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Tim Chambers

Publications and source records attributed to Tim Chambers.

2 recordsLinked to original sources

A method for including socio-demographic factors in social contact matrices for compartment-based epidemic models

Socio-demographic factors influence social contact patterns and play a fundamental role in shaping the transmission dynamics of infectious diseases. However, compartment-based models of infectious disease dynamics commonly consider the dependence of contact patterns on age, but ignore other factors that are likely to have compounding effects. Methods that stratify the population by multiple socio-demographic factors are few and require social contact surveys that contain information about all factors of interest. Here we present a method that can stratify an existing social contact matrix with an additional socio-demographic factor using information about the population structure of the socio-demographic factors and assumptions about the aggregate mixing rates within and between groups. We then analyse hypothetical populations and a projection of a social contact survey onto Aotearoa New Zealand's age-ethnic structure to show how these extended social contact matrices can change epidemic dynamics and outcomes. The inclusion of the additional factor has a big impact on the model reproduction number and final epidemic size. We find that minority group epidemic outcomes are most sensitive to variation in model parameter values.

physics.soc-ph

Modelling the interaction between ethnicity and infectious disease transmission dynamics in Aotearoa New Zealand during the first Omicron wave of the COVID-19 pandemic

During the COVID-19 pandemic, Aotearoa followed an elimination strategy followed by a mitigation strategy, which saw high success and kept health impact low. However, there were inequities in health outcomes, notably that M\=aori and Pacific Peoples had lower vaccine coverage and experienced higher age-standardised rates of hospitalisation and death. Models provide predictions of disease spread and burden, which can effectively inform policy, but are often less good at including inequities/heterogeneity. Despite the differences in health outcomes, most models have not explicitly considered ethnic heterogeneities as factors. We developed such a model to investigate the first Omicron wave of the COVID-19 pandemic in Aotearoa, which was the first widespread community transmission of SARS-CoV-2. We analysed three models for contact patterns within and between ethnicities: proportionate, assortative, and unconstrained mixing, which were fit using ethnicity-specific data on reported cases and spatially disaggregated population counts. We found that M\=aori, Pacific, and Asian transmission rates were between 1.08-2.46, 1.50-3.89, and 0.80-0.92 times the European rates, respectively. We then found that from the parameters considered in the model, the disparity in ethnic transmission rates explained the majority of the observed ethnic disparity in attack rates, while assortativity and vaccination rates explained comparatively less.

q-bio.PE