Deterministic epidemic models overestimate the basic reproduction number of observed outbreaks

Fuente: arXiv
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Autores principales: Ali, Wajid, Overton, Christopher E., Wilkinson, Robert R., Sharkey, Kieran J.
Formato: Preprint
Publicado: 2023
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author Ali, Wajid
Overton, Christopher E.
Wilkinson, Robert R.
Sharkey, Kieran J.
author_facet Ali, Wajid
Overton, Christopher E.
Wilkinson, Robert R.
Sharkey, Kieran J.
contents The basic reproduction number, $R_0$, is a well-known quantifier of epidemic spread. However, a class of existing methods for estimating $R_0$ from incidence data early in the epidemic can lead to an over-estimation of this quantity. In particular, when fitting deterministic models to estimate the rate of spread, we do not account for the stochastic nature of epidemics and that, given the same system, some outbreaks may lead to epidemics and some may not. Typically, an observed epidemic that we wish to control is a major outbreak. This amounts to implicit selection for major outbreaks which leads to the over-estimation problem. We formally characterised the split between major and minor outbreaks by using Otsu's method which provides us with a working definition. We show that by conditioning a `deterministic' model on major outbreaks, we can more reliably estimate the basic reproduction number from an observed epidemic trajectory.
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id arxiv_https___arxiv_org_abs_2304_06661
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publishDate 2023
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spellingShingle Deterministic epidemic models overestimate the basic reproduction number of observed outbreaks
Ali, Wajid
Overton, Christopher E.
Wilkinson, Robert R.
Sharkey, Kieran J.
Populations and Evolution
The basic reproduction number, $R_0$, is a well-known quantifier of epidemic spread. However, a class of existing methods for estimating $R_0$ from incidence data early in the epidemic can lead to an over-estimation of this quantity. In particular, when fitting deterministic models to estimate the rate of spread, we do not account for the stochastic nature of epidemics and that, given the same system, some outbreaks may lead to epidemics and some may not. Typically, an observed epidemic that we wish to control is a major outbreak. This amounts to implicit selection for major outbreaks which leads to the over-estimation problem. We formally characterised the split between major and minor outbreaks by using Otsu's method which provides us with a working definition. We show that by conditioning a `deterministic' model on major outbreaks, we can more reliably estimate the basic reproduction number from an observed epidemic trajectory.
title Deterministic epidemic models overestimate the basic reproduction number of observed outbreaks
topic Populations and Evolution
url https://arxiv.org/abs/2304.06661