Bayesian Spatio-Temporal Prediction and Counterfactual Generation: An Application in Non-Pharmaceutical Interventions in COVID-19.

Viruses

Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand.

Published: January 2023

AI Article Synopsis

  • Non-pharmaceutical interventions (NPIs) such as lockdowns play a crucial role in shaping the course of epidemics like COVID-19, impacting how the disease spreads across space and time.
  • Bayesian Susceptible-Infected-Removed (SIR) models are used to analyze this spread and evaluate counterfactual scenarios—i.e., what might have happened without these interventions—through a method called nowcasting.
  • Real-life examples from two US states during the pandemic illustrate the varied effects of different lockdown strategies, revealing significant differences in how effectively each state's response managed the spread of the virus across different regions.

Article Abstract

The spatio-temporal course of an epidemic (such as COVID-19) can be significantly affected by non-pharmaceutical interventions (NPIs) such as full or partial lockdowns. Bayesian Susceptible-Infected-Removed (SIR) models can be applied to the spatio-temporal spread of infectious diseases (STIFs) (such as COVID-19). In causal inference, it is classically of interest to investigate the counterfactuals. In the context of STIF, it is possible to use nowcasting to assess the possible counterfactual realization of disease in an incidence that would have been evidenced with no NPI. Classic lagged dependency spatio-temporal IF models are discussed, and the importance of the ST component in nowcasting is assessed. Real examples of lockdowns for COVID-19 in two US states during 2020 and 2021 are provided. The degeneracy in prediction over longer time periods is highlighted, and the wide confidence intervals characterize the forecasts. For SC, the early and short lockdown contrasted with the longer NJ intervention. The approach here demonstrated marked differences in spatio-temporal disparities across counties with respect to an adherence to counterfactual predictions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965276PMC
http://dx.doi.org/10.3390/v15020325DOI Listing

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