arXiv subjects

Jon Zelner

Publications and source records attributed to Jon Zelner.

8 recordsLinked to original sources

arXiv2024

Neural Posterior Estimation for Stochastic Epidemic Modeling

Stochastic infectious disease models capture uncertainty in public health outcomes and have become increasingly popular in epidemiological practice. However, calibrating these models to observed data is challenging with existing methods for parameter estimation. Stochastic epidemic models are nonlinear dynamical systems with potentially large latent state spaces, resulting in computationally intractable likelihood densities. We develop an approach to calibrating complex epidemiological models to high-dimensional data using Neural Posterior Estimation, a novel technique for simulation-based inference. In NPE, a neural conditional density estimator trained on simulated data learns to "invert" a stochastic simulator, returning a parametric approximation to the posterior distribution. We introduce a stochastic, discrete-time Susceptible Infected (SI) model with heterogeneous transmission for healthcare-associated infections (HAIs). HAIs are a major burden on healthcare systems. They exhibit high rates of asymptotic carriage, making it difficult to estimate infection rates. Through extensive simulation experiments, we show that NPE produces accurate posterior estimates of infection rates with greater sample efficiency compared to Approximate Bayesian Computation (ABC). We then use NPE to fit our SI model to an outbreak of carbapenem-resistant Klebsiella pneumoniae in a long-term acute care facility, finding evidence of location-based heterogeneity in patient-to-patient transmission risk. We argue that our methodology can be fruitfully applied to a wide range of mechanistic transmission models and problems in the epidemiology of infectious disease.

stat.ME↗

arXiv2024

Bayesian Methods for Modeling Cumulative Exposure to Extensive Environmental Health Hazards

Measuring the impact of an environmental point source exposure on the risk of disease, like cancer or childhood asthma, is well-developed. Modeling how an environmental health hazard that is extensive in space, like a wastewater canal, impacts disease risk is not. We propose a novel Bayesian generative semiparametric model for characterizing the cumulative spatial exposure to an environmental health hazard that is not well-represented by a single point in space. The model couples a dose-response model with a log-Gaussian Cox process integrated against a distance kernel with an unknown length-scale. We show that this model is a well-defined Bayesian inverse model, namely that the posterior exists under a Gaussian process prior for the log-intensity of exposure, and that a simple integral approximation adequately controls the computational error. We quantify the finite-sample properties and the computational tractability of the discretization scheme in a simulation study. Finally, we apply the model to survey data on household risk of childhood diarrheal illness from exposure to a system of wastewater canals in Mezquital Valley, Mexico.

stat.ME↗

arXiv2022

Vaccine efficacy for binary post-infection outcomes under misclassification without monotonicity

In order to meet regulatory approval, pharmaceutical companies often must demonstrate that new vaccines reduce the total risk of a post-infection outcome like transmission, symptomatic disease, severe illness, or death in randomized, placebo-controlled trials. Given that infection is a necessary precondition for a post-infection outcome, one can use principal stratification to partition the total causal effect of vaccination into two causal effects: vaccine efficacy against infection, and the principal effect of vaccine efficacy against a post-infection outcome in the patients that would be infected under both placebo and vaccination. Despite the importance of such principal effects to policymakers, these estimands are generally unidentifiable, even under strong assumptions that are rarely satisfied in real-world trials. We develop a novel method to nonparametrically point identify these principal effects while eliminating the monotonicity assumption and allowing for measurement error. Furthermore, our results allow for multiple treatments, and are general enough to be applicable outside of vaccine efficacy. Our method relies on the fact that many vaccine trials are run at geographically disparate health centers, and measure biologically-relevant categorical pretreatment covariates. We show that our method can be applied to a variety of clinical trial settings where vaccine efficacy against infection and a post-infection outcome can be jointly inferred. This can yield new insights from existing vaccine efficacy trial data and will aid researchers in designing new multi-arm clinical trials.

stat.ME↗

arXiv2022

Modeling racial/ethnic differences in COVID-19 incidence with covariates subject to non-random missingness

Characterizing the cumulative burden of COVID-19 by race/ethnicity is of the utmost importance for public health researchers and policy makers in order to design effective mitigation measures. This analysis is hampered, however, by surveillance case data with substantial missingness in race and ethnicity covariates. Worse yet, this missingness likely depends on the values of these missing covariates, i.e. they are not missing at random (NMAR). We propose a Bayesian parametric model that leverages joint information on spatial variation in the disease and covariate missingness processes and can accommodate both MAR and NMAR missingness. We show that the model is locally identifiable when the spatial distribution of the population covariates is known and observed cases can be associated with a spatial unit of observation. We also use a simulation study to investigate the model's finite-sample performance. We compare our model's performance on NMAR data against complete-case analysis and multiple imputation (MI), both of which are commonly used by public health researchers when confronted with missing categorical covariates. Finally, we model spatial variation in cumulative COVID-19 incidence in Wayne County, Michigan using data from the Michigan Department and Health and Human Services. The analysis suggests that population relative risk estimates by race during the early part of the COVID-19 pandemic in Michigan were understated for non-white residents compared to white residents when cases missing race were dropped or had these values imputed using MI.

stat.ME↗

arXiv2021

There are no equal opportunity infectors: Epidemiological modelers must rethink our approach to inequality in infection risk

Mathematical models have come to play a key role in global pandemic preparedness and outbreak response: helping to plan for disease burden, hospital capacity, and inform non-pharmaceutical interventions. Such models have played a pivotal role in the COVID-19 pandemic, with transmission models and, by consequence, modelers guiding global, national, and local responses to SARS-CoV-2. However, these models have systematically failed to account for the social and structural factors which lead to socioeconomic, racial, and geographic health disparities. Why do epidemiologic models of emerging infections ignore known structural drivers of disparate health outcomes? What have been the consequences of this limited framework? What should be done to develop a more holistic approach to modeling-based decision-making during pandemics? In this Perspective, we evaluate potential historical and political explanations for the exclusion of drivers of disparity in infectious disease models for emerging infections, which have often been characterized as "equal opportunity infectors" despite ample evidence to the contrary. We look to examples from other disease systems (HIV, STIs) as a potential blueprint for how social connections, environmental, and structural factors can be integrated into a coherent, rigorous, and interpretable modeling framework. We conclude by outlining principles to guide modeling of emerging infections in ways that represent the causes of inequity in infection as central rather than peripheral mechanisms.

q-bio.PE↗

arXiv2020

Accounting for Uncertainty During a Pandemic

We discuss several issues of statistical design, data collection, analysis, communication, and decision making that have arisen in recent and ongoing coronavirus studies, focusing on tools for assessment and propagation of uncertainty. This paper does not purport to be a comprehensive survey of the research literature; rather, we use examples to illustrate statistical points that we think are important.

stat.AP↗

arXiv2009

Distance Measures for Dynamic Citation Networks

Acyclic digraphs arise in many natural and artificial processes. Among the broader set, dynamic citation networks represent a substantively important form of acyclic digraphs. For example, the study of such networks includes the spread of ideas through academic citations, the spread of innovation through patent citations, and the development of precedent in common law systems. The specific dynamics that produce such acyclic digraphs not only differentiate them from other classes of graphs, but also provide guidance for the development of meaningful distance measures. In this article, we develop and apply our sink distance measure together with the single-linkage hierarchical clustering algorithm to both a two-dimensional directed preferential attachment model as well as empirical data drawn from the first quarter century of decisions of the United States Supreme Court. Despite applying the simplest combination of distance measures and clustering algorithms, analysis reveals that more accurate and more interpretable clusterings are produced by this scheme.

physics.soc-ph↗

arXiv2009

On the Stability of Community Detection Algorithms on Longitudinal Citation Data

There are fundamental differences between citation networks and other classes of graphs. In particular, given that citation networks are directed and acyclic, methods developed primarily for use with undirected social network data may face obstacles. This is particularly true for the dynamic development of community structure in citation networks. Namely, it is neither clear when it is appropriate to employ existing community detection approaches nor is it clear how to choose among existing approaches. Using simulated data, we attempt to clarify the conditions under which one should use existing methods and which of these algorithms is appropriate in a given context. We hope this paper will serve as both a useful guidepost and an encouragement to those interested in the development of more targeted approaches for use with longitudinal citation data.

physics.soc-ph↗