Dataset Information

Nowcasting by Bayesian Smoothing: A flexible, generalizable model for real-time epidemic tracking.

ABSTRACT: Achieving accurate, real-time estimates of disease activity is challenged by delays in case reporting. "Nowcast" approaches attempt to estimate the complete case counts for a given reporting date, using a time series of case reports that is known to be incomplete due to reporting delays. Modeling the reporting delay distribution is a common feature of nowcast approaches. However, many nowcast approaches ignore a crucial feature of infectious disease transmission-that future cases are intrinsically linked to past reported cases-and are optimized to one or two applications, which may limit generalizability. Here, we present a Bayesian approach, NobBS (Nowcasting by Bayesian Smoothing) capable of producing smooth and accurate nowcasts in multiple disease settings. We test NobBS on dengue in Puerto Rico and influenza-like illness (ILI) in the United States to examine performance and robustness across settings exhibiting a range of common reporting delay characteristics (from stable to time-varying), and compare this approach with a published nowcasting software package while investigating the features of each approach that contribute to good or poor performance. We show that introducing a temporal relationship between cases considerably improves performance when the reporting delay distribution is time-varying, and we identify trade-offs in the role of moving windows to accurately capture changes in the delay. We present software implementing this new approach (R package "NobBS") for widespread application and provide practical guidance on implementation.

SUBMITTER: McGough SF

PROVIDER: S-EPMC7162546 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Nowcasting by Bayesian Smoothing: A flexible, generalizable model for real-time epidemic tracking.

McGough Sarah F SF Johansson Michael A MA Lipsitch Marc M Menzies Nicolas A NA

PLoS computational biology 20200406 4

Achieving accurate, real-time estimates of disease activity is challenged by delays in case reporting. "Nowcast" approaches attempt to estimate the complete case counts for a given reporting date, using a time series of case reports that is known to be incomplete due to reporting delays. Modeling the reporting delay distribution is a common feature of nowcast approaches. However, many nowcast approaches ignore a crucial feature of infectious disease transmission-that future cases are intrinsical ...[more]

PMID: 32251464

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Project description:Humans are able to identify and track a target speaker amid a cacophony of acoustic interference, an ability which is often referred to as the cocktail party phenomenon. Results from several decades of studying this phenomenon have culminated in recent years in various promising attempts to decode the attentional state of a listener in a competing-speaker environment from non-invasive neuroimaging recordings such as magnetoencephalography (MEG) and electroencephalography (EEG). To this end, most existing approaches compute correlation-based measures by either regressing the features of each speech stream to the M/EEG channels (the decoding approach) or vice versa (the encoding approach). To produce robust results, these procedures require multiple trials for training purposes. Also, their decoding accuracy drops significantly when operating at high temporal resolutions. Thus, they are not well-suited for emerging real-time applications such as smart hearing aid devices or brain-computer interface systems, where training data might be limited and high temporal resolutions are desired. In this paper, we close this gap by developing an algorithmic pipeline for real-time decoding of the attentional state. Our proposed framework consists of three main modules: (1) Real-time and robust estimation of encoding or decoding coefficients, achieved by sparse adaptive filtering, (2) Extracting reliable markers of the attentional state, and thereby generalizing the widely-used correlation-based measures thereof, and (3) Devising a near real-time state-space estimator that translates the noisy and variable attention markers to robust and statistically interpretable estimates of the attentional state with minimal delay. Our proposed algorithms integrate various techniques including forgetting factor-based adaptive filtering, ?1-regularization, forward-backward splitting algorithms, fixed-lag smoothing, and Expectation Maximization. We validate the performance of our proposed framework using comprehensive simulations as well as application to experimentally acquired M/EEG data. Our results reveal that the proposed real-time algorithms perform nearly as accurately as the existing state-of-the-art offline techniques, while providing a significant degree of adaptivity, statistical robustness, and computational savings.

Project description:BackgroundNowcasting approaches enhance the utility of reportable disease data for trend monitoring by correcting for delays, but implementation details affect accuracy.ObjectiveTo support real-time COVID-19 situational awareness, the New York City Department of Health and Mental Hygiene used nowcasting to account for testing and reporting delays. We conducted an evaluation to determine which implementation details would yield the most accurate estimated case counts.MethodsA time-correlated Bayesian approach called Nowcasting by Bayesian Smoothing (NobBS) was applied in real time to line lists of reportable disease surveillance data, accounting for the delay from diagnosis to reporting and the shape of the epidemic curve. We retrospectively evaluated nowcasting performance for confirmed case counts among residents diagnosed during the period from March to May 2020, a period when the median reporting delay was 2 days.ResultsNowcasts with a 2-week moving window and a negative binomial distribution had lower mean absolute error, lower relative root mean square error, and higher 95% prediction interval coverage than nowcasts conducted with a 3-week moving window or with a Poisson distribution. Nowcasts conducted toward the end of the week outperformed nowcasts performed earlier in the week, given fewer patients diagnosed on weekends and lack of day-of-week adjustments. When estimating case counts for weekdays only, metrics were similar across days when the nowcasts were conducted, with Mondays having the lowest mean absolute error of 183 cases in the context of an average daily weekday case count of 2914.ConclusionsNowcasting using NobBS can effectively support COVID-19 trend monitoring. Accounting for overdispersion, shortening the moving window, and suppressing diagnoses on weekends-when fewer patients submitted specimens for testing-improved the accuracy of estimated case counts. Nowcasting ensured that recent decreases in observed case counts were not overinterpreted as true declines and supported officials in anticipating the magnitude and timing of hospitalizations and deaths and allocating resources geographically.

Dataset Information

Nowcasting by Bayesian Smoothing: A flexible, generalizable model for real-time epidemic tracking.

Publications

Nowcasting by Bayesian Smoothing: A flexible, generalizable model for real-time epidemic tracking.

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