John M. Drake & Pej Rohani
Discussion
Discussion
The model is only as good as the data it's based on
A model is just an idea
Exercise: Critique these perspectives
Note: Models can't make up for what we lack in empirical information
Questions
Infectious disease management requires a multi-disciplinary approach
Although each of these approaches are important for understanding individual response and clinical care they don't address important questions at the population level
Models are appropriate for both emerging and endemic diseases, but depending on the epidemiology may emphasize different aspects of transmission and control.
Emerging pathogens arise in a wholly susceptible population and may exhibit transient trajectories (epidemics) that are far from equilibrium
Endemic pathogens exhibit quasi-stationary behavior
The relationship between models and reality is one of abstraction and interpretation.
Developments in recent years have blurred these categories significantly
(Generalized) linear models, nonlinear regression, anova, additive models, multivariate adaptive regression splines, boosted regression trees, convolutional neural nets
\( y = f(x) + \epsilon \)
All model terms refer to parts or processes
Each individual in the population belong to one and only one compartment.
This is the extent to which individuals have attributes. Individuals flow from compartment to compartment.
States at one time, together with parameters, uniquely determine states at all other times (past and future). Flows are expressed by ordinary differential equations (continuous time) or maps (discrete time).
States at one time, together with parameters, probabilistically determine states at all other times (past and future).
We distinguish among the concepts of stochasticity, variability, and uncertainty
Computer simulations use the paradigm of object-oriented programming in which attributes (e.g. infection status, location, etc.) are attached to objects (individuals) that belong to declared classes (e.g. hosts).
Network models seek to reflect realistic contact patters.
Bansal et al. 2007. When individual behaviour matters:homogeneous and network modelsin epidemiology. Journal of the Royal Society Interface 4:879–891
a. Regular random network with 15 nodes
b. Poisson random graph with 15 nodes
c. Scale-free random graph with 100 nodes
d. Zachary Karate Club contact network (Zachary 1977)
e. Sexual network for adolescents in a Midwestern US town
Network models may be approximated with differential equations, solved stochastically using Gillespie's direct method and other approaches, or treated as agent based models where the edges connecting individuals are attributes.
Choice of model depends on
There is no validation without an objective.
“The multiplicity of models is imposed by the contradictory demands of a complex, heterogeneous nature and a mind that can only cope with few variables at a time; by the contradictory desiderata of generality, realism, and precision; by the need to understand and also to control; even by the opposing esthetic standards which emphasize the stark simplicity and power of a general theorem as against the richness and diversity of living nature. These conflicts are irreconcilable. Therefore, the alternative approaches even of contending schools are part of a larger mixed strategy. But the conflict is about method, not nature, for theindividual models, while they are essential for understanding reality, should not be confused with that reality itself.”
Levins, R. 1966. The strategy of model-building in population biology. American Scientist 54:421-431
Model complexity (number of state variables, nonlinearity)
Ability to account for observations
Intelligible to human consumers/decision-makers
Adaptability to new scenarios
Brett T, et al. (2020) Detecting critical slowing down in high-dimensional epidemiological systems. PLoS Comput Biol 16(3): e1007679.
Study objective: To understand the phenomenon of critical slowing down in systems of different dimension.
Brett T, et al. (2020) Detecting critical slowing down in high-dimensional epidemiological systems. PLoS Comput Biol 16(3): e1007679.
Brett T, et al. (2020) Detecting critical slowing down in high-dimensional epidemiological systems. PLoS Comput Biol 16(3): e1007679.