论文标题
建模Covid-19的生殖数字中的异质性及其对预测情景的影响
Modeling the Heterogeneity in COVID-19's Reproductive Number and its Impact on Predictive Scenarios
论文作者
论文摘要
COVID-19的生殖数量$ r $的正确评估是每个典型主要病例产生的次要病例的平均数量 - 是量化大流行的潜在范围和选择适当行动方案的核心。在大多数型号中,$ r $被建模为跨爆发簇和个体病毒的通用常数 - 实际上,由于不同的个人接触率,人口密度,人口统计学或时间因素,有效地取消了传输过程的固有可变性。然而,由于流行病的指数性质,由于这种简化而引起的误差可以迅速放大,并导致预测和/或风险评估不准确。从统计模型的角度来看,这种平均影响的大小仍然是一个开放的问题:如何将这种内在可变性渗透到流行病模型中,以及如何更好地量化其对不确定性定量和预测场景的影响?在本文中,我们建议通过贝叶斯的观点研究这个问题,从而在文献中常用的基于代理的隔室和隔室方法之间建立桥梁。在推出了按大规模捕获人口和环境条件的异质性捕获的贝叶斯模型之后,我们模拟了流行病的传播以及不同社会疏远策略的影响,并突出了这种增加的变化对报告结果的强烈影响。我们基于两个合成实验的讨论,从而量化了效果的可靠性和幅度 - 以及实际的Covid-19数据。
The correct evaluation of the reproductive number $R$ for COVID-19 -- which characterizes the average number of secondary cases generated by each typical primary case -- is central in the quantification of the potential scope of the pandemic and the selection of an appropriate course of action. In most models, $R$ is modeled as a universal constant for the virus across outbreak clusters and individuals -- effectively averaging out the inherent variability of the transmission process due to varying individual contact rates, population densities, demographics, or temporal factors amongst many. Yet, due to the exponential nature of epidemic growth, the error due to this simplification can be rapidly amplified and lead to inaccurate predictions and/or risk evaluation. From the statistical modeling perspective, the magnitude of the impact of this averaging remains an open question: how can this intrinsic variability be percolated into epidemic models, and how can its impact on uncertainty quantification and predictive scenarios be better quantified? In this paper, we propose to study this question through a Bayesian perspective, creating a bridge between the agent-based and compartmental approaches commonly used in the literature. After deriving a Bayesian model that captures at scale the heterogeneity of a population and environmental conditions, we simulate the spread of the epidemic as well as the impact of different social distancing strategies, and highlight the strong impact of this added variability on the reported results. We base our discussion on both synthetic experiments -- thereby quantifying of the reliability and the magnitude of the effects -- and real COVID-19 data.