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It is well established that people with diabetes are more likely to have serious complications from COVID-19. Nearly 1 in 5 COVID-19 deaths in the African region are linked to diabetes. World Health Organization (WHO) finds that 18.3% of COVID-19 deaths in Africa are among people with diabetes. In this paper, we have formulated and analysed a mathematical comorbidity model of diabetes-COVID-19 of the deterministic type. The basic properties of the model were explored. The basic reproductive number, equilibrium points, and stability of the equilibrium points were examined. Sensitivity analysis of the model was carried on to determine the impact of the model parameters on the basic reproductive number R 0 of the model. The model had a unique endemic equilibrium point, which was stable for R 0 > 1. Time-dependent optimal controls were incorporated into the model with the sole aim of determining the best strategy for curtailing the spread of the disease. COVID-19 cases from March to September 2020 in Ghana were used to validate the model. Results of the numerical simulation suggest a greater number of individuals deceased when the infected individual had an underlying condition of diabetes. More so, the disease is endemic in Ghana with the basic reproduction number found to be R 0 = 1.4722. The numerical simulation of the optimal control model reveals the lockdown control minimized the rate of decay of the susceptible individuals whereas the vaccination led to a number of susceptible individuals becoming immune to COVID-19 infections. In all, the two preventive control measures were both effective in curbing the spread of the disease as the number of COVID-19 infections was greatly reduced. We conclude that more attention should be paid to COVID-19 patients with an underlying condition of diabetes as the probability of death in this population was significantly higher. [ABSTRACT FROM AUTHOR]

The outbreak of COVID-19 infection and its effects have not spared any economy on the globe. The fourth variant has just announced its appearance with its high death toll and impact on economic activities. The basic reproductive number R 0 , which measures the transmission potential of an infectious disease, is extremely important in the study of epidemiology. The main purpose of this study was to derive R 0 and assess the stability of the model around its equilibrium points. The motivation was to simulate the effect of COVID-19 on the demand for fashion products and how its application has impacted the COVID-19 pandemic. A five-compartment susceptible-infection-recovery-susceptible-based model was formulated in an integrated environment with application of fashion-based personal protective equipment (FPPEs) and government policy regulation, using ordinary differential equations. Solution techniques included a mix of qualitative analysis and simulations with data from various publications on COVID-19. The study revealed that the disease-free equilibrium was both locally and globally asymptotically stable (LAS and GAS) for R 0 ≤ 1 , while the disease-endemic equilibrium was both LAS and GAS for R 0 ≥ 1. As the demand for FPPEs increases, R 0 decreases, and vice versa. The sensitivity analysis indicated that R 0 was very sensitive to the rate of application of FPPEs. This confirms the significance of high demand for FPPEs in reducing the transmission of COVID-19 infection. Again, the pandemic has had both positive and negative impacts on the demand for fashion products; however, the negative impact outweighed the positive impact. Another discovery was that government policy stringency was significant in increasing demand for FPPEs. The sensitivity analyses suggested prioritization of FPPEs application together with all recommended PPEs. We recommend inter alia that FPPEs be used together with other nonpharmaceutical interventions. Operators in the fashion industry must be dynamic in adjusting to the new trends of taste for fashion products. Finally, governments should maintain high policy stringency. [ABSTRACT FROM AUTHOR]