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1. Introduction
Ebola Virus Disease (EVD) is a highly virulent zoonotic illness caused by the Ebola virus, a member of the Filoviridae family. Clinically, EVD presents as an acute hemorrhagic fever syndrome, marked by high-grade fever, severe headache, vomiting, diarrhea, fatigue, and in many cases, internal and external bleeding, which can culminate in multi-organ failure [1, 10]. The disease was first identified in 1976 during simultaneous outbreaks in Sudan and Zaire (now the Democratic Republic of the Congo), with its name derived from the nearby Ebola River [1]. Since then, recurrent outbreaks, especially in Central and West Africa, have underscored its public health importance [2, 4].
The 2014–2016 West African epidemic, which severely impacted Guinea, Liberia, and Sierra Leone, was the largest on record in terms of geographic spread, morbidity, and mortality [4, 25]. EVD outbreaks typically exhibit case-fatality rates ranging from 25% to 90% [4, 10], emphasizing the critical need for timely detection, rapid intervention, and sustainable control strategies.
Transmission occurs primarily via direct contact with bodily fluids—such as blood, feces, or vomit—of symptomatic individuals or deceased patients. Indirect transmission via contaminated fomites has also been documented [3, 10]. In many of the most severely affected regions, weak diagnostic capacity, delayed response, and fragile healthcare infrastructure facilitate rapid amplification of the virus [4, 6].
Mathematical modeling has emerged as an indispensable tool in understanding infectious disease dynamics, particularly for EVD [3, 4, 6, 7, 10]. Compartmental models, especially those based on the classical SEIR (Susceptible–Exposed–Infectious–Recovered) structure, have been widely used to simulate epidemic trajectories, estimate key parameters such as the basic reproduction number , and assess the potential impact of public health interventions [16, 17, 21, 22].
In this study, we extend the standard SEIR framework by introducing two additional compartments: vaccinated () and hospitalised (). The compartment reflects immunity through vaccination, while accounting for imperfect efficacy and waning protection [5, 25]. The compartment accounts for individuals receiving clinical care in isolation units, recognizing that hospitalisation reduces both mortality and transmission risk [13, 14]. Control measures, such as vaccination, hospitalisation, and awareness-based behavioral change, are incorporated explicitly to evaluate their respective effects on epidemic outcomes [11, 12, 14, 15].
The resulting model is a nonlinear system of ordinary differential equations (ODEs) with bilinear incidence, designed to capture both biological and policy-driven transitions. Below we describe the model formulation.
2. Model Formulation
To explore the transmission and control dynamics of EVD, we partition the total human population into six mutually exclusive epidemiological compartments:
: Susceptible individuals.
: Exposed (infected but not yet infectious) individuals.
: Infectious individuals.
: Vaccinated individuals.
: Hospitalized individuals under clinical care.
: Recovered individuals with acquired immunity.
2.1 Model Assumptions
The model is governed by the following assumptions, consistent with established EVD dynamics [3, 4, 5, 9]:
Recruitment into the susceptible population occurs at a constant rate .
Susceptible individuals are vaccinated at rate ; vaccine-induced immunity wanes at rate .
Susceptible individuals contract EVD via effective contact with infectious individuals at rate , modeled with a bilinear incidence term [3, 4].
Exposed individuals progress to the infectious class at rate , or are vaccinated (e.g., ring vaccination or post-exposure prophylaxis) at rate [5, 25].
Vaccinated individuals may still become infected due to vaccine failure at rate .
Infectious individuals recover at rate or are hospitalized at rate [13].
Hospitalized individuals recover or die (exit the compartment) at rate .
All compartments are subject to a uniform natural mortality or removal rate .
| Parameter | Interpretation |
|---|---|
| Recruitment rate into the susceptible class. | |
| Vaccination rate for susceptible individuals. | |
| Rate of waning immunity among vaccinated individuals. | |
| Effective contact rate between susceptible and infectious individuals. | |
| Progression rate from exposed to infectious. | |
| Vaccination/intervention rate among exposed individuals. | |
| Vaccine failure rate. | |
| Recovery rate of infectious individuals. | |
| Hospitalisation rate of infectious individuals. | |
| Recovery/mortality rate in hospitalized individuals. | |
| Natural mortality/removal rate across all compartments. |
2.2 Mathematical Model
The dynamics of the EVD transmission system are captured by the following set of nonlinear ODEs, with parameters defined in Table 1:
Subject to the following initial conditions:
Figure 1 presents the flow diagram representing the compartmental structure and transitions of the proposed model. Each parameter and transition is biologically motivated and derived from literature [3, 4, 10].
3. Theoretical Analysis
3.1 Positivity of Solutions
.
Given non-negative initial conditions, all solutions of the system (1) remain non-negative for all .Proof..
We prove the non-negativity of each compartment in system (1) using contradiction and differential inequalities.Step 1: Suppose there exists a first time such that , with for , and for some . The governing equation is:3.2 Disease-Free Equilibrium Point
The disease-free equilibrium (DFE) represents a state where no infection exists in the population:
The DFE is stable if the basic reproduction number . When , the disease may invade and persist in the population.
3.3 Endemic Equilibrium Point
An endemic equilibrium refers to a state where the disease persists over time. The number of infections, recoveries, and deaths balance such that:
3.4 Model Analysis and Boundedness
Define the total human population as:
Differentiating, we obtain:
Solving the differential equation yields:
Hence, as , the population tends to:
.
The regionProof..
From the total population dynamics:4. Basic Reproduction Number (R0)
The basic reproduction number, denoted as , is a critical threshold used to evaluate the potential for disease spread in a fully susceptible population. Specifically, represents the expected number of secondary infections produced by a single infectious individual introduced into a completely susceptible population. When , the disease cannot invade the population and will eventually die out. Conversely, if , the disease may cause an outbreak and persist in the population. Thus, understanding and computing is crucial for predicting the future dynamics of the disease and guiding effective control strategies.
Numerous studies have addressed the determination of for various epidemiological models [15, 16]. In this work, we compute for the proposed model (1) using the next-generation matrix method [17, 18]. The infection subsystem is isolated, and the matrices and are constructed in accordance with the formulation given in [8].
The infection subsystem of the model (1) is given by:
The new infection matrix and its Jacobian at the disease-free equilibrium are:
The transition matrix is defined as:
The inverse of the Jacobian of evaluated at the disease-free equilibrium is:
Multiplying and yields:
The basic reproduction number is given by the spectral radius of :
The effects of the parameters , , and on are illustrated in Figure 2, highlighting their influence on the potential for disease spread.

4.1 Local Stability of the Disease-Free Equilibrium
.
The disease-free equilibrium of system (1) is locally asymptotically stable if and unstable if .4.2 Global Stability of the Endemic Equilibrium
.
If , then the endemic equilibrium of system (1) is globally asymptotically stable in .Proof..
For , the existence of a unique endemic equilibrium is guaranteed. We consider the standard Lyapunov function [23]:4.3 Sensitivity Analysis of 𝑹𝟎
The sensitivity analysis of the basic reproduction number with respect to model parameters plays a crucial role in understanding the influence of each parameter on disease transmission, control, and treatment effectiveness, as demonstrated in similar infectious disease models [19]. This analysis identifies which parameters most significantly impact and thus should be prioritized in disease mitigation strategies.
We examine the sensitivity of in relation to the key parameters of the Ebola virus model (1). The sensitivity index of a parameter is computed using the normalized forward sensitivity index as proposed by Chitnis et al. [21], defined as:
The sensitivity indices for relevant model parameters are computed as follows, with their impacts illustrated in Figure 3:
5. Optimal Control System
To further mitigate the Ebola Virus Disease (EVD), we expand the model (1) by incorporating two time-dependent control functions: and . Here, represents enhanced diagnostic efforts for exposed individuals, while captures the immediate treatment of infected individuals. The extended model is given by:
The impact of these control measures on the dynamics of the EVD compartments is illustrated in Figure 4. The goal is to minimize the number of exposed and infected individuals while also minimizing the costs of the control measures. This is achieved via the following cost functional:
subject to the admissible control set:
5.1 Characterization of Optimal Control
Applying Pontryagin's Maximum Principle [23], a widely used approach in infectious disease control models [20], the Hamiltonian for the system is given as:
where are the adjoint variables corresponding to state variables and .
The adjoint system is governed by:
with transversality conditions:
The optimal controls are characterized by:
Combining the state system (1), the adjoint system (4), and the optimal controls (5), we obtain the full optimality system for simulation and control implementation.
5.2 Discussion
The relationship between the infection rate and the basic reproduction number is direct and proportional. An increase in leads to a corresponding increase in , indicating that transmission intensity escalates with higher infection rates. Therefore, reducing is essential for outbreak control. This can be achieved through interventions such as immunization, isolation, public health education, and hygiene improvements.
The sensitivity index of is negative, implying that an increase in reduces . A higher mortality rate in the first infectious class shortens the infectious period, thereby limiting disease transmission. Similarly, an increase in also lowers , underscoring the role of mortality in reducing the number of secondary infections.
For the recovery rate , its sensitivity index is also negative. Enhancing the recovery rate through medical treatment or supportive care diminishes the number of infectious individuals, hence reducing .
The transition parameters and represent movement between different risk groups or health statuses. Their negative sensitivity indices suggest that facilitating transitions (e.g., hospitalization or effective isolation) can mitigate disease spread.
Furthermore, the natural death rate exhibits a negative sensitivity index. A higher reduces the pool of susceptible individuals, thereby lowering the overall transmission potential.
6. Numerical Simulation
To analyze the impact of model parameters on the disease dynamics, we evaluate the sensitivity of the basic reproduction number using the normalized forward sensitivity index defined by Chitnis et al. [21], given by Equation (13).
where denotes a given model parameter. Sensitivity analysis helps identify key parameters for intervention strategies.
Figure 5 illustrates the time evolution of each compartment in the SEIRVH model. During simulations, a subset of parameters is varied while others remain constant to assess system response. When , we find that , and the disease-free equilibrium (DFE) is locally asymptotically stable.
Similarly, for , , the system also converges to the DFE. In contrast, when , resulting in , the system approaches an endemic equilibrium, aligning with Theorem 4.1 and Theorem 4.2.
Figures 6–15 show that increasing accelerates the depletion of the susceptible population and intensifies the epidemic. A smaller (e.g., 0.1) leads to slower disease spread, while a higher (e.g., 0.5) results in rapid increases in exposed and infectious individuals.
Vaccination effects are evident in Figures 11–14. With vaccination, the susceptible, exposed, and infectious populations decline more quickly. The number of recovered individuals increases, indicating improved control over disease spread.
7. Conclusion Remarks
This study presents a comprehensive analytical and numerical investigation of the Ebola Virus Disease (EVD) through an extended SEIRVH model that incorporates vaccination and hospitalization. The model's well-posedness, positivity, and boundedness affirm its biological validity.
Using the next-generation matrix approach, we derived the basic reproduction number and assessed local and global stability for both disease-free and endemic equilibria. The Lyapunov function method confirms the global stability conditions, while sensitivity analysis reveals the most influential parameters on .
A backward bifurcation was identified using Center Manifold theory, emphasizing the challenge of achieving disease eradication even when . Optimal control analysis incorporating vaccination, therapy, and public awareness further illustrates effective mitigation strategies.
Numerical simulations validate the theoretical results and demonstrate the crucial role of reducing through public health interventions. Moreover, the Non-standard Finite Difference (NSFD) scheme outperformed the classical RK-4 method in simulating disease dynamics.
Overall, this model provides a robust tool for understanding and managing EVD outbreaks. It highlights the necessity of integrated strategies combining vaccination, hospitalization, and timely interventions, offering practical guidance for public health authorities to mitigate the devastating impacts of infectious diseases.
Data Availability Statement
Funding
Conflicts of Interest
Ethical Approval and Consent to Participate
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