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

We introduce the angular reproduction number Ω, 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 epidem...

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Detalles Bibliográficos
Autores principales: Parag, Kris V., Cowling, Benjamin J., Lambert, Ben C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Royal Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523088/
https://www.ncbi.nlm.nih.gov/pubmed/37752839
http://dx.doi.org/10.1098/rspb.2023.1664
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author Parag, Kris V.
Cowling, Benjamin J.
Lambert, Ben C.
author_facet Parag, Kris V.
Cowling, Benjamin J.
Lambert, Ben C.
author_sort Parag, Kris V.
collection PubMed
description We introduce the angular reproduction number Ω, 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) > R(B) for variants A and B). We find that Ω responds meaningfully to mismatches and time-variations in w while mostly maintaining the interpretability of R. We prove that Ω > 1 implies R > 1 and that Ω agrees with r on the relative transmissibility of pathogens. Estimating Ω 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 Ω 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.
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spelling pubmed-105230882023-09-28 Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying Parag, Kris V. Cowling, Benjamin J. Lambert, Ben C. Proc Biol Sci Ecology We introduce the angular reproduction number Ω, 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) > R(B) for variants A and B). We find that Ω responds meaningfully to mismatches and time-variations in w while mostly maintaining the interpretability of R. We prove that Ω > 1 implies R > 1 and that Ω agrees with r on the relative transmissibility of pathogens. Estimating Ω 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 Ω 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. The Royal Society 2023-09-27 /pmc/articles/PMC10523088/ /pubmed/37752839 http://dx.doi.org/10.1098/rspb.2023.1664 Text en © 2023 The Authors. https://creativecommons.org/licenses/by/4.0/Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, provided the original author and source are credited.
spellingShingle Ecology
Parag, Kris V.
Cowling, Benjamin J.
Lambert, Ben C.
Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title_full Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title_fullStr Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title_full_unstemmed Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title_short Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
title_sort angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying
topic Ecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523088/
https://www.ncbi.nlm.nih.gov/pubmed/37752839
http://dx.doi.org/10.1098/rspb.2023.1664
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