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贝叶斯反推和实时预测在 COVID-19 大流行期间的列表数据。

Bayesian back-calculation and nowcasting for line list data during the COVID-19 pandemic.

机构信息

Department of Biostatistics, School of Public Health, Boston University, Boston, Massachusetts, United States of America.

出版信息

PLoS Comput Biol. 2021 Jul 12;17(7):e1009210. doi: 10.1371/journal.pcbi.1009210. eCollection 2021 Jul.

Abstract

Surveillance is critical to mounting an appropriate and effective response to pandemics. However, aggregated case report data suffers from reporting delays and can lead to misleading inferences. Different from aggregated case report data, line list data is a table contains individual features such as dates of symptom onset and reporting for each reported case and a good source for modeling delays. Current methods for modeling reporting delays are not particularly appropriate for line list data, which typically has missing symptom onset dates that are non-ignorable for modeling reporting delays. In this paper, we develop a Bayesian approach that dynamically integrates imputation and estimation for line list data. Specifically, this Bayesian approach can accurately estimate the epidemic curve and instantaneous reproduction numbers, even with most symptom onset dates missing. The Bayesian approach is also robust to deviations from model assumptions, such as changes in the reporting delay distribution or incorrect specification of the maximum reporting delay. We apply the Bayesian approach to COVID-19 line list data in Massachusetts and find the reproduction number estimates correspond more closely to the control measures than the estimates based on the reported curve.

摘要

监测对于应对大流行至关重要。然而,汇总病例报告数据存在报告延迟的问题,可能导致误导性推断。与汇总病例报告数据不同,清单数据是一个包含每个报告病例的症状发作和报告日期等个体特征的表格,是建模延迟的良好数据源。目前用于建模报告延迟的方法并不特别适用于清单数据,因为清单数据通常存在不可忽略的症状发作日期缺失,这些日期对于建模报告延迟很重要。在本文中,我们开发了一种贝叶斯方法,用于动态整合清单数据的推断和估计。具体来说,即使大部分症状发作日期缺失,这种贝叶斯方法也可以准确估计流行曲线和即时繁殖数。该贝叶斯方法还对模型假设的偏差具有鲁棒性,例如报告延迟分布的变化或最大报告延迟的不正确指定。我们将贝叶斯方法应用于马萨诸塞州的 COVID-19 清单数据,发现繁殖数估计值与控制措施更吻合,而不是基于报告曲线的估计值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/8297945/c5aaa2d3e4e5/pcbi.1009210.g001.jpg

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