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Evidence-based controls for epidemics using spatio-temporal stochastic models in a Bayesian framework

机译:在贝叶斯框架中使用时空随机模型的基于证据的流行病控制

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摘要

The control of highly infectious diseases of agricultural and plantation crops and livestock represents a key challenge in epidemiological and ecological modelling, with implemented control strategies often being controversial. Mathematical models, including the spatio-temporal stochastic models considered here, are playing an increasing role in the design of control as agencies seek to strengthen the evidence on which selected strategies are based. Here, we investigate a general approach to informing the choice of control strategies using spatio-temporal models within the Bayesian framework. We illustrate the approach for the case of strategies based on pre-emptive removal of individual hosts. For an exemplar model, using simulated data and historic data on an epidemic of Asiatic citrus canker in Florida, we assess a range of measures for prioritizing individuals for removal that take account of observations of an emerging epidemic. These measures are based on the potential infection hazard a host poses to susceptible individuals (hazard), the likelihood of infection of a host (risk) and a measure that combines both the hazard and risk (threat). We find that the threat measure typically leads to the most effective control strategies particularly for clustered epidemics when resources are scarce. The extension of the methods to a range of other settings is discussed. A key feature of the approach is the use of functional-model representations of the epidemic model to couple epidemic trajectories under different control strategies. This induces strong positive correlations between the epidemic outcomes under the respective controls, serving to reduce both the variance of the difference in outcomes and, consequently, the need for extensive simulation.
机译:对农作物,农作物和牲畜的高传染性疾病的控制代表了流行病学和生态学建模中的关键挑战,实施的控制策略常常引起争议。随着代理商寻求加强选定策略所依据的证据,数学模型(包括此处考虑的时空随机模型)在控制设计中发挥着越来越重要的作用。在这里,我们研究一种在贝叶斯框架内使用时空模型来告知控制策略选择的一般方法。我们举例说明了基于先发地删除单个主机的策略的情况下的方法。对于一个示例模型,我们使用佛罗里达州亚洲柑橘溃疡病流行的模拟数据和历史数据,评估了一系列措施,以考虑到正在流行的流行病为重点,优先考虑个体的清除。这些措施基于宿主对易感个体造成的潜在感染危害(危害),宿主感染的可能性(风险)以及将危害与风险(威胁)结合在一起的措施。我们发现,威胁措施通常会导致最有效的控制策略,尤其是在资源匮乏的情况下,对于集群流行病而言。讨论了将方法扩展到其他设置范围的问题。该方法的关键特征是使用流行病模型的功能模型表示法来耦合不同控制策略下的流行病轨迹。这在各个控制下的流行病结局之间引起了强烈的正相关性,从而减少了结局差异的方差,并因此减少了进行大量模拟的需要。

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