Mathematical Modelling of Human Papillomavirus (HPV) Dynamics with Vaccination Incorporating Optimal Control Analysis

Fednant O. Okware, Samuel B. Apima, Amos O. Wanjara
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Abstract

Human Papillomavirus (HPV) is an infectious illness with complex behavior that has had dangerous consequences in the society. In women, HPV is the leading cause of Cervical Cancer (CC). If not treated early, cervical cancer causes abnormal growth of the cervical walls, which leads to death. It is a threat, with half a million documented cases worldwide resulting in over 200 000 recorded deaths every year. In this research, we develop a mathematical model of HPV dynamics with vaccination and perform optimal control to reduce HPV and CC preventive expenses. The invariant region of the model solution was examined, and it was determined that the model was well posed and biologically meaningful. The feasibility of the model solution was examined, and it was discovered that the solution of the model remained positive in the feasible limited region \(\Omega\). The disease equilibrium points were shown to exist. The basic reproduction number was examined and discovered to be the biggest eigenvalue of the next generation matrix. The local stability of the equilibrium points was investigated, and it was discovered that the disease free equilibrium and the endemic equilibrium points were asymptotically stable. The model was extended into optimal control, and their optimality system was derived analytically using the Pontryagin Maximum Principle. The optimality system was numerically solved using MATLAB software, and the graphs for various interventions were shown against time. Finally, the outcomes of this study suggest that when the three interventions (awareness, screening and treatment of HPV and CC, and vaccination) are combined, the infection begins to decrease considerably and eventually dies out in the community when the interventions are intensified.
结合最优控制分析的人乳头瘤病毒(HPV)接种动力学数学模型
人乳头瘤病毒(HPV)是一种具有复杂行为的传染性疾病,在社会上已经产生了危险的后果。在女性中,HPV是宫颈癌(CC)的主要原因。如果不及早治疗,宫颈癌会引起宫颈壁的异常生长,从而导致死亡。这是一种威胁,全世界每年有50万记录在案的病例,造成20多万人死亡。在这项研究中,我们建立了HPV接种动力学的数学模型,并进行了最优控制,以减少HPV和CC预防费用。对模型解的不变区域进行了检验,确定了该模型具有良好的定态性和生物学意义。对模型解的可行性进行了检验,发现模型解在可行极限区域\(\Omega\)保持正解。疾病平衡点被证明是存在的。对基本再现数进行了检验,发现它是下一代矩阵的最大特征值。研究了平衡点的局部稳定性,发现无病平衡点和地方病平衡点是渐近稳定的。将该模型推广到最优控制中,利用庞特里亚金极大值原理解析导出了最优控制系统。利用MATLAB软件对优化系统进行了数值求解,并绘制了各干预措施随时间变化的曲线图。最后,本研究的结果表明,当三种干预措施(意识、HPV和CC的筛查和治疗以及疫苗接种)相结合时,感染开始大幅下降,并在干预措施加强时最终在社区中消失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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