Appropriately smoothing prevalence data to inform estimates of growth rate and reproduction number
Author(s)
Type
Journal Article
Abstract
The time-varying reproduction number () can change rapidly over the course of a pandemic due to changing restrictions, behaviours, and levels of population immunity. Many methods exist that allow the estimation of from case data. However, these are not easily adapted to point prevalence data nor can they infer across periods of missing data. We developed a Bayesian P-spline model suitable for fitting to a wide range of epidemic time-series, including point-prevalence data. We demonstrate the utility of the model by fitting to periodic daily SARS-CoV-2 swab-positivity data in England from the first 7 rounds (May 2020–December 2020) of the REal-time Assessment of Community Transmission-1 (REACT-1) study. Estimates of over the period of two subsequent rounds (6–8 weeks) and single rounds (2–3 weeks) inferred using the Bayesian P-spline model were broadly consistent with estimates from a simple exponential model, with overlapping credible intervals. However, there were sometimes substantial differences in point estimates. The Bayesian P-spline model was further able to infer changes in over shorter periods tracking a temporary increase above one during late-May 2020, a gradual increase in over the summer of 2020 as restrictions were eased, and a reduction in during England’s second national lockdown followed by an increase as the Alpha variant surged. The model is robust against both under-fitting and over-fitting and is able to interpolate between periods of available data; it is a particularly versatile model when growth rate can change over small timescales, as in the current SARS-CoV-2 pandemic. This work highlights the importance of pairing robust methods with representative samples to track pandemics.
Date Issued
2022-09-01
Date Acceptance
2022-06-17
Citation
Epidemics: the journal of infectious disease dynamics, 2022, 40
ISSN
1755-4365
Publisher
Elsevier
Journal / Book Title
Epidemics: the journal of infectious disease dynamics
Volume
40
Copyright Statement
© 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-
nc-nd/4.0/)
nc-nd/4.0/)
Sponsor
Department of Health
Department of Health
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000827602400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
n/a
n/a
RDF03
Subjects
Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
SARS-CoV-2
COVID-19
BayesianP-spline
Cross-sectionalstudy
Reproductionnumber
SARS-COV-2
EPIDEMIC
Publication Status
Published
Article Number
ARTN 100604