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 contact matrix


A Mixed-Method Approach to Determining Contact Matrices in the Cox's Bazar Refugee Settlement

Walker, Joseph, Aylett-Bullock, Joseph, Shi, Difu, Maina, Allen Gidraf Kahindo, Evers, Egmond Samir, Harlass, Sandra, Krauss, Frank

arXiv.org Artificial Intelligence

Contact matrices are an important ingredient in age-structured epidemic models to inform the simulated spread of the disease between sub-groups of the population. These matrices are generally derived using resource-intensive diary-based surveys and few exist in the Global South or tailored to vulnerable populations. In particular, no contact matrices exist for refugee settlements - locations under-served by epidemic models in general. In this paper we present a novel, mixed-method approach, for deriving contact matrices in populations which combines a lightweight, rapidly deployable, survey with an agent-based model of the population informed by census and behavioural data. We use this method to derive the first set of contact matrices for the Cox's Bazar refugee settlement in Bangladesh. The matrices from the refugee settlement show strong banding effects due to different age cut-offs in attendance at certain venues, such as distribution centres and religious sites, as well as the important contribution of the demographic profile of the settlement which was encoded in the model. These can have significant implications to the modelled disease dynamics. To validate our approach, we also apply our method to the population of the UK and compare our derived matrices against well-known contact matrices previously collected using traditional approaches. Overall, our findings demonstrate that our mixed-method approach can address some of the challenges of both the traditional and previously proposed agent-based approaches to deriving contact matrices, and has the potential to be rolled-out in other resource-constrained environments. This work therefore contributes to a broader aim of developing new methods and mechanisms of data collection for modelling disease spread in refugee and IDP settlements and better serving these vulnerable communities.


Clustering of countries based on the associated social contact patterns in epidemiological modelling

Korir, Evans Kiptoo, Vizi, Zsolt

arXiv.org Artificial Intelligence

Mathematical models have been used to understand the spread patterns of infectious diseases such as Coronavirus Disease 2019 (COVID-19). The transmission component of the models can be modelled in an age-dependent manner via introducing contact matrix for the population, which describes the contact rates between the age groups. Since social contact patterns vary from country to country, we can compare and group the countries using the corresponding contact matrices. In this paper, we present a framework for clustering countries based on their contact matrices with respect to an underlying epidemic model. Since the pipeline is generic and modular, we demonstrate its application in a COVID-19 model from R\"ost et. al. which gives a hint about which countries can be compared in a pandemic situation, when only non-pharmaceutical interventions are available.


Deep reinforcement learning for large-scale epidemic control

Libin, Pieter, Moonens, Arno, Verstraeten, Timothy, Perez-Sanjines, Fabian, Hens, Niel, Lemey, Philippe, Nowé, Ann

arXiv.org Artificial Intelligence

Epidemics of infectious diseases are an important threat to public health and global economies. Yet, the development of prevention strategies remains a challenging process, as epidemics are non-linear and complex processes. For this reason, we investigate a deep reinforcement learning approach to automatically learn prevention strategies in the context of pandemic influenza. Firstly, we construct a new epidemiological meta-population model, with 379 patches (one for each administrative district in Great Britain), that adequately captures the infection process of pandemic influenza. Our model balances complexity and computational efficiency such that the use of reinforcement learning techniques becomes attainable. Secondly, we set up a ground truth such that we can evaluate the performance of the 'Proximal Policy Optimization' algorithm to learn in a single district of this epidemiological model. Finally, we consider a large-scale problem, by conducting an experiment where we aim to learn a joint policy to control the districts in a community of 11 tightly coupled districts, for which no ground truth can be established. This experiment shows that deep reinforcement learning can be used to learn mitigation policies in complex epidemiological models with a large state space. Moreover, through this experiment, we demonstrate that there can be an advantage to consider collaboration between districts when designing prevention strategies.