🤖 AI Summary
Estimating the time-varying effective reproduction number ((R_t)) and daily incident infections simultaneously and robustly remains challenging for infectious disease surveillance—especially during early and late epidemic phases, where cumulative errors from conventional three-step approaches degrade stability and accuracy. To address this, we propose a Bayesian joint inference framework based on a self-exciting point process model. Our method employs Markov Chain Monte Carlo (MCMC) to directly sample the joint posterior distribution of (R_t) and the latent incident infection counts, thereby avoiding error propagation inherent in sequential estimation. Evaluations on real Swiss COVID-19 data and multiple synthetic datasets demonstrate substantial improvements in estimation accuracy for both (R_t) and infection trajectories—particularly under sparse-data conditions at epidemic onset and decline. Moreover, the approach delivers full uncertainty quantification, enhancing the scientific rigor and interpretability of public health decision-making.
📝 Abstract
The time varying effective reproduction number is an important parameter for communication and policy decisions during an epidemic. It is difficult to estimate because it depends on latent variables such as new infections and other characteristics of an epidemic which have to be inferred from available data. In this paper, we present new statistical methods for a popular model which defines the effective reproduction number based on self-exciting dynamics of new infections. Such a model is conceptually simple and less susceptible to misspecifications than more complicated multi-compartment models. In contrast to the state-of-the-art three-step estimation procedure of citet{huisman2022estimation}, we present a coherent Bayesian method that approximates the joint posterior of daily new infections and reproduction numbers given the data using a novel Markov chain Monte Carlo (MCMC) algorithm. Comparing our method with that of citet{huisman2022estimation}, both with daily confirmed cases from Switzerland in the Covid-19 epidemic and with simulated data, we find that our method is more accurate, especially near the beginning and end of the observation period.