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Inference for stochastic kinetic models from multiple data sources for joint estimation of infection dynamics from aggregate reports and virological data

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 Added by Yury Garcia
 Publication date 2019
and research's language is English




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Influenza and respiratory syncytial virus (RSV) are the leading etiological agents of seasonal acute respiratory infections (ARI) around the world. Medical doctors typically base the diagnosis of ARI on patients symptoms alone and do not always conduct virological tests necessary to identify individual viruses, which limits the ability to study the interaction between multiple pathogens and make public health recommendations. We consider a stochastic kinetic model (SKM) for two interacting ARI pathogens circulating in a large population and an empirically motivated background process for infections with other pathogens causing similar symptoms. An extended marginal sampling approach based on the Linear Noise Approximation to the SKM integrates multiple data sources and additional model components. We infer the parameters defining the pathogens dynamics and interaction within a Bayesian hierarchical model and explore the posterior trajectories of infections for each illness based on aggregate infection reports from six epidemic seasons collected by the state health department, and a subset of virological tests from a sentinel program at a general hospital in San Luis Potosi, Mexico. We interpret the results based on real and simulated data and make recommendations for future data collection strategies. Supplementary materials and software are provided online.



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Influenza and respiratory syncytial virus (RSV) are the leading etiological agents of seasonal acute respiratory infections (ARI) around the world. Medical doctors typically base the diagnosis of ARI on patients symptoms alone, and do not always conduct virological tests necessary to identify individual viruses, which limits the ability to study the interaction between multiple pathogens and make public health recommendations. We consider a stochastic kinetic model (SKM) for two interacting ARI pathogens circulating in a large population and an empirically motivated background process for infections with other pathogens causing similar symptoms. An extended marginal sampling approach based on the Linear Noise Approximation to the SKM integrates multiple data sources and additional model components. We infer the parameters defining the pathogens dynamics and interaction within a Bayesian hierarchical model and explore the posterior trajectories of infections for each illness based on aggregate infection reports from six epidemic seasons collected by the state health department, and a subset of virological tests from a sentinel program at a general hospital in San Luis Potosi, Mexico. We interpret the results based on real and simulated data and make recommendations for future data collection strategies. Supplementary materials and software are provided online.
All pandemics are local; so learning about the impacts of pandemics on public health and related societal issues at granular levels is of great interest. COVID-19 is affecting everyone in the globe and mask wearing is one of the few precautions against it. To quantify peoples perception of mask effectiveness and to prevent the spread of COVID-19 for small areas, we use Understanding America Studys (UAS) survey data on COVID-19 as our primary data source. Our data analysis shows that direct survey-weighted estimates for small areas could be highly unreliable. In this paper we develop a synthetic estimation method to estimate proportions of mask effectiveness for small areas using a logistic model that combines information from multiple data sources. We select our working model using an extensive data analysis facilitated by a new variable selection criterion for survey data and benchmarking ratios. We propose a Jackknife method to estimate variance of our proposed estimator. From our data analysis. it is evident that our proposed synthetic method outperforms direct survey-weighted estimator with respect to commonly used evaluation measures.
1. Joint Species Distribution models (JSDMs) explain spatial variation in community composition by contributions of the environment, biotic associations, and possibly spatially structured residual covariance. They show great promise as a general analytical framework for community ecology and macroecology, but current JSDMs, even when approximated by latent variables, scale poorly on large datasets, limiting their usefulness for currently emerging big (e.g., metabarcoding and metagenomics) community datasets. 2. Here, we present a novel, more scalable JSDM (sjSDM) that circumvents the need to use latent variables by using a Monte-Carlo integration of the joint JSDM likelihood and allows flexible elastic net regularization on all model components. We implemented sjSDM in PyTorch, a modern machine learning framework that can make use of CPU and GPU calculations. Using simulated communities with known species-species associations and different number of species and sites, we compare sjSDM with state-of-the-art JSDM implementations to determine computational runtimes and accuracy of the inferred species-species and species-environmental associations. 3. We find that sjSDM is orders of magnitude faster than existing JSDM algorithms (even when run on the CPU) and can be scaled to very large datasets. Despite the dramatically improved speed, sjSDM produces more accurate estimates of species association structures than alternative JSDM implementations. We demonstrate the applicability of sjSDM to big community data using eDNA case study with thousands of fungi operational taxonomic units (OTU). 4. Our sjSDM approach makes the analysis of JSDMs to large community datasets with hundreds or thousands of species possible, substantially extending the applicability of JSDMs in ecology. We provide our method in an R package to facilitate its applicability for practical data analysis.
While it is well known that high levels of prenatal alcohol exposure (PAE) result in significant cognitive deficits in children, the exact nature of the dose response is less well understood. In particular, there is a pressing need to identify the levels of PAE associated with an increased risk of clinically significant adverse effects. To address this issue, data have been combined from six longitudinal birth cohort studies in the United States that assessed the effects of PAE on cognitive outcomes measured from early school age through adolescence. Structural equation models (SEMs) are commonly used to capture the association among multiple observed outcomes in order to characterise the underlying variable of interest (in this case, cognition) and then relate it to PAE. However, it was not possible to apply classic SEM software in our context because different outcomes were measured in the six studies. In this paper we show how a Bayesian approach can be used to fit a multi-group multi-level structural model that maps cognition to a broad range of observed variables measured at multiple ages. These variables map to several different cognitive subdomains and are examined in relation to PAE after adjusting for confounding using propensity scores. The model also tests the possibility of a change point in the dose-response function.
Near real-time monitoring of outbreak transmission dynamics and evaluation of public health interventions are critical for interrupting the spread of the novel coronavirus (SARS-CoV-2) and mitigating morbidity and mortality caused by coronavirus disease (COVID-19). Formulating a regional mechanistic model of SARS-CoV-2 transmission dynamics and frequently estimating parameters of this model using streaming surveillance data offers one way to accomplish data-driven decision making. For example, to detect an increase in new SARS-CoV-2 infections due to relaxation of previously implemented mitigation measures one can monitor estimates of the basic and effective reproductive numbers. However, parameter estimation can be imprecise, and sometimes even impossible, because surveillance data are noisy and not informative about all aspects of the mechanistic model, even for reasonably parsimonious epidemic models. To overcome this obstacle, at least partially, we propose a Bayesian modeling framework that integrates multiple surveillance data streams. Our model uses both COVID-19 incidence and mortality time series to estimate our model parameters. Importantly, our data generating model for incidence data takes into account changes in the total number of tests performed. We apply our Bayesian data integration method to COVID-19 surveillance data collected in Orange County, California. Our results suggest that California Department of Public Health stay-at-home order, issued on March 19, 2020, lowered the SARS-CoV-2 effective reproductive number $R_{e}$ in Orange County below 1.0, which means that the order was successful in suppressing SARS-CoV-2 infections. However, subsequent re-opening steps took place when thousands of infectious individuals remained in Orange County, so $R_{e}$ increased to approximately 1.0 by mid-June and above 1.0 by mid-July.
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