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Daniel M. Parker

Publications and source records attributed to Daniel M. Parker.

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The signal is not flushed away: Inferring the effective reproduction number from wastewater data in small populations

The effective reproduction number is an important descriptor of an infectious disease epidemic. In small populations, ideally we would estimate the effective reproduction number using a Markov Jump Process (MJP) model of the spread of infectious disease, but in practice this is computationally challenging. We propose a computationally tractable approximation to an MJP which tracks only latent and infectious individuals, the EI model, an MJP where the time-varying immigration rate into the E compartment is equal to the product of the proportion of susceptibles in the population and the transmission rate. We use an analogue of the central limit theorem for MJPs to approximate transition densities as normal, which makes Bayesian computation tractable. Using simulated pathogen RNA concentrations collected from wastewater data, we demonstrate the advantages of our stochastic model over its deterministic counterpart for the purpose of estimating effective reproduction number dynamics, and compare against a state of the art method. We apply our new model to inference of changes in the effective reproduction number of SARS-CoV-2 in several college campus communities that were put under wastewater pathogen surveillance in 2022.

stat.ME

Semiparametric inference of effective reproduction number dynamics from wastewater pathogen surveillance data

Concentrations of pathogen genomes measured in wastewater have recently become available as a new data source to use when modeling the spread of infectious diseases. One promising use for this data source is inference of the effective reproduction number, the average number of individuals a newly infected person will infect. We propose a model where new infections arrive according to a time-varying immigration rate which can be interpreted as an average number of secondary infections produced by one infectious individual per unit time. This model allows us to estimate the effective reproduction number from concentrations of pathogen genomes while avoiding difficult to verify assumptions about the dynamics of the susceptible population. As a byproduct of our primary goal, we also produce a new model for estimating the effective reproduction number from case data using the same framework. We test this modeling framework in an agent-based simulation study with a realistic data generating mechanism which accounts for the time-varying dynamics of pathogen shedding. Finally, we apply our new model to estimating the effective reproduction number of SARS-CoV-2 in Los Angeles, California, using pathogen RNA concentrations collected from a large wastewater treatment facility.

stat.ME

Semi-parametric modeling of SARS-CoV-2 transmission using tests, cases, deaths, and seroprevalence data

Mechanistic models fit to streaming surveillance data are critical to understanding the transmission dynamics of an outbreak as it unfolds in real-time. However, transmission model parameter estimation can be imprecise, and sometimes even impossible, because surveillance data are noisy and not informative about all aspects of the mechanistic model. To partially overcome this obstacle, Bayesian models have been proposed to integrate multiple surveillance data streams. We devised a modeling framework for integrating SARS-CoV-2 diagnostics test and mortality time series data, as well as seroprevalence data from cross-sectional studies, and tested the importance of individual data streams for both inference and forecasting. Importantly, our model for incidence data accounts for changes in the total number of tests performed. We model the transmission rate, infection-to-fatality ratio, and a parameter controlling a functional relationship between the true case incidence and the fraction of positive tests as time-varying quantities and estimate changes of these parameters nonparametrically. We compare our base model against modified versions which do not use diagnostics test counts or seroprevalence data to demonstrate the utility of including these often unused data streams. We apply our Bayesian data integration method to COVID-19 surveillance data collected in Orange County, California between March 2020 and February 2021 and find that 32--72\% of the Orange County residents experienced SARS-CoV-2 infection by mid-January, 2021. Despite this high number of infections, our results suggest that the abrupt end of the winter surge in January 2021 was due to both behavioral changes and a high level of accumulated natural immunity.

stat.AP