Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020

Despite its critical role in containing outbreaks, the efficacy of contact tracing, measured as the sensitivity of case detection, remains an elusive metric. We estimated the sensitivity of contact tracing by applying unilist capture-recapture methods on data from the 2018–2020 outbreak of Ebola vir...

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Main Authors: Jonathan A. Polonsky, Dankmar Böhning, Mory Keita, Steve Ahuka-Mundeke, Justus Nsio-Mbeta, Aaron Aruna Abedi, Mathias Mossoko, Janne Estill, Olivia Keiser, Laurent Kaiser, Zabulon Yoti, Patarawan Sangnawakij, Rattana Lerdsuwansri, Victor J. Del Rio Vilas
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/12/20-4958_article
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author Jonathan A. Polonsky
Dankmar Böhning
Mory Keita
Steve Ahuka-Mundeke
Justus Nsio-Mbeta
Aaron Aruna Abedi
Mathias Mossoko
Janne Estill
Olivia Keiser
Laurent Kaiser
Zabulon Yoti
Patarawan Sangnawakij
Rattana Lerdsuwansri
Victor J. Del Rio Vilas
author_facet Jonathan A. Polonsky
Dankmar Böhning
Mory Keita
Steve Ahuka-Mundeke
Justus Nsio-Mbeta
Aaron Aruna Abedi
Mathias Mossoko
Janne Estill
Olivia Keiser
Laurent Kaiser
Zabulon Yoti
Patarawan Sangnawakij
Rattana Lerdsuwansri
Victor J. Del Rio Vilas
author_sort Jonathan A. Polonsky
collection DOAJ
description Despite its critical role in containing outbreaks, the efficacy of contact tracing, measured as the sensitivity of case detection, remains an elusive metric. We estimated the sensitivity of contact tracing by applying unilist capture-recapture methods on data from the 2018–2020 outbreak of Ebola virus disease in the Democratic Republic of the Congo. To compute sensitivity, we applied different distributional assumptions to the zero-truncated count data to estimate the number of unobserved case-patients with any contacts and infected contacts. Geometric distributions were the best-fitting models. Our results indicate that contact tracing efforts identified almost all (n = 792, 99%) of case-patients with any contacts but only half (n = 207, 48%) of case-patients with infected contacts, suggesting that contact tracing efforts performed well at identifying contacts during the listing stage but performed poorly during the contact follow-up stage. We discuss extensions to our work and potential applications for the ongoing coronavirus pandemic.
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spelling doaj.art-3f8e91e7003b4ad4834d17b60f9d04322022-12-22T04:07:41ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-12-0127123063307210.3201/eid2712.204958Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020Jonathan A. PolonskyDankmar BöhningMory KeitaSteve Ahuka-MundekeJustus Nsio-MbetaAaron Aruna AbediMathias MossokoJanne EstillOlivia KeiserLaurent KaiserZabulon YotiPatarawan SangnawakijRattana LerdsuwansriVictor J. Del Rio VilasDespite its critical role in containing outbreaks, the efficacy of contact tracing, measured as the sensitivity of case detection, remains an elusive metric. We estimated the sensitivity of contact tracing by applying unilist capture-recapture methods on data from the 2018–2020 outbreak of Ebola virus disease in the Democratic Republic of the Congo. To compute sensitivity, we applied different distributional assumptions to the zero-truncated count data to estimate the number of unobserved case-patients with any contacts and infected contacts. Geometric distributions were the best-fitting models. Our results indicate that contact tracing efforts identified almost all (n = 792, 99%) of case-patients with any contacts but only half (n = 207, 48%) of case-patients with infected contacts, suggesting that contact tracing efforts performed well at identifying contacts during the listing stage but performed poorly during the contact follow-up stage. We discuss extensions to our work and potential applications for the ongoing coronavirus pandemic.https://wwwnc.cdc.gov/eid/article/27/12/20-4958_articleEbolaEbolavirusvirusescontact tracingdisease outbreaksDemocratic Republic of the Congo
spellingShingle Jonathan A. Polonsky
Dankmar Böhning
Mory Keita
Steve Ahuka-Mundeke
Justus Nsio-Mbeta
Aaron Aruna Abedi
Mathias Mossoko
Janne Estill
Olivia Keiser
Laurent Kaiser
Zabulon Yoti
Patarawan Sangnawakij
Rattana Lerdsuwansri
Victor J. Del Rio Vilas
Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
Emerging Infectious Diseases
Ebola
Ebolavirus
viruses
contact tracing
disease outbreaks
Democratic Republic of the Congo
title Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
title_full Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
title_fullStr Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
title_full_unstemmed Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
title_short Novel Use of Capture-Recapture Methods to Estimate Completeness of Contact Tracing during an Ebola Outbreak, Democratic Republic of the Congo, 2018–2020
title_sort novel use of capture recapture methods to estimate completeness of contact tracing during an ebola outbreak democratic republic of the congo 2018 2020
topic Ebola
Ebolavirus
viruses
contact tracing
disease outbreaks
Democratic Republic of the Congo
url https://wwwnc.cdc.gov/eid/article/27/12/20-4958_article
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