Oyoon Abdul Razzaq1, Daniyal Ur Rehman2, Najeeb Alam Khan2, Ali Ahmadian3,4,5, Massimiliano Ferrara4. 1. Department of Humanities & Social Sciences, Bahria University Karachi Campus, Karachi 75260, Pakistan. 2. Department of Mathematics, University of Karachi, Karachi 75270, Pakistan. 3. Institute of IR 4.0, National University of Malaysia, 43600 UKM, Bangi, Selangor, Malaysia. 4. Department of Law, Economics and Human Sciences & Decisions Lab, Mediterranea University of Reggio Calabria, Reggio Calabria 89125, Italy. 5. School of Mathematical Sciences, College of Science and Technology, Wenzhou-Kean University, Wenzhou, China.
Abstract
In present time, the whole world is in the phase of war against the deadly pandemic COVID'19 and working on different interventions in this regard. Variety of strategies are taken into account from ground level to the state to reduce the transmission rate. For this purpose, the epidemiologists are also augmenting their contribution in structuring such models that could depict a scheme to diminish the basic reproduction number. These tactics also include the awareness campaigns initiated by the stakeholders through digital, print media and etc. Analyzing the cost and profit effectiveness of these tactics, we design an optimal control dynamical model to study the proficiency of each strategy in reducing the virulence of COVID'19. The aim is to illustrate the memory effect on the dynamics of COVID'19 with and without prevention measures through fractional calculus. Therefore, the structure of the model is in line with generalized proportional fractional derivative to assess the effects at each chronological change. Awareness about using medical mask, social distancing, frequent use of sanitizer or cleaning hand and supportive care during treatment are the strategies followed worldwide in this fight. Taking these into consideration, the optimal objective function proposed for the surveillance mitigation of COVID'19, is contemplated as the cost function. The effect analysis is supported through graphs and tabulated values. In addition, sensitivity inspection of basic reproduction number is also carried out with respect to different values of fractional index and cost function. Ultimately, social distancing and supportive care of infected are found to be significant in decreasing the basic reproduction number more rapidly.
In present time, the whole world is in the phase of war against the deadly pandemic COVID'19 and working on different interventions in this regard. Variety of strategies are taken into account from ground level to the state to reduce the transmission rate. For this purpose, the epidemiologists are also augmenting their contribution in structuring such models that could depict a scheme to diminish the basic reproduction number. These tactics also include the awareness campaigns initiated by the stakeholders through digital, print media and etc. Analyzing the cost and profit effectiveness of these tactics, we design an optimal control dynamical model to study the proficiency of each strategy in reducing the virulence of COVID'19. The aim is to illustrate the memory effect on the dynamics of COVID'19 with and without prevention measures through fractional calculus. Therefore, the structure of the model is in line with generalized proportional fractional derivative to assess the effects at each chronological change. Awareness about using medical mask, social distancing, frequent use of sanitizer or cleaning hand and supportive care during treatment are the strategies followed worldwide in this fight. Taking these into consideration, the optimal objective function proposed for the surveillance mitigation of COVID'19, is contemplated as the cost function. The effect analysis is supported through graphs and tabulated values. In addition, sensitivity inspection of basic reproduction number is also carried out with respect to different values of fractional index and cost function. Ultimately, social distancing and supportive care of infected are found to be significant in decreasing the basic reproduction number more rapidly.
A deadly coronavirus that basically initiated from Wuhan city of China, all of a sudden incarcerated the people all around the world. This strain of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected more than 210 countries and territories. It has brought devastating consequences on public health as well as on social and economic activities. Governments around the world prompted surveillance on mitigating the global spread of COVID'19. Among many of these dramatic measures, majority are substantiating to be effective in reducing the virus transmission. Imposing curfew and locking down the cities in addition public awareness campaigns such as, stay-at-home, encouraging social distancing, cleanliness that include frequent washing hand, using sanitizers through digital and print media are the key measures in restraining this virus. On enforcing these policies and engaging communities in these campaigns, undoubtedly enormous social and economic cost is expected. But until an effectual vaccine or treatment becomes available, these strategies may play important roles [1], [2], [3], [4], [5], [6].Variety of research has been conducted at an extraordinary pace to analyze the COVID'19 in different perspectives [7], [8], [9]. Epidemiological dynamical systems to control the breakout of this pandemic through basic reproduction number has been obtained by various researchers [10], [11], [12]. Clinical studies to determine therapeutic solutions through the findings of the biological features of this virus [13]. Perceptions on impact of government's preventing strategies on other environmental, social and economic activities [14]. Decision making models to consider an effective managing prevention strategy of COVID'19 transition [15]. Machine learning models to predict the high risk and efficiently triage the patients with high accuracy [16]. Mathematical models fit out to be substantial contrivances in investigating the dynamical controls of the infectious diseases[17]. Research articles, based on optimal control models can be found in the literature to a great extent in this regard [18], [19], [20], [21], [22], [23], [24]. In the recent times of battle against COVID'19, numerous authors have added their valuable contributions in this connection. Grigorieva et al. formulate two SEIR-type model to investigate the cost-effective quarantine strategies and analyzed the optimal solutions numerically [25]. Analysis of interventions of COVID'19 through transmission model and observing the most effective non-pharmaceutical strategies to lessen the disease nuisance in Pakistan is found in the literature [26]. In particular, plenty of endeavors have been carried out in different context of cost-effective strategy, to control the transmission of this deadly pandemic [27], [28].In this attempt, we design mathematical model that covers two major areas, epidemiology together with dynamical optimal control. Firstly, the compartmental model is taken into account with the control variables and stability analysis are carried out. Secondly, optimizing cost functions is subjected to the compartmental model to assess the cost-effectiveness of the prevention strategies. As aforementioned, there exist significant mathematical efforts in this connection, but the novelties that invigorate the proposed assessment can be classified as:This study is not only susceptible, exposed, quarantine, infected and recovery compartments, but also the isolation and precautions. Thus, the model is named as SEQIMRP i.e. susceptible-expose-quarantined-infected-isolated-recovered-protected.The non-pharmaceutical control variables, awareness campaigns about using mask, encouraging social distancing, signifying frequent use of sanitizer and washing hands, supportive care during treatment.Regulatory of basic reproduction number through these campaigns.Incorporating fractional order derivative for dynamical scrutiny of the model with.This significant contribution will undoubtedly add great perspicacity of COVID'19 interventions. The proposed SEQIMRP model with proportional fractional [29] signifies the broader application of the fractional definition. Its expansion elegantly converts the fractional order derivative operator into integer order that the fractional order index reallocates linearly in the equations. By virtue of this, the dynamics of COVID’19, for instance the basic reproduction number and equilibrium points can be interpreted with memory effects. Subsequently, historical values of these parameters or the compartmental functions will enable to devise defensive precautionary steps, revealed from the past experiences. In addition, the effect of memory on the optimality of awareness strategies is also illustrated through the proportional fractional derivative. The designed system provides a novel contribution in epidemiological study of epidemic and pandemic diseases. It will instruct the healthcare researchers a new mode of generating results and might be capable to investigating prior information about the risk factors or transmission rate for preparatory measures. The remaining paper contains sections of formulating the dynamical system, stability analysis of equilibrium points and optimality assessment. Furthermore, numerical discussions are also carried out to evidently establish an effective conclusion.
Mathematical models based on disease dynamics are quite helpful in studying the functional behavior of any virus, which then helps to overcome or lessen its contaminating breakout. The destructive coronavirus converted into a pandemic within a few months and affected billions of peoples around a globe. Early laboratory research and scientific experiments to construct a drug or vaccine could not triumph. Many epidemiological models also expressed significant contributions in this connection to determine the basic reproduction number and predict the dispersion, recovery and mortality rates [11], [12], [30]. Here, to analyze the dynamical behavior and impact of COVID'19 pandemic, a system of differential equations is designed with respect to compartmental classes and prevention measures on the basis of following assumptions.Regardless of different risk rate of COVID'19 for different age-group and pre-existing disease carriers, the model assumes a homogeneous mixing of individuals in the population.Prevention strategies: Usage of medical mask , social distancing , frequently cleaning hands and supportive care during treatments are taken into account as control variables of the optimal system.The individuals in any compartment, following the operational prevention strategies, are assumed as will not get infected and are defined by means of protected compartment.Susceptible is outlined in the form of logistic growth that encompasses maximum sustainability to survive in the available resources in an environment.Exposed are quarantined that might recover and use prevention measures later to insulate themselves from virus.Treatment of infectedCOVID'19patients is the isolation process, which is explained in the isolation compartment. These compartments with the supportive care from staff might recover and move to recovery compartment.Treated individuals after recovery do not participate in transmitting the disease as they use the operational prevention strategies.The assessments of basic reproduction number and stability analysis are carried out in fractional calculus environment.Hence, the fractional order epidemiological model, susceptible-expose-quarantined-infected-isolated-recovered-protected (SEQIMRP) is mathematically signified as:with initial conditions,where, for. Table 1
further elaborates the dimensions of all the variables and parameters of system (1). Moreover, pictorial demonstration of the compartmental system, representing the flow of the diseases transmission is also given in Fig. 1
. Assume is the total population density of individuals that can be structured as:
Table 1
Variables and parameters of the SEQIMRP.
Compart-mental functions
Descriptions
Units
Initial values(population = in millions & time = days)
Source
Nt
Total population
Population / day
113
Estimated
St
Susceptible
Population / day
111
Estimated
Et
Exposed
Population / day
0
Estimated
Qt
Quarantined
Population / day
0
Estimated
It
Infected
Population / day
2
Estimated
Mt
Infected isolated
Population / day
0
Estimated
Rt
Recovered
Population / day
0
Estimated
Pt
Protected
Population / day
0
Estimated
α
Order of fractional derivative
Dimensionless
0<α⩽1
Fitted
Parameters
Descriptions
Units
Value
Source
ξ
R is taking part in social distancing
Individuals/(individuals × day)
14.771
Fitted
β
Contact rate of susceptible with infected
Individuals/(individuals × day)
14.781
Fitted
γ
Rate of exposed individuals quarantined
Individuals/(individuals × day)
1.887 × 10-7
Fitted
η
Rate of treated infected and quarantined
Individuals/(area × day)
0.13266
Fitted
σ
Rate of susceptible exposed to quarantine
Individuals/(individuals × day)
0.0714
Fitted
rS
Intrinsic Growth rate of susceptible individuals
Individuals/(individuals × day)
30
Fitted
kS
Carrying capacity of susceptible individuals
Individuals/(individuals × day)
100,000
Fitted
σ
Rate of susceptible exposed to infection
Individuals/(individuals × day)
0.1259
Fitted
ρ
Death due to COVID'19 disease
Individuals/(individuals × day)
1.782 × 10-5
[35]
ψQ
Recovery rate of the quarantine individuals
Individuals/(individuals × day)
0.11624
Fitted
ψM
Recovery rate of the isolated infected individuals
Individuals/(individuals × day)
0.33029
Fitted
dS
Susceptible death rate
Individuals/(individuals × day)
0.15
Fitted
dE
Exposed death rate
Individuals/(individuals × day)
0.84
Fitted
dQ
Quarantined death rate
Individuals/(individuals × day)
0.84
Fitted
dI
Infected death rate
Individuals/(individuals × day)
0.9
Fitted
dR
Recovered death rate
Individuals/(individuals × day)
0.11
Fitted
dP
Precautionary death rate
Individuals/(individuals × day)
0.84
Fitted
mm
Rate of individuals using medical mask
Individuals/(individuals × day)
0–1
Fitted
sd
Rate of individuals taking part in social distancing
Individuals/(individuals × day)
0–1
Fitted
ch
Rate of individuals frequently cleaning hand
Individuals/(individuals × day)
0–1
Fitted
sc
Rate of individuals who follow step of supportive care during treatment.
Individuals/(individuals × day)
0–1
Fitted
Fig. 1
Pictorial illustration of SEQIMRP model.
Variables and parameters of the SEQIMRP.Pictorial illustration of SEQIMRP model.Moreover, articulates proportional fractional derivative of order
[29], which can be expanded as for any continuous function ,where, for , with and . Additionally, for , with and. Let, and, so Eq. (4) becomesAssume that all control functions (prevention steps) are constant within time, therefore, by applying expansion (5) on system (1), we get the system as:with the same initial conditions (2). System (6) evidently depicts the lucidity of the proportional fractional derivative, which greatly reduces the manipulation complexities of system (1).
(Boundedness)
Let
is the set of all feasible solutions of the system
(6), then there exists uniformly bounded subset of
such that:By applying proportional fractional derivative and its expansion, as defined in the Eqs. (4)-(5), on Eq. (3), we get the expression of the form:On simplifying by using system (6) and suppose be total proportion of deaths in all compartments i.e.In addition, sincewhere , so the above inequality reduces toOn integratingTherefore as , we obtained the final statement of boundedness as
(Existence and Uniqueness)
Assume the matrix of right hand side of system
(6)
be the real-valued function
, such that
and
are continuous andThen, satisfying the initial conditions (2), there exists a unique, non-negative and bounded solution of the system (6).Boundedness of system
(6)
can be followed from Theorem 1, now assume, the system
(6)
can be expressed as:where,andEq. (16) can be further expanded into:such thatand . Then, Eq. (17) can be rewritten as,Let , so the final statement is achieved as for ,where . Next, we prove the non-negativity of the solutions by using the positivity of initial conditions (2) i.e., for . Considering first equation of system (6), it can be deduced to:On manipulating, we getSince for , therefore Eq. (18) reduces to,Thus, proved the non-negativity of . Analogously, all the remaining equations of system (6) can be proved to have non-negative solutions with the assumption of positive initial conditions.
Optimal control problem
Furthermore, the dynamical model (6) of COVID'19 would be incomplete if the assumption of optimal control of infection and intervention cost is not incorporated. Therefore, we formulate optimal control problem by means of the cost function type of quadratic function as:where, for are replace by respectively. Moreover, here , for , are the weights of human population cost, whereas , for , are the weights of undertaken intervention cost for COVID'19. At this juncture, intervention cost comes from government campaigns of using mask, social distancing and frequently washing hand. In addition, the hospitalization cost for drugs, ventilators and trained medical staffs for supportive care of the COVID'19infected individuals also become higher with the increase in number of patients. Therefore, if greater cost is implemented of campaigns of enforcing the people on usage of mask, social distancing and frequently washing hand will reduce the COVID'19 transmission, which on the other hand it reduces the supportive care cost. Thus, we assume , for . Analogously, the objective of the present scenario is to control the spread out of COVID'19, which ultimately leads to minimize the infected individuals, therefore we consider and remaining equal to zero.
Basic reproduction number
In this sequel, we utilize the next generation method, to structure the for the governing model (6). For this purpose, a sub-model of the SEQIMRP is considered that includes the four infected classes i.e. exposed, quarantine, infected and isolated individuals. Therefore, the equation:will have as a vector of the,, and , which is outlined as,with, expressed as,On the other hand,, can be further split down as,Taking Jacobian matrix of Eq. (20) at disease free equilibrium point,, we get,where,, ,From Eq. (21), we can extract and manipulate,The spectral radius is the required basic reproduction number, so after some simplification we getConsequently, the generated contains the fractional derivative index as well, which advantageously enables to inspect . The health care researchers will be capable to investigate the trajectory of basic reproduction number for the COVID'19 at small change.
Dynamical anatomization
In this section, on the strength of proportional fractional derivative, dynamical analysis of equilibrium points and optimality conditions are discussed in fractional environment as follows:
Systematic stability analysis
Trivial Equilibrium Point
The trivial equilibrium solution, , of system
(6), is asymptotically unstable, for
.It can be easily proved by eigenvalues of
at
, for all
,,,,,, , .Since, it is clear that, for. Thus, is unstable.
Disease Free Equilibrium Point
The disease-free equilibrium of the system
(6)For , is locally asymptotically stable if and unstable when , for .On manipulating Jacobian at
, the negative eigenvalues i.e.
for
, are attained as:,,,,with the equation,wherewhereOn applying Routh-Hurwitz criteria [31], [32], [33], [34] i.e. if , and then polynomial (23) is greater than zero and thus all the real part of the eigenvalues must be negative. It can be evidently seen that for , now the thing which left to prove is . Hence, is locally asymptotically stable if and if , implies that is Eq. (23) must have a nonnegative real part, thus becomes unstable.
Endemic Equilibrium Point
The endemic equilibrium
is locally asymptotically stable if and only if, , for
.The Jacobian at
, generates the negative real eigenvalues,with the polynomial equation,where,where,andThe factor , if the magnitude of , which implies that becomes positive if and only if . Thus with reference to Lemma 5.1 of [20], the positive constant of the polynomial implies is locally asymptotically stable if .
Characterization of optimal control
It is evidently clear from Theorem 1 that there exist a unique solution of system (6). Now to optimize the solution, we define the Lagrangian byIn addition, describing the Hamiltonian as the inner product of the right hand side of the state system (6) and the adjoint variables , we getwhere is to be determined. Now, utilizing the Pontryagin’s maximum principle for the Hamiltonian , following theorem is obtained to determine the adjoint variables.
(Existence of adjoint variable)
For the controlling functions
, ,
and
together with the solution
of the corresponding system
(6), there exists adjoint variables
that satisfy,Furthermore, the optimal control pairs are descripted as:By using Pontryagin’s maximum principle in state, the adjoint equations with transversality conditions is stated as:with transversality where . By using optimality condition, we deduce the optimal control pairs as:Further, taking into account the property of the control space, we achieve,,
,where,Ultimately, the control pair and state variables are found by using the following composed systems:and
Numerical simulation and deliberation
In this segment, numerical investigations of the aforementioned system are carried out by considering some numerical values of the parameters, as shown in Table 1. The graphical predisposition analysis of with respect to the strategies are also added in the discussion. Moreover, the simulations of all compartmental class, with prevention and without prevention campaign cases are plotted and tabulated by using Mathematica 11.0.
Sensitivity analysis of parameters with optimality
The sensitivity analysis of by means of control variables are described in Table 2
and Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7
for the parameters mentioned in Table 1 and at different values of . These control variables define the strategic campaigns utilized to prevent the deadly transmission of the COVID'19. It can be clearly seen from the Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7 that at each value of , the influential strength of each campaign together minimizes the significance of . The generation of colorized output in these figures, ranging from light to dark, indicates the gradual decrease in from largest to lowest value. The obtained value of without any awareness campaign is greater than 1, which gradually reduces to less than 1 on increasing awareness campaigns that can be seen from the Table 2 and Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7. Furthermore, the lines of on the Fig. 2, which are attained by fixing and and varying and represent decrease in value starting from 1.4 to 0.4. In the same way, Fig. 3, Fig. 5 plotted for and , respectively which demonstrate the same pattern of decrease in . On the other hand, Fig. 4 exhibit the decrease in starting from 1.8 to 0.4, for . Similarly, same sketches are found in Fig. 6, Fig. 7, which are produced by fixing and , accordingly. Besides, Table 2 explains the sensitivity of with some different values of intervention strategies, which elucidates that for , the value of decreases more rapidly than the other combinations, at each value of . In addition, the last column of Table 2 also elaborates the minimum cost function against each mitigation strategy for weights and . Evidently, the optimal values of for the cost efforts of surveillance mitigations, , which greatly reduce are 9068.92, 9090.57 and 9098.23 for , respectively and . According to these values, increasing the awareness about social distancing and supportive care of the infected individuals will significantly affect the transmission of COVID'19 with optimal cost efforts, comparative to other combinations of mitigations.
Table 2
Sensitivity inspection of and optimal surveillance based on prevention strategies for weights , and at different values of .
α
Intervention Strategies
R0
J
0.8
mm=0,sd=0,ch=0,sc=0
2.08323
6171.69
mm=0.3,sd=0.5,ch=0.65,sc=0.9
0.236717
9702.47
mm=0.3,sd=0.7,ch=0.5,sc=0.9
0.227723
9068.92
mm=0.6,sd=0.5,ch=0.3,sc=0.9
0.246215
9017.57
0.95
mm=0,sd=0,ch=0,sc=0
2.83546
9622.94
mm=0.3,sd=0.5,ch=0.65,sc=0.9
0.266884
9724.52
mm=0.3,sd=0.7,ch=0.5,sc=0.9
0.252657
9090.57
mm=0.6,sd=0.5,ch=0.3,sc=0.9
0.278141
9040.02
1
mm=0,sd=0,ch=0,sc=0
3.17529
10815.9
mm=0.3,sd=0.5,ch=0.65,sc=0.9
0.278141
9732.32
mm=0.3,sd=0.7,ch=0.5,sc=0.9
0.266884
9098.23
mm=0.6,sd=0.5,ch=0.3,sc=0.9
0.290079
9047.98
Fig. 2
Sensitivity inspection of with respect to and for , at .
Fig. 3
Sensitivity inspection of with respect to and for , at .
Fig. 4
Sensitivity inspection of with respect to and for , at .
Fig. 5
Sensitivity inspection of with respect to and for , at .
Fig. 6
Sensitivity inspection of with respect to and for , at .
Fig. 7
Sensitivity inspection of with respect to and for , at .
Sensitivity inspection of and optimal surveillance based on prevention strategies for weights , and at different values of .Sensitivity inspection of with respect to and for , at .Sensitivity inspection of with respect to and for , at .Sensitivity inspection of with respect to and for , at .Sensitivity inspection of with respect to and for , at .Sensitivity inspection of with respect to and for , at .Sensitivity inspection of with respect to and for , at .
Equilibrium states and optimality
Moreover, solving SEQIMRP system different plots are attained that define the stability of and . In the current scenario, evaluations of these equilibrium points are produced on the basis of the prevention campaigns. Commencing from Table 3
, the values are generated for and , at and . Manifestly, it can be seen when no prevention measures are taken increases gradually and endemic state of the pandemic becomes stable. Additionally, Fig. 8, Fig. 9, Fig. 10, Fig. 11, Fig. 12, Fig. 13, Fig. 14
also plotted for and , at and represent the stability of the deadly endemic state of COIVD'19 for the current rate of transmission, recovery and mortality. Since, no prevention measures are taken at initial spread stage of COVID'19, therefore the curve of protected population yields a constant straight line on zero. This further elaborates the circumstances where everyone is at high risk of being infected that the pandemic situation becomes worst.
Table 3
Basic reproduction number and endemic equilibrium points , for parameters describe in Table 1, for and , at different values of and .
α
R0
St
Et
Qt
It
Mt
Rt
Pt
0.4
1.07658
90564.3
130,860
0.0166747
0.14077
0.0108021
0.00775503
0
0.5
1.2482
78379.6
341,367
0.0437936
0.394839
0.0339465
0.0267258
0
0.6
1.46208
67141.9
503,966
0.0650954
0.629689
0.0615493
0.0546976
0
0.7
1.73309
56834.8
623,165
0.0810462
0.84565
0.0957691
0.100128
0
0.8
2.08323
47,442
703,299
0.0921023
1.04305
0.140393
0.184117
0
0.9
2.54613
38947.9
748,529
0.0987099
1.22222
0.202724
0.373485
0
1.
3.17529
31335.7
762,847
0.101305
1.38348
0.298912
1.00458
0
Fig. 8
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 9
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 10
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 11
Dynamics of of SEQIMRP, for parameters described in Table 1 for and , at and .
Fig. 12
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 13
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 14
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Basic reproduction number and endemic equilibrium points , for parameters describe in Table 1, for and , at different values of and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 for and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Contrarily Table 4
depicts the values, which are generated for and , at and . Evidently from Table 4, when prevention measures are taken into account to some extent, we attain the disease-free state of the dynamics at each value of . In addition, it also shows the value of to be less than one, which is proved in Theorem 4. Fig. 15, Fig. 16, Fig. 17, Fig. 18, Fig. 19, Fig. 20, Fig. 21
graphically demonstrate the stability of for and , at and . Contrary to endemic, in disease free case the infected cells become zero whereas susceptible and protected individuals remain at a population level other than zero. Running awareness campaigns about using mask, social distancing, hand wash and also invigorating supportive care of the patients will decrease the basic reproduction number and eventually the deadly spread of COVID'19.
Table 4
Basic reproduction number and disease free equilibrium points , for parameters describe in Table 1, for and , at different values of and .
α
R0
St
Et
Qt
It
Mt
Rt
Pt
0.4
0.297661
94566.7
0
0
0
0
0
97904.3
0.5
0.324551
94,900
0
0
0
0
0
111,349
0.6
0.354992
95233.3
0
0
0
0
0
128,931
0.7
0.389628
95566.7
0
0
0
0
0
152,907
0.8
0.429253
95,900
0
0
0
0
0
187,538
0.9
0.474857
96233.3
0
0
0
0
0
241,958
1.
0.527691
96566.7
0
0
0
0
0
339,915
Fig. 15
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 16
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 17
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 18
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 19
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 20
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Fig. 21
Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Basic reproduction number and disease free equilibrium points , for parameters describe in Table 1, for and , at different values of and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .Dynamics of of SEQIMRP, for parameters described in Table 1 and and , at and .
Conclusion
The declaration of PHEIC by the WHO about the COVID'19 outbreak, agitate the scientific community and the healthcare professionals of the countries. After the failure of several experiments on the inoculations, the only operational plan of action to decelerate the spread of COVID'19 is to adopt non-pharmaceutical restrictions. For this purpose, different unprecedented measures are taken into account such as lockdown, closure of institutions and initiating different awareness campaigns. Here, we discussed the cost and public effectiveness of the awareness campaigns taken into consideration by the stakeholders. These maneuvers include the strict imposition of using medical mask in public places, social distancing of 6 feet, frequent use of hand wash and sanitizers, training medical staffs and officers for extraordinary supportive care of COVID'19patients in hospitals. The optimal control function was designed with the epidemic dynamical system SEQIMRP to mutually study its dynamical stability and the feasibility of the prevention tactics. The system was formulated with the proportional fractional derivative, in order to analyze the basic reproduction number at each chronological change. Ultimately, through the aforementioned analytical and numerical illustrations, the following propitious facts can be extracted:The strategies of using medical mask, social distancing, frequently sanitizing hands and supportive care of COVID'19 for speedy recovery are significant attempts to win this battle against this pandemic.The awareness and necessitating of these lines of attacks may change the state of pandemic into a stable disease-free environment.These can greatly lesser the basic reproduction number from to .The optimal surveillance mitigation with respect to cost effectiveness, social distancing and supportive care may reduce the diffusion of COVID'19 more hastily.Illustrations at different fractional derivative index show systematic reading in the susceptible, expose, quarantined, infected, isolated, recovered and protected population.Without precautions, as the fractional derivative approaches the whole change, the readings represent step by step increase in susceptible, expose, quarantined, infected, isolated and recovered population.Following precautions, as the fractional derivative approaches the whole change, the number individuals in protection increases gradually, while expose, quarantined, infected, isolated and recovered remain zero.Competency in prior recognition of the track of COVID'19 transmission risk through the proportional fractional derivative model.Proficiently trace the basic reproduction number and take preparatory measures before becoming a deadly pandemic.In the current phase, understanding the epidemiological characteristics is a serious bone of contention question for researchers and health professionals. The successful investigations may significantly help out the stakeholders in making effective standard operational procedures of interventions. The designed model SEQIMRP will categorically aid a great contribution in dynamically scrutinizing and exhibiting the optimal strategy to control the deadly escalation of COVID'19.
Funding
This research received no external funding.
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.