medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 18, 2023
To
understand
the
transmissibility
and
spread
of
infectious
diseases,
epidemiologists
turn
to
estimates
instantaneous
reproduction
number.
While
many
estimation
approaches
exist,
their
utility
may
be
limited.
Challenges
surveillance
data
collection,
model
assumptions
that
are
unverifiable
with
alone,
computationally
inefficient
frameworks
critical
limitations
for
existing
approaches.
We
propose
a
discrete
spline-based
approach
solves
convex
optimization
problem---Poisson
trend
filtering---using
proximal
Newton
method.
It
produces
locally
adaptive
estimator
number
heterogeneous
smoothness.
Our
methodology
remains
accurate
even
under
some
process
misspecifications
is
efficient,
large-scale
data.
The
implementation
easily
accessible
in
lightweight
R
package
rtestim
(dajmcdon.github.io/rtestim/).
Philosophical Transactions of the Royal Society A Mathematical Physical and Engineering Sciences,
Journal Year:
2025,
Volume and Issue:
383(2293)
Published: April 2, 2025
During
infectious
disease
outbreaks,
the
time-dependent
reproduction
number
(
Rt
)
can
be
estimated
to
monitor
pathogen
transmission.
In
previous
work,
we
developed
a
simulation-based
method
for
estimating
from
temporally
aggregated
incidence
data
(e.g.
weekly
case
reports).
While
that
approach
is
straightforward
use,
it
assumes
implicitly
all
cases
are
reported
and
computation
slow
when
applied
large
datasets.
this
article,
extend
our
develop
computationally
efficient
in
real-time
accounting
both
temporal
aggregation
of
under-reporting
(with
fixed
reporting
probability
per
case).
Using
simulated
data,
show
failing
consider
stochastic
lead
inappropriately
precise
estimates,
including
scenarios
which
true
value
lies
outside
inferred
credible
intervals
more
often
than
expected.
We
then
apply
2018
2020
Ebola
outbreak
Democratic
Republic
Congo
(DRC),
again
exploring
effects
under-reporting.
Finally,
how
extended
account
variations
reporting.
Given
information
about
level
reporting,
framework
used
estimate
during
future
outbreaks
with
under-reported
data.
This
article
part
theme
issue
‘Uncertainty
quantification
healthcare
biological
systems
(Part
2)’.
Epidemics,
Journal Year:
2024,
Volume and Issue:
48, P. 100784 - 100784
Published: July 31, 2024
The
COVID-19
pandemic
demonstrated
the
key
role
that
epidemiology
and
modelling
play
in
analysing
infectious
threats
supporting
decision
making
real-time.
Motivated
by
unprecedented
volume
breadth
of
data
generated
during
pandemic,
we
review
modern
opportunities
for
analysis
to
address
questions
emerge
a
major
epidemic.
Following
broad
chronology
insights
required
-
from
understanding
initial
dynamics
retrospective
evaluation
interventions,
describe
theoretical
foundations
each
approach
underlying
intuition.
Through
series
case
studies,
illustrate
real
life
applications,
discuss
implications
future
work.
PLoS ONE,
Journal Year:
2024,
Volume and Issue:
19(6), P. e0305550 - e0305550
Published: June 21, 2024
The
effective
reproduction
number,
[Formula:
see
text],
is
an
important
epidemiological
metric
used
to
assess
the
state
of
epidemic,
as
well
effectiveness
public
health
interventions
undertaken
in
response.
When
text]
above
one,
it
indicates
that
new
infections
are
increasing,
and
thus
epidemic
growing,
while
below
one
decreasing,
so
under
control.
There
several
established
software
packages
readily
available
statistically
estimate
using
clinical
surveillance
data.
However,
there
comparatively
few
accessible
tools
for
estimating
from
pathogen
wastewater
concentration,
a
data
stream
cemented
its
utility
during
COVID-19
pandemic.
We
present
package
ern
aims
perform
estimation
number
real-world
or
aggregated
user-friendly
way.
Epidemiologic Methods,
Journal Year:
2025,
Volume and Issue:
14(1)
Published: Jan. 1, 2025
Abstract
Objectives
EpiEstim
is
a
popular
statistical
framework
designed
to
produce
real-time
estimates
of
the
time-varying
reproductive
number,
Rt
${\mathcal{R}}_{t}$
.
However,
methods
in
have
not
been
tested
small,
non-randomly
mixing
populations
determine
if
resulting
̂
${\hat{\mathcal{R}}}_{t}$
are
temporally
biased.
Thus,
we
evaluate
temporal
performance
when
population
structure
present,
and
then
demonstrate
how
recover
accuracy
using
an
approximation
with
Methods
Following
real-world
example
COVID-19
outbreak
small
university
town,
generate
simulated
case
report
data
from
two-population
mechanistic
model
explicit
generation
interval
distribution
expression
compute
true
To
quantify
bias,
compare
time
points
estimated
fall
below
critical
threshold
1.
Results
When
present
but
accounted
for
prematurely
incidence
aggregated
over
weeks
at
later
point
than
daily
data,
however,
does
further
affect
timing
differences
between
data.
Last,
show
it
possible
correct
by
lagging
subpopulation
estimate
total
Conclusions
key
parameter
used
epidemic
response.
Since
can
bias
near
1,
should
be
prudently
applied
structured
populations.
PLoS Computational Biology,
Journal Year:
2025,
Volume and Issue:
21(2), P. e1012782 - e1012782
Published: Feb. 13, 2025
Forecasting
the
occurrence
and
absence
of
novel
disease
outbreaks
is
essential
for
management,
yet
existing
methods
are
often
context-specific,
require
a
long
preparation
time,
non-outbreak
prediction
remains
understudied.
To
address
this
gap,
we
propose
framework
using
feature-based
time
series
classification
(TSC)
method
to
forecast
non-outbreaks.
We
tested
our
on
synthetic
data
from
Susceptible–Infected–Recovered
(SIR)
model
slowly
changing,
noisy
dynamics.
Outbreak
sequences
give
transcritical
bifurcation
within
specified
future
window,
whereas
(null
bifurcation)
do
not.
identified
incipient
differences,
reflected
in
22
statistical
features
5
early
warning
signal
indicators,
infectives
leading
Classifier
performance,
given
by
area
under
receiver-operating
curve
(AUC),
ranged
0
.
99
large
expanding
windows
training
7
small
rolling
windows.
The
further
evaluated
four
empirical
datasets:
COVID-19
incidence
Singapore,
18
other
countries,
Edmonton,
Canada,
as
well
SARS
Hong
Kong,
with
two
classifiers
exhibiting
consistently
high
accuracy.
Our
results
highlight
detectable
distinguishing
outbreak
before
potential
occurrence,
both
real-world
datasets
presented
study.
BMC Medical Research Methodology,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 18, 2025
Our
research
focuses
on
local-level
estimation
of
the
effective
reproductive
number,
which
describes
transmissibility
an
infectious
disease
and
represents
average
number
individuals
one
person
infects
at
a
given
time.
The
ability
to
accurately
estimate
in
geographically
granular
regions
is
critical
for
disaster
planning
resource
allocation.
However,
not
all
have
sufficient
outcome
data;
this
lack
data
presents
significant
challenge
accurate
estimation.
To
overcome
challenge,
we
propose
two-step
approach
that
incorporates
existing
$$\:{R}_{t}$$
procedures
(EpiEstim,
EpiFilter,
EpiNow2)
using
from
geographic
with
(step
1),
into
covariate-adjusted
Bayesian
Integrated
Nested
Laplace
Approximation
(INLA)
spatial
model
predict
sparse
or
missing
2).
flexible
framework
effectively
allows
us
implement
any
procedure
coarse
entirely
data.
We
perform
external
validation
simulation
study
evaluate
proposed
method
assess
its
predictive
performance.
applied
our
$$\:{R}_{t}\:$$
South
Carolina
(SC)
counties
ZIP
codes
during
first
COVID-19
wave
('Wave
1',
June
16,
2020
–
August
31,
2020)
second
2',
December
March
02,
2021).
Among
three
methods
used
step,
EpiNow2
yielded
highest
accuracy
prediction
Median
county-level
percentage
agreement
(PA)
was
90.9%
(Interquartile
Range,
IQR:
89.9–92.0%)
92.5%
(IQR:
91.6–93.4%)
Wave
1
2,
respectively.
zip
code-level
PA
95.2%
94.4–95.7%)
96.5%
95.8–97.1%)
Using
EpiEstim,
ensemble-based
median
ranging
81.9
90.0%,
87.2-92.1%,
88.4-90.9%,
respectively,
across
both
waves
granularities.
These
findings
demonstrate
methodology
useful
tool
small-area
,
as
yields
high
Epidemics,
Journal Year:
2025,
Volume and Issue:
unknown, P. 100825 - 100825
Published: March 1, 2025
Wastewater-based
epidemiology
is
the
detection
of
pathogens
from
sewage
systems
and
interpretation
these
data
to
improve
public
health.
Its
use
has
increased
in
scope
since
2020,
when
it
was
demonstrated
that
SARS-CoV-2
RNA
could
be
successfully
extracted
wastewater
affected
populations.
In
this
Perspective
we
provide
an
overview
recent
advances
pathogen
within
wastewater,
propose
a
framework
for
identifying
utility
sampling
suggest
areas
where
analytics
require
development.
Ensuring
both
collection
analysis
are
tailored
towards
key
questions
at
different
stages
epidemic
will
inference
made.
For
analyses
useful
methods
determine
absence
infection,
early
reliably
estimate
trajectories
prevalence,
detect
novel
variants
without
reliance
on
consensus
sequences.
This
research
area
included
many
innovations
have
improved
collected
optimistic
innovation
continue
future.
Virulence,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: April 8, 2025
Since
winter
2019,
SARS-CoV-2
has
emerged,
spread,
and
evolved
all
around
the
globe.
We
explore
4
y
of
evolutionary
epidemiology
this
virus,
ranging
from
applied
public
health
challenges
to
more
conceptual
biology
perspectives.
Through
review,
we
first
present
spread
lethality
infections
it
causes,
starting
its
emergence
in
Wuhan
(China)
initial
epidemics
world,
compare
virus
other
betacoronaviruses,
focus
on
airborne
transmission,
containment
strategies
("zero-COVID"
vs.
"herd
immunity"),
explain
phylogeographical
tracking,
underline
importance
natural
selection
epidemics,
mention
within-host
population
dynamics.
Finally,
discuss
how
pandemic
transformed
(or
should
transform)
surveillance
prevention
viral
respiratory
identify
perspectives
for
research
COVID-19.
Epidemics,
Journal Year:
2024,
Volume and Issue:
47, P. 100773 - 100773
Published: May 14, 2024
Tracking
pathogen
transmissibility
during
infectious
disease
outbreaks
is
essential
for
assessing
the
effectiveness
of
public
health
measures
and
planning
future
control
strategies.
A
key
measure
time-dependent
reproduction
number,
which
has
been
estimated
in
real-time
a
range
pathogens
from
incidence
time
series
data.
While
commonly
used
approaches
estimating
number
can
be
reliable
when
recorded
frequently,
such
data
are
often
aggregated
temporally
(for
example,
numbers
cases
may
reported
weekly
rather
than
daily).
As
we
show,
methods
unreliable
timescale
transmission
shorter
recording.
To
address
this,
here
develop
simulation-based
approach
involving
Approximate
Bayesian
Computation
We
first
use
simulated
dataset
representative
situation
daily
unavailable
only
summary
values
reported,
demonstrating
that
our
method
provides
accurate
estimates
under
circumstances.
then
apply
to
two
outbreak
datasets
consisting
influenza
case
2019-20
2022-23
Wales
(in
United
Kingdom).
Our
simple-to-use
will
allow
obtained
outbreaks.