An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.

BACKGROUND: Communicable disease outbreaks of novel or existing pathogens threaten human health around the globe. It would be desirable to rapidly characterize such outbreaks and develop accurate projections of their duration and cumulative size even when limited preliminary data are available. Here...

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Main Authors: David N Fisman, Tanya S Hauck, Ashleigh R Tuite, Amy L Greer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3877403?pdf=render
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author David N Fisman
Tanya S Hauck
Ashleigh R Tuite
Amy L Greer
author_facet David N Fisman
Tanya S Hauck
Ashleigh R Tuite
Amy L Greer
author_sort David N Fisman
collection DOAJ
description BACKGROUND: Communicable disease outbreaks of novel or existing pathogens threaten human health around the globe. It would be desirable to rapidly characterize such outbreaks and develop accurate projections of their duration and cumulative size even when limited preliminary data are available. Here we develop a mathematical model to aid public health authorities in tracking the expansion and contraction of outbreaks with explicit representation of factors (other than population immunity) that may slow epidemic growth. METHODOLOGY: The Incidence Decay and Exponential Adjustment (IDEA) model is a parsimonious function that uses the basic reproduction number R0, along with a discounting factor to project the growth of outbreaks using only basic epidemiological information (e.g., daily incidence counts). PRINCIPAL FINDINGS: Compared to simulated data, IDEA provides highly accurate estimates of total size and duration for a given outbreak when R0 is low or moderate, and also identifies turning points or new waves. When tested with an outbreak of pandemic influenza A (H1N1), the model generates estimated incidence at the i+1(th) serial interval using data from the i(th) serial interval within an average of 20% of actual incidence. CONCLUSIONS AND SIGNIFICANCE: This model for communicable disease outbreaks provides rapid assessments of outbreak growth and public health interventions. Further evaluation in the context of real-world outbreaks will establish the utility of IDEA as a tool for front-line epidemiologists.
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spelling doaj.art-ca3c1a903f874d4fabe3d8aeeb6fa7552022-12-21T19:41:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01812e8362210.1371/journal.pone.0083622An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.David N FismanTanya S HauckAshleigh R TuiteAmy L GreerBACKGROUND: Communicable disease outbreaks of novel or existing pathogens threaten human health around the globe. It would be desirable to rapidly characterize such outbreaks and develop accurate projections of their duration and cumulative size even when limited preliminary data are available. Here we develop a mathematical model to aid public health authorities in tracking the expansion and contraction of outbreaks with explicit representation of factors (other than population immunity) that may slow epidemic growth. METHODOLOGY: The Incidence Decay and Exponential Adjustment (IDEA) model is a parsimonious function that uses the basic reproduction number R0, along with a discounting factor to project the growth of outbreaks using only basic epidemiological information (e.g., daily incidence counts). PRINCIPAL FINDINGS: Compared to simulated data, IDEA provides highly accurate estimates of total size and duration for a given outbreak when R0 is low or moderate, and also identifies turning points or new waves. When tested with an outbreak of pandemic influenza A (H1N1), the model generates estimated incidence at the i+1(th) serial interval using data from the i(th) serial interval within an average of 20% of actual incidence. CONCLUSIONS AND SIGNIFICANCE: This model for communicable disease outbreaks provides rapid assessments of outbreak growth and public health interventions. Further evaluation in the context of real-world outbreaks will establish the utility of IDEA as a tool for front-line epidemiologists.http://europepmc.org/articles/PMC3877403?pdf=render
spellingShingle David N Fisman
Tanya S Hauck
Ashleigh R Tuite
Amy L Greer
An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
PLoS ONE
title An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
title_full An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
title_fullStr An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
title_full_unstemmed An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
title_short An IDEA for short term outbreak projection: nearcasting using the basic reproduction number.
title_sort idea for short term outbreak projection nearcasting using the basic reproduction number
url http://europepmc.org/articles/PMC3877403?pdf=render
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