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A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions

In Germany, local health departments are responsible for surveillance of the current pandemic situation. One of their major tasks is to monitor infected persons. For instance, the direct contacts of infectious persons at group meetings have to be traced and potentially quarantined. Such quarantine r...

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Detalles Bibliográficos
Autores principales: Jäckle, Sonja, Röger, Elias, Dicken, Volker, Geisler, Benjamin, Schumacher, Jakob, Westphal, Max
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431645/
https://www.ncbi.nlm.nih.gov/pubmed/34501757
http://dx.doi.org/10.3390/ijerph18179166
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author Jäckle, Sonja
Röger, Elias
Dicken, Volker
Geisler, Benjamin
Schumacher, Jakob
Westphal, Max
author_facet Jäckle, Sonja
Röger, Elias
Dicken, Volker
Geisler, Benjamin
Schumacher, Jakob
Westphal, Max
author_sort Jäckle, Sonja
collection PubMed
description In Germany, local health departments are responsible for surveillance of the current pandemic situation. One of their major tasks is to monitor infected persons. For instance, the direct contacts of infectious persons at group meetings have to be traced and potentially quarantined. Such quarantine requirements may be revoked, when all contact persons obtain a negative polymerase chain reaction (PCR) test result. However, contact tracing and testing is time-consuming, costly and not always feasible. In this work, we present a statistical model for the probability that no transmission of COVID-19 occurred given an arbitrary number of negative test results among contact persons. Hereby, the time-dependent sensitivity and specificity of the PCR test are taken into account. We employ a parametric Bayesian model which combines an adaptable Beta-Binomial prior and two likelihood components in a novel fashion. This is illustrated for group events in German school classes. The first evaluation on a real-world dataset showed that our approach can support important quarantine decisions with the goal to achieve a better balance between necessary containment of the pandemic and preservation of social and economic life. Future work will focus on further refinement and evaluation of quarantine decisions based on our statistical model.
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spelling pubmed-84316452021-09-11 A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions Jäckle, Sonja Röger, Elias Dicken, Volker Geisler, Benjamin Schumacher, Jakob Westphal, Max Int J Environ Res Public Health Article In Germany, local health departments are responsible for surveillance of the current pandemic situation. One of their major tasks is to monitor infected persons. For instance, the direct contacts of infectious persons at group meetings have to be traced and potentially quarantined. Such quarantine requirements may be revoked, when all contact persons obtain a negative polymerase chain reaction (PCR) test result. However, contact tracing and testing is time-consuming, costly and not always feasible. In this work, we present a statistical model for the probability that no transmission of COVID-19 occurred given an arbitrary number of negative test results among contact persons. Hereby, the time-dependent sensitivity and specificity of the PCR test are taken into account. We employ a parametric Bayesian model which combines an adaptable Beta-Binomial prior and two likelihood components in a novel fashion. This is illustrated for group events in German school classes. The first evaluation on a real-world dataset showed that our approach can support important quarantine decisions with the goal to achieve a better balance between necessary containment of the pandemic and preservation of social and economic life. Future work will focus on further refinement and evaluation of quarantine decisions based on our statistical model. MDPI 2021-08-31 /pmc/articles/PMC8431645/ /pubmed/34501757 http://dx.doi.org/10.3390/ijerph18179166 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jäckle, Sonja
Röger, Elias
Dicken, Volker
Geisler, Benjamin
Schumacher, Jakob
Westphal, Max
A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title_full A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title_fullStr A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title_full_unstemmed A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title_short A Statistical Model to Assess Risk for Supporting COVID-19 Quarantine Decisions
title_sort statistical model to assess risk for supporting covid-19 quarantine decisions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431645/
https://www.ncbi.nlm.nih.gov/pubmed/34501757
http://dx.doi.org/10.3390/ijerph18179166
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