Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying

被引:1
|
作者
Parag, Kris V. [1 ,2 ]
Cowling, Benjamin J. [3 ]
Lambert, Ben C. [4 ,5 ]
机构
[1] Imperial Coll London, MRC Ctr Global Infect Dis Anal, London, England
[2] Univ Bristol, NIHR Hlth Protect Res Unit Behav Sci & Evaluat, Bristol, England
[3] Univ Hong Kong, WHO Collaborating Ctr Infect Dis Epidemiol & Contr, Sch Publ Hlth, Hong Kong, Peoples R China
[4] Univ Exeter, Dept Math, Coll Engn Math & Phys Sci, Exeter, England
[5] Univ Oxford, Dept Stat, Oxford, England
基金
英国医学研究理事会;
关键词
infectious diseases; epidemic models; reproduction numbers; generation times; growth rates; transmission dynamics; EPIDEMIC; INTERVAL;
D O I
10.1098/rspb.2023.1664
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
We introduce the angular reproduction number Omega, which measures time-varying changes in epidemic transmissibility resulting from variations in both the effective reproduction number R, and generation time distribution w. Predominant approaches for tracking pathogen spread infer either R or the epidemic growth rate r. However, R is biased by mismatches between the assumed and true w, while r is difficult to interpret in terms of the individual-level branching process underpinning transmission. R and r may also disagree on the relative transmissibility of epidemics or variants (i.e. r(A) > r(B) does not imply R-A > RB for variants A and B). We find that omega responds meaningfully to mismatches and time-variations in w while mostly maintaining the interpretability of R. We prove that Omega > 1 implies R > 1 and that Omega agrees with r on the relative transmissibility of pathogens. Estimating Omega is no more difficult than inferring R, uses existing software, and requires no generation time measurements. These advantages come at the expense of selecting one free parameter. We propose Omega as complementary statistic to R and r that improves transmissibility estimates when w is misspecified or time-varying and better reflects the impact of interventions, when those interventions concurrently change R and w or alter the relative risk of co-circulating pathogens.
引用
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页数:12
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