A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence

Against a backdrop of widespread global transmission, a number of countries have successfully brought large outbreaks of COVID-19 under control and maintained near-elimination status. A key element of epidemic response is the tracking of disease transmissibility in near real-time. During major outbr...

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Main Authors: Golding, Nick, Price, D.J., Ryan, G.E., McVernon, J., McCaw, J.M., Shearer, F.M.
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:http://purl.org/au-research/grants/arc/DE180100635
http://hdl.handle.net/20.500.11937/94708
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author Golding, Nick
Price, D.J.
Ryan, G.E.
McVernon, J.
McCaw, J.M.
Shearer, F.M.
author_facet Golding, Nick
Price, D.J.
Ryan, G.E.
McVernon, J.
McCaw, J.M.
Shearer, F.M.
author_sort Golding, Nick
building Curtin Institutional Repository
collection Online Access
description Against a backdrop of widespread global transmission, a number of countries have successfully brought large outbreaks of COVID-19 under control and maintained near-elimination status. A key element of epidemic response is the tracking of disease transmissibility in near real-time. During major outbreaks, the effective reproduction number can be estimated from a time-series of case, hospitalisation or death counts. In low or zero incidence settings, knowing the potential for the virus to spread is a response priority. Absence of case data means that this potential cannot be estimated directly. We present a semi-mechanistic modelling framework that draws on time-series of both behavioural data and case data (when disease activity is present) to estimate the transmissibility of SARS-CoV-2 from periods of high to low – or zero – case incidence, with a coherent transition in interpretation across the changing epidemiological situations. Of note, during periods of epidemic activity, our analysis recovers the effective reproduction number, while during periods of low – or zero – case incidence, it provides an estimate of transmission risk. This enables tracking and planning of progress towards the control of large outbreaks, maintenance of virus suppression, and monitoring the risk posed by re-introduction of the virus. We demonstrate the value of our methods by reporting on their use throughout 2020 in Australia, where they have become a central component of the national COVID-19 response.
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spelling curtin-20.500.11937-947082024-04-10T09:31:46Z A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence Golding, Nick Price, D.J. Ryan, G.E. McVernon, J. McCaw, J.M. Shearer, F.M. SARS-CoV-2 epidemiology global health modelling transmissibility viruses Humans SARS-CoV-2 COVID-19 Incidence Epidemics Disease Outbreaks Humans Incidence Disease Outbreaks Epidemics COVID-19 SARS-CoV-2 Against a backdrop of widespread global transmission, a number of countries have successfully brought large outbreaks of COVID-19 under control and maintained near-elimination status. A key element of epidemic response is the tracking of disease transmissibility in near real-time. During major outbreaks, the effective reproduction number can be estimated from a time-series of case, hospitalisation or death counts. In low or zero incidence settings, knowing the potential for the virus to spread is a response priority. Absence of case data means that this potential cannot be estimated directly. We present a semi-mechanistic modelling framework that draws on time-series of both behavioural data and case data (when disease activity is present) to estimate the transmissibility of SARS-CoV-2 from periods of high to low – or zero – case incidence, with a coherent transition in interpretation across the changing epidemiological situations. Of note, during periods of epidemic activity, our analysis recovers the effective reproduction number, while during periods of low – or zero – case incidence, it provides an estimate of transmission risk. This enables tracking and planning of progress towards the control of large outbreaks, maintenance of virus suppression, and monitoring the risk posed by re-introduction of the virus. We demonstrate the value of our methods by reporting on their use throughout 2020 in Australia, where they have become a central component of the national COVID-19 response. 2023 Journal Article http://hdl.handle.net/20.500.11937/94708 10.7554/eLife.78089 eng http://purl.org/au-research/grants/arc/DE180100635 http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle SARS-CoV-2
epidemiology
global health
modelling
transmissibility
viruses
Humans
SARS-CoV-2
COVID-19
Incidence
Epidemics
Disease Outbreaks
Humans
Incidence
Disease Outbreaks
Epidemics
COVID-19
SARS-CoV-2
Golding, Nick
Price, D.J.
Ryan, G.E.
McVernon, J.
McCaw, J.M.
Shearer, F.M.
A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title_full A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title_fullStr A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title_full_unstemmed A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title_short A modelling approach to estimate the transmissibility of SARS-CoV 2 during periods of high, low, and zero case incidence
title_sort modelling approach to estimate the transmissibility of sars-cov 2 during periods of high, low, and zero case incidence
topic SARS-CoV-2
epidemiology
global health
modelling
transmissibility
viruses
Humans
SARS-CoV-2
COVID-19
Incidence
Epidemics
Disease Outbreaks
Humans
Incidence
Disease Outbreaks
Epidemics
COVID-19
SARS-CoV-2
url http://purl.org/au-research/grants/arc/DE180100635
http://hdl.handle.net/20.500.11937/94708