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Constructing the effect of alternative intervention strategies on historic epidemics

机译:建立替代干预策略对历史性流行病的影响

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摘要

Data from historical epidemics provide a vital and sometimes under-used resource from which to devise strategies for future control of disease. Previous methods for retrospective analysis of epidemics, in which alternative interventions are compared, do not make full use of the information; by using only partial information on the historical trajectory, augmentation of control may lead to predictions of a paradoxical increase in disease. Here we introduce a novel statistical approach that takes full account of the available information in constructing the effect of alternative intervention strategies in historic epidemics. The key to the method lies in identifying a suitable mapping between the historic and notional outbreaks, under alternative control strategies. We do this by using the Sellke construction as a latent process linking epidemics. We illustrate the application of the method with two examples. First, using temporal data for the common human cold, we show the improvement under the new method in the precision of predictions for different control strategies. Second, we show the generality of the method for retrospective analysis of epidemics by applying it to a spatially extended arboreal epidemic in which we demonstrate the relative effectiveness of host culling strategies that differ in frequency and spatial extent. Some of the inferential and philosophical issues that arise are discussed along with the scope of potential application of the new method.
机译:历史流行病的数据提供了至关重要的,有时未被充分利用的资源,可用于制定未来疾病控制策略的资源。以前对流行病进行回顾性分析的方法没有比较充分地利用这些信息,在这些方法中比较了其他干预措施。通过仅使用有关历史轨迹的部分信息,控制的增强可能导致对疾病悖论性增长的预测。在这里,我们介绍一种新颖的统计方法,该方法充分考虑了在构建替代干预策略对历史性流行病的影响时的可用信息。该方法的关键在于,在替代控制策略下,确定历史爆发和名义爆发之间的适当映射。为此,我们将Sellke结构用作连接流行病的潜在过程。我们通过两个示例来说明该方法的应用。首先,使用针对普通人类感冒的时间数据,我们展示了新方法在不同控制策略的预测精度上的改进。其次,通过将其应用于空间扩展的树木流行病,我们展示了对流行病进行回顾性分析的方法的一般性,其中我们证明了频率和空间范围不同的宿主剔除策略的相对有效性。讨论了一些出现的推论和哲学问题,以及新方法的潜在应用范围。

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