arXiv subjects

Edward Acheampong

Publications and source records attributed to Edward Acheampong.

3 recordsLinked to original sources

arXiv2026

Marginalised Poisson Hurdle Model for Cross-Sectional Count Data with Excess Zeros

Count data with excess zeros arise frequently in health economics and epidemiology. The standard Poisson Hurdle Model (PHM) parametrises the underlying Poisson rate directly, so its count-component coefficients are log-rate ratios rather than log-ratios of the marginal mean. Consequently, the incidence density ratio (IDR) from the PHM is neither exact nor constant across covariate profiles, complicating applied reporting. We propose the Marginalised Poisson Hurdle Model (MPHM), which reparametrises the count component so that the coefficient vector beta directly governs the marginal mean E[Y]. A nonlinear connector equation links the structural Poisson rate to this parametrised mean. We prove existence and uniqueness of the connector solution, develop a vectorised Brent's-method solver, derive the score equations and block-diagonal Fisher information, establish asymptotic normality, and prove that exp(beta) is exactly constant across all covariate values. A simulation study with n in {100, 250, 500, 1000}, zero proportion pi in {0.2, 0.4, 0.6, 0.8}, and R = 200 replications confirms consistency, near-zero bias, and 95% Wald coverage of 0.905-0.975 across all 16 scenarios. Applied to the NMES1988 physician visit data (n = 4,406), the MPHM yields IDR = 1.163 (95% CI: 1.150-1.177) per additional chronic condition - an exact, population-wide effect not derivable from the PHM. The MPHM resolves the non-constant IDR problem by directly parametrising E[Y]. The resulting IDR holds for every individual and the whole population without further marginalisation, substantially simplifying the reporting of covariate effects in health utilisation research.

stat.ME↗

arXiv2021

Optimal control and comprehensive cost-effectiveness analysis for COVID-19

Cost-effectiveness analysis is a mode of determining both the cost and economic health outcomes of one or more control interventions. In this work, we have formulated a non-autonomous nonlinear deterministic model to study the control of COVID-19 to unravel the cost and economic health outcomes for the autonomous nonlinear model proposed for the Kingdom of Saudi Arabia. The optimal control model captures four time-dependent control functions, thus, $u_1$-practising physical or social distancing protocols; $u_2$-practising personal hygiene by cleaning contaminated surfaces with alcohol-based detergents; $u_3$-practising proper and safety measures by exposed, asymptomatic and symptomatic infected individuals; $u_4$-fumigating schools in all levels of education, sports facilities, commercial areas and religious worship centres. We proved the existence of the proposed optimal control model. The optimality system associated with the non-autonomous epidemic model is derived using Pontryagin's maximum principle. We have performed numerical simulations to investigate extensive cost-effectiveness analysis for fourteen optimal control strategies. Comparing the control strategies, we noticed that; Strategy 1 (practising physical or social distancing protocols) is the most cost-saving and most effective control intervention in Saudi Arabia in the absence of vaccination. But, in terms of the infection averted, we saw that strategy 6, strategy 11, strategy 12, and strategy 14 are just as good in controlling COVID-19.

math.OC↗

arXiv2021

Modelling COVID-19 Transmission Dynamics in Ghana

In late 2019, a novel coronavirus, the SARS-CoV-2 outbreak was identified in Wuhan, China and later spread to every corner of the globe. Whilst the number of infection-induced deaths in Ghana, West Africa are minimal when compared with the rest of the world, the impact on the local health service is still significant. Compartmental models are a useful framework for investigating transmission of diseases in societies. To understand how the infection will spread and how to limit the outbreak. We have developed a modified SEIR compartmental model with nine compartments (CoVCom9) to describe the dynamics of SARS-CoV-2 transmission in Ghana. We have carried out a detailed mathematical analysis of the CoVCom9, including the derivation of the basic reproduction number, $\mathcal{R}_{0}$. In particular, we have shown that the disease-free equilibrium is globally asymptotically stable when $\mathcal{R}_{0}<1$ via a candidate Lyapunov function. Using the SARS-CoV-2 reported data for confirmed-positive cases and deaths from March 13 to August 10, 2020, we have parametrised the CoVCom9 model. The results of this fit show good agreement with data. We used Latin hypercube sampling-rank correlation coefficient (LHS-PRCC) to investigate the uncertainty and sensitivity of $\mathcal{R}_{0}$ since the results derived are significant in controlling the spread of SARS-CoV-2. We estimate that over this five month period, the basic reproduction number is given by $\mathcal{R}_{0} = 3.110$, with the 95\% confidence interval being $2.042 \leq \mathcal{R}_0 \leq 3.240$, and the mean value being $\mathcal{R}_{0}=2.623$. Of the 32 parameters in the model, we find that just six have a significant influence on $\mathcal{R}_{0}$, these include the rate of testing, where an increasing testing rate contributes to the reduction of $\mathcal{R}_{0}$.

q-bio.PE↗