Report 47: A generic method and software to estimate the transmission advantage of pathogen variants in real-time : SARS-CoV-2 as a case-study
File(s)2021-11-26-COVID19-Report-47.pdf (1.37 MB) 2021-11-26-COVID19-Report-47-Supplement.pdf (10.27 MB)
Published version
Supporting document
Author(s)
Bhatia, Sangeeta
Wardle, Jack
Nash, Rebecca
Nouvellet, Pierre
Cori, Anne
Type
Report
Abstract
Recent months have demonstrated that emerging variants may set back the global COVID-19 response.
The ability to rapidly assess the threat of new variants in real-time is critical for timely optimisation of
control strategies.
We extend the EpiEstim R package, designed to estimate the time-varying reproduction number (Rt),
to estimate in real-time the e ective transmission advantage of a new variant compared to a reference
variant. Our method can combine information across multiple locations and over time and was validated
using an extensive simulation study, designed to mimic a variety of real-time epidemic contexts.
We estimate that the SARS-CoV-2 Alpha variant is 1.46 (95% Credible Interval 1.44-1.47) and 1.29,
(95% CrI 1.29-1.30) times more transmissible than the wild type, using data from England and France
respectively. We further estimate that Beta and Gamma combined are 1.25 (95% CrI 1.24-1.27) times
more transmissible than the wildtype (France data). All results are in line with previous estimates from
literature, but could have been obtained earlier and more easily with our o -the-shelf open-source tool.
Our tool can be used as an important rst step towards quantifying the threat of new variants in
real-time. Given the popularity of EpiEstim, this extension will likely be used widely to monitor the
co-circulation and/or emergence of multiple variants of infectious pathogens.
The ability to rapidly assess the threat of new variants in real-time is critical for timely optimisation of
control strategies.
We extend the EpiEstim R package, designed to estimate the time-varying reproduction number (Rt),
to estimate in real-time the e ective transmission advantage of a new variant compared to a reference
variant. Our method can combine information across multiple locations and over time and was validated
using an extensive simulation study, designed to mimic a variety of real-time epidemic contexts.
We estimate that the SARS-CoV-2 Alpha variant is 1.46 (95% Credible Interval 1.44-1.47) and 1.29,
(95% CrI 1.29-1.30) times more transmissible than the wild type, using data from England and France
respectively. We further estimate that Beta and Gamma combined are 1.25 (95% CrI 1.24-1.27) times
more transmissible than the wildtype (France data). All results are in line with previous estimates from
literature, but could have been obtained earlier and more easily with our o -the-shelf open-source tool.
Our tool can be used as an important rst step towards quantifying the threat of new variants in
real-time. Given the popularity of EpiEstim, this extension will likely be used widely to monitor the
co-circulation and/or emergence of multiple variants of infectious pathogens.
Date Issued
2021-11-26
Citation
2021, pp.1-13
Start Page
1
End Page
13
Copyright Statement
© 2021 The Author(s) This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives
4.0 International License.
4.0 International License.
Sponsor
Medical Research Council (MRC)
Identifier
https://www.imperial.ac.uk/media/imperial-college/medicine/mrc-gida/2021-11-26-COVID19-Report-47.pdf
Grant Number
MR/R015600/1
Subjects
Covid
Coronavirus
COVID-19
Publication Status
Published