Research Article
Mathematical Modeling and Analysis of TB and COVID-
19 Coinfection
Kassahun Getnet Mekonen ,
1
Shiferaw Feyissa Balcha,
1
Legesse Lemecha Obsu ,
1
and Abdulkadir Hassen
2
1
Department of Applied Mathematics, Adama Science and Technology University, Adama, Ethiopia
2
Department of Mathematics, Rowan University, Glassboro, NY, USA
Correspondence should be addressed to Kassahun Getnet Mekonen; kassaget15@gmail.com
Received 27 September 2021; Accepted 24 February 2022; Published 27 March 2022
Academic Editor: Bruno Carpentieri
Copyright © 2022 Kassahun Getnet Mekonen et al. This 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.
Tuberculosis (TB) and coronavirus (COVID-19) are both infectious diseases that globally continue affecting millions of people
every year. They have similar symptoms such as cough, fever, and difficulty breathing but differ in incubation periods. This
paper introduces a mathematical model for the transmission dynamics of TB and COVID-19 coinfection using a system of
nonlinear ordinary differential equations. The well-posedness of the proposed coinfection model is then analytically studied by
showing properties such as the existence, boundedness, and positivity of the solutions. The stability analysis of the equilibrium
points of submodels is also discussed separately after computing the basic reproduction numbers. In each case, the disease-free
equilibrium points of the submodels are proved to be both locally and globally stable if the reproduction numbers are less than
unity. Besides, the coinfection disease-free equilibrium point is proved to be conditionally stable. The sensitivity and
bifurcation analysis are also studied. Different simulation cases were performed to supplement the analytical results.
1. Introduction
The outbreak of coronavirus (COVID-19) was first reported
by the World Health Organization (WHO) as pneumonia of
unknown cause on December 31, 2019, observed in Wuhan,
China. However, on the 10
th
of January 2020, the virus was
determined to be the new family of novel coronavirus with
the same category as the severe acute respiratory syndrome
virus (SARS-CoV) and the Middle Eastern Respiratory Syn-
drome virus (MERS-CoV) that occurred, respectively, in
Asia and Saudi Arabia [1]. COVID-19 is a respiratory virus
that transmits mainly through droplets of saliva generated
from an infected person through coughing or sneezing.
The rapid expansion of the virus forced the WHO to declare
it as a pandemic on March 11, 2020 [2]. The WHO report of
COVID-19 indicated that on 10 August 2021, more than
202.14 million people were infected with the virus, and over
4.28 million have died. Different variants of COVID-19
occur in different countries, namely, α, β, γ, and δ. The δ
variant is the highest contagion, which is 40 − 60% more
transmissible than the α variant and with a higher risk of
hospitalization [3].
Tuberculosis (TB) is a communicable disease which is
caused by Mycobacterium tuberculosis. It is a major cause
of death from a single infectious agent. The bacteria that
cause TB are usually spread when an infected person coughs,
sneezes, or any other forceful expiratory maneuver that
shears respiratory secretions. It mostly affects the lungs but
can also affect other organs such as bones, brain, kidneys,
and glands [4]. About a quarter of the worldwide population
is infected with Mycobacterium tuberculosis and thus at risk
of developing TB disease. Globally, approximately 10 million
people fell ill with TB, and 1.45 million people died from TB
in 2018 [5].
Both TB and COVID-19 are infectious diseases that are
transmitted mainly via close contact. The growing clinical
evidence suggests that TB diseases are associated with
COVID-19 outcomes, including an approximately two to
Hindawi
Journal of Applied Mathematics
Volume 2022, Article ID 2449710, 20 pages
https://doi.org/10.1155/2022/2449710