analysis , Diphtheria, Vaccination effectsAbstract
The purpose of this paper is to study a fractional mathematical model of diphtheria infection spread, considering the susceptibility heterogeneity subpopulation based on vaccination effects and an asymptomatic infected subpopulation. Memory effects and long-range interactions in all compartments are represented by a Caputo fractional derivative. The mathematical analysis of boundedness, positivity, and existence and uniqueness are discussed. We investigate local and global stability existence by applying Matignon's theorem and constructing an appropriate Lyapunov function. The local stability for disease-free equilibrium point is proved by applying the Routh–Hurwitz criterion. The global asymptotic stability of the disease-free equilibrium is examined by applying the approach proposed by Castillo-Chavez et al. And the predictor-corrector technique is used for the numerical simulation. We found that our approach performs better in terms stability region as compared to based-line models. We also present the comparison result of root mean square error (RMSE) for varying fractional order alfa, and the alpha=0.8, give small RMSE, as to be considered by the government to reduce the Diphtheria outbreaks and to improve the vaccinated usage.
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[1] S. O. Adewale, S. O. Ajao, I. A. Olopade, G. A. Adeniran, and I. T. Mohammed, “Mathematical analysis of quarantine on the dynamical transmission of diphtheria disease solving Riccati equation using Adomian decomposition method,”International Journal of Scientific and Engineering Investigations 6 (2017), 8–17. 1
[2] P. Agarwal and R. Singh, “Modelling of transmission dynamics of Nipah virus (NiV): A fractional order approach,” Physica A 547 (2020), 1–11. 2.3.2
[3] P. Agarwal, S. Deniy, S. Jain, A. A. Alderremy, and S. Aly, “A new analysis of a partial differential equation arising in biology and population genetics via semi-analytical techniques,” Physica A: Statistical Mechanics and its Applications 542 (2020), 1–27. 1
[4] P. Agarwal, H. Nasrolahpour, N. Maamri, J. C. Trigeassou, R. Nasrolahpour, and S. Momani, “Dynamics of DNA methylation: Fractional model approach,” Progress in Fractional Differentiation and Applications 11 (2025), 653–660.
[5] E. Ahmed, A. M. A. El-Sayed, and H. A. A. El-Saka, “On some Routh–Hurwitz conditions for fractional order differential equations and their applications in Lorenz, R¨ossler, Chua and Chen systems,” Physics Letters A 358 (2000), 1–4. 2.3.3
[6] Anderson, “What to know about diphtheria,” [Online]. Available at: https://www.webmd.com/a-to-z-guides/what-to-know-diphtheria-causes. Accessed: Jun. 10, 2024. 1
[7] A. Atangana and D. Baleanu, “New fractional derivatives with non-local and non-singular kernel: Theory and application to heat transfer model,” Thermal Science 20 (2016), 763–769. 1
[8] D. Baleanu, M. Hassan Abadi, A. Jajarmi, K. Zarghami Vahid, and J. J. Nieto, “A new comparative study on the general fractional model of COVID-19 with isolation and quarantine effects,” Alexandria Engineering Journal 61 (2022), 1119–1131. 1
[9] F. Brauer and C. Castillo-Chavez, “Epidemic models,” Mathematical Models in Population Biology and Epidemiology (2008), 345–409. 1, 2.3.4
[10] M. Caputo and M. Fabrizio, “A new definition of fractional derivative without singular kernel,” Progress in Fractional Differentiation and Applications 1 (2015), 73–85. 1
[11] Centers for Disease Control and Prevention, “Diphtheria,” [Online]. Available at: https://www.cdc.gov/diphtheria/about/causes-transmission.html. 1
[12] S. K. Choi, B. Kang, and N. Koo, “Stability for Caputo fractional differential systems,” Abstract and Applied Analysis 2014 (2014), 631419. 2.2
[13] C. W. Chukwu, Fatmawati, M. I. Utoyo, A. Setiawan, and J. O. Kanni, “Fractional model of HIV transmission on workplace productivity using real data from Indonesia,” Mathematics and Computers in Simulation 225 (2024), 1–15. 1
[14] P. N. Das, “Comparative analysis of fractional-order and classical ODE models in explaining real-world dynamics,” Applied Mathematics and Biosystems 1 (2025), 25–31. 1
[15] V. den Driessche and J. Watmough, “Reproduction numbers and sub-threshold endemic equilibria for compartmental models of disease transmission,” Mathematical Biosciences 180 (2002), 29–48. 2.3.2
[16] K. Diethelm, The Analysis of Fractional Differential Equations: An Application-Oriented Exposition Using Differential Operators of Caputo Type, Springer, 2010. 2.1, 2.2
[17] K. Diethelm, N. J. Ford, and A. D. Freed, “A predictor–corrector approach for the numerical solution of fractional differential equations,” Nonlinear Dynamics 29 (2002), 3–22. 3.1
[18] I. S. Fauzi et al., “Assessing the impact of booster vaccination on diphtheria transmission: Mathematical modeling and risk zone mapping,” Infectious Disease Modelling 9 (2024), 245–262. 1
[19] M. Ghani, I. Q. Utami, F. W. Triyayuda, M. Afifah, and A. Suryanto, “A fractional SEIQR model on diphtheria disease,” Modeling Earth Systems and Environment 9 (2023), 1–12. 1, 2.1, 2.3.2
[20] M. Ghani, “Diphtheria transmission prediction by extended Kalman filter,” MethodsX 103281 (2025). 3.1
[21] G. T. Haile, P. R. Koya, and F. M. Legesse, “Sensitivity analysis of a mathematical model for malaria transmission accounting for infected ignorant humans and relapse dynamics,” Frontiers in Applied Mathematics and Statistics 10 (2025), 1–15. 3.2, 3.1
[22] H. Hethcote, “Three basic epidemiological models,” Applied Mathematical Ecology (1989), 119–144. 1
[23] J. Huo, H. Zhao, and L. Zhu, “The effect of vaccines on backward bifurcation in a fractional order HIV model,” Nonlinear Analysis: Real World Applications 26 (2015), 289–305. 2.7
[24] F. Ilahi and A. Widiana, “The effectiveness of vaccine in the outbreak of diphtheria: Mathematical model and simulation,” IOP Conference Series: Materials Science and Engineering 434 (2018), 012006. 1
[25] Z. Islam, S. Ahmed, M. M. Rahman, M. F. Karim, and M. R. Amin, “Global stability analysis and parameter estimation for a diphtheria model: A case study of an epidemic in Rohingya refugee camp in Bangladesh,” Hindawi 2022 (2022), 1–13. 1
[26] N. Izzati, A. Andriani, and R. Robi’aqolbi, “Optimal control of diphtheria epidemic model with prevention and treatment,” Journal of Physics: Conference Series 1663 (2020), 012042. 1
[27] R. Kaur, Prabhanshi, I. Jhamb, and P. Verma, “Transmission dynamics of COVID-19 across a region: A mathematical model,” A Phys. Sci. 95 (2025), 295–310. 1
[28] W. Kermack and A. McKendrick, “A contribution to the mathematical theory of epidemics,” Proceedings of the Royal Society of London 115 (1927), 700–721. 1
[29] S. R. Lamichhane, “Diphtheria,” StatPearls, [Online]. Available at: https://www.ncbi.nlm.nih.gov/books/NBK560911/. Accessed: Sep. 15, 2024. 1
[30] H. L. Li, L. Zhang, C. Hu, Y. L. Jiang, and Z. Teng, “Dynamical analysis of a fractional-order predator-prey model incorporating a prey refuge,” Journal of Applied Mathematics and Computing 54 (2017), 435–449. 2.3, 2.2, 2.2
[31] Y. Li, Y. Q. Chen, and I. Podlubny, “Stability of fractional-order nonlinear dynamic systems: Lyapunov direct method and generalized Mittag-Leffler stability,” Computers and Mathematics with Applications 59 (2010), 1810–1821. 2.3, 2.2, 2.2
[32] C. E. Madubueze, K. A. Tijani, and Fatmawati, “A deterministic mathematical model for optimal control of diphtheria disease with booster vaccination,” Healthcare Analytics 4 (2023), 100281. 1
[33] D. Matignon, “Stability results on fractional differential equations to control processing,” in Proceedings of the 1996 IMACS Multiconference on Computational Engineering in Systems and Application Multiconference, Lille, France, vol. 2 (1996), 963–968. 2.3.3
[34] Ministry of Health of the Republic of Indonesia, Guidelines for Prevention and Control of Diphtheria, [Online]. Available at: https://sehatnegeriku.kemkes.go.id/wp-content/uploads/2018/01/buku-pedoman-pencegahan-dan-penanggulangan-difteri.pdf. Accessed: Jun. 11, 2024. 1
[35] Ministry of Health of the Republic of Indonesia, Indonesian Health Profile 2023, [Online]. Available at: https://kemkes.go.id/id/category-download/profil-kesehatan. Accessed: Jun. 12, 2024. 1, 3.1
[36] R. R. Musafir, A. Suryanto, I. Darti, and Trisilowati, “Dynamics and optimal control of fractional-order monkeypox epidemic model with social distancing habits and public awareness,” Computer Methods and Programs in Biomedicine Update 7 (2025), 100187. 1
[37] National Health Service, “Diphtheria,” [Online]. Available at: https://www.nhs.uk/conditions/diphtheria/. Accessed: Jun. 10, 2024. 1
[38] K. W. D. Nugraha, Setiaji, F. Sibuea, and B. Hardhana, Profil Kesehatan Indonesia, Kementerian Kesehatan Republik Indonesia, Jakarta, 2021. 3.1
[39] Z. M. Odibat and N. T. Shawagfeh, “Generalized Taylor’s formula,” Computers and Mathematics with Applications 186 (2007), 286–293. 2.4, 2.5
[40] O. J. Peter, N. D. Fahrani, Fatmawati, Windarto, and C. W. Chukwu, “A fractional derivative modeling study for measles infection with double dose vaccination,” Healthcare Analytics 4 (2023), 100231. 1
[41] S. Peddinti and Y. Sabbani, “Mathematical modeling of infectious disease spread using differential equations and epidemiological insights,” Frontiers in Applied Mathematics and Statistics 15 (2024), 114–122. 1
[42] I. Petras, Fractional-Order Nonlinear Systems: Modeling, Analysis and Simulation, Higher Education Press, Beijing, 2011. 2.3.3
[43] S. G. Puspita and M. Kharis, “Pemodelan matematika pada penyebaran penyakit difteri dengan pengaruh karantina dan vaksinasi,” Unnes Journal of Mathematics 6 (2017), 26–34. 1
[44] N. Rahmi and M. I. Pratama, “Model analysis of diphtheria disease transmission with vaccination, quarantine, and handwashing behavior,” JTAM: Jurnal Teori dan Aplikasi Matematika 7 (2023), 462–473. 1
[45] K. Rodgers, “Diphtheria,” Encyclopaedia Britannica, [Online]. Available at: https://www.britannica.com/science/diphtheria. Accessed: Jul. 10, 2024. 1
[46] W. Saleh and A. Kilieman, “Note on the fractional Mittag-Leffler functions by applying the modified Riemann–Liouville derivatives,” Boletim da Sociedade Paranaense de Matem´atica 37 (2019), 45–52. 2.1
[47] A. Shakeel, S. Ullah, and R. Faiza tul, “Numerical computations of fractional differential equations in engineering using the polynomial least squares method,” Journal of Prime Research in Mathematics 2 (2025), 13–24. 1
[48] M. Shams, N. Kausar, P. Agarwal, S. Jain, M. A. Salman, and M. A. Shah, “On family of the Caputo-type fractional numerical scheme for solving polynomial equations,” Taylor & Francis 31 (2023), 1–21. 1
[49] M. Sholeh, “Stability analysis of the SIQR model of diphtheria disease spread and migration impact,” Barekeng: Journal of Mathematics and Its Applications 19 (2025), 173–184. 1
[50] R. Singh, A. U. Rehman, M. Masud, H. A. Alhumzani, S. Mahajan, A. K. Pandit, and P. Agarwal, “Fractional order modeling and analysis of dynamics of stem cell differentiation in complex network,” AIMS Mathematics 7 (2022), 5175–5198. 1
[51] K. Sornbundit, W. Triampo, and C. Modchang, “Mathematical modeling of diphtheria transmission in Thailand,” Computers in Biology and Medicine 87 (2017), 162–168. 1
[52] M. Torrea, J. L. Torrea, and D. Ortega, “A modeling of a diphtheria epidemic in the refugee camps,” bioRxiv (2017), 208835. 1
[53] Trisilowati, I. Darti, R. R. Musafir, M. Rayungsari, and A. Suryanto, “Dynamics of a fractional-order COVID-19 epidemic model with quarantine and standard incidence rate,” Computer Methods and Programs in Biomedicine Update 7 (2025), 100176. 1
[54] C. Vargas-De-Leon, “Volterra-type Lyapunov function for fractional-order epidemic systems,” Communications in Nonlinear Science and Numerical Simulation 24 (2015), 75–85. 2.6
[55] WHO, “Diphtheria,” [Online]. Available at: https://www.who.int/news-room/questions-and-answers/item/ diphtheria. Accessed: Jun. 10, 2024. 1
[56] T. Witelski and M. Bowen, Methods of Mathematical Modelling: Continuous Systems and Differential Equations, Contin. Syst. Differ. Equations (2015), 23–45. 1
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