Fractional Optimal Control of Anthroponotic Cutaneous Leishmaniasis with Behavioral and Epidemiological Extensions

Sandflies spread the neglected vector-borne disease anthroponotic cutaneous leishmaniasis (ACL), which only affects humans. Despite decades of control, asymptomatic carriers, vector pesticide resistance, and low public awareness prevent eradication. This study proposes a fractional-order optimal control model that integrates biological and behavioral aspects of ACL transmission to better understand its complex dynamics and intervention responses. We model asymptomatic human illnesses, insecticide-resistant sandflies, and a dynamic awareness function under public health campaigns and collective behavioral memory. Four time-dependent control variables—symptomatic treatment, pesticide spraying, bed net use, and awareness promotion—are introduced under a shared budget constraint to reflect public health resource constraints. In addition, Caputo fractional derivatives incorporate memory-dependent processes and hereditary effects, allowing for epidemic and behavioral states to depend on prior infections and interventions; on the other hand, standard integer-order frameworks miss temporal smoothness, delayed responses, and persistence effects from this memory feature, which affect optimal control trajectories. Next, we determine the optimality conditions for fractional-order systems using a generalized Pontryagin’s maximum principle, then solve the state–adjoint equations numerically with an efficient forward–backward sweep approach. Simulations show that fractional (memory-based) dynamics capture behavioral inertia and cumulative public response, improving awareness and treatment efforts. Furthermore, sensitivity tests indicate that integer-order models do not predict the optimal allocation of limited resources, highlighting memory effects in epidemiological decision-making. Consequently, the proposed method provides a realistic and flexible mathematical basis for cost-effective and sustainable ACL control plans in endemic settings, revealing how memory-dependent dynamics may affect disease development and intervention efficiency.