arXiv subjects

Jasmina Panovska-Griffiths

Publications and source records attributed to Jasmina Panovska-Griffiths.

6 recordsLinked to original sources

arXiv2026

The Epi-LLM Framework: probing LLM behavioral priors through epidemiological agent-based models

Human behaviour during epidemics affects infectious disease dynamics, but quantifying this remains deeply challenging. Here we introduce the Epi-LLM framework: a novel integration of agent-based modelling, real-life epigames, and large language models (LLMs) in which a synthetic society of agents reasons and adapts dynamically over an outbreak contact network. Comparing synthetic agent behaviour against a no-intervention SEIR baseline and human participant data from the AUIB epigame study, we find that LLM agents across four different architectures reduced peak active infections, with quarantine compliance peaking at 58-65% on day six of the 15-day simulation. A binomial generalised linear model showed that perceived health severity was the strongest predictor of quarantine behaviour ($β= 0.33, p = 0.002$), yielding a pseudo-$R^2$ of 0.055, comparable to the 0.072 observed in the human trial. LLM architecture is a key determinant of epidemic dynamics: low-variance architectures offer greater internal validity for testing behavioural rules, while high-variance models may better represent real-world decision-making. Geographic labels alone do not induce culturally differentiated behaviour; explicit attitudinal parameterisation is required. This proof-of-principle work lays the groundwork for deploying the Epi-LLM framework as a scalable, risk-free simulation environment for pandemic preparedness research.

cs.MA↗

arXiv2022

The role of regular asymptomatic testing in reducing the impact of a COVID-19 wave

Testing for infection with SARS-CoV-2 is an important intervention in reducing onwards transmission of COVID-19, particularly when combined with the isolation and contact-tracing of positive cases. Many countries with the capacity to do so have made use of lab-processed Polymerase Chain Reaction (PCR) testing targeted at individuals with symptoms and the contacts of confirmed cases. Alternatively, Lateral Flow Tests (LFTs) are able to deliver a result quickly, without lab-processing and at a relatively low cost. Their adoption can support regular mass asymptomatic testing, allowing earlier detection of infection and isolation of infectious individuals. In this paper we extend and apply the agent-based epidemic modelling framework Covasim to explore the impact of regular asymptomatic testing on the peak and total number of infections in an emerging COVID-19 wave. We explore testing with LFTs at different frequency levels within a population with high levels of immunity and with background symptomatic PCR testing, case isolation and contact tracing for testing. The effectiveness of regular asymptomatic testing was compared with `lockdown' interventions seeking to reduce the number of non-household contacts across the whole population through measures such as mandating working from home and restrictions on gatherings. Since regular asymptomatic testing requires only those with a positive result to reduce contact, while lockdown measures require the whole population to reduce contact, any policy decision that seeks to trade off harms from infection against other harms will not automatically favour one over the other. Our results demonstrate that, where such a trade off is being made, at moderate rates of early exponential growth regular asymptomatic testing has the potential to achieve significant infection control without the wider harms associated with additional lockdown measures.

q-bio.PE↗

arXiv2022

Inference of Stochastic Disease Transmission Models Using Particle-MCMC and a Gradient Based Proposal

State-space models have been widely used to model the dynamics of communicable diseases in populations of interest by fitting to time-series data. Particle filters have enabled these models to incorporate stochasticity and so can better reflect the true nature of population behaviours. Relevant parameters such as the spread of the disease, $R_t$, and recovery rates can be inferred using Particle MCMC. The standard method uses a Metropolis-Hastings random-walk proposal which can struggle to reach the stationary distribution in a reasonable time when there are multiple parameters. In this paper we obtain full Bayesian parameter estimations using gradient information and the No U-Turn Sampler (NUTS) when proposing new parameters of stochastic non-linear Susceptible-Exposed-Infected-Recovered (SEIR) and SIR models. Although NUTS makes more than one target evaluation per iteration, we show that it can provide more accurate estimates in a shorter run time than Metropolis-Hastings.

stat.AP↗

arXiv2022

Tracking the national and regional COVID-19 epidemic status in the UK using directed Principal Component Analysis

One of the difficulties in monitoring an ongoing pandemic is deciding on the metric that best describes its status when multiple intercorrelated measurements are available. Having a single measure, such as the effective reproduction number R, has been a simple and useful metric for tracking the epidemic and for imposing policy interventions to curb the increase when R >1. While R is easy to interpret in a fully susceptible population, it is more difficult to interpret for a population with heterogeneous prior immunity, e.g., from vaccination and prior infection. We propose an additional metric for tracking the UK epidemic which can capture the different spatial scales. These are the principal scores (PCs) from a weighted Principal Component Analysis. In this paper, we have used the methodology across the four UK nations and across the first two epidemic waves (January 2020-March 2021) to show that first principal score across nations and epidemic waves is a representative indicator of the state of the pandemic and are correlated with the trend in R. Hospitalisations are shown to be consistently representative, however, the precise dominant indicator, i.e. the principal loading(s) of the analysis, can vary geographically and across epidemic waves.

stat.AP↗

arXiv2021

Compositional modelling of immune response and virus transmission dynamics

Transmission models for infectious diseases are typically formulated in terms of dynamics between individuals or groups with processes such as disease progression or recovery for each individual captured phenomenologically, without reference to underlying biological processes. Furthermore, the construction of these models is often monolithic: they don't allow one to readily modify the processes involved or include the new ones, or to combine models at different scales. We show how to construct a simple model of immune response to a respiratory virus and a model of transmission using an easily modifiable set of rules allowing further refining and merging the two models together. The immune response model reproduces the expected response curve of PCR testing for COVID-19 and implies a long-tailed distribution of infectiousness reflective of individual heterogeneity. This immune response model, when combined with a transmission model, reproduces the previously reported shift in the population distribution of viral loads along an epidemic trajectory.

q-bio.PE↗

arXiv2021

Rule-based epidemic models

This paper gives an introduction to rule-based modelling applied to topics in infectious diseases. Rule-based models generalise reaction-based models with reagents that have internal state and may be bound together to form complexes, as in chemistry. Rule-based modelling is directly transferable from molecular biology to epidemiology and allows us to express a broad class of models for processes of interest in epidemiology that would not otherwise be feasible in compartmental models. This includes dynamics commonly found in compartmental models such as the spread of a virus from an infectious to a susceptible population, and more complex dynamics outside the typical scope of such models such as social behaviours and decision-making, testing capacity constraints, and tracing of people exposed to a virus but not yet symptomatic. We propose that such dynamics are well-captured with rule-based models, and that doing so combines intuitiveness and transparency of representation with scalability and compositionality. We demonstrate this feasibility of our approach using a suite of seven models to describe a spread of infectious diseases under different scenarios: wearing masks, infection via fomites and prevention by hand-washing, the concept of vector-borne diseases, testing and contact tracing interventions, disease propagation within motif-structured populations with shared environments such as schools, and superspreading events. The machine-readable description of these models corresponds closely to the mathematical description and also functions as a human-readable format so that one knows readily "what is in the model".

q-bio.PE↗