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Tomas Leon

Publications and source records attributed to Tomas Leon.

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Collaborative estimation and evaluation of SARS-CoV-2 variant nowcasting in the United States

The ability to estimate and predict pathogen variant dynamics can inform public health responses, including planning for increased transmission or severity, shifts in population immunity, or changes to vaccine or therapeutic effectiveness. The COVID-19 pandemic demonstrated the importance of monitoring SARS-CoV-2 variant evolution through viral genome sequencing, enabling predictive models to estimate variant frequencies in the recent past, present, and short-term future. Collaborative forecasting Hubs provided a valuable way to centralize predictive modeling of epidemiological indicators such as cases, hospitalizations, and deaths during the pandemic; however, none existed for variant dynamics. Here, we discuss the creation of the United States SARS-CoV-2 Variant Nowcast Hub, designed to solicit estimates of the relative abundance of a specified set of SARS-CoV-2 variants at the U.S. state level. We discuss the design decisions and challenges in building the Hub and its scoring procedures. Using submissions from the Hub's first respiratory virus season (nowcast dates October 9th, 2024 to June 4th, 2025), we evaluate five individual models and a baseline model. We found that the baseline model, which pools sequences across the U.S., performs well overall, with most individual models performing similarly or slightly worse. Locations with lower sequencing volumes exhibited greater variability in model performance. Models submitted for a single location outperformed those submitted for all locations, potentially due to greater timeliness and magnitude of local data. Much remains to be investigated regarding relative model performance across different phases of variant emergence, and we conclude by proposing future directions within and beyond this Hub.

stat.AP

Variable selection via Group LASSO Approach : Application to the Cox Regression and frailty model

In the analysis of survival outcome supplemented with both clinical information and high-dimensional gene expression data, use of the traditional Cox proportional hazards model (1972) fails to meet some emerging needs in biomedical research. First, the number of covariates is generally much larger the sample size. Secondly, predicting an outcome based on individual gene expression is inadequate because multiple biological processes and functional pathways regulate the expression associated with a gene. Another challenge is that the Cox model assumes that populations are homogenous, implying that all individuals have the same risk of death, which is rarely true due to unmeasured risk factors among populations. In this paper we propose group LASSO with gamma-distributed frailty for variable selection in Cox regression by extending previous scholarship to account for heterogeneity among group structures related to exposure and susceptibility. The consistency property of the proposed method is established. This method is appropriate for addressing a wide variety of research questions from genetics to air pollution. Simulated analysis shows promising performance by group LASSO compared with other methods, including group SCAD and group MCP. Future directions include expanding the use of frailty with adaptive group LASSO and sparse group LASS.

stat.CO