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SEIR MODEL OF THE MALARIA REINFECTIONS









                                                                                                                                                                       IN HUMAN POPULATIONS IN INDONESIA












                                                                                                                                        Prepared by : Najihah Masrurah Bt Wali






                                                                                                                                       Supervisor : Puan Nurul Akma Bt Mohamad Rasat                                                                                                                                                    K242/33









                         ABSTRACT










                      Malaria remains a major health problem in Indonesia, especially in high-risk areas like Papua and East Nusa Tenggara. One challenge in




                      controlling malaria is reinfection, where a recovered person gets infected again through another mosquito bite. This study developed an




                      SEIR model with reinfection using Maple software and real data to explore how reinfection affects malaria spread. The results showed a




                      basic reproduction number (R₀) of 0.0771, suggesting the disease is unlikely to cause an outbreak and that the disease-free state is




                      stable. However, some results in the endemic state were unrealistic, possibly due to data or model limitations. This highlights the




                      importance of including reinfection in malaria studies and the need for further research with better data and improved models.











                        PROBLEM STATEMENT





            Reinfection is becoming a rising public health concern in malaria, especially in areas                                                                                                                                                       METHODOLOGY                                                                                                                     The Model


            with high transmission and low long-term immunity. While past studies have used SEIR



            or SEIRS models to understand malaria dynamics, many have not focused on reinfection


            specifically. For example, Maulana and Ramdani (2024) used an SEIRS model and found                                                                                                                                                              Formulation ODE of the Model



            a low basic reproduction number (R₀), suggesting malaria would not reach epidemic


            levels but they did not directly study the reinfection process. This creates a research



            gap in understanding how repeated exposure, treatment, and temporary immunity


            contribute to reinfection. To address this, our study uses an SEIR model built in Maple,



            designed to focus on reinfection and its effect on malaria control and persistence.                                                                                                                                                                                                                                                                                        Endemic Equilibrium







                   OBJECTIVE





                       To formulate SEIR model for malaria reinfections in human




                       populations.



                        To perform stability analysis on the disease-free equilibrium point                                                                                                                                                                 Disease-free Equilibrium




                       and endemic equilibrium point for malaria transmission dynamic.








                 IMPLEMENTATION









              Disease-free Equilibrium, E=I=0                                                                                                 Endemic Equilibrium,



                                                                                                                                                          I not equal 0




                                                                                                                                                                                                                                                             Basic Reproduction Number

















                                                                                                 Stability Analysis, DFE                                                 Stability Analysis, EE










               Basic Reproduction Number                                                                                                                                                                                                                              Stability Analysis, DFE














                                                                                                                                                                                                                                                                                                                                                                                                          Stability Analysis, EE

































                   RESULT & DISCUSSION










                                                                                                                               SEIR Model Simulation





                                                                                                                     The SEIR simulation showed typical epidemic


                                                                                                                     behavior. At the start, the susceptible population was


                                                                                                                     high but quickly dropped as people were exposed to


                                                                                                                     infection. The exposed and infected groups increased


                                                                                                                     rapidly in the early days, then sharply declined, with


                                                                                                                     infections nearing zero within 10 days. Recoveries


                                                                                                                     peaked at over 130,000 within the first five days, then


                                                                                                                     gradually decreased from around day 30 to day 120.


                                                                                                                     This pattern reflects a fast, intense outbreak followed


                                                                                                                     by a slow and steady recovery phase.
                                                                                                                                                                                                                                                      CONCLUSION & RECOMMENDATION









                                                                                                                   Basic Reproduction Number                                                                                                         This study aimed to develop and analyze an SEIR model to understand malaria



                                                                                                                                                                                                                                                     reinfections in Indonesia, using parameters from Maulana and Ramdani (2024) and

                                                                                                                Discussion: Since R0 < 1, the disease-free



                                                                                                                equilibrium is locally asymptotically                                                                                                simulated with Maple software. The model tracked the dynamics of susceptible,




                                                                                                                stable, and so malaria won’t result in an                                                                                            exposed, infected, and recovered populations, showing typical epidemic patterns.



                                                                                                                outbreak if nothing changes                                                                                                          Reinfection was represented through loss of immunity, causing a gradual decline in


                                                                                                                                                                                                                                                     the susceptible group. The basic reproduction number (R₀) was 0.0771, indicating a

                           Stability Analysis

                                                                                                                                                                                                                                                     stable disease-free state and low risk of outbreak. However, the endemic scenario



              Discussion: All eigenvalues at DFE are negative from the simulation, which                                                                                                                                                             showed unrealistic negative values, likely due to data or model limitations. To improve



              guarantees the disease-free equilibrium’s local stability. For endemic equilibrium                                                                                                                                                     accuracy, future research should use real-time data, include mosquito dynamics, and



              (EEP), having a negative susceptible value guarantees that the EEP is not                                                                                                                                                              extend the model to SEIRS to reflect temporary immunity. Effective treatment and




              possible biologically in the long-term prediction. This could be due to



              overestimated recovery or reinfection rates                                                                                                                                                                                            targeted public health strategies remain essential for controlling malaria reinfection


                                                                                                                                                                                                                                                     and spread.
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