Research Article
A Mathematical Model for the Transmission
and Spread of Drug Sensitive and Resistant Malaria
Strains within a Human Population
Julius Tumwiine,
1
Senelani D. Hove-Musekwa,
2
and Farai Nyabadza
3
1
Department of Mathematics, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda
2
Department of Applied Mathematics, National University of Science and Technology, P.O. Box AC 939, Ascot, Bulawayo, Zimbabwe
3
Department of Mathematical Sciences, Stellenbosch University, Private Bag X1, Matieland 7602, South Africa
Correspondence should be addressed to Farai Nyabadza; f.nyaba@gmail.com
Received 18 February 2014; Accepted 12 March 2014; Published 16 April 2014
Academic Editors: J. Chow and J. Suehnel
Copyright © 2014 Julius Tumwiine et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Malaria remains by far the world’s most important tropical disease, killing more people than any other communicable disease.
A number of preventive and control measures have been put in place and most importantly drug treatment. Te emergence of
drug resistance against the most common and afordable antimalarials is widespread and poses a key obstacle to malaria control.
A mathematical model that incorporates evolution of drug resistance and treatment as a preventive strategy is formulated and
analyzed. Te qualitative analysis of the model is given in terms of the efective reproduction number, √
. Te existence and
stability of the disease-free and endemic equilibria of the model are studied. We establish the threshold parameters below which
the burden due to malaria can be brought under control. Numerical simulations are done to determine the role played by key
parameters in the model. Te public health implications of the results are twofold; frstly every efort should be taken to minimize
the evolution of drug resistance due to treatment failure and secondly high levels of treatment and development of immunity are
essential in reducing the malaria burden.
1. Introduction
Malaria is one of the most devastating infectious diseases in
the world, infecting approximately 300–500 million people
annually worldwide, resulting in over a million deaths [1,
2]. Te high risk groups include young children, pregnant
women, and nonimmune travelers to malarious regions.
It is reported that one child dies every 30 seconds from
this disease. Malaria is caused by Plasmodium parasites.
Tere are 4 main types: Plasmodium vivax, Plasmodium
ovale, Plasmodium malaria, and Plasmodium falciparum. It
is the Plasmodium falciparum that causes most of the severe
diseases and deaths and is most prevalent in Africa [3].
Malaria parasites are transferred by female Anopheles
mosquitoes while they bite humans for a blood meal for
the development of their eggs. During the blood meal, the
mosquito injects sporozoites into the blood stream. In few
minutes, the sporozoites enter the liver cells where each
sporozoite develops into a tissue schizont that contains 10,000
to 30,000 merozoites. Afer 1-2 weeks the schizont ruptures
and releases the merozoites into the blood stream which
then invade the red blood cells. Te clinical symptoms of
malaria are due to the rupture of the red blood cells and
release of the parasites’ waste and cells’ debris into the blood
stream. Afer several asexual cycles, some of the merozoites
invade red blood cells and there develop into either male
or female gametocytes. When a female mosquito bites an
infected person, it ingests blood containing male and female
gametocytes. Tese may be transmitted to another human
host during the mosquito’s next blood meal. Te viable
Hindawi Publishing Corporation
ISRN Biomathematics
Volume 2014, Article ID 636973, 12 pages
http://dx.doi.org/10.1155/2014/636973