The Case for Controls: Identifying outbreak risk factors through case-control comparisons

Fuente: arXiv
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Autores principales: Fefferman, Nina H., Blum, Michael J., Bourouiba, Lydia, Gibson, Nathaniel L., He, Qiang, Miller, Debra L., Papes, Monica, Pasquale, Dana K., Verheyen, Connor, Ryan, Sadie J.
Formato: Preprint
Publicado: 2023
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author Fefferman, Nina H.
Blum, Michael J.
Bourouiba, Lydia
Gibson, Nathaniel L.
He, Qiang
Miller, Debra L.
Papes, Monica
Pasquale, Dana K.
Verheyen, Connor
Ryan, Sadie J.
author_facet Fefferman, Nina H.
Blum, Michael J.
Bourouiba, Lydia
Gibson, Nathaniel L.
He, Qiang
Miller, Debra L.
Papes, Monica
Pasquale, Dana K.
Verheyen, Connor
Ryan, Sadie J.
contents Investigations of infectious disease outbreaks often focus on identifying place- and context-dependent factors responsible for emergence and spread, resulting in phenomenological narratives ill-suited to developing generalizable predictive and preventive measures. We contend that case-control hypothesis testing is a more powerful framework for epidemiological investigation. The approach, widely used in medical research, involves identifying counterfactuals, with case-control comparisons drawn to test hypotheses about the conditions that manifest outbreaks. Here we outline the merits of applying a case-control framework as epidemiological study design. We first describe a framework for iterative multidisciplinary interrogation to discover minimally sufficient sets of factors that can lead to disease outbreaks. We then lay out how case-control comparisons can respectively center on pathogen(s), factor(s), or landscape(s) with vignettes focusing on pathogen transmission. Finally, we consider how adopting case-control approaches can promote evidence-based decision making for responding to and preventing outbreaks.
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institution arXiv
publishDate 2023
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spellingShingle The Case for Controls: Identifying outbreak risk factors through case-control comparisons
Fefferman, Nina H.
Blum, Michael J.
Bourouiba, Lydia
Gibson, Nathaniel L.
He, Qiang
Miller, Debra L.
Papes, Monica
Pasquale, Dana K.
Verheyen, Connor
Ryan, Sadie J.
Populations and Evolution
Investigations of infectious disease outbreaks often focus on identifying place- and context-dependent factors responsible for emergence and spread, resulting in phenomenological narratives ill-suited to developing generalizable predictive and preventive measures. We contend that case-control hypothesis testing is a more powerful framework for epidemiological investigation. The approach, widely used in medical research, involves identifying counterfactuals, with case-control comparisons drawn to test hypotheses about the conditions that manifest outbreaks. Here we outline the merits of applying a case-control framework as epidemiological study design. We first describe a framework for iterative multidisciplinary interrogation to discover minimally sufficient sets of factors that can lead to disease outbreaks. We then lay out how case-control comparisons can respectively center on pathogen(s), factor(s), or landscape(s) with vignettes focusing on pathogen transmission. Finally, we consider how adopting case-control approaches can promote evidence-based decision making for responding to and preventing outbreaks.
title The Case for Controls: Identifying outbreak risk factors through case-control comparisons
topic Populations and Evolution
url https://arxiv.org/abs/2311.02226