Login / Signup

Angular reproduction numbers improve estimates of transmissibility when disease generation times are misspecified or time-varying.

Kris Varun ParagBenjamin John CowlingBen C Lambert
Published in: Proceedings. Biological sciences (2023)
We introduce the angular reproduction number Ω , which measures time-varying changes in epidemic transmissibility resulting from variations in both the effective reproduction number R , and generation time distribution w . Predominant approaches for tracking pathogen spread infer either R or the epidemic growth rate r . However, R is biased by mismatches between the assumed and true w , while r is difficult to interpret in terms of the individual-level branching process underpinning transmission. R and r may also disagree on the relative transmissibility of epidemics or variants (i.e. r A > r B does not imply R A > R B for variants A and B ). We find that Ω responds meaningfully to mismatches and time-variations in w while mostly maintaining the interpretability of R . We prove that Ω > 1 implies R > 1 and that Ω agrees with r on the relative transmissibility of pathogens. Estimating Ω is no more difficult than inferring R , uses existing software, and requires no generation time measurements. These advantages come at the expense of selecting one free parameter. We propose Ω as complementary statistic to R and r that improves transmissibility estimates when w is misspecified or time-varying and better reflects the impact of interventions, when those interventions concurrently change R and w or alter the relative risk of co-circulating pathogens.
Keyphrases
  • copy number
  • physical activity
  • gram negative
  • gene expression
  • multidrug resistant
  • candida albicans
  • data analysis