Multiple lines of evidence strongly suggest that infection hotspots, where a single individual infects many others, play a key role in the transmission dynamics of COVID-19. However, most of the existing epidemiological models fail to capture this aspect by neither representing the sites visited by individuals explicitly nor characterizing disease transmission as a function of individual mobility patterns. In this work, we introduce a temporal point process modeling framework that specifically represents visits to the sites where individuals get in contact and infect each other. Under our model, the number of infections caused by an infectious individual naturally emerges to be overdispersed. Using an efficient sampling algorithm, we demonstrate how to apply Bayesian optimization with longitudinal case data to estimate the transmission rate of infectious individuals at the sites they visit and in their households. Simulations using fine-grained and publicly available demographic data and site locations from Bern, Switzerland showcase the flexibility of our framework. To facilitate research and analyses of other cities and regions, we release an open-source implementation of our framework.
翻译:多种证据强烈表明,感染热点,即一个人感染了许多其他感染者,在COVID-19的传播动态中发挥着关键作用。然而,大多数现有的流行病学模式没有能够通过既明确代表个人访问的地点,又没有将疾病传播定性为个人流动模式的功能来反映这一方面。在这项工作中,我们引入了一个时间点过程模型框架,具体代表对个人接触和相互感染的地点的访问。根据我们的模型,传染性个人造成的感染数量自然会过度分散。我们使用高效的抽样算法,展示如何运用巴耶斯优化长期病例数据来估计在他们访问的地点和家里的感染者的传播率。利用瑞士伯尔尼的微小和公开的人口数据和地点模拟我们的框架的灵活性。为了便利对其他城市和区域的研究和分析,我们发布了一个框架的开放源实施。