Timely surveillance and temporal calibration of disease response against human infectious diseases.

<h4>Background</h4>Disease surveillance and response are critical components of epidemic preparedness. The disease response, in most cases, is a set of reactive measures that follow the outcomes of the disease surveillance. Hence, timely surveillance is a prerequisite for an effective re...

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Autores principales: Kamran Najeebullah, Jessica Liebig, Jonathan Darbro, Raja Jurdak, Dean Paini
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:f054f99a7d1647a188ac707947a1ba4b2021-12-02T20:13:39ZTimely surveillance and temporal calibration of disease response against human infectious diseases.1932-620310.1371/journal.pone.0258332https://doaj.org/article/f054f99a7d1647a188ac707947a1ba4b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258332https://doaj.org/toc/1932-6203<h4>Background</h4>Disease surveillance and response are critical components of epidemic preparedness. The disease response, in most cases, is a set of reactive measures that follow the outcomes of the disease surveillance. Hence, timely surveillance is a prerequisite for an effective response.<h4>Methodology/principal findings</h4>We apply epidemiological soundness criteria in combination with the Latent Influence Point Process and time-to-event models to construct a disease spread network. The network implicitly quantifies the fertility (whether a case leads to secondary cases) and reproduction (number of secondary cases per infectious case) of the cases as well as the size and generations (of the infection chain) of the outbreaks. We test our approach by applying it to historic dengue case data from Australia. Using the data, we empirically confirm that high morbidity relates positively with delay in disease response. Moreover, we identify what constitutes timely surveillance by applying various thresholds of disease response delay to the network and report their impact on case fertility, reproduction, number of generations and ultimately, outbreak size. We observe that enforcing a response delay threshold of 5 days leads to a large average reduction across all parameters (occurrence 87%, reproduction 83%, outbreak size 80% and outbreak generations 47%), whereas extending the threshold to 10 days, in comparison, significantly limits the effectiveness of the response actions. Lastly, we identify the components of the disease surveillance system that can be calibrated to achieve the identified thresholds.<h4>Conclusion</h4>We identify practically achievable, timely surveillance thresholds (on temporal scale) that lead to an effective response and identify how they can be satisfied. Our approach can be utilized to provide guidelines on spatially and demographically targeted resource allocation for public awareness campaigns as well as to improve diagnostic abilities and turn-around times for the doctors and laboratories involved.Kamran NajeebullahJessica LiebigJonathan DarbroRaja JurdakDean PainiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258332 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kamran Najeebullah
Jessica Liebig
Jonathan Darbro
Raja Jurdak
Dean Paini
Timely surveillance and temporal calibration of disease response against human infectious diseases.
description <h4>Background</h4>Disease surveillance and response are critical components of epidemic preparedness. The disease response, in most cases, is a set of reactive measures that follow the outcomes of the disease surveillance. Hence, timely surveillance is a prerequisite for an effective response.<h4>Methodology/principal findings</h4>We apply epidemiological soundness criteria in combination with the Latent Influence Point Process and time-to-event models to construct a disease spread network. The network implicitly quantifies the fertility (whether a case leads to secondary cases) and reproduction (number of secondary cases per infectious case) of the cases as well as the size and generations (of the infection chain) of the outbreaks. We test our approach by applying it to historic dengue case data from Australia. Using the data, we empirically confirm that high morbidity relates positively with delay in disease response. Moreover, we identify what constitutes timely surveillance by applying various thresholds of disease response delay to the network and report their impact on case fertility, reproduction, number of generations and ultimately, outbreak size. We observe that enforcing a response delay threshold of 5 days leads to a large average reduction across all parameters (occurrence 87%, reproduction 83%, outbreak size 80% and outbreak generations 47%), whereas extending the threshold to 10 days, in comparison, significantly limits the effectiveness of the response actions. Lastly, we identify the components of the disease surveillance system that can be calibrated to achieve the identified thresholds.<h4>Conclusion</h4>We identify practically achievable, timely surveillance thresholds (on temporal scale) that lead to an effective response and identify how they can be satisfied. Our approach can be utilized to provide guidelines on spatially and demographically targeted resource allocation for public awareness campaigns as well as to improve diagnostic abilities and turn-around times for the doctors and laboratories involved.
format article
author Kamran Najeebullah
Jessica Liebig
Jonathan Darbro
Raja Jurdak
Dean Paini
author_facet Kamran Najeebullah
Jessica Liebig
Jonathan Darbro
Raja Jurdak
Dean Paini
author_sort Kamran Najeebullah
title Timely surveillance and temporal calibration of disease response against human infectious diseases.
title_short Timely surveillance and temporal calibration of disease response against human infectious diseases.
title_full Timely surveillance and temporal calibration of disease response against human infectious diseases.
title_fullStr Timely surveillance and temporal calibration of disease response against human infectious diseases.
title_full_unstemmed Timely surveillance and temporal calibration of disease response against human infectious diseases.
title_sort timely surveillance and temporal calibration of disease response against human infectious diseases.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/f054f99a7d1647a188ac707947a1ba4b
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