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Identification of the relative timing of infectiousness and symptom onset for outbreak control

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Abstract In an outbreak of an emerging disease the epidemiological characteristics of the pathogen may be largely unknown. A key determinant of ability to control the outbreak is the relative… Click to show full abstract

Abstract In an outbreak of an emerging disease the epidemiological characteristics of the pathogen may be largely unknown. A key determinant of ability to control the outbreak is the relative timing of infectiousness and symptom onset. We provide a method for identifying this relationship with high accuracy based on data from simulated household-stratified symptom-onset data. Further, this can be achieved with observations taken on only a few specific days, chosen optimally, within each household. The information provided by this method may inform decision making processes for outbreak response. An accurate and computationally-efficient heuristic for determining the optimal surveillance scheme is introduced. This heuristic provides a novel approach to optimal design for Bayesian model discrimination.

Keywords: relative timing; infectiousness symptom; control; timing infectiousness; symptom onset

Journal Title: Journal of Theoretical Biology
Year Published: 2020

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