Abstract
Middle East Respiratory Syndrome (MERS) is a human coronavirus subtype that poses a significant public health concern due to its ability to spread between individuals. This research aims to develop a fractional-order mathematical model to investigate the MERS pandemic and to subsequently develop two numerical methods to solve this model numerically to evaluate and comprehend the analysis results. The fixed-point theorem has been used to demonstrate the existence and uniqueness of the solution to the suggested model. We approximate the solutions of the proposed model using two numerical methods: the mean value theorem and the implicit trapezoidal method. The stability of these numerical methods is studied using various results and primary lemmas. Finally, we compare the results of our methods to demonstrate their efficiency and conduct a numerical simulation of the obtained results. A comparative study based on real data from Riyadh, Saudi Arabia is provided. The study’s conclusions demonstrate the computational efficiency of our approaches in studying nonlinear fractional differential equations that arise in daily life problems.
1. Introduction
The Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is the virus that causes Middle East Respiratory Syndrome (MERS), a viral respiratory infection. First identified in Saudi Arabia in 2012, MERS is characterized by severe respiratory symptoms such as fever, coughing, and dyspnea. In extreme cases, these symptoms can progress to pneumonia and even respiratory failure. Close contact with infected people or their respiratory secretions is the main way that the virus spreads, while outbreaks have occasionally been documented in hospital environments. Despite having a relatively low transmission rate compared to other respiratory viruses like influenza1, MERS is considered a serious respiratory virus due to its high mortality rate, particularly among individuals with compromised immune systems or pre-existing medical conditions. MERS is one of the most dangerous viruses to emerge in recent years, with approximately thirty-five percent of those infected succumbing to the illness. MERS falls under the category of zoonotic viruses, meaning that an animal serves as both the virus’s carrier and its main source of transmission. The primary reservoir hosts and agents of MERS transmission are camels. This is because some camel caravans have antibodies against MERS [,].
The Arabian Peninsula boasts one of the world’s largest populations of camels. Consequently, it is no surprise that the Arabian Gulf region, encompassing Saudi Arabia, records the highest number of MERS cases. With almost 80% of cases, Saudi Arabia holds the highest infection rate in the Gulf. Moreover, camels are considered national resources in the Arabian Gulf region, where the populace frequently interacts with them. In this area, camel milk and meat are commonly consumed, and some people utilize camel urine in traditional healing methods, highlighting the close bond between camels and breeders along the Gulf Coast [,]. The infection seems geographically concentrated in the Middle East, with cases reported in Saudi Arabia, Qatar, Jordan, and the United Arab Emirates. However, it has spread to several other countries, including Algeria, Bangladesh, Indonesia, Kuwait, Egypt, Turkey, Oman, Italy, France, the United Kingdom, Germany, the United States, and South Korea []. Consequently, the illness has not only spread throughout the Gulf region but to 27 other countries globally.
Mathematical models of infectious diseases are extremely necessary to provide a detailed description of the spread of infectious diseases among populations []. These models are also useful resources for comprehending crucial elements of epidemics and the dynamics of newly developing infectious illnesses. On the other hand, to implement strategic plans to address and contain the threat of infectious diseases, decision-makers might utilize mathematical models to acquire knowledge about the behavior of epidemics and pandemics. A useful tool for characterizing epidemic dynamic systems is a fractional-order model [,,]. These models, as opposed to traditional integer-order models, show a superior fit for real data that has been seen. The concept of memory, which exists in biological and epidemiological systems, is taken into consideration by fractional-order models [,]. It is possible to characterize memory that varies with time using the fractional variable-order derivatives, which are defined as an extension of the constant fractional-order derivatives [,,].
The ongoing research into MERS aims to deepen our understanding of the virus’s transmission dynamics, pathogenesis, and potential treatment options. This includes the development of mathematical models to simulate and predict the spread of the virus, as well as efforts to develop vaccines and antiviral therapies. Understanding the factors influencing MERS transmission and severity is crucial for implementing effective public health measures to control outbreaks and minimize the impact of this potentially deadly disease [,,,,,,,,,].
2. Preliminaries
In this section, we present some fundamental concepts of fractional calculus as follows:
Definition 1.
Let be a Lebesgue integrable function over the interval . The Caputo derivative of fractional order is described as follows []:
Lemma 1.
Let be a solution of the Caputo fractional differential equation []:
if and only if it is a solution of the following nonlinear integral equation:
Lemma 2.
If and the integer , then there exist the positive constants and dependent only on , such that []
and
Lemma 3.
Consider that , and , for , α, k, W, , and t is a positive integer. Let for . If []
then
where is a positive constant independent of k and t.
3. Model Derivation
This section establishes a fractional model of MERS, which is based on the model that is described in [,]. Five subpopulations are described: susceptible , exposed or asymptomatic individuals , infected individuals , isolated individuals , and recovered individuals . These are time functions expressed in days. At time , the total number of living individuals is represented by . All living people who are not part of any other group are considered part of the susceptible population. The number of asymptomatic individuals who have been exposed to the virus but have not yet shown any clinical signs of MERS is indicated by the subpopulation E(t). The subpopulation represents those who have MERS clinical symptoms. Individuals with isolated symptoms are represented by the subpopulation , while those who have recovered from MERS are represented by the subpopulation . The following system of ordinary differential equations presents the pandemic model for MERS []:
The initial conditions are
where the number of people who are born and enter the city every day is represented by , while the population’s normal mortality rate is (1/day). (1/day) is the probability that one collision between an infected and a susceptible person will result in infection; correspondingly, (1/day) and (1/day) are the probabilities that one interaction between an isolated person and an infected person will result in infection, also are the decrease factors in the spreading rates. The rate at which individuals develop clinical symptoms upon exposure is denoted by the parameter (measured in 1/day). The isolation rate is represented by (also measured in 1/day). Furthermore, in addition to the baseline mortality rate , the disease-induced death rates among the infected and isolated populations are captured by the rate coefficients and , respectively, with units of 1/day. Finally, and signify the rates of recovery for the infectious and isolated individuals, respectively.
Next, we replaced the time derivatives in Equations (8) and (9). with the Caputo fractional derivatives. The dimensions of the right and left sides differ because of this modification. To fix this issue, we modified the fractional operator such that the sides have the same dimension by using an auxiliary parameter , which has the dimension of sec [,]. Then, Equations (8) and (9) become
subject to the following initial conditions:
3.1. Stability and Equilibrium Points
Regarding system (10), we consider the equilibrium points [].
We identified two equilibrium points as the disease-free equilibrium
and the endemic equilibrium
where
, , , , and .
Also, the control reproduction number .
Theorem 1.
The disease-free equilibrium of (10) is locally asymptotically stable if , and is unstable when [].
Theorem 2.
When there exists a unique endemic equilibrium , which is locally asymptotically stable [].
Remark 1.
The stability of the endemic equilibrium is linked to , while that of the disease-free equilibrium is linked to .
3.2. Sensitivity Analysis
This section discusses the sensitivity analysis of several parameters utilized in the suggested model (10), facilitating the identification of parameters that positively influence and . To accomplish this, we employed the technique outlined by Tuan et al. and Praveen et al. [,].
Using ,
Given that all parameters are positive, , , , , , , and . Therefore, increases with , , and and decreases with , , , , and . The sensitivity of to increases if and decreases if . The sensitivity to decreases if and .
We observe that the basic reproduction number is specified in the absence of any control measures in various studies, see, e.g., [,,,,,,,,,,,,,,,,,,,,,]. In our instance, this means γ = 0, and so it is derived from when we put γ = 0. Consequently, ,
Given that all parameters are positive, then , , , , and . Also, if , then . Therefore, for , increases with and and decreases with , , , and .
4. Existence and Uniqueness Analysis
In this section, we investigate the existence and uniqueness of the proposed model with the assistance of the Banach fixed-point theory. First, let us write Equation (10) as follows:
where
The corresponding system of integral equations for Equation (13) is given by
Before discussing the existence and uniqueness, we want to prove the following lemma.
Lemma 4.
The functions , , , and satisfy the Lipchitz condition if the following inequalities hold:
where
Proof.
□
We will prove for the first kernel and then for the other. Consider function and . Then,
where
where , , , , and . Then,
where
- Similarly, we obtain
4.1. Existence of Solution
Consider the proposed model equation written as
with the initial condition
where
Then, from Lemma 1, we have
Let ,, , , and ,
where
Now, we assume a uniform norm on , as follows:
Consider the operator
given as
We assume that the solutions of Equation (16). are bounded with in a time period:
Let and exists so that . Then,
where we demand that
- Similarly, we can prove that . Then, the operator maps itself.
- Also, we evolute the following equality:
4.2. Uniqueness of Solution
Now, we want to prove the uniqueness of solution on , . Let and be two solutions of Equation (16) on . Then,
By using the Lipchitz condition,
Therefore,
where . Thus, . The solution is unique.
5. Numerical Algorithms
In this section, we present two different numerical algorithms. The first algorithm relies on the mean value theorem for integrals [,,], while the second one utilizes the implicit trapezoidal method []. There is a unique solution on the interval under the assumptions of Section 4. Let , for and . The solution of
is equivalent to
Replace by in (20) to obtain:
Let , . Then,
5.1. Numerical Algorithm of MVM
This subsection presents the numerical algorithm based on the mean value theorem for integrals and includes its stability analysis. To apply the mean value theorem for integrals, let us rewrite Equation (22):
Since maintains a positive sign over the interval , where . Then, using the mean value theorem for integrals in Equation (23), we obtain
where . After evaluating the integral in Equation (24), we obtain
If we reduce the difference to be small enough, we can approximate by and rewrite Equation (25) as
where and . Similarly, we can approximate by and rewrite (25) as
Since is unknown in Equation (27), we approximate it by which is calculated by Equation (26). So,
Finally, is calculated with a more precise approximation by utilizing Equations (26) and (28), yielding:
Or
Also, we can derive the numerical algorithm for the remaining equation in the system (13). Consequently, the approximate solution for our system can be expressed as follows:
and
where and .
Stability Analysis of MVM
Assume perturbations of , and , where , denote them as , and , respectively. Then,
and
Subtracting Equation (26) from Equation (33) and Equation (30) from Equation (34), respectively, we obtain
and
Utilizing the modulus for Equation (35),
Subsequently, by applying the Lipschitz condition, we obtain
where . Lemma 2 is utilized to obtain
Subsequently, through the utilization of Lemma 3 in Equation (38), we obtain
where is a positive constant. Utilizing the modulus for Equation (36),
Subsequently, by applying the Lipschitz condition, we obtain
From Equation (39) in Equation (40), we obtain
Lemma 2 is utilized to obtain
where . Subsequently, applying Lemma 3 in Equation (42), we obtain
where is a positive constant. Then, the proposed numerical scheme is unconditionally stable.
5.2. Numerical Algorithm of ITM
This subsection presents the numerical algorithm based on the implicit trapezoidal method and includes its stability analysis. Before applying the method, we rewrite Equation (22) as follows:
To approximate the solution of this equation, we apply the ITM to approximate the first integral. However, the second integral cannot be approximated using this method because it is an improper integral. So, we use another suitable technique, such as the mean value theorem for integrals, to overcome this problem:
where maintains a constant sign over the interval , , and , . We replace by a suitable approximation . We obtain
where and . Similarly,
To determine , , , , and , we apply Newton’s method to find the of the root of the following equations:
To approximate the solution, select and generate by putting in Equation (48) and applying Newton’s method until small enough.
where is the inverse of the Jacobian matrix, and
After obtaining as an approximation, the method is repeated to find and so on.
Remark 2.
While applying Newton’s method, the denominators of and become very large after obtaining their first derivatives because the value of is large. To overcome this problem, we linearize them by approximating .
Stability Analysis of ITM
Assume that , , have perturbations , . So, we have
Subtract Equation (46) from Equation (49). Then,
Utilizing the modulus for Equation (50),
By using Lipchitz condition, we obtain
If then Equation (51) becomes
which implies
where , and the value of is positive.
If we put in Equation (52), we obtain
Using inequality in Equation (52) implies
We obtain
where , and the value of is positive.
Thus, by the same method, we can prove that , , where is a positive constant. Then, the proposed numerical scheme is conditionally stable.
6. Numerical Results
6.1. Numerical Simulation of MERS
This subsection presents numerical results and simulations of MERS. To achieve that, we consider the parameter values, as in Table 1 and the initial values (Nofe et al. []) , , , , and . Wolfram Mathematica was used to compute all the approximate solutions with .
Table 1.
Parameter values for proposed system.
Regarding the parameter values in Table 1, the . Then, there exists a unique endemic equilibrium, and the point of the model (10) is positive, which is locally asymptotically stable. The . Then, the disease-free equilibrium of (10) is locally asymptotically unstable.
Comparisons among the numerical results are introduced in Table 2, Table 3, Table 4, Table 5 and Table 6, with , which show that the numerical results of the MVM and ITM are very similar. This helps us see how MERS has evolved as a behavior. The arbitrary-order MERS model offers greater flexibility, as demonstrated by the behavior of the solutions for susceptible , exposed , infected , isolated , and recovered over time . This is illustrated in Figure 1, Figure 2, Figure 3, Figure 4 and Figure 5: part (a) shows distinct values of , while part (b) depicts larger values of approaching 1. Furthermore, we deduced from these plots that the outcome of the model under consideration is contingent upon its past performance as well as the parameters specified in the system (10). A comparison of the plots shows that the functions produced from both forms of derivatives behave consistently, even though the resultant values are different. The simulation of the numerical solution for infected I(t) is slower with time, as shown in Figure 2. Based on the results obtained, it can be observed that the proposed scheme facilitates the understanding of behavior using fractional derivatives.
Table 2.
Approximate solutions of S at different time intervals.
Table 3.
Approximate solutions of at different time intervals.
Table 4.
Approximate solutions of I at different time intervals.
Table 5.
Approximate solutions of J at different time intervals.
Table 6.
Approximate solutions of R at different time intervals.
Figure 1.
Graph depicting approximate solutions of S(t) part (a) displays results for distinct values of α, while part (b) shows results for larger values of α approaching 1.
Figure 2.
Graph depicting approximate solutions of , part (a) displays results for distinct values of α, while part (b) shows results for larger values of α approaching 1.
Figure 3.
Graph depicting approximate solutions of , part (a) displays results for distinct values of α, while part (b) shows results for larger values of α approaching 1.
Figure 4.
Graph depicting approximate solutions of , part (a) displays results for distinct values of α, while part (b) shows results for larger values of α approaching 1.
Figure 5.
Graph depicting approximate solutions of , part (a) displays results for distinct values of α, while part (b) shows results for larger values of α approaching 1.
Remark 3.
We used Wolfram Mathematica to extract the integer part of the values for in Table 2.
6.2. Fitting Model to Real Data
This subsection presents the fitting of the MERS model to real data. To achieve this, we considered the parameter values in Table 1. The initial value of was the population of Riyadh, Saudi Arabia, in late 2015 [], , , , and . Wolfram Mathematica was used to compute all the approximate solutions with and .
We utilized real data from Riyadh, Saudi Arabia, in 2015 with laboratory-confirmed cases of MERS infection, as detailed in Table 7 []. A comparison of reported MERS cases with model fittings is presented in Figure 6 and Figure 7. These figures show an excellent match with the real data. Our findings suggest that fractional-order models provide a variety of fitting data compared to traditional integer-order models.
Table 7.
Real data on laboratory-confirmed cases of MERS infection.
Figure 6.
Comparison of reported MERS cases in Riyadh, Saudi Arabia, with model fitting at various values of , part (a) shows , (b) shows , (c) shows , and (d) shows .
Figure 7.
Comparison of Reported MERS Cases in Riyadh, Saudi Arabia, with model fitting at various values of , part (a) shows , (b) shows , (c) shows , and (d) shows .
7. Conclusions
In this work, we have presented a fractional-order derivative model and analyzed it for the MERS model. Utilizing the fixed-point theorem, we have established the existence and uniqueness of the solution to the proposed model. We employed the implicit trapezoidal and the mean value theorem methods to solve the fractional model suggested in the sense of Caputo. Furthermore, we studied the stability of our methods and demonstrated that these methods are stable. Fractional calculus theory can be used to adequately simulate the MERS model’s dynamic behavior, which is dependent on both the current time and its history. We have created a stronger and more accurate model by including Caputo fractional derivatives. To sum up, the methods suggested are quite methodical and efficient, providing workable ways to investigate nonlinear fractional mathematical models that explain biological processes. In the area of mathematical modeling, the use of fractional calculus presents novel ideas.
Author Contributions
Conceptualization, F.E.A.A., A.R.H., A.A.A. and T.R.; Methodology, F.E.A.A., A.R.H., A.A.A. and T.R.; Software, F.E.A.A., A.R.H., A.A.A. and T.R.; Validation, F.E.A.A., A.R.H., A.A.A. and T.R.; Formal analysis, F.E.A.A., A.R.H., A.A.A. and T.R.; Investigation, F.E.A.A., A.R.H., A.A.A. and T.R.; Resources, F.E.A.A., A.R.H., A.A.A. and T.R.; Data curation, F.E.A.A., A.R.H., A.A.A. and T.R.; Writing—original draft, F.E.A.A., A.R.H., A.A.A. and T.R.; Writing—review & editing, F.E.A.A., A.R.H., A.A.A. and T.R.; Visualization, F.E.A.A., A.R.H., A.A.A. and T.R.; Supervision, F.E.A.A., A.R.H., A.A.A. and T.R.; Project administration, F.E.A.A., A.R.H., A.A.A. and T.R.; Funding acquisition, T.R. All authors have read and agreed to the published version of the manuscript.
Funding
This research received no external funding.
Data Availability Statement
The data are contained within the article.
Acknowledgments
The researchers would like to thank the Deanship of Graduate Studies and Scientific Research at Qassim University for their financial support (QU-APC-2024-9/1).
Conflicts of Interest
The authors declare no potential conflicts of interest.
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