Evaluating lung cancer control through a time-delay mathematical model with detailed sensitivity analysis
Keywords:
Lung cancer, Basic reproduction number, Sensitivity analysis, Existence and uniqueness, Nonstandard finite differenceAbstract
Lung cancer (LC) is a leading cause of cancer-related deaths worldwide, posing a significant threat to public health due to its complex development, late diagnosis, and poor response to treatment. Rising rates, particularly among those exposed to tobacco consumption and environmental pollution, highlight the need for a realistic interpretation of disease dynamics through mathematical modeling. In this study, a nonlinear dynamical model of LC with time delay is formulated to represent the lag associated with smoking exposure and the evolution of smoking-related effects. The delay acts specifically through the delayed smoking-exposure interaction terms and does not represent treatment or immune response. The model is analyzed to confirm that solutions remain positive and bounded, ensuring biological feasibility. The basic reproduction number is calculated to describe threshold dynamics, and local stability of both the disease-free and endemic equilibrium is examined. Sensitivity analysis identifies the parameters influencing the model threshold quantity. The displayed analysis shows positive effects of theta, a, b, and e on Re0 and negative effects of d, g, m, and tau. These signs describe the mathematical sensitivity of the threshold quantity and do not establish treatment or recovery effects. Numerical simulations using nonstandard finite difference (NSFD), Euler, and fourth-order Runge--Kutta (RK4) methods validate the analytical results, with NSFD proving to be more stable and dynamically consistent. Findings suggest that government interventions, including tobacco control, education, and early screening awareness, can reduce the disease burden. These results offer insights for policymakers to develop cost-effective strategies.
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Copyright (c) 2026 Shah Zeb, Awais Ahmad, Rizwana Kausar, Siti Ainor Mohd Yatim, Nurulhuda Ramli, Muhammad Rafiq (Author)

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