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Samir Bhatt

Publications and source records attributed to Samir Bhatt.

At least 55 records · Page 3Linked to original sources

Unifying incidence and prevalence under a time-varying general branching process

Renewal equations are a popular approach used in modelling the number of new infections, i.e., incidence, in an outbreak. We develop a stochastic model of an outbreak based on a time-varying variant of the Crump-Mode-Jagers branching process. This model accommodates a time-varying reproduction number and a time-varying distribution for the generation interval. We then derive renewal-like integral equations for incidence, cumulative incidence and prevalence under this model. We show that the equations for incidence and prevalence are consistent with the so-called back-calculation relationship. We analyse two particular cases of these integral equations, one that arises from a Bellman-Harris process and one that arises from an inhomogeneous Poisson process model of transmission. We also show that the incidence integral equations that arise from both of these specific models agree with the renewal equation used ubiquitously in infectious disease modelling. We present a numerical discretisation scheme to solve these equations, and use this scheme to estimate rates of transmission from serological prevalence of SARS-CoV-2 in the UK and historical incidence data on Influenza, Measles, SARS and Smallpox.

q-bio.PE↗

Cox-Hawkes: doubly stochastic spatiotemporal Poisson processes

Hawkes processes are point process models that have been used to capture self-excitatory behavior in social interactions, neural activity, earthquakes and viral epidemics. They can model the occurrence of the times and locations of events. Here we develop a new class of spatiotemporal Hawkes processes that can capture both triggering and clustering behavior and we provide an efficient method for performing inference. We use a log-Gaussian Cox process (LGCP) as prior for the background rate of the Hawkes process which gives arbitrary flexibility to capture a wide range of underlying background effects (for infectious diseases these are called endemic effects). The Hawkes process and LGCP are computationally expensive due to the former having a likelihood with quadratic complexity in the number of observations and the latter involving inversion of the precision matrix which is cubic in observations. Here we propose a novel approach to perform MCMC sampling for our Hawkes process with LGCP background, using pre-trained Gaussian Process generators which provide direct and cheap access to samples during inference. We show the efficacy and flexibility of our approach in experiments on simulated data and use our methods to uncover the trends in a dataset of reported crimes in the US.

stat.ML↗

Estimating fine age structure and time trends in human contact patterns from coarse contact data: the Bayesian rate consistency model

Since the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), many contact surveys have been conducted to measure changes in human interactions in the face of the pandemic and non-pharmaceutical interventions. These surveys were typically conducted longitudinally, using protocols that differ from those used in the pre-pandemic era. We present a model-based statistical approach that can reconstruct contact patterns at 1-year resolution even when the age of the contacts is reported coarsely by 5 or 10-year age bands. This innovation is rooted in population-level consistency constraints in how contacts between groups must add up, which prompts us to call the approach presented here the Bayesian rate consistency model. The model incorporates computationally efficient Hilbert Space Gaussian process priors to infer the dynamics in age- and gender-structured social contacts and is designed to adjust for reporting fatigue in longitudinal surveys. We demonstrate on simulations the ability to reconstruct contact patterns by gender and 1-year age interval from coarse data with adequate accuracy and within a fully Bayesian framework to quantify uncertainty. We investigate the patterns of social contact data collected in Germany from April to June 2020 across five longitudinal survey waves. We reconstruct the fine age structure in social contacts during the early stages of the pandemic and demonstrate that social contacts rebounded in a structured, non-homogeneous manner. We also show that by July 2020, social contact intensities remained well below pre-pandemic values despite a considerable easing of non-pharmaceutical interventions. This model-based inference approach is open access, computationally tractable enabling full Bayesian uncertainty quantification, and readily applicable to contemporary survey data as long as the exact age of survey participants is reported.

stat.AP↗

$π$VAE: a stochastic process prior for Bayesian deep learning with MCMC

Stochastic processes provide a mathematically elegant way model complex data. In theory, they provide flexible priors over function classes that can encode a wide range of interesting assumptions. In practice, however, efficient inference by optimisation or marginalisation is difficult, a problem further exacerbated with big data and high dimensional input spaces. We propose a novel variational autoencoder (VAE) called the prior encoding variational autoencoder ($π$VAE). The $π$VAE is finitely exchangeable and Kolmogorov consistent, and thus is a continuous stochastic process. We use $π$VAE to learn low dimensional embeddings of function classes. We show that our framework can accurately learn expressive function classes such as Gaussian processes, but also properties of functions to enable statistical inference (such as the integral of a log Gaussian process). For popular tasks, such as spatial interpolation, $π$VAE achieves state-of-the-art performance both in terms of accuracy and computational efficiency. Perhaps most usefully, we demonstrate that the low dimensional independently distributed latent space representation learnt provides an elegant and scalable means of performing Bayesian inference for stochastic processes within probabilistic programming languages such as Stan.

cs.LG↗

PriorVAE: Encoding spatial priors with VAEs for small-area estimation

Gaussian processes (GPs), implemented through multivariate Gaussian distributions for a finite collection of data, are the most popular approach in small-area spatial statistical modelling. In this context they are used to encode correlation structures over space and can generalise well in interpolation tasks. Despite their flexibility, off-the-shelf GPs present serious computational challenges which limit their scalability and practical usefulness in applied settings. Here, we propose a novel, deep generative modelling approach to tackle this challenge, termed PriorVAE: for a particular spatial setting, we approximate a class of GP priors through prior sampling and subsequent fitting of a variational autoencoder (VAE). Given a trained VAE, the resultant decoder allows spatial inference to become incredibly efficient due to the low dimensional, independently distributed latent Gaussian space representation of the VAE. Once trained, inference using the VAE decoder replaces the GP within a Bayesian sampling framework. This approach provides tractable and easy-to-implement means of approximately encoding spatial priors and facilitates efficient statistical inference. We demonstrate the utility of our VAE two stage approach on Bayesian, small-area estimation tasks.

cs.LG↗

Regularised B-splines projected Gaussian Process priors to estimate time-trends of age-specific COVID-19 deaths related to vaccine roll-out

The COVID-19 pandemic has caused severe public health consequences in the United States. In this study, we use a hierarchical Bayesian model to estimate the age-specific COVID-19 attributable deaths over time in the United States. The model is specified by a novel non-parametric spatial approach, a low-rank Gaussian Process (GP) projected by regularised B-splines. We show that this projection defines a new GP with attractive smoothness and computational efficiency properties, derive its kernel function, and discuss the penalty terms induced by the projected GP. Simulation analyses and benchmark results show that the spatial approach performs better than standard B-splines and Bayesian P-splines and equivalently well as a standard GP, for considerably lower runtimes. The B-splines projected GP priors that we develop are likely an appealing addition to the arsenal of Bayesian regularising priors. We apply the model to weekly, age-stratified COVID-19 attributable deaths reported by the US Centers for Disease Control, which are subject to censoring and reporting biases. Using the B-splines projected GP, we can estimate longitudinal trends in COVID-19 associated deaths across the US by 1-year age bands. These estimates are instrumental to calculate age-specific mortality rates, describe variation in age-specific deaths across the US, and for fitting epidemic models. Here, we couple the model with age-specific vaccination rates to show that lower vaccination rates in younger adults aged 18-64 are associated with significantly stronger resurgences in COVID-19 deaths, especially in Florida and Texas. These results underscore the critical importance of medically able individuals of all ages to be vaccinated against COVID-19 in order to limit fatal outcomes.

stat.AP↗

Epidemia: An R Package for Semi-Mechanistic Bayesian Modelling of Infectious Diseases using Point Processes

This article introduces epidemia, an R package for Bayesian, regression-oriented modeling of infectious diseases. The implemented models define a likelihood for all observed data while also explicitly modeling transmission dynamics: an approach often termed as semi-mechanistic. Infections are propagated over time using renewal equations. This approach is inspired by self-exciting, continuous-time point processes such as the Hawkes process. A variety of inferential tasks can be performed using the package. Key epidemiological quantities, including reproduction numbers and latent infections, may be estimated within the framework. The models may be used to evaluate the determinants of changes in transmission rates, including the effects of control measures. Epidemic dynamics may be simulated either from a fitted model or a prior model; allowing for prior/posterior predictive checks, experimentation, and forecasting.

stat.CO↗

Gaussian Process Nowcasting: Application to COVID-19 Mortality Reporting

Updating observations of a signal due to the delays in the measurement process is a common problem in signal processing, with prominent examples in a wide range of fields. An important example of this problem is the nowcasting of COVID-19 mortality: given a stream of reported counts of daily deaths, can we correct for the delays in reporting to paint an accurate picture of the present, with uncertainty? Without this correction, raw data will often mislead by suggesting an improving situation. We present a flexible approach using a latent Gaussian process that is capable of describing the changing auto-correlation structure present in the reporting time-delay surface. This approach also yields robust estimates of uncertainty for the estimated nowcasted numbers of deaths. We test assumptions in model specification such as the choice of kernel or hyper priors, and evaluate model performance on a challenging real dataset from Brazil. Our experiments show that Gaussian process nowcasting performs favourably against both comparable methods, and against a small sample of expert human predictions. Our approach has substantial practical utility in disease modelling -- by applying our approach to COVID-19 mortality data from Brazil, where reporting delays are large, we can make informative predictions on important epidemiological quantities such as the current effective reproduction number.

stat.AP↗

Pyfectious: An individual-level simulator to discover optimal containment polices for epidemic diseases

Simulating the spread of infectious diseases in human communities is critical for predicting the trajectory of an epidemic and verifying various policies to control the devastating impacts of the outbreak. Many existing simulators are based on compartment models that divide people into a few subsets and simulate the dynamics among those subsets using hypothesized differential equations. However, these models lack the requisite granularity to study the effect of intelligent policies that influence every individual in a particular way. In this work, we introduce a simulator software capable of modeling a population structure and controlling the disease's propagation at an individualistic level. In order to estimate the confidence of the conclusions drawn from the simulator, we employ a comprehensive probabilistic approach where the entire population is constructed as a hierarchical random variable. This approach makes the inferred conclusions more robust against sampling artifacts and gives confidence bounds for decisions based on the simulation results. To showcase potential applications, the simulator parameters are set based on the formal statistics of the COVID-19 pandemic, and the outcome of a wide range of control measures is investigated. Furthermore, the simulator is used as the environment of a reinforcement learning problem to find the optimal policies to control the pandemic. The obtained experimental results indicate the simulator's adaptability and capacity in making sound predictions and a successful policy derivation example based on real-world data. As an exemplary application, our results show that the proposed policy discovery method can lead to control measures that produce significantly fewer infected individuals in the population and protect the health system against saturation.

q-bio.PE↗

Referenced Thermodynamic Integration for Bayesian Model Selection: Application to COVID-19 Model Selection

Model selection is a fundamental part of the applied Bayesian statistical methodology. Metrics such as the Akaike Information Criterion are commonly used in practice to select models but do not incorporate the uncertainty of the models' parameters and can give misleading choices. One approach that uses the full posterior distribution is to compute the ratio of two models' normalising constants, known as the Bayes factor. Often in realistic problems, this involves the integration of analytically intractable, high-dimensional distributions, and therefore requires the use of stochastic methods such as thermodynamic integration (TI). In this paper we apply a variation of the TI method, referred to as referenced TI, which computes a single model's normalising constant in an efficient way by using a judiciously chosen reference density. The advantages of the approach and theoretical considerations are set out, along with explicit pedagogical 1 and 2D examples. Benchmarking is presented with comparable methods and we find favourable convergence performance. The approach is shown to be useful in practice when applied to a real problem - to perform model selection for a semi-mechanistic hierarchical Bayesian model of COVID-19 transmission in South Korea involving the integration of a 200D density.

stat.AP↗

Semi-Mechanistic Bayesian Modeling of COVID-19 with Renewal Processes

We propose a general Bayesian approach to modeling epidemics such as COVID-19. The approach grew out of specific analyses conducted during the pandemic, in particular an analysis concerning the effects of non-pharmaceutical interventions (NPIs) in reducing COVID-19 transmission in 11 European countries. The model parameterizes the time varying reproduction number $R_t$ through a regression framework in which covariates can e.g be governmental interventions or changes in mobility patterns. This allows a joint fit across regions and partial pooling to share strength. This innovation was critical to our timely estimates of the impact of lockdown and other NPIs in the European epidemics, whose validity was borne out by the subsequent course of the epidemic. Our framework provides a fully generative model for latent infections and observations deriving from them, including deaths, cases, hospitalizations, ICU admissions and seroprevalence surveys. One issue surrounding our model's use during the COVID-19 pandemic is the confounded nature of NPIs and mobility. We use our framework to explore this issue. We have open sourced an R package epidemia implementing our approach in Stan. Versions of the model are used by New York State, Tennessee and Scotland to estimate the current situation and make policy decisions.

stat.AP↗

Inference of COVID-19 epidemiological distributions from Brazilian hospital data

Knowing COVID-19 epidemiological distributions, such as the time from patient admission to death, is directly relevant to effective primary and secondary care planning, and moreover, the mathematical modelling of the pandemic generally. We determine epidemiological distributions for patients hospitalised with COVID-19 using a large dataset ($N=21{,}000-157{,}000$) from the Brazilian Sistema de Informação de Vigilância Epidemiológica da Gripe database. A joint Bayesian subnational model with partial pooling is used to simultaneously describe the 26 states and one federal district of Brazil, and shows significant variation in the mean of the symptom-onset-to-death time, with ranges between 11.2-17.8 days across the different states, and a mean of 15.2 days for Brazil. We find strong evidence in favour of specific probability density function choices: for example, the gamma distribution gives the best fit for onset-to-death and the generalised log-normal for onset-to-hospital-admission. Our results show that epidemiological distributions have considerable geographical variation, and provide the first estimates of these distributions in a low and middle-income setting. At the subnational level, variation in COVID-19 outcome timings are found to be correlated with poverty, deprivation and segregation levels, and weaker correlation is observed for mean age, wealth and urbanicity.

q-bio.PE↗

A unified machine learning approach to time series forecasting applied to demand at emergency departments

There were 25.6 million attendances at Emergency Departments (EDs) in England in 2019 corresponding to an increase of 12 million attendances over the past ten years. The steadily rising demand at EDs creates a constant challenge to provide adequate quality of care while maintaining standards and productivity. Managing hospital demand effectively requires an adequate knowledge of the future rate of admission. Using 8 years of electronic admissions data from two major acute care hospitals in London, we develop a novel ensemble methodology that combines the outcomes of the best performing time series and machine learning approaches in order to make highly accurate forecasts of demand, 1, 3 and 7 days in the future. Both hospitals face an average daily demand of 208 and 106 attendances respectively and experience considerable volatility around this mean. However, our approach is able to predict attendances at these emergency departments one day in advance up to a mean absolute error of +/- 14 and +/- 10 patients corresponding to a mean absolute percentage error of 6.8% and 8.6% respectively. Our analysis compares machine learning algorithms to more traditional linear models. We find that linear models often outperform machine learning methods and that the quality of our predictions for any of the forecasting horizons of 1, 3 or 7 days are comparable as measured in MAE. In addition to comparing and combining state-of-the-art forecasting methods to predict hospital demand, we consider two different hyperparameter tuning methods, enabling a faster deployment of our models without compromising performance. We believe our framework can readily be used to forecast a wide range of policy relevant indicators.

stat.AP↗

On the derivation of the renewal equation from an age-dependent branching process: an epidemic modelling perspective

Renewal processes are a popular approach used in modelling infectious disease outbreaks. In a renewal process, previous infections give rise to future infections. However, while this formulation seems sensible, its application to infectious disease can be difficult to justify from first principles. It has been shown from the seminal work of Bellman and Harris that the renewal equation arises as the expectation of an age-dependent branching process. In this paper we provide a detailed derivation of the original Bellman Harris process. We introduce generalisations, that allow for time-varying reproduction numbers and the accounting of exogenous events, such as importations. We show how inference on the renewal equation is easy to accomplish within a Bayesian hierarchical framework. Using off the shelf MCMC packages, we fit to South Korea COVID-19 case data to estimate reproduction numbers and importations. Our derivation provides the mathematical fundamentals and assumptions underpinning the use of the renewal equation for modelling outbreaks.

q-bio.PE↗

A joint bayesian space-time model to integrate spatially misaligned air pollution data in R-INLA

In air pollution studies, dispersion models provide estimates of concentration at grid level covering the entire spatial domain, and are then calibrated against measurements from monitoring stations. However, these different data sources are misaligned in space and time. If misalignment is not considered, it can bias the predictions. We aim at demonstrating how the combination of multiple data sources, such as dispersion model outputs, ground observations and covariates, leads to more accurate predictions of air pollution at grid level. We consider nitrogen dioxide (NO2) concentration in Greater London and surroundings for the years 2007-2011, and combine two different dispersion models. Different sets of spatial and temporal effects are included in order to obtain the best predictive capability. Our proposed model is framed in between calibration and Bayesian melding techniques for data fusion red. Unlike other examples, we jointly model the response (concentration level at monitoring stations) and the dispersion model outputs on different scales, accounting for the different sources of uncertainty. Our spatio-temporal model allows us to reconstruct the latent fields of each model component, and to predict daily pollution concentrations. We compare the predictive capability of our proposed model with other established methods to account for misalignment (e.g. bilinear interpolation), showing that in our case study the joint model is a better alternative.

stat.AP↗

Estimating the number of infections and the impact of non-pharmaceutical interventions on COVID-19 in European countries: technical description update

Following the emergence of a novel coronavirus (SARS-CoV-2) and its spread outside of China, Europe has experienced large epidemics. In response, many European countries have implemented unprecedented non-pharmaceutical interventions including case isolation, the closure of schools and universities, banning of mass gatherings and/or public events, and most recently, wide-scale social distancing including local and national lockdowns. In this technical update, we extend a semi-mechanistic Bayesian hierarchical model that infers the impact of these interventions and estimates the number of infections over time. Our methods assume that changes in the reproductive number - a measure of transmission - are an immediate response to these interventions being implemented rather than broader gradual changes in behaviour. Our model estimates these changes by calculating backwards from temporal data on observed to estimate the number of infections and rate of transmission that occurred several weeks prior, allowing for a probabilistic time lag between infection and death. In this update we extend our original model [Flaxman, Mishra, Gandy et al 2020, Report #13, Imperial College London] to include (a) population saturation effects, (b) prior uncertainty on the infection fatality ratio, (c) a more balanced prior on intervention effects and (d) partial pooling of the lockdown intervention covariate. We also (e) included another 3 countries (Greece, the Netherlands and Portugal). The model code is available at https://github.com/ImperialCollegeLondon/covid19model/ We are now reporting the results of our updated model online at https://mrc-ide.github.io/covid19estimates/ We estimated parameters jointly for all M=14 countries in a single hierarchical model. Inference is performed in the probabilistic programming language Stan using an adaptive Hamiltonian Monte Carlo (HMC) sampler.

stat.AP↗

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↗

Spatial Analysis Made Easy with Linear Regression and Kernels

Kernel methods are an incredibly popular technique for extending linear models to non-linear problems via a mapping to an implicit, high-dimensional feature space. While kernel methods are computationally cheaper than an explicit feature mapping, they are still subject to cubic cost on the number of points. Given only a few thousand locations, this computational cost rapidly outstrips the currently available computational power. This paper aims to provide an overview of kernel methods from first-principals (with a focus on ridge regression), before progressing to a review of random Fourier features (RFF), a set of methods that enable the scaling of kernel methods to big datasets. At each stage, the associated R code is provided. We begin by illustrating how the dual representation of ridge regression relies solely on inner products and permits the use of kernels to map the data into high-dimensional spaces. We progress to RFFs, showing how only a few lines of code provides a significant computational speed-up for a negligible cost to accuracy. We provide an example of the implementation of RFFs on a simulated spatial data set to illustrate these properties. Lastly, we summarise the main issues with RFFs and highlight some of the advanced techniques aimed at alleviating them.

stat.ML↗