Tuberculosis (TB) remains a major global health threat, particularly for individuals with diabetes mellitus (DM), whose compromised immune systems heighten susceptibility to infection. Pregnant women with diabetes constitute an especially high-risk subgroup, as the physiological changes during pregnancy can further suppress immune responses, increasing the likelihood of TB infection. In this study, we extend an existing compartmental model of TB dynamics in diabetic populations by introducing a distinct compartment for pregnant diabetic women. This modification enables a more realistic representation of the interactions among susceptible, diabetic, pregnant diabetic, and TB-infected individuals. The resulting system of nonlinear differential equations captures the temporal evolution of disease transmission and progression within this high-risk group. To solve the system and estimate key epidemiological parameters, we employ a Machine Learning-based Physics-Informed Neural Network (PINN) framework, which synergistically combines data-driven learning with the governing dynamical equations. Importantly, our model is informed and validated using real-world epidemiological data obtained from the World Health Organization (WHO), enhancing its practical relevance and predictive accuracy. The findings underscore the urgent need for targeted TB screening and prevention strategies tailored to pregnant diabetic women, aiming to mitigate infection risks and improve maternal and public health outcomes.
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