American Journal of Computational and Applied Mathematics 2014, 4(3): 61-76
DOI: 10.5923/j.ajcam.20140403.01
Optimal Control Applied to the Spread of Buruli Uclcer
Disease
Ebenezer Bonyah
1,*
, Isaac Dontwi
1
, Farai Nyabadza
2
1
Department of Mathematics, Kwame Nkumah University of Science and Technology, Kumasi, Ghana
2
Department of Mathematical Science, University of Stellenbosch, Private Bag X1, Matieland, 7602, South Africa
Abstract Optimal control theory is applied to a system of ordinary differential equations modeling Buruli ulcer
transmission in population. We apply controls on mass treatment, insecticide and mass education to minimize the number of
infected hosts and infected vectors as well as infected fishes. The model takes into account human, water bug and fish
populations as well as MU in the environment. The host, vector and small fish are all assumed constant. First, we investigated
the existence and stability of equilibria of the model without control based on the basic reproduction ratio. We then, applied
Pontryagins maximum principle to characterize the optimal control. The optimality system is determined and computed
numerically for several scenarios.
Keywords Mathematical model, Optimal control, Buruli ulcer, Basic reproduction ratio, Stability, Mass treatment,
Insecticide
1. Introduction
Buruli ulcer is a debilitating human skin disease caused by
Mycobacterium ulcerous [16].This infection is a neglected
emerging disease that has recently been reported in some
countries as the second most frequent mycobacterial disease
in human tuberculosis [1]. A large number of lesions often
result in scarring, contractual deformities amputations and
disabilities [3]. In Africa, all ages and sexes are affected, but
most cases of the disease occur in children between the ages
of 4-15years [6]. It has emerged dramatically over the past
two decades especially in Central and West Africa and has
been confirmed by laboratory tests in 26 countries with
reports in other countries around the world [2, 4]. Burului
ulcer has been reported in over 30 countries mainly with
tropical and subtropical climates but it may also occur in the
same countries where it has not yet been recognized such as
Burkina Faso and Guinea [2]. Notable contributing factors
for Buruli ulcer outbreak include deforestation,
eutrophication, dam construction, farming and habitat
fragmentation. When treatments are delayed often in West
Africa where due to lack of adequate knowledge about the
disease they normally reported late, infections could lead to
ulcerated lesions[16].When data from Ghana were analysed
it was revealed that socioeconomic impact had a huge
economic burden on affected countries. For example, gross
domestic product per capital (Ghana) in 1998 was estimated
* Corresponding author:
ebbonya@yahoo.com (Ebenezer Bonyah)
Published online at http://journal.sapub.org/ajcam
Copyright © 2014 Scientific & Academic Publishing. All Rights Reserved
at USD 399.41. The cost of surgical excisions of a large ulcer
including 3 months inpatient expenses, transportation, food
and income lost was USD 783. The current strategy of
controlling the disease includes the use of drugs, surgery,
heat, hyperbaric oxygen and traditional medicine. These are
strong social economic ways to the burden of the BU disease,
which in different ways affects fertility, population growth,
saving and investment, absenteeism, stigmatization of
women in adulthood for marriage and medical cost [19].
Modeling of epidemiological phenomena has a very long
story with the first model for smallpox formulated by Daniel
Bernoulli in 1760. Mathematical modeling of the population
models continues to provide vital insights into population
behaviour and control. In the past years this has become an
essential tool in understanding the dynamics of diseases, and
the decision which has to do with process regarding
intervention programs for controlling population and disease
problems and in many countries. Similarly, different
techniques have been employed to study vital optimal
control problem related to dynamical systems. In particular,
[10] developed a continuous model for malaria vector
control with the objective of studying how genetically
modified mosquitoes should be introduced in the
environment using optimal control problem strategies. [13]
applied optimal control theory to model malaria disease that
includes treatment and vaccination with warning immaturity,
to study the impact of a possible vaccination with treatment
strategies in controlling the spread of malaria. Time-
-depend-control strategies have been applied for the study of
HIV model [11, 12] for strain tuberculosis models. [14] also
examined SIR epidemiological models numerically and
obtains controls that exert maximum efforts on some initial