Abstract

Compartmental epidemic models have been used extensively to study the historical spread of infectious diseases and to inform strategies for future control. A critical parameter of any such model is the transmission rate. Temporal variation in the transmission rate has a profound influence on disease spread. For this reason, estimation of time-varying transmission rates is an important step in identifying mechanisms that underlie patterns in observed disease incidence and mortality. Here, we present and test fast methods for reconstructing transmission rates from time series of reported incidence. Using simulated data, we quantify the sensitivity of these methods to parameters of the data-generating process and to mis-specification of input parameters by the user. We show that sensitivity to the user’s estimate of the initial number of susceptible individuals—considered to be a major limitation of similar methods—can be eliminated by an efficient, “peak-to-peak” iterative technique, which we propose. The method of transmission rate estimation that we advocate is extremely fast, for even the longest infectious disease time series that exist. It can be used independently or as a fast way to obtain better starting conditions for computationally expensive methods, such as iterated filtering and generalized profiling.

Highlights

  • The transmission rate of an infectious disease is a salient quantity in the study of epidemics

  • Patterns of recurrence are strongly affected by seasonality of the transmission rate, which can arise from seasonal changes in weather and host population behaviour

  • Existing transmission rate estimation methods tend to fall into one of two categories: accurate but too slow to apply to long time series of reported incidence, or fast but inaccurate unless the number of individuals initially susceptible to infection is known precisely

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Summary

Introduction

The transmission rate of an infectious disease is a salient quantity in the study of epidemics. Changes in the transmission rate over time greatly influence the spread of infection [1, 2]. Quantifying how it changes over time can elucidate factors governing disease spread (e.g., weather [3], contact patterns [4]), inform epidemic forecasts, and suggest strategies for epidemic control [5]. We observe the number of cases of infection (disease incidence) or number of deaths from infection (disease mortality) reported over time, and must reconstruct time-varying transmission rates from these data [6,7,8,9,10,11,12,13]. The London Bills of Mortality and the Registrar General’s Weekly Returns enable investigation of transmission patterns continuously from the mid-17th century to the present, for a number of infectious diseases including cholera [14] and smallpox [15]

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