Bayesian inference for high-dimensional discrete-time epidemic models: spatial dynamics of the UK COVID-19 outbreak (preprint)

Stochastic epidemic models which incorporate interactions between space and human mobility are a key tool to inform prioritisation of outbreak control to appropriate locations. However, methods for fitting such models to national-level population data are currently unfit for purpose due to the difficulty of marginalising over high-dimensional, highly-correlated censored epidemiological event data. Here we propose a new Bayesian MCMC approach to inference on a spatially-explicit stochastic SEIR meta-population model, using a suite of novel model-informed Metropolis-Hastings samplers. We apply this method to UK COVID-19 case data, showing real-time spatial results that were used to inform UK policy during the pandemic.

Visualising spatio-temporal health data: the importance of capturing the 4th dimension (preprint)

Confronted by a rapidly evolving health threat, such as an infectious disease outbreak, it is essential that decision-makers are able to comprehend the complex dynamics not just in space but also in the 4th dimension, time. In this paper this is addressed by a novel visualisation tool, referred to as the Dynamic Health Atlas web app, which is designed specifically for displaying the spatial evolution of data over time while simultaneously acknowledging its uncertainty. It is an interactive and open-source web app, coded predominantly in JavaScript, in which the geospatial and temporal data are displayed side-by-side. The first of two case studies of this visualisation tool relates to an outbreak of canine gastroenteric disease in the United Kingdom, where many veterinary practices experienced an unusually high case incidence. The second study concerns the predicted COVID-19 reproduction number along with incidence and prevalence forecasts in each local authority district in the United Kingdom. These studies demonstrate the effectiveness of the Dynamic Health Atlas web app at conveying geospatial and temporal dynamics along with their corresponding uncertainties.

Modelling the impact of social mixing and behaviour on infectious disease transmission: application to SARS-CoV-2 (preprint)

In regard to infectious diseases socioeconomic determinants are strongly associated with differential exposure and susceptibility however they are seldom accounted for by standard compartmental infectious disease models. These associations are explored here with a novel compartmental infectious disease model which, stratified by deprivation and age, accounts for population-level behaviour including social mixing patterns. As an exemplar using a fully Bayesian approach our model is fitted, in real-time if required, to the UKHSA COVID-19 community testing case data from England. Metrics including reproduction number and forecasts of daily case incidence are estimated from the posterior samples. From this UKHSA dataset it is observed that during the initial period of the pandemic the most deprived groups reported the most cases however this trend reversed after the summer of 2021. Forward simulation experiments based on the fitted model demonstrate that this reversal can be accounted for by differential changes in population level behaviours including social mixing and testing behaviour, but it is not explained by the depletion of susceptible individuals. In future epidemics, with a focus on socioeconomic factors the approach outlined here provides the possibility of identifying those groups most at risk with a view to helping policy-makers better target their support.