Optimal control strategies for dengue fever spread in Johor, Malaysia.

Background Dengue is a vector-borne viral disease endemic in Malaysia. The disease is presently a public health issue in the country. Hence, the use of mathematical model to gain insights into the transmission dynamics and derive the optimal control strategies for minimizing the spread of the disease is of great importance. Methods A model involving eight mutually exclusive compartments with the introduction of personal protection, larvicide and adulticide control strategies describing dengue fever transmission dynamics is presented. The control-induced basic reproduction number (R˜) related to the model is computed using the next generation matrix method. Comparison theorem is used to analyse the global dynamics of the model. The model is fitted to the data related to the 2012 dengue outbreak in Johor, Malaysia, using the least-squares method. In a bid to optimally curtail dengue fever propagation, we apply optimal control theory to investigate the effect of several control strategies of combination of optimal personal protection, larvicide and adulticide controls on dengue fever dynamics. The resulting optimality system is simulated in MATLAB using fourth order Runge-Kutta scheme based on the forward-backward sweep method. In addition, cost-effectiveness analysis is performed to determine the most cost-effective strategy among the various control strategies analysed. Results Analysis of the model with control parameters shows that the model has two disease-free equilibria, namely, trivial equilibrium and biologically realistic disease-free equilibrium, and one endemic equilibrium point. It also reveals that the biologically realistic disease-free equilibrium is both locally and globally asymptotically stable whenever the inequality R˜<1holds. In the case of model with time-dependent control functions, the optimality levels of the three control functions required to optimally control dengue disease transmission are derived. Conclusion We conclude that dengue fever transmission can be curtailed by adopting any of the several control strategies analysed in this study. Furthermore, a strategy which combines personal protection and adulticide controls is found to be the most cost-effective control strategy.