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Rohan Arambepola

Publications and source records attributed to Rohan Arambepola.

5 recordsLinked to original sources

Nonparametric Causal Feature Selection for Spatiotemporal Risk Mapping of Malaria Incidence in Madagascar

Modern disease mapping draws upon a wealth of high resolution spatial data products reflecting environmental and/or socioeconomic factors as covariates, or `features', within a geostatistical framework to improve predictions of disease risk. Feature selection is an important step in building these models, helping to reduce overfitting and computational complexity, and to improve model interpretability. Selecting only features that have a causal relationship with the response variable could potentially improve predictions and generalisability, but identifying these causal features from non-interventional, spatiotemporal data is a challenging problem. Here we examine the performance of a causal feature selection procedure with regard to estimating malaria incidence in Madagascar. The studied procedure designed for this task combines the PC algorithm with spatiotemporal prewhitening and kernel-based independence tests extended to accommodate aggregated data. This case study reveals a clear advantage for causal feature selection in terms of the out-of-sample predictive accuracy in a forward temporal estimation task, but not in a spatiotemporal interpolation task, in comparison with thresholded spike-and-slab, for both linear and non-linear regression models. Compared to no feature selection, causal feature selection was most beneficial in settings wherein the volume of available data was low relative to the model complexity.

stat.AP

Spatiotemporal mapping of malaria prevalence in Madagascar using routine surveillance and health survey data

Malaria transmission in Madagascar is highly heterogeneous, exhibiting spatial, seasonal and long-term trends. Previous efforts to map malaria risk in Madagascar used prevalence data from Malaria Indicator Surveys. These cross-sectional surveys, conducted during the high transmission season most recently in 2013 and 2016, provide nationally representative prevalence data but cover relatively short time frames. Conversely, monthly case data are collected at health facilities but suffer from biases, including incomplete reporting. We combined survey and case data to make monthly maps of prevalence between 2013 and 2016. Health facility catchments were estimated and incidence surfaces, environmental and socioeconomic covariates, and survey data informed a Bayesian prevalence model. Prevalence estimates were consistently high in the coastal regions and low in the highlands. Prevalence was lowest in 2014 and peaked in 2015, highlighting the importance of estimates between survey years. Seasonality was widely observed. Similar multi-metric approaches may be applicable across sub-Saharan Africa.

stat.AP

A simulation study of disaggregation regression for spatial disease mapping

Disaggregation regression has become an important tool in spatial disease mapping for making fine-scale predictions of disease risk from aggregated response data. By including high resolution covariate information and modelling the data generating process on a fine scale, it is hoped that these models can accurately learn the relationships between covariates and response at a fine spatial scale. However, validating these high resolution predictions can be a challenge, as often there is no data observed at this spatial scale. In this study, disaggregation regression was performed on simulated data in various settings and the resulting fine-scale predictions are compared to the simulated ground truth. Performance was investigated with varying numbers of data points, sizes of aggregated areas and levels of model misspecification. The effectiveness of cross validation on the aggregate level as a measure of fine-scale predictive performance was also investigated. Predictive performance improved as the number of observations increased and as the size of the aggregated areas decreased. When the model was well-specified, fine-scale predictions were accurate even with small numbers of observations and large aggregated areas. Under model misspecification predictive performance was significantly worse for large aggregated areas but remained high when response data was aggregated over smaller regions. Cross-validation correlation on the aggregate level was a moderately good predictor of fine-scale predictive performance. While the simulations are unlikely to capture the nuances of real-life response data, this study gives insight into the effectiveness of disaggregation regression in different contexts.

stat.AP

disaggregation: An R Package for Bayesian Spatial Disaggregation Modelling

Disaggregation modelling, or downscaling, has become an important discipline in epidemiology. Surveillance data, aggregated over large regions, is becoming more common, leading to an increasing demand for modelling frameworks that can deal with this data to understand spatial patterns. Disaggregation regression models use response data aggregated over large heterogenous regions to make predictions at fine-scale over the region by using fine-scale covariates to inform the heterogeneity. This paper presents the R package disaggregation, which provides functionality to streamline the process of running a disaggregation model for fine-scale predictions.

stat.CO

Mapping malaria seasonality: a case study from Madagascar

Many malaria-endemic areas experience seasonal fluctuations in case incidence as Anopheles mosquito and Plasmodium parasite life cycles respond to changing environmental conditions. While most existing maps of malaria seasonality use fixed thresholds of rainfall, temperature, and/or vegetation indices to identify suitable transmission months, we develop a statistical modelling framework for characterising the seasonal patterns derived directly from case data. The procedure involves a spatiotemporal regression model for estimating the monthly proportions of total annual cases and an algorithm to identify operationally relevant characteristics such as the transmission start and peak months. A seasonality index combines the monthly proportion estimates and existing estimates of annual case incidence to provide a summary of "how seasonal" locations are relative to their surroundings. An advancement upon past seasonality mapping endeavours is the presentation of the uncertainty associated with each map, which will enable policymakers to make more statistically sound decisions. The methodology is illustrated using health facility data from Madagascar.

stat.AP