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Lanlan Yu

Publications and source records attributed to Lanlan Yu.

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Conditional Inverse Learning of Time-Varying Reproduction Numbers Inference

Estimating time-varying reproduction numbers from epidemic incidence data is a central task in infectious disease surveillance, yet it poses an inherently ill-posed inverse problem. Existing approaches often rely on strong structural assumptions derived from epidemiological models, which can limit their ability to adapt to non-stationary transmission dynamics induced by interventions or behavioral changes, leading to delayed detection of regime shifts and degraded estimation accuracy. In this work, we propose a Conditional Inverse Reproduction Learning framework (CIRL) that addresses the inverse problem by learning a {conditional mapping} from historical incidence patterns and explicit time information to latent reproduction numbers. Rather than imposing strongly enforced parametric constraints, CIRL softly integrates epidemiological structure with flexible likelihood-based statistical modeling, using the renewal equation as a forward operator to enforce dynamical consistency. The resulting framework combines epidemiologically grounded constraints with data-driven temporal representations, producing reproduction number estimates that are robust to observation noise while remaining responsive to abrupt transmission changes and zero-inflated incidence observations. Experiments on synthetic epidemics with controlled regime changes and real-world SARS and COVID-19 data demonstrate the effectiveness of the proposed approach.

cs.LG

Assessing the effectiveness of test-trace-isolate interventions using a multi-layered temporal network

In the early stage of an infectious disease outbreak, public health strategies tend to gravitate towards non-pharmaceutical interventions (NPIs) given the time required to develop targeted treatments and vaccines. One of the most common NPIs is Test-Trace-Isolate (TTI). One of the factors determining the effectiveness of TTI is the ability to identify contacts of infected individuals. In this study, we propose a multi-layer temporal contact network to model transmission dynamics and assess the impact of different TTI implementations, using SARS-CoV-2 as a case study. The model was used to evaluate TTI effectiveness both in containing an outbreak and mitigating the impact of an epidemic. We estimated that a TTI strategy based on home isolation and testing of both primary and secondary contacts can contain outbreaks only when the reproduction number is up to 1.3, at which the epidemic prevention potential is 88.2% (95% CI: 87.9%-88.5%). On the other hand, for higher value of the reproduction number, TTI is estimated to noticeably mitigate disease burden but at high social costs (e.g., over a month in isolation/quarantine per person for reproduction numbers of 1.7 or higher). We estimated that strategies considering quarantine of contacts have a larger epidemic prevention potential than strategies that either avoid tracing contacts or require contacts to be tested before isolation. Combining TTI with other social distancing measures can improve the likelihood of successfully containing an outbreak but the estimated epidemic prevention potential remains lower than 50% for reproduction numbers higher than 2.1.

q-bio.QM