Social network analysis methods for exploring SARS-CoV-2 contact tracing data

Abstract Background Contact tracing data of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is used to estimate basic epidemiological parameters. Contact tracing data could also be potentially used for assessing the heterogeneity of transmission at the individual patient level....

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Main Authors: Karikalan Nagarajan, Malaisamy Muniyandi, Bharathidasan Palani, Senthil Sellappan
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12874-020-01119-3
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author Karikalan Nagarajan
Malaisamy Muniyandi
Bharathidasan Palani
Senthil Sellappan
author_facet Karikalan Nagarajan
Malaisamy Muniyandi
Bharathidasan Palani
Senthil Sellappan
author_sort Karikalan Nagarajan
collection DOAJ
description Abstract Background Contact tracing data of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is used to estimate basic epidemiological parameters. Contact tracing data could also be potentially used for assessing the heterogeneity of transmission at the individual patient level. Characterization of individuals based on different levels of infectiousness could better inform the contact tracing interventions at field levels. Methods Standard social network analysis methods used for exploring infectious disease transmission dynamics was employed to analyze contact tracing data of 1959 diagnosed SARS-CoV-2 patients from a large state of India. Relational network data set with diagnosed patients as “nodes” and their epidemiological contact as “edges” was created. Directed network perspective was utilized in which directionality of infection emanated from a “source patient” towards a “target patient”. Network measures of “ degree centrality” and “betweenness centrality” were calculated to identify influential patients in the transmission of infection. Components analysis was conducted to identify patients connected as sub- groups. Descriptive statistics was used to summarise network measures and percentile ranks were used to categorize influencers. Results Out-degree centrality measures identified that of the total 1959 patients, 11.27% (221) patients have acted as a source of infection to 40.19% (787) other patients. Among these source patients, 0.65% (12) patients had a higher out-degree centrality (> = 10) and have collectively infected 37.61% (296 of 787), secondary patients. Betweenness centrality measures highlighted that 7.50% (93) patients had a non-zero betweenness (range 0.5 to 135) and thus have bridged the transmission between other patients. Network component analysis identified nineteen connected components comprising of influential patient’s which have overall accounted for 26.95% of total patients (1959) and 68.74% of epidemiological contacts in the network. Conclusions Social network analysis method for SARS-CoV-2 contact tracing data would be of use in measuring individual patient level variations in disease transmission. The network metrics identified individual patients and patient components who have disproportionately contributed to transmission. The network measures and graphical tools could complement the existing contact tracing indicators and could help improve the contact tracing activities.
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spelling doaj.art-d39d557417e84fd2a5f13666008c0fed2022-12-21T20:45:08ZengBMCBMC Medical Research Methodology1471-22882020-09-0120111010.1186/s12874-020-01119-3Social network analysis methods for exploring SARS-CoV-2 contact tracing dataKarikalan Nagarajan0Malaisamy Muniyandi1Bharathidasan Palani2Senthil Sellappan3Department of Health Economics, Indian Council of Medical Research- National Institute for Research in TuberculosisDepartment of Health Economics, Indian Council of Medical Research- National Institute for Research in TuberculosisDepartment of Health Economics, Indian Council of Medical Research- National Institute for Research in TuberculosisDepartment of Health Economics, Indian Council of Medical Research- National Institute for Research in TuberculosisAbstract Background Contact tracing data of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is used to estimate basic epidemiological parameters. Contact tracing data could also be potentially used for assessing the heterogeneity of transmission at the individual patient level. Characterization of individuals based on different levels of infectiousness could better inform the contact tracing interventions at field levels. Methods Standard social network analysis methods used for exploring infectious disease transmission dynamics was employed to analyze contact tracing data of 1959 diagnosed SARS-CoV-2 patients from a large state of India. Relational network data set with diagnosed patients as “nodes” and their epidemiological contact as “edges” was created. Directed network perspective was utilized in which directionality of infection emanated from a “source patient” towards a “target patient”. Network measures of “ degree centrality” and “betweenness centrality” were calculated to identify influential patients in the transmission of infection. Components analysis was conducted to identify patients connected as sub- groups. Descriptive statistics was used to summarise network measures and percentile ranks were used to categorize influencers. Results Out-degree centrality measures identified that of the total 1959 patients, 11.27% (221) patients have acted as a source of infection to 40.19% (787) other patients. Among these source patients, 0.65% (12) patients had a higher out-degree centrality (> = 10) and have collectively infected 37.61% (296 of 787), secondary patients. Betweenness centrality measures highlighted that 7.50% (93) patients had a non-zero betweenness (range 0.5 to 135) and thus have bridged the transmission between other patients. Network component analysis identified nineteen connected components comprising of influential patient’s which have overall accounted for 26.95% of total patients (1959) and 68.74% of epidemiological contacts in the network. Conclusions Social network analysis method for SARS-CoV-2 contact tracing data would be of use in measuring individual patient level variations in disease transmission. The network metrics identified individual patients and patient components who have disproportionately contributed to transmission. The network measures and graphical tools could complement the existing contact tracing indicators and could help improve the contact tracing activities.http://link.springer.com/article/10.1186/s12874-020-01119-3SARS-CoV-2Social networksContact tracingIndiaInfectious diseasesDegree centrality
spellingShingle Karikalan Nagarajan
Malaisamy Muniyandi
Bharathidasan Palani
Senthil Sellappan
Social network analysis methods for exploring SARS-CoV-2 contact tracing data
BMC Medical Research Methodology
SARS-CoV-2
Social networks
Contact tracing
India
Infectious diseases
Degree centrality
title Social network analysis methods for exploring SARS-CoV-2 contact tracing data
title_full Social network analysis methods for exploring SARS-CoV-2 contact tracing data
title_fullStr Social network analysis methods for exploring SARS-CoV-2 contact tracing data
title_full_unstemmed Social network analysis methods for exploring SARS-CoV-2 contact tracing data
title_short Social network analysis methods for exploring SARS-CoV-2 contact tracing data
title_sort social network analysis methods for exploring sars cov 2 contact tracing data
topic SARS-CoV-2
Social networks
Contact tracing
India
Infectious diseases
Degree centrality
url http://link.springer.com/article/10.1186/s12874-020-01119-3
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