16 results on '"Rodiah, I."'
Search Results
2. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations
- Author
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Sherratt, K., Gruson, H., Grah, R., Johnson, H., Niehus, R., Prasse, B., Sandmann, F., Deuschel, J., Wolffram, D., Abbott, S., Ullrich, A., Gibson, G., Ray, E. L., Reich, N. G., Sheldon, D., Wang, Y., Wattanachit, N., Wang, L., Trnka, J., Obozinski, G., Sun, T., Thanou, D., Pottier, L., Krymova, E., Meinke, J. H., Barbarossa, M. V., Leithäuser, N., Mohring, J., Schneider, J., Wlazlo, J., Fuhrmann, J., Lange, B., Rodiah, I., Baccam, P., Gurung, H., Stage, S., Suchoski, B., Budzinski, J., Walraven, R., Villanueva, I., Tucek, V., Smíd, M., Zajícek, M., Pérez Alvarez, C., Reina, B., Bosse, N. I., Meakin, S., Castro, L., Fairchild, G., Michaud, I., Osthus, D., Alaimo Di Loro, P., Maruotti, A., Eclerová, V., Kraus, A., Kraus, D., Pribylova, L., Dimitris, B., Li, M. L., Saksham, S., Dehning, J., Mohr, S., Priesemann, V., Redlarski, G., Bejar, B., Ardenghi, G., Parolini, N., Ziarelli, G., Bock, Wolfgang, Heyder, S., Hotz, T., E. Singh, D., Guzman-Merino, M., Aznarte, J. L., Moriña, D., Alonso, S., Alvarez, E., López, D., Prats, C., Burgard, J. P., Rodloff, A., Zimmermann, T., Kuhlmann, A., Zibert, J., Pennoni, F., Divino, F., Català, M., Lovison, G., Giudici, P., Tarantino, B., Bartolucci, F., Jona Lasinio, G., Mingione, M., Farcomeni, A., Srivastava, A., Montero-Manso, P., Adiga, A., Hurt, B., Lewis, B., Marathe, M., Porebski, P., Venkatramanan, S., Bartczuk, R., Dreger, F., Gambin, A., Gogolewski, K., Gruziel-S?omka, M., Krupa, B., Moszynski, A., Niedzielewski, K., Nowosielski, J., Radwan, M., Rakowski, F., Semeniuk, M., Szczurek, E., Zieli?ski, J., Kisielewski, J., Pabjan, B., Kheifetz, Y., Kirsten, H., Scholz, M., Biecek, P., Bodych, M., Filinski, M., Idzikowski, R., Krueger, T., Ozanski, T., Bracher, J., Funk, S., Sherratt, K., Gruson, H., Grah, R., Johnson, H., Niehus, R., Prasse, B., Sandmann, F., Deuschel, J., Wolffram, D., Abbott, S., Ullrich, A., Gibson, G., Ray, E. L., Reich, N. G., Sheldon, D., Wang, Y., Wattanachit, N., Wang, L., Trnka, J., Obozinski, G., Sun, T., Thanou, D., Pottier, L., Krymova, E., Meinke, J. H., Barbarossa, M. V., Leithäuser, N., Mohring, J., Schneider, J., Wlazlo, J., Fuhrmann, J., Lange, B., Rodiah, I., Baccam, P., Gurung, H., Stage, S., Suchoski, B., Budzinski, J., Walraven, R., Villanueva, I., Tucek, V., Smíd, M., Zajícek, M., Pérez Alvarez, C., Reina, B., Bosse, N. I., Meakin, S., Castro, L., Fairchild, G., Michaud, I., Osthus, D., Alaimo Di Loro, P., Maruotti, A., Eclerová, V., Kraus, A., Kraus, D., Pribylova, L., Dimitris, B., Li, M. L., Saksham, S., Dehning, J., Mohr, S., Priesemann, V., Redlarski, G., Bejar, B., Ardenghi, G., Parolini, N., Ziarelli, G., Bock, Wolfgang, Heyder, S., Hotz, T., E. Singh, D., Guzman-Merino, M., Aznarte, J. L., Moriña, D., Alonso, S., Alvarez, E., López, D., Prats, C., Burgard, J. P., Rodloff, A., Zimmermann, T., Kuhlmann, A., Zibert, J., Pennoni, F., Divino, F., Català, M., Lovison, G., Giudici, P., Tarantino, B., Bartolucci, F., Jona Lasinio, G., Mingione, M., Farcomeni, A., Srivastava, A., Montero-Manso, P., Adiga, A., Hurt, B., Lewis, B., Marathe, M., Porebski, P., Venkatramanan, S., Bartczuk, R., Dreger, F., Gambin, A., Gogolewski, K., Gruziel-S?omka, M., Krupa, B., Moszynski, A., Niedzielewski, K., Nowosielski, J., Radwan, M., Rakowski, F., Semeniuk, M., Szczurek, E., Zieli?ski, J., Kisielewski, J., Pabjan, B., Kheifetz, Y., Kirsten, H., Scholz, M., Biecek, P., Bodych, M., Filinski, M., Idzikowski, R., Krueger, T., Ozanski, T., Bracher, J., and Funk, S.
- Abstract
Methods: We used open-source tools to develop a public European COVID-19 Forecast Hub. We invited groups globally to contribute weekly forecasts for COVID-19 cases and deaths reported by a standardised source for 32 countries over the next 1–4 weeks. Teams submitted forecasts from March 2021 using standardised quantiles of the predictive distribution. Each week we created an ensemble forecast, where each predictive quantile was calculated as the equally-weighted average (initially the mean and then from 26th July the median) of all individual models’ predictive quantiles. We measured the performance of each model using the relative Weighted Interval Score (WIS), comparing models’ forecast accuracy relative to all other models. We retrospectively explored alternative methods for ensemble forecasts, including weighted averages based on models’ past predictive performance. Results: Over 52 weeks, we collected forecasts from 48 unique models. We evaluated 29 models’ forecast scores in comparison to the ensemble model. We found a weekly ensemble had a consistently strong performance across countries over time. Across all horizons and locations, the ensemble performed better on relative WIS than 83% of participating models’ forecasts of incident cases (with a total N=886 predictions from 23 unique models), and 91% of participating models’ forecasts of deaths (N=763 predictions from 20 models). Across a 1–4 week time horizon, ensemble performance declined with longer forecast periods when forecasting cases, but remained stable over 4 weeks for incident death forecasts. In every forecast across 32 countries, the ensemble outperformed most contributing models when forecasting either cases or deaths, frequently outperforming all of its individual component models. Among several choices of ensemble methods we found that the most influential and best choice was to use a median average of models instead of using the mean, regardless of methods of weighting component forecast mod
- Published
- 2023
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3. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations
- Author
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Sherratt, K, Gruson, H, Grah, R, Johnson, H, Niehus, R, Prasse, B, Sandmann, F, Deuschel, J, Wolffram, D, Abbott, S, Ullrich, A, Gibson, G, L Ray, E, G Reich, N, Sheldon, D, Wang, Y, Wattanachit, N, Wang, L, Trnka, J, Obozinski, G, Sun, T, Thanou, D, Pottier, L, Krymova, E, H Meinke, J, Vittoria Barbarossa, M, Leithäuser, N, Mohring, J, Schneider, J, Włazło, J, Fuhrmann, J, Lange, B, Rodiah, I, Baccam, P, Gurung, H, Stage, S, Suchoski, B, Budzinski, J, Walraven, R, Villanueva, I, Tucek, V, Smid, M, Zajíček, M, Pérez Álvarez, C, Reina, B, I Bosse, N, R Meakin, S, Castro, L, Fairchild, G, Michaud, I, Osthus, D, Alaimo Di Loro, P, Maruotti, A, Eclerová, V, Kraus, A, Kraus, D, Pribylova, L, Dimitris, B, Lingzhi Li, M, Saksham, S, Dehning, J, Mohr, S, Priesemann, V, Redlarski, G, Bejar, B, Ardenghi, G, Parolini, N, Ziarelli, G, Bock, W, Heyder, S, Hotz, T, E Singh, D, Guzman-Merino, M, L Aznarte, J, Moriña, D, Alonso, S, Álvarez, E, López, D, Prats, C, Pablo Burgard, J, Rodloff, A, Zimmermann, T, Kuhlmann, A, Zibert, J, Pennoni, F, Divino, F, Català, M, Lovison, G, Giudici, P, Tarantino, B, Bartolucci, F, Jona Lasinio, G, Mingione, M, Farcomeni, A, Srivastava, A, Montero-Manso, P, Adiga, A, Hurt, B, Lewis, B, Marathe, M, Porebski, P, Venkatramanan, S, P Bartczuk, R, Dreger, F, Gambin, A, Gogolewski, K, Gruziel-Słomka, M, Krupa, B, Moszyński, A, Niedzielewski, K, Nowosielski, J, Radwan, M, Rakowski, F, Semeniuk, M, Szczurek, E, Zieliński, J, Kisielewski, J, Pabjan, B, Kirsten, H, Kheifetz, Y, Scholz, M, Biecek, P, Bodych, M, Filinski, M, Idzikowski, R, Krueger, T, Ozanski, T, Bracher, J, Funk, S, Katharine Sherratt, Hugo Gruson, Rok Grah, Helen Johnson, Rene Niehus, Bastian Prasse, Frank Sandmann, Jannik Deuschel, Daniel Wolffram, Sam Abbott, Alexander Ullrich, Graham Gibson, Evan L Ray, Nicholas G Reich, Daniel Sheldon, Yijin Wang, Nutcha Wattanachit, Lijing Wang, Jan Trnka, Guillaume Obozinski, Tao Sun, Dorina Thanou, Loic Pottier, Ekaterina Krymova, Jan H Meinke, Maria Vittoria Barbarossa, Neele Leithäuser, Jan Mohring, Johanna Schneider, Jaroslaw Włazło, Jan Fuhrmann, Berit Lange, Isti Rodiah, Prasith Baccam, Heidi Gurung, Steven Stage, Bradley Suchoski, Jozef Budzinski, Robert Walraven, Inmaculada Villanueva, Vit Tucek, Martin Smid, Milan Zajíček, Cesar Pérez Álvarez, Borja Reina, Nikos I Bosse, Sophie R Meakin, Lauren Castro, Geoffrey Fairchild, Isaac Michaud, Dave Osthus, Pierfrancesco Alaimo Di Loro, Antonello Maruotti, Veronika Eclerová, Andrea Kraus, David Kraus, Lenka Pribylova, Bertsimas Dimitris, Michael Lingzhi Li, Soni Saksham, Jonas Dehning, Sebastian Mohr, Viola Priesemann, Grzegorz Redlarski, Benjamin Bejar, Giovanni Ardenghi, Nicola Parolini, Giovanni Ziarelli, Wolfgang Bock, Stefan Heyder, Thomas Hotz, David E Singh, Miguel Guzman-Merino, Jose L Aznarte, David Moriña, Sergio Alonso, Enric Álvarez, Daniel López, Clara Prats, Jan Pablo Burgard, Arne Rodloff, Tom Zimmermann, Alexander Kuhlmann, Janez Zibert, Fulvia Pennoni, Fabio Divino, Marti Català, Gianfranco Lovison, Paolo Giudici, Barbara Tarantino, Francesco Bartolucci, Giovanna Jona Lasinio, Marco Mingione, Alessio Farcomeni, Ajitesh Srivastava, Pablo Montero-Manso, Aniruddha Adiga, Benjamin Hurt, Bryan Lewis, Madhav Marathe, Przemyslaw Porebski, Srinivasan Venkatramanan, Rafal P Bartczuk, Filip Dreger, Anna Gambin, Krzysztof Gogolewski, Magdalena Gruziel-Słomka, Bartosz Krupa, Antoni Moszyński, Karol Niedzielewski, Jedrzej Nowosielski, Maciej Radwan, Franciszek Rakowski, Marcin Semeniuk, Ewa Szczurek, Jakub Zieliński, Jan Kisielewski, Barbara Pabjan, Holger Kirsten, Yuri Kheifetz, Markus Scholz, Przemyslaw Biecek, Marcin Bodych, Maciej Filinski, Radoslaw Idzikowski, Tyll Krueger, Tomasz Ozanski, Johannes Bracher, Sebastian Funk, Sherratt, K, Gruson, H, Grah, R, Johnson, H, Niehus, R, Prasse, B, Sandmann, F, Deuschel, J, Wolffram, D, Abbott, S, Ullrich, A, Gibson, G, L Ray, E, G Reich, N, Sheldon, D, Wang, Y, Wattanachit, N, Wang, L, Trnka, J, Obozinski, G, Sun, T, Thanou, D, Pottier, L, Krymova, E, H Meinke, J, Vittoria Barbarossa, M, Leithäuser, N, Mohring, J, Schneider, J, Włazło, J, Fuhrmann, J, Lange, B, Rodiah, I, Baccam, P, Gurung, H, Stage, S, Suchoski, B, Budzinski, J, Walraven, R, Villanueva, I, Tucek, V, Smid, M, Zajíček, M, Pérez Álvarez, C, Reina, B, I Bosse, N, R Meakin, S, Castro, L, Fairchild, G, Michaud, I, Osthus, D, Alaimo Di Loro, P, Maruotti, A, Eclerová, V, Kraus, A, Kraus, D, Pribylova, L, Dimitris, B, Lingzhi Li, M, Saksham, S, Dehning, J, Mohr, S, Priesemann, V, Redlarski, G, Bejar, B, Ardenghi, G, Parolini, N, Ziarelli, G, Bock, W, Heyder, S, Hotz, T, E Singh, D, Guzman-Merino, M, L Aznarte, J, Moriña, D, Alonso, S, Álvarez, E, López, D, Prats, C, Pablo Burgard, J, Rodloff, A, Zimmermann, T, Kuhlmann, A, Zibert, J, Pennoni, F, Divino, F, Català, M, Lovison, G, Giudici, P, Tarantino, B, Bartolucci, F, Jona Lasinio, G, Mingione, M, Farcomeni, A, Srivastava, A, Montero-Manso, P, Adiga, A, Hurt, B, Lewis, B, Marathe, M, Porebski, P, Venkatramanan, S, P Bartczuk, R, Dreger, F, Gambin, A, Gogolewski, K, Gruziel-Słomka, M, Krupa, B, Moszyński, A, Niedzielewski, K, Nowosielski, J, Radwan, M, Rakowski, F, Semeniuk, M, Szczurek, E, Zieliński, J, Kisielewski, J, Pabjan, B, Kirsten, H, Kheifetz, Y, Scholz, M, Biecek, P, Bodych, M, Filinski, M, Idzikowski, R, Krueger, T, Ozanski, T, Bracher, J, Funk, S, Katharine Sherratt, Hugo Gruson, Rok Grah, Helen Johnson, Rene Niehus, Bastian Prasse, Frank Sandmann, Jannik Deuschel, Daniel Wolffram, Sam Abbott, Alexander Ullrich, Graham Gibson, Evan L Ray, Nicholas G Reich, Daniel Sheldon, Yijin Wang, Nutcha Wattanachit, Lijing Wang, Jan Trnka, Guillaume Obozinski, Tao Sun, Dorina Thanou, Loic Pottier, Ekaterina Krymova, Jan H Meinke, Maria Vittoria Barbarossa, Neele Leithäuser, Jan Mohring, Johanna Schneider, Jaroslaw Włazło, Jan Fuhrmann, Berit Lange, Isti Rodiah, Prasith Baccam, Heidi Gurung, Steven Stage, Bradley Suchoski, Jozef Budzinski, Robert Walraven, Inmaculada Villanueva, Vit Tucek, Martin Smid, Milan Zajíček, Cesar Pérez Álvarez, Borja Reina, Nikos I Bosse, Sophie R Meakin, Lauren Castro, Geoffrey Fairchild, Isaac Michaud, Dave Osthus, Pierfrancesco Alaimo Di Loro, Antonello Maruotti, Veronika Eclerová, Andrea Kraus, David Kraus, Lenka Pribylova, Bertsimas Dimitris, Michael Lingzhi Li, Soni Saksham, Jonas Dehning, Sebastian Mohr, Viola Priesemann, Grzegorz Redlarski, Benjamin Bejar, Giovanni Ardenghi, Nicola Parolini, Giovanni Ziarelli, Wolfgang Bock, Stefan Heyder, Thomas Hotz, David E Singh, Miguel Guzman-Merino, Jose L Aznarte, David Moriña, Sergio Alonso, Enric Álvarez, Daniel López, Clara Prats, Jan Pablo Burgard, Arne Rodloff, Tom Zimmermann, Alexander Kuhlmann, Janez Zibert, Fulvia Pennoni, Fabio Divino, Marti Català, Gianfranco Lovison, Paolo Giudici, Barbara Tarantino, Francesco Bartolucci, Giovanna Jona Lasinio, Marco Mingione, Alessio Farcomeni, Ajitesh Srivastava, Pablo Montero-Manso, Aniruddha Adiga, Benjamin Hurt, Bryan Lewis, Madhav Marathe, Przemyslaw Porebski, Srinivasan Venkatramanan, Rafal P Bartczuk, Filip Dreger, Anna Gambin, Krzysztof Gogolewski, Magdalena Gruziel-Słomka, Bartosz Krupa, Antoni Moszyński, Karol Niedzielewski, Jedrzej Nowosielski, Maciej Radwan, Franciszek Rakowski, Marcin Semeniuk, Ewa Szczurek, Jakub Zieliński, Jan Kisielewski, Barbara Pabjan, Holger Kirsten, Yuri Kheifetz, Markus Scholz, Przemyslaw Biecek, Marcin Bodych, Maciej Filinski, Radoslaw Idzikowski, Tyll Krueger, Tomasz Ozanski, Johannes Bracher, and Sebastian Funk
- Abstract
Background: Short-term forecasts of infectious disease contribute to situational awareness and capacity planning. Based on best practice in other fields and recent insights in infectious disease epidemiology, one can maximise forecasts’ predictive performance by combining independent models into an ensemble. Here we report the performance of ensemble predictions of COVID-19 cases and deaths across Europe from March 2021 to March 2022. Methods: We created the European COVID-19 Forecast Hub, an online open-access platform where modellers upload weekly forecasts for 32 countries with results publicly visualised and evaluated. We created a weekly ensemble forecast from the equally-weighted average across individual models’ predictive quantiles. We measured forecast accuracy using a baseline and relative Weighted Interval Score (rWIS). We retrospectively explored ensemble methods, including weighting by past performance. Results: We collected weekly forecasts from 48 models, of which we evaluated 29 models alongside the ensemble model. The ensemble had a consistently strong performance across countries over time, performing better on rWIS than 91% of forecasts for deaths (N=763 predictions from 20 models), and 83% forecasts for cases (N=886 predictions from 23 models). Performance remained stable over a 4-week horizon for death forecasts but declined with longer horizons for cases. Among ensemble methods, the most influential choice came from using a median average instead of the mean, regardless of weighting component models. Conclusions: Our results support combining independent models into an ensemble forecast to improve epidemiological predictions, and suggest that median averages yield better performance than methods based on means. We highlight that forecast consumers should place more weight on incident death forecasts than case forecasts at horizons greater than two weeks. Funding: European Commission, Ministerio de Ciencia, Innovación y Universidades, FEDER; Ag
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- 2023
4. Bridging the gap – estimation of 2022/2023 SARS-CoV-2 healthcare burden in Germany based on multidimensional data from a rapid epidemic panel
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Harries, M, primary, Jaeger, V.K, additional, Rodiah, I, additional, Hassenstein, M.J., additional, Ortmann, J, additional, Dreier, M, additional, von Holt, I, additional, Brinkmann, M, additional, Dulovic, A, additional, Gornyk, D, additional, Hovardovska, O, additional, Kuczewski, C, additional, Kurosinki, MA, additional, Schlotz, M, additional, Schneiderhan-Marra, N, additional, Strengert, M, additional, Krause, G, additional, Sester, M, additional, Klein, F, additional, Petersmann, A, additional, Karch, A, additional, and Lange, B, additional
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- 2022
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5. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations
- Author
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Sherratt, K., primary, Gruson, H., additional, Grah, R., additional, Johnson, H., additional, Niehus, R., additional, Prasse, B., additional, Sandman, F., additional, Deuschel, J., additional, Wolffram, D., additional, Abbott, S., additional, Ullrich, A., additional, Gibson, G., additional, Ray, EL., additional, Reich, NG., additional, Sheldon, D., additional, Wang, Y., additional, Wattanachit, N., additional, Wang, L., additional, Trnka, J., additional, Obozinski, G., additional, Sun, T., additional, Thanou, D., additional, Pottier, L., additional, Krymova, E., additional, Barbarossa, MV., additional, Leithäuser, N., additional, Mohring, J., additional, Schneider, J., additional, Wlazlo, J., additional, Fuhrmann, J., additional, Lange, B., additional, Rodiah, I., additional, Baccam, P., additional, Gurung, H., additional, Stage, S., additional, Suchoski, B., additional, Budzinski, J., additional, Walraven, R., additional, Villanueva, I., additional, Tucek, V., additional, Šmíd, M., additional, Zajícek, M., additional, Pérez Álvarez, C., additional, Reina, B., additional, Bosse, NI., additional, Meakin, S., additional, Di Loro, P. Alaimo, additional, Maruotti, A., additional, Eclerová, V., additional, Kraus, A., additional, Kraus, D., additional, Pribylova, L., additional, Dimitris, B., additional, Li, ML., additional, Saksham, S., additional, Dehning, J., additional, Mohr, S., additional, Priesemann, V., additional, Redlarski, G., additional, Bejar, B., additional, Ardenghi, G., additional, Parolini, N., additional, Ziarelli, G., additional, Bock, W., additional, Heyder, S., additional, Hotz, T., additional, E. Singh, D., additional, Guzman-Merino, M., additional, Aznarte, JL., additional, Moriña, D., additional, Alonso, S., additional, Álvarez, E., additional, López, D., additional, Prats, C., additional, Burgard, JP., additional, Rodloff, A., additional, Zimmermann, T., additional, Kuhlmann, A., additional, Zibert, J., additional, Pennoni, F., additional, Divino, F., additional, Català, M., additional, Lovison, G., additional, Giudici, P., additional, Tarantino, B., additional, Bartolucci, F., additional, Jona Lasinio, G., additional, Mingione, M., additional, Farcomeni, A., additional, Srivastava, A., additional, Montero-Manso, P., additional, Adiga, A., additional, Hurt, B., additional, Lewis, B., additional, Marathe, M., additional, Porebski, P., additional, Venkatramanan, S., additional, Bartczuk, R., additional, Dreger, F., additional, Gambin, A., additional, Gogolewski, K., additional, Gruziel-Slomka, M., additional, Krupa, B., additional, Moszynski, A., additional, Niedzielewski, K., additional, Nowosielski, J., additional, Radwan, M., additional, Rakowski, F., additional, Semeniuk, M., additional, Szczurek, E., additional, Zielinski, J., additional, Kisielewski, J., additional, Pabjan, B., additional, Holger, K., additional, Kheifetz, Y., additional, Scholz, M., additional, Bodych, M., additional, Filinski, M., additional, Idzikowski, R., additional, Krueger, T., additional, Ozanski, T., additional, Bracher, J., additional, and Funk, S., additional
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- 2022
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6. Age-specific Contribution of Contacts to Transmission of SARS-CoV-2 in Germany
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Rodiah, I., primary, Vanella, P., additional, Kuhlmann, A., additional, Jaeger, V. K., additional, Harries, M., additional, Krause, G., additional, Bock, W., additional, and Lange, B., additional
- Published
- 2021
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7. Numerical simulation of agent-based modeling of spatially inhomogeneous disease dynamics
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Bock, W., Fattler, T., Rodiah, I., Tse, O., Bornales, Jinky B., Villagonzalo, Cristine D., Esguerra, Jose Perico H., Soriano, Maricor N., Bernido, Christopher C., Carpio-Bernido, M. Victoria, Center for Analysis, Scientific Computing & Appl., and Applied Analysis
- Subjects
Computer simulation ,Computer science ,Dynamics (mechanics) ,Statistical physics - Published
- 2017
8. An analytic method for agent-based modeling of spatially inhomogeneous disease dynamics
- Author
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Bock, W., Fattler, T., Rodiah, I., Tse, O.T.C., Bock, W., Fattler, T., Rodiah, I., and Tse, O.T.C.
- Abstract
In this article we set up a microscopic model for the spread of an infectious disease based on configuration space analysis. Using the so-called Vlasov scaling we obtained the corresponding mesoscopic (kinetic) equations, describing the density of susceptible and infected individuals (particles) in space. The resulting system of equations can be seen as a generalization to a ‘spatial’ SIS-model. The equations showing up in the limiting system are of the type which is know in literature as Fisher–Kolmogorov–Petrovsky–Piscounov type.
- Published
- 2017
9. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations
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Katharine Sherratt, Hugo Gruson, Rok Grah, Helen Johnson, Rene Niehus, Bastian Prasse, Frank Sandmann, Jannik Deuschel, Daniel Wolffram, Sam Abbott, Alexander Ullrich, Graham Gibson, Evan L Ray, Nicholas G Reich, Daniel Sheldon, Yijin Wang, Nutcha Wattanachit, Lijing Wang, Jan Trnka, Guillaume Obozinski, Tao Sun, Dorina Thanou, Loic Pottier, Ekaterina Krymova, Jan H Meinke, Maria Vittoria Barbarossa, Neele Leithäuser, Jan Mohring, Johanna Schneider, Jaroslaw Włazło, Jan Fuhrmann, Berit Lange, Isti Rodiah, Prasith Baccam, Heidi Gurung, Steven Stage, Bradley Suchoski, Jozef Budzinski, Robert Walraven, Inmaculada Villanueva, Vit Tucek, Martin Smid, Milan Zajíček, Cesar Pérez Álvarez, Borja Reina, Nikos I Bosse, Sophie R Meakin, Lauren Castro, Geoffrey Fairchild, Isaac Michaud, Dave Osthus, Pierfrancesco Alaimo Di Loro, Antonello Maruotti, Veronika Eclerová, Andrea Kraus, David Kraus, Lenka Pribylova, Bertsimas Dimitris, Michael Lingzhi Li, Soni Saksham, Jonas Dehning, Sebastian Mohr, Viola Priesemann, Grzegorz Redlarski, Benjamin Bejar, Giovanni Ardenghi, Nicola Parolini, Giovanni Ziarelli, Wolfgang Bock, Stefan Heyder, Thomas Hotz, David E Singh, Miguel Guzman-Merino, Jose L Aznarte, David Moriña, Sergio Alonso, Enric Álvarez, Daniel López, Clara Prats, Jan Pablo Burgard, Arne Rodloff, Tom Zimmermann, Alexander Kuhlmann, Janez Zibert, Fulvia Pennoni, Fabio Divino, Marti Català, Gianfranco Lovison, Paolo Giudici, Barbara Tarantino, Francesco Bartolucci, Giovanna Jona Lasinio, Marco Mingione, Alessio Farcomeni, Ajitesh Srivastava, Pablo Montero-Manso, Aniruddha Adiga, Benjamin Hurt, Bryan Lewis, Madhav Marathe, Przemyslaw Porebski, Srinivasan Venkatramanan, Rafal P Bartczuk, Filip Dreger, Anna Gambin, Krzysztof Gogolewski, Magdalena Gruziel-Słomka, Bartosz Krupa, Antoni Moszyński, Karol Niedzielewski, Jedrzej Nowosielski, Maciej Radwan, Franciszek Rakowski, Marcin Semeniuk, Ewa Szczurek, Jakub Zieliński, Jan Kisielewski, Barbara Pabjan, Holger Kirsten, Yuri Kheifetz, Markus Scholz, Przemyslaw Biecek, Marcin Bodych, Maciej Filinski, Radoslaw Idzikowski, Tyll Krueger, Tomasz Ozanski, Johannes Bracher, Sebastian Funk, Sherratt, K, Gruson, H, Grah, R, Johnson, H, Niehus, R, Prasse, B, Sandmann, F, Deuschel, J, Wolffram, D, Abbott, S, Ullrich, A, Gibson, G, L Ray, E, G Reich, N, Sheldon, D, Wang, Y, Wattanachit, N, Wang, L, Trnka, J, Obozinski, G, Sun, T, Thanou, D, Pottier, L, Krymova, E, H Meinke, J, Vittoria Barbarossa, M, Leithäuser, N, Mohring, J, Schneider, J, Włazło, J, Fuhrmann, J, Lange, B, Rodiah, I, Baccam, P, Gurung, H, Stage, S, Suchoski, B, Budzinski, J, Walraven, R, Villanueva, I, Tucek, V, Smid, M, Zajíček, M, Pérez Álvarez, C, Reina, B, I Bosse, N, R Meakin, S, Castro, L, Fairchild, G, Michaud, I, Osthus, D, Alaimo Di Loro, P, Maruotti, A, Eclerová, V, Kraus, A, Kraus, D, Pribylova, L, Dimitris, B, Lingzhi Li, M, Saksham, S, Dehning, J, Mohr, S, Priesemann, V, Redlarski, G, Bejar, B, Ardenghi, G, Parolini, N, Ziarelli, G, Bock, W, Heyder, S, Hotz, T, E Singh, D, Guzman-Merino, M, L Aznarte, J, Moriña, D, Alonso, S, Álvarez, E, López, D, Prats, C, Pablo Burgard, J, Rodloff, A, Zimmermann, T, Kuhlmann, A, Zibert, J, Pennoni, F, Divino, F, Català, M, Lovison, G, Giudici, P, Tarantino, B, Bartolucci, F, Jona Lasinio, G, Mingione, M, Farcomeni, A, Srivastava, A, Montero-Manso, P, Adiga, A, Hurt, B, Lewis, B, Marathe, M, Porebski, P, Venkatramanan, S, P Bartczuk, R, Dreger, F, Gambin, A, Gogolewski, K, Gruziel-Słomka, M, Krupa, B, Moszyński, A, Niedzielewski, K, Nowosielski, J, Radwan, M, Rakowski, F, Semeniuk, M, Szczurek, E, Zieliński, J, Kisielewski, J, Pabjan, B, Kirsten, H, Kheifetz, Y, Scholz, M, Biecek, P, Bodych, M, Filinski, M, Idzikowski, R, Krueger, T, Ozanski, T, Bracher, J, and Funk, S
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epidemiology ,global health ,none ,General Immunology and Microbiology ,General Neuroscience ,mathematical modeling ,COVID-19 ,infectious diseases forecatsting ,General Medicine ,udc:616 ,General Biochemistry, Genetics and Molecular Biology ,COVID-19, Countries Predictions, Infectious disease, Multivariate Statistical Models, Short-term forecasts ,udc:616-036.22:519.876.5 ,SECS-S/01 - STATISTICA ,infectious diseases forecatsting, epidemiology, mathematical modeling, capacity planning, COVID-19, combining independent models, ensemble forecast ,ensemble forecast ,Settore SECS-S/01 ,napovedovanje nalezljivih bolezni, epidemiologija, matematično modeliranje, načrtovanje zmogljivosti, COVID-19, kombiniranje neodvisnih modelov, skupna napoved ,ddc:600 ,capacity planning ,combining independent models - Abstract
eLife 12, e81916 (2023). doi:10.7554/eLife.81916, Background:Short-term forecasts of infectious disease burden can contribute to situational awareness and aid capacity planning. Based on best practice in other fields and recent insights in infectious disease epidemiology, one can maximise the predictive performance of such forecasts if multiple models are combined into an ensemble. Here, we report on the performance of ensembles in predicting COVID-19 cases and deaths across Europe between 08 March 2021 and 07 March 2022.Methods:We used open-source tools to develop a public European COVID-19 Forecast Hub. We invited groups globally to contribute weekly forecasts for COVID-19 cases and deaths reported by a standardised source for 32 countries over the next 1–4 weeks. Teams submitted forecasts from March 2021 using standardised quantiles of the predictive distribution. Each week we created an ensemble forecast, where each predictive quantile was calculated as the equally-weighted average (initially the mean and then from 26th July the median) of all individual models’ predictive quantiles. We measured the performance of each model using the relative Weighted Interval Score (WIS), comparing models’ forecast accuracy relative to all other models. We retrospectively explored alternative methods for ensemble forecasts, including weighted averages based on models’ past predictive performance.Results:Over 52 weeks, we collected forecasts from 48 unique models. We evaluated 29 models’ forecast scores in comparison to the ensemble model. We found a weekly ensemble had a consistently strong performance across countries over time. Across all horizons and locations, the ensemble performed better on relative WIS than 83% of participating models’ forecasts of incident cases (with a total N=886 predictions from 23 unique models), and 91% of participating models’ forecasts of deaths (N=763 predictions from 20 models). Across a 1–4 week time horizon, ensemble performance declined with longer forecast periods when forecasting cases, but remained stable over 4 weeks for incident death forecasts. In every forecast across 32 countries, the ensemble outperformed most contributing models when forecasting either cases or deaths, frequently outperforming all of its individual component models. Among several choices of ensemble methods we found that the most influential and best choice was to use a median average of models instead of using the mean, regardless of methods of weighting component forecast models.Conclusions:Our results support the use of combining forecasts from individual models into an ensemble in order to improve predictive performance across epidemiological targets and populations during infectious disease epidemics. Our findings further suggest that median ensemble methods yield better predictive performance more than ones based on means. Our findings also highlight that forecast consumers should place more weight on incident death forecasts than incident case forecasts at forecast horizons greater than 2 weeks., Published by eLife Sciences Publications, Cambridge
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- 2023
10. Estimating the relative importance of epidemiological and behavioural parameters for epidemic mpox transmission: a modelling study.
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Chaturvedi M, Rodiah I, Kretzschmar M, Scholz S, Lange B, Karch A, and Jaeger VK
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- Humans, Male, Democratic Republic of the Congo epidemiology, Female, Disease Outbreaks, Epidemics, Sexual Behavior, Contact Tracing, Homosexuality, Male, Mpox (monkeypox) epidemiology, Mpox (monkeypox) transmission
- Abstract
Background: Many European countries experienced outbreaks of mpox in 2022, and there was an mpox outbreak in 2023 in the Democratic Republic of Congo. There were many apparent differences between these outbreaks and previous outbreaks of mpox; the recent outbreaks were observed in men who have sex with men after sexual encounters at common events, whereas earlier outbreaks were observed in a wider population with no identifiable link to sexual contacts. These apparent differences meant that data from previous outbreaks could not reliably be used to parametrise infectious disease models during the 2022 and 2023 mpox outbreaks, and modelling efforts were hampered by uncertainty around key transmission and immunity parameters., Methods: We developed a stochastic, discrete-time metapopulation model for mpox that allowed for sexual and non-sexual transmission and the implementation of non-pharmaceutical interventions, specifically contact tracing and pre- and post-exposure vaccinations. We calibrated the model to case data from Berlin and used Sobol sensitivity analysis to identify parameters that mpox transmission is especially sensitive to. We also briefly analysed the sensitivity of the effectiveness of non-pharmaceutical interventions to various efficacy parameters., Results: We found that variance in the transmission probabilities due to both sexual and non-sexual transmission had a large effect on mpox transmission in the model, as did the level of immunity to mpox conferred by a previous smallpox vaccination. Furthermore, variance in the number of pre-exposure vaccinations offered was the dominant contributor to variance in mpox dynamics in men who have sex with men. If pre-exposure vaccinations were not available, both the accuracy and timeliness of contact tracing had a large impact on mpox transmission in the model., Conclusions: Our results are valuable for guiding epidemiological studies for parameter ascertainment and identifying key factors for success of non-pharmaceutical interventions., (© 2024. The Author(s).)
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- 2024
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11. Bridging the gap - estimation of 2022/2023 SARS-CoV-2 healthcare burden in Germany based on multidimensional data from a rapid epidemic panel.
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Harries M, Jaeger VK, Rodiah I, Hassenstein MJ, Ortmann J, Dreier M, von Holt I, Brinkmann M, Dulovic A, Gornyk D, Hovardovska O, Kuczewski C, Kurosinski MA, Schlotz M, Schneiderhan-Marra N, Strengert M, Krause G, Sester M, Klein F, Petersmann A, Karch A, and Lange B
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- Humans, Cohort Studies, Pandemics, Germany epidemiology, Antibodies, Viral, Antibodies, Neutralizing, SARS-CoV-2, COVID-19 epidemiology
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Objectives: Throughout the SARS-CoV-2 pandemic, Germany like other countries lacked adaptive population-based panels to monitor the spread of epidemic diseases., Methods: To fill a gap in population-based estimates needed for winter 2022/23 we resampled in the German SARS-CoV-2 cohort study MuSPAD in mid-2022, including characterization of systemic cellular and humoral immune responses by interferon-γ-release assay (IGRA) and CLIA/IVN assay. We were able to confirm categorization of our study population into four groups with differing protection levels against severe COVID-19 courses based on literature synthesis. Using these estimates, we assessed potential healthcare burden for winter 2022/23 in different scenarios with varying assumptions on transmissibility, pathogenicity, new variants, and vaccine booster campaigns in ordinary differential equation models., Results: We included 9921 participants from eight German regions. While 85% of individuals were located in one of the two highest protection categories, hospitalization estimates from scenario modeling were highly dependent on viral variant characteristics ranging from 30-300% compared to the 02/2021 peak. Our results were openly communicated and published to an epidemic panel network and a newly established modeling network., Conclusions: We demonstrate feasibility of a rapid epidemic panel to provide complex immune protection levels for inclusion in dynamic disease burden modeling scenarios., Competing Interests: Declaration of competing interest The authors have no competing interests to declare., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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12. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations.
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Sherratt K, Gruson H, Grah R, Johnson H, Niehus R, Prasse B, Sandmann F, Deuschel J, Wolffram D, Abbott S, Ullrich A, Gibson G, Ray EL, Reich NG, Sheldon D, Wang Y, Wattanachit N, Wang L, Trnka J, Obozinski G, Sun T, Thanou D, Pottier L, Krymova E, Meinke JH, Barbarossa MV, Leithauser N, Mohring J, Schneider J, Wlazlo J, Fuhrmann J, Lange B, Rodiah I, Baccam P, Gurung H, Stage S, Suchoski B, Budzinski J, Walraven R, Villanueva I, Tucek V, Smid M, Zajicek M, Perez Alvarez C, Reina B, Bosse NI, Meakin SR, Castro L, Fairchild G, Michaud I, Osthus D, Alaimo Di Loro P, Maruotti A, Eclerova V, Kraus A, Kraus D, Pribylova L, Dimitris B, Li ML, Saksham S, Dehning J, Mohr S, Priesemann V, Redlarski G, Bejar B, Ardenghi G, Parolini N, Ziarelli G, Bock W, Heyder S, Hotz T, Singh DE, Guzman-Merino M, Aznarte JL, Morina D, Alonso S, Alvarez E, Lopez D, Prats C, Burgard JP, Rodloff A, Zimmermann T, Kuhlmann A, Zibert J, Pennoni F, Divino F, Catala M, Lovison G, Giudici P, Tarantino B, Bartolucci F, Jona Lasinio G, Mingione M, Farcomeni A, Srivastava A, Montero-Manso P, Adiga A, Hurt B, Lewis B, Marathe M, Porebski P, Venkatramanan S, Bartczuk RP, Dreger F, Gambin A, Gogolewski K, Gruziel-Slomka M, Krupa B, Moszyński A, Niedzielewski K, Nowosielski J, Radwan M, Rakowski F, Semeniuk M, Szczurek E, Zielinski J, Kisielewski J, Pabjan B, Holger K, Kheifetz Y, Scholz M, Przemyslaw B, Bodych M, Filinski M, Idzikowski R, Krueger T, Ozanski T, Bracher J, and Funk S
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- Humans, Forecasting, Models, Statistical, Retrospective Studies, Communicable Diseases, COVID-19 diagnosis, COVID-19 epidemiology, Epidemics
- Abstract
Background: Short-term forecasts of infectious disease burden can contribute to situational awareness and aid capacity planning. Based on best practice in other fields and recent insights in infectious disease epidemiology, one can maximise the predictive performance of such forecasts if multiple models are combined into an ensemble. Here, we report on the performance of ensembles in predicting COVID-19 cases and deaths across Europe between 08 March 2021 and 07 March 2022., Methods: We used open-source tools to develop a public European COVID-19 Forecast Hub. We invited groups globally to contribute weekly forecasts for COVID-19 cases and deaths reported by a standardised source for 32 countries over the next 1-4 weeks. Teams submitted forecasts from March 2021 using standardised quantiles of the predictive distribution. Each week we created an ensemble forecast, where each predictive quantile was calculated as the equally-weighted average (initially the mean and then from 26th July the median) of all individual models' predictive quantiles. We measured the performance of each model using the relative Weighted Interval Score (WIS), comparing models' forecast accuracy relative to all other models. We retrospectively explored alternative methods for ensemble forecasts, including weighted averages based on models' past predictive performance., Results: Over 52 weeks, we collected forecasts from 48 unique models. We evaluated 29 models' forecast scores in comparison to the ensemble model. We found a weekly ensemble had a consistently strong performance across countries over time. Across all horizons and locations, the ensemble performed better on relative WIS than 83% of participating models' forecasts of incident cases (with a total N=886 predictions from 23 unique models), and 91% of participating models' forecasts of deaths (N=763 predictions from 20 models). Across a 1-4 week time horizon, ensemble performance declined with longer forecast periods when forecasting cases, but remained stable over 4 weeks for incident death forecasts. In every forecast across 32 countries, the ensemble outperformed most contributing models when forecasting either cases or deaths, frequently outperforming all of its individual component models. Among several choices of ensemble methods we found that the most influential and best choice was to use a median average of models instead of using the mean, regardless of methods of weighting component forecast models., Conclusions: Our results support the use of combining forecasts from individual models into an ensemble in order to improve predictive performance across epidemiological targets and populations during infectious disease epidemics. Our findings further suggest that median ensemble methods yield better predictive performance more than ones based on means. Our findings also highlight that forecast consumers should place more weight on incident death forecasts than incident case forecasts at forecast horizons greater than 2 weeks., Funding: AA, BH, BL, LWa, MMa, PP, SV funded by National Institutes of Health (NIH) Grant 1R01GM109718, NSF BIG DATA Grant IIS-1633028, NSF Grant No.: OAC-1916805, NSF Expeditions in Computing Grant CCF-1918656, CCF-1917819, NSF RAPID CNS-2028004, NSF RAPID OAC-2027541, US Centers for Disease Control and Prevention 75D30119C05935, a grant from Google, University of Virginia Strategic Investment Fund award number SIF160, Defense Threat Reduction Agency (DTRA) under Contract No. HDTRA1-19-D-0007, and respectively Virginia Dept of Health Grant VDH-21-501-0141, VDH-21-501-0143, VDH-21-501-0147, VDH-21-501-0145, VDH-21-501-0146, VDH-21-501-0142, VDH-21-501-0148. AF, AMa, GL funded by SMIGE - Modelli statistici inferenziali per governare l'epidemia, FISR 2020-Covid-19 I Fase, FISR2020IP-00156, Codice Progetto: PRJ-0695. AM, BK, FD, FR, JK, JN, JZ, KN, MG, MR, MS, RB funded by Ministry of Science and Higher Education of Poland with grant 28/WFSN/2021 to the University of Warsaw. BRe, CPe, JLAz funded by Ministerio de Sanidad/ISCIII. BT, PG funded by PERISCOPE European H2020 project, contract number 101016233. CP, DL, EA, MC, SA funded by European Commission - Directorate-General for Communications Networks, Content and Technology through the contract LC-01485746, and Ministerio de Ciencia, Innovacion y Universidades and FEDER, with the project PGC2018-095456-B-I00. DE., MGu funded by Spanish Ministry of Health / REACT-UE (FEDER). DO, GF, IMi, LC funded by Laboratory Directed Research and Development program of Los Alamos National Laboratory (LANL) under project number 20200700ER. DS, ELR, GG, NGR, NW, YW funded by National Institutes of General Medical Sciences (R35GM119582; the content is solely the responsibility of the authors and does not necessarily represent the official views of NIGMS or the National Institutes of Health). FB, FP funded by InPresa, Lombardy Region, Italy. HG, KS funded by European Centre for Disease Prevention and Control. IV funded by Agencia de Qualitat i Avaluacio Sanitaries de Catalunya (AQuAS) through contract 2021-021OE. JDe, SMo, VP funded by Netzwerk Universitatsmedizin (NUM) project egePan (01KX2021). JPB, SH, TH funded by Federal Ministry of Education and Research (BMBF; grant 05M18SIA). KH, MSc, YKh funded by Project SaxoCOV, funded by the German Free State of Saxony. Presentation of data, model results and simulations also funded by the NFDI4Health Task Force COVID-19 (https://www.nfdi4health.de/task-force-covid-19-2) within the framework of a DFG-project (LO-342/17-1). LP, VE funded by Mathematical and Statistical modelling project (MUNI/A/1615/2020), Online platform for real-time monitoring, analysis and management of epidemic situations (MUNI/11/02202001/2020); VE also supported by RECETOX research infrastructure (Ministry of Education, Youth and Sports of the Czech Republic: LM2018121), the CETOCOEN EXCELLENCE (CZ.02.1.01/0.0/0.0/17-043/0009632), RECETOX RI project (CZ.02.1.01/0.0/0.0/16-013/0001761). NIB funded by Health Protection Research Unit (grant code NIHR200908). SAb, SF funded by Wellcome Trust (210758/Z/18/Z)., Competing Interests: KS, HG, RG, HJ, RN, BP, FS, JD, DW, SA, AU, GG, ER, NR, DS, YW, NW, LW, JT, GO, TS, DT, LP, EK, JM, MB, NL, JM, JS, JW, JF, BL, IR, JB, RW, IV, VT, MS, MZ, CP, BR, NB, SM, LC, GF, IM, DO, PA, AM, VE, AK, DK, LP, BD, ML, SS, JD, SM, VP, GR, BB, GA, NP, GZ, WB, SH, TH, DS, MG, JA, DM, SA, EA, DL, CP, JB, AR, TZ, AK, JZ, FP, FD, MC, GL, PG, BT, FB, GJ, MM, AF, AS, PM, AA, BH, BL, MM, PP, SV, RB, FD, AG, KG, MG, BK, AM, KN, JN, MR, FR, MS, ES, JZ, JK, BP, KH, YK, MS, BP, MB, MF, RI, TK, TO, JB, SF No competing interests declared, PB, HG, SS, BS Affiliated with IEM, Inc. The author has no financial interests to declare
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- 2023
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13. Implementing the Lolli-Method and pooled RT-qPCR testing for SARS-CoV-2 surveillance in schools: a pilot project.
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Kretschmer AC, Junker L, Dewald F, Linne V, Hennen L, Horemheb-Rubio G, Kaiser R, Steger G, Joachim A, Schönenkorb J, Cosgun ZC, Mühlhans N, Heger E, Knops E, Leisse C, Kessel B, Heinsohn T, Rodiah I, Lange B, Ritter AL, Fries M, Kossow A, Nießen J, Dötsch J, Klein F, Rybniker J, Fätkenheuer G, and Suárez I
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- Humans, Pilot Projects, COVID-19 Testing, Communicable Disease Control, Schools, SARS-CoV-2 genetics, COVID-19 diagnosis, COVID-19 epidemiology
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Purpose: School closures have been used as part of lockdown strategies to contain the spread of SARS-CoV-2, adversely affecting children's health and education. To ensure the accessibility of educational institutions without exposing society to the risk of increased transmissions, it is essential to establish SARS-CoV-2 testing strategies that are child-friendly, scalable and implementable in a daily school routine. Self-sampling using non-invasive saliva swabs combined with pooled RT-qPCR testing (Lolli-Method) has been proven to be a sensitive method for the detection of SARS-CoV-2., Methods: We conducted a pilot project in Cologne, Germany, designed to determine the feasibility of a large-scale rollout of the Lolli-Method for testing without any additional on-site medical staff in schools. Over a period of three weeks, students from 22 schools were sampled using the Lolli-Method. At the end of the project, teachers were asked to evaluate the overall acceptance of the project., Results: We analyzed a total of 757 pooled RT-qPCRs obtained from 8,287 individual swabs and detected 7 SARS-CoV-2 infected individuals. The Lolli-Method was shown to be a feasible and accepted testing strategy whose application is only slightly disruptive to the daily school routine., Conclusion: Our observations suggest that the Lolli-Method in combination with pooled RT-qPCR can be implemented for SARS-CoV-2 surveillance in daily school routine, applicable on a large scale., (© 2022. The Author(s).)
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- 2023
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14. Age-specific contribution of contacts to transmission of SARS-CoV-2 in Germany.
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Rodiah I, Vanella P, Kuhlmann A, Jaeger VK, Harries M, Krause G, Karch A, Bock W, and Lange B
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- Adult, Adolescent, Humans, Child, Pandemics, Seroepidemiologic Studies, Age Factors, Germany epidemiology, SARS-CoV-2, COVID-19 epidemiology
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Current estimates of pandemic SARS-CoV-2 spread in Germany using infectious disease models often do not use age-specific infection parameters and are not always based on age-specific contact matrices of the population. They also do usually not include setting- or pandemic phase-based information from epidemiological studies of reported cases and do not account for age-specific underdetection of reported cases. Here, we report likely pandemic spread using an age-structured model to understand the age- and setting-specific contribution of contacts to transmission during different phases of the COVID-19 pandemic in Germany. We developed a deterministic SEIRS model using a pre-pandemic contact matrix. The model was optimized to fit age-specific SARS-CoV-2 incidences reported by the German National Public Health Institute (Robert Koch Institute), includes information on setting-specific reported cases in schools and integrates age- and pandemic period-specific parameters for underdetection of reported cases deduced from a large population-based seroprevalence studies. Taking age-specific underreporting into account, younger adults and teenagers were identified in the modeling study as relevant contributors to infections during the first three pandemic waves in Germany. For the fifth wave, the Delta to Omicron transition, only age-specific parametrization reproduces the observed relative and absolute increase in pediatric hospitalizations in Germany. Taking into account age-specific underdetection did not change considerably how much contacts in schools contributed to the total burden of infection in the population (up to 12% with open schools under hygiene measures in the third wave). Accounting for the pandemic phase and age-specific underreporting is important to correctly identify those groups of the population in which quarantine, testing, vaccination, and contact-reduction measures are likely to be most effective and efficient. Age-specific parametrization is also highly relevant to generate informative age-specific output for decision makers and resource planers., (© 2023. The Author(s).)
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- 2023
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15. Infection and transmission risks of COVID-19 in schools and their contribution to population infections in Germany: A retrospective observational study using nationwide and regional health and education agency notification data.
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Heinsohn T, Lange B, Vanella P, Rodiah I, Glöckner S, Joachim A, Becker D, Brändle T, Dhein S, Ehehalt S, Fries M, Galante-Gottschalk A, Jehnichen S, Kolkmann S, Kossow A, Hellmich M, Dötsch J, and Krause G
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- Female, Male, Humans, Adolescent, Adult, Educational Status, Schools, Students, Germany epidemiology, COVID-19 epidemiology
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Background: School-level infection control measures in Germany during the early Coronavirus Disease 2019 (COVID-19) pandemic differed across the 16 federal states and lacked a dependable evidence base, with available evidence limited to regional data restricted to short phases of the pandemic. This study aimed to assess the (a) infection risks in students and staff; (b) transmission risks and routes in schools; (c) effects of school-level infection control measures on school and population infection dynamics; and (d) contribution of contacts in schools to population cases., Methods and Findings: For this retrospective observational study, we used German federal state (NUTS-2) and county (NUTS-3) data from public health and education agencies from March 2020 to April 2022. We assessed (a) infection risk as cumulative risk and crude risk ratios and (b) secondary attack rates (SARs) with 95% confidence interval (CI). We used (c) multiple regression analysis for the effects of infection control measures such as reduced attendance, mask mandates, and vaccination coverage as absolute reduction in case incidence per 100,000 inhabitants per 14 days and in percentage relative to the population, and (d) infection dynamic modelling to determine the percentage contribution of school contacts to population cases. We included (a) nationwide NUTS-2 data from calendar weeks (W) 46-50/2020 and W08/2021-W15/2022 with 3,521,964 cases in students and 329,283 in teachers; (b) NUTS-3 data from W09-25/2021 with 85,788 student and 9,427 teacher cases; and (c) detailed data from 5 NUTS-3 regions from W09/2020 to W27/2021 with 12,814 cases (39% male, 37% female; median age 14, range 5 to 63), 43,238 contacts and 4,165 secondary cases for students (for teachers, 14,801 [22% male, 50% female; median age 39, range 16 to 75], 5,893 and 472). Infection risk (a) for students and teachers was higher than the population risk in all phases of normal presence class and highest in the early 2022 omicron wave with 30.6% (95% CI 30.5% to 32.6%) of students and 32.7% (95% CI 32.6% to 32.8%) of teachers infected in Germany. SARs (b) for students and staff were below 5% in schools throughout the study period, while SARs in households more than doubled from 13.8% (95% CI 10.6% to 17.6%) W21-39/2020 to 28.7% (95% CI 27% to 30.4%) in W08-23/2021 for students and 10.9% (95% CI 7% to 16.5%) to 32.7% (95% CI 28.2% to 37.6%) for staff. Most contacts were reported for schools, yet most secondary cases originated in households. In schools, staff predominantly infected staff. Mandatory surgical mask wearing during class in all schools was associated with a reduction in the case incidence of students and teachers (c), by 56/100,000 persons per 14 days (students: 95% CI 47.7 to 63.4; teachers: 95% CI 39.6 to 71.6; p < 0.001) and by 29.8% (95% CI 25% to 35%, p < 0.001) and 24.3% (95% CI 13% to 36%, p < 0.001) relative to the population, respectively, as were reduced attendance and higher vaccination coverage. The contribution of contacts in schools to population cases (d) was 2% to 20%, lowest during school closures/vacation and peaked during normal presence class intervals, with the overall peak early during the omicron wave. Limitations include underdetection, misclassification of contacts, interviewer/interviewee dependence of contact-tracing, and lack of individual-level confounding factors in aggregate data regression analysis., Conclusion: In this study, we observed that open schools under hygiene measures and testing strategies contributed up to 20% of population infections during the omicron wave early 2022, and as little as 2% during vacations/school closures; about a third of students and teachers were infected during the omicron wave in early 2022 in Germany. Mandatory mask wearing during class in all school types and reduced attendance models were associated with a reduced infection risk in schools., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2022 Heinsohn et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2022
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16. Seroprevalence of hepatitis E virus infection in the Americas: Estimates from a systematic review and meta-analysis.
- Author
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Fernández Villalobos NV, Kessel B, Rodiah I, Ott JJ, Lange B, and Krause G
- Subjects
- Americas, Humans, Immunoglobulin G, Seroepidemiologic Studies, Hepatitis E, Hepatitis E virus
- Abstract
Background: Hepatitis E virus (HEV) infection is responsible for inflammatory liver disease and can cause severe health problems. Because the seroprevalence of HEV varies within different population groups and between regions of the continent, we conducted a systematic review on the topic in order to provide evidence for targeted prevention strategies., Methods: We performed a systematic review in PubMed, SCIELO, LILACS, EBSCO, and Cochrane Library and included reports up to 25 May 2021 (PROSPERO registration number: CRD42020173934). We assessed the risk of bias, publication bias, and heterogeneity between studies and conducted a random-effect meta-analysis for proportions using a (binomial-normal) generalized linear mixed model (GLMM) fitted by Maximum Likelihood (ML). We also reported other characteristics like genotype and risk factors., Results: Of 1212 identified records, 142 fulfilled the inclusion criteria and were included in the qualitative analysis and 132 in the quantitative analysis. Our random-effects GLMM pooled overall estimate for past infection (IgG) was 7.7% (95% CI 6.4%-9.2%) with high heterogeneity (I2 = 97%). We found higher seroprevalence in certain population groups, for example in people with pig related exposure for IgG (ranges from 6.2%-28% and pooled estimate of 13.8%, 95% CI: 7.6%-23.6%), or with diagnosed or suspected acute viral hepatitis for IgM (ranges from 0.3%-23.9% and pooled estimate of 5.5%, 95% CI: 2.0%-14.1%). Increasing age, contact with pigs and meat products, and low socioeconomic conditions are the main risk factors for HEV infection. Genotype 1 and 3 were documented across the region., Conclusion: HEV seroprevalence estimates demonstrated high variability within the Americas. There are population groups with higher seroprevalence and reported risk factors for HEV infection that need to be prioritized for further research. Due to human transmission and zoonotic infections in the region, preventive strategies should include water sanitation, occupational health, and food safety., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2022
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