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Olga Morozova

Publications and source records attributed to Olga Morozova.

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Towards Improved Uncertainty Quantification of Stochastic Epidemic Models Using Sequential Monte Carlo

Sequential Monte Carlo (SMC) algorithms represent a suite of robust computational methodologies utilized for state estimation and parameter inference within dynamical systems, particularly in real-time or online environments where data arrives sequentially over time. In this research endeavor, we propose an integrated framework that combines a stochastic epidemic simulator with a sequential importance sampling (SIS) scheme to dynamically infer model parameters, which evolve due to social as well as biological processes throughout the progression of an epidemic outbreak and are also influenced by evolving data measurement bias. Through iterative updates of a set of weighted simulated trajectories based on observed data, this framework enables the estimation of posterior distributions for these parameters, thereby capturing their temporal variability and associated uncertainties. Through simulation studies, we showcase the efficacy of SMC in accurately tracking the evolving dynamics of epidemics while appropriately accounting for uncertainties. Moreover, we delve into practical considerations and challenges inherent in implementing SMC for parameter estimation within dynamic epidemiological settings, areas where the substantial computational capabilities of high-performance computing resources can be usefully brought to bear.

stat.AP

Randomization for the susceptibility effect of an infectious disease intervention

Randomized trials of infectious disease interventions, such as vaccines, often focus on groups of connected or potentially interacting individuals. When the pathogen of interest is transmissible between study subjects, interference may occur: individual infection outcomes may depend on treatments received by others. Epidemiologists have defined the primary causal effect of interest -- called the "susceptibility effect" -- as a contrast in infection risk under treatment versus no treatment, while holding exposure to infectiousness constant. A related quantity -- the "direct effect" -- is defined as an unconditional contrast between the infection risk under treatment versus no treatment. The purpose of this paper is to show that under a widely recommended randomization design, the direct effect may fail to recover the sign of the true susceptibility effect of the intervention in a randomized trial when outcomes are contagious. The analytical approach uses structural features of infectious disease transmission to define the susceptibility effect. A new probabilistic coupling argument reveals stochastic dominance relations between potential infection outcomes under different treatment allocations. The results suggest that estimating the direct effect under randomization may provide misleading inferences about the effect of an intervention -- such as a vaccine -- when outcomes are contagious.

stat.AP

Interpretation of the individual effect under treatment spillover

Some interventions may include important spillover or dissemination effects between study participants. For example, vaccines, cash transfers, and education programs may exert a causal effect on participants beyond those to whom individual treatment is assigned. In a recent paper, Buchanan et al. provide a causal definition of the "individual effect" of an intervention in networks of people who inject drugs. In this short note, we discuss the interpretation of the individual effect when a spillover or dissemination effect exists.

stat.AP

Risk ratios for contagious outcomes

The risk ratio is a popular tool for summarizing the relationship between a binary covariate and outcome, even when outcomes may be dependent. Investigations of infectious disease outcomes in cohort studies of individuals embedded within clusters -- households, villages, or small groups -- often report risk ratios. Epidemiologists have warned that risk ratios may be misleading when outcomes are contagious, but the nature and severity of this error is not well understood. In this study, we assess the epidemiologic meaning of the risk ratio when outcomes are contagious. We first give a structural definition of infectious disease transmission within clusters, based on the canonical susceptible-infective epidemic model. From this standard characterization, we define the individual-level ratio of instantaneous risks (hazard ratio) as the inferential target, and evaluate the properties of the risk ratio as an estimate of this quantity. We exhibit analytically and by simulation the circumstances under which the risk ratio implies an effect whose direction is opposite that of the true individual-level hazard ratio. In particular, the risk ratio can be greater than one even when the covariate of interest reduces both individual-level susceptibility to infection, and transmissibility once infected. We explain these findings in the epidemiologic language of confounding and relate the direction bias to Simpson's paradox.

stat.ME