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Arumugam R, Guichard F, Lutscher F. Early warning indicators capture catastrophic transitions driven by explicit rates of environmental change. Ecology 2024; 105:e4240. [PMID: 38400588 DOI: 10.1002/ecy.4240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 10/26/2023] [Indexed: 02/25/2024]
Abstract
In response to external changes, ecosystems can undergo catastrophic transitions. Early warning indicators aim to predict such transitions based on the phenomenon of critical slowing down at bifurcation points found under a constant environment. When an explicit rate of environmental change is considered, catastrophic transitions can become distinct phenomena from bifurcations, and result from a delayed response to noncatastrophic bifurcations. We use a trophic metacommunity model where transitions in time series and bifurcations of the system are distinct phenomena. We calculate early warning indicators from the time series of the continually changing system and show that they predict not the bifurcation of the underlying system but the actual catastrophic transition driven by the explicit rate of change. Predictions based on the bifurcation structure could miss catastrophic transitions that can still be captured by early warning signals calculated from time series. Our results expand the repertoire of mechanistic models used to anticipate catastrophic transitions to nonequilibrium ecological systems exposed to a constant rate of environmental change.
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Affiliation(s)
- Ramesh Arumugam
- Department of Biology, McGill University, Montreal, Quebec, Canada
| | | | - Frithjof Lutscher
- Department of Mathematics and Statistics, and Department of Biology, University of Ottawa, Ottawa, Ontario, Canada
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2
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Legault V, Pu Y, Weinans E, Cohen AA. Application of early warning signs to physiological contexts: a comparison of multivariate indices in patients on long-term hemodialysis. FRONTIERS IN NETWORK PHYSIOLOGY 2024; 4:1299162. [PMID: 38595863 PMCID: PMC11002238 DOI: 10.3389/fnetp.2024.1299162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 03/15/2024] [Indexed: 04/11/2024]
Abstract
Early warnings signs (EWSs) can anticipate abrupt changes in system state, known as "critical transitions," by detecting dynamic variations, including increases in variance, autocorrelation (AC), and cross-correlation. Numerous EWSs have been proposed; yet no consensus on which perform best exists. Here, we compared 15 multivariate EWSs in time series of 763 hemodialyzed patients, previously shown to present relevant critical transition dynamics. We calculated five EWSs based on AC, six on variance, one on cross-correlation, and three on AC and variance. We assessed their pairwise correlations, trends before death, and mortality predictive power, alone and in combination. Variance-based EWSs showed stronger correlations (r = 0.663 ± 0.222 vs. 0.170 ± 0.205 for AC-based indices) and a steeper increase before death. Two variance-based EWSs yielded HR95 > 9 (HR95 standing for a scale-invariant metric of hazard ratio), but combining them did not improve the area under the receiver-operating curve (AUC) much compared to using them alone (AUC = 0.798 vs. 0.796 and 0.791). Nevertheless, the AUC reached 0.825 when combining 13 indices. While some indicators did not perform overly well alone, their addition to the best performing EWSs increased the predictive power, suggesting that indices combination captures a broader range of dynamic changes occurring within the system. It is unclear whether this added benefit reflects measurement error of a unified phenomenon or heterogeneity in the nature of signals preceding critical transitions. Finally, the modest predictive performance and weak correlations among some indices call into question their validity, at least in this context.
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Affiliation(s)
- Véronique Legault
- Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Yi Pu
- PRIMUS Research Group, Department of Family Medicine, University of Sherbrooke, Sherbrooke, QC, Canada
| | - Els Weinans
- Copernicus Institute of Sustainable Development, Environmental Science, Faculty of Geosciences, Utrecht University, Utrecht, Netherlands
| | - Alan A. Cohen
- Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
- PRIMUS Research Group, Department of Family Medicine, University of Sherbrooke, Sherbrooke, QC, Canada
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3
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Gaspari M. A Low-Cost Early Warning Method for Infectious Diseases with Asymptomatic Carriers. Healthcare (Basel) 2024; 12:469. [PMID: 38391844 PMCID: PMC10888077 DOI: 10.3390/healthcare12040469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 02/06/2024] [Accepted: 02/09/2024] [Indexed: 02/24/2024] Open
Abstract
At the beginning of 2023, the Italian former prime minister, the former health minister and 17 others including the current president of the Lombardy region were placed under investigation on suspicion of aggravated culpable epidemic in connection with the government's response at the start of the COVID-19 pandemic. The charges revolve around the failure by authorities to take adequate measures to prevent the spread of the virus in the Bergamo area, which experienced a significant excess of deaths during the initial outbreak. The aim of this paper is to analyse the pandemic data of Italy and the Lombardy region in the first 10 days of the pandemic, spanning from the 24th of February 2020 to the 4th of March 2020. The objective is to determine whether the use of early warning indicators could have facilitated the identification of a critical increase in infections. This identification, in turn, would have enabled the timely formulation of strategies for pandemic containment, thereby reducing the number of deaths. In conclusion, to translate our findings into practical guidelines, we propose a low-cost early warning method for infectious respiratory diseases with asymptomatic carriers.
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Affiliation(s)
- Mauro Gaspari
- Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy
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4
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Masuda N, Aihara K, MacLaren NG. Anticipating regime shifts by mixing early warning signals from different nodes. Nat Commun 2024; 15:1086. [PMID: 38316802 PMCID: PMC10844243 DOI: 10.1038/s41467-024-45476-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 01/25/2024] [Indexed: 02/07/2024] Open
Abstract
Real systems showing regime shifts, such as ecosystems, are often composed of many dynamical elements interacting on a network. Various early warning signals have been proposed for anticipating regime shifts from observed data. However, it is unclear how one should combine early warning signals from different nodes for better performance. Based on theory of stochastic differential equations, we propose a method to optimize the node set from which to construct an early warning signal. The proposed method takes into account that uncertainty as well as the magnitude of the signal affects its predictive performance, that a large magnitude or small uncertainty of the signal in one situation does not imply the signal's high performance, and that combining early warning signals from different nodes is often but not always beneficial. The method performs well particularly when different nodes are subjected to different amounts of dynamical noise and stress.
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Affiliation(s)
- Naoki Masuda
- Department of Mathematics, State University of New York at Buffalo, Buffalo, NY, 14260-2900, USA.
- Institute for Artificial Intelligence and Data Science, State University of New York at Buffalo, Buffalo, NY, 14260-5030, USA.
| | - Kazuyuki Aihara
- International Research Center for Neurointelligence, The University of Tokyo Institutes for Advanced Study, The University of Tokyo, Bunkyo City, Japan
| | - Neil G MacLaren
- Department of Mathematics, State University of New York at Buffalo, Buffalo, NY, 14260-2900, USA
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5
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O'Brien DA, Deb S, Gal G, Thackeray SJ, Dutta PS, Matsuzaki SIS, May L, Clements CF. Early warning signals have limited applicability to empirical lake data. Nat Commun 2023; 14:7942. [PMID: 38040724 PMCID: PMC10692136 DOI: 10.1038/s41467-023-43744-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 11/17/2023] [Indexed: 12/03/2023] Open
Abstract
Research aimed at identifying indicators of persistent abrupt shifts in ecological communities, a.k.a regime shifts, has led to the development of a suite of early warning signals (EWSs). As these often perform inaccurately when applied to real-world observational data, it remains unclear whether critical transitions are the dominant mechanism of regime shifts and, if so, which EWS methods can predict them. Here, using multi-trophic planktonic data on multiple lakes from around the world, we classify both lake dynamics and the reliability of classic and second generation EWSs methods to predict whole-ecosystem change. We find few instances of critical transitions, with different trophic levels often expressing different forms of abrupt change. The ability to predict this change is highly processing dependant, with most indicators not performing better than chance, multivariate EWSs being weakly superior to univariate, and a recent machine learning model performing poorly. Our results suggest that predictive ecology should start to move away from the concept of critical transitions, developing methods suitable for predicting resilience loss not limited to the strict bounds of bifurcation theory.
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Affiliation(s)
- Duncan A O'Brien
- School of Biological Sciences, University of Bristol, Bristol, BS8 1TQ, UK.
| | - Smita Deb
- Department of Mathematics, Indian Institute of Technology Ropar, Rupnagar, Punjab, 140001, India
| | - Gideon Gal
- Kinneret Limnological Laboratory, Israel Oceanographic & Limnological Research, PO Box 447, Migdal, Israel
| | - Stephen J Thackeray
- Lake Ecosystems Group, UK Centre for Ecology & Hydrology, Bailrigg, Lancaster, UK
| | - Partha S Dutta
- Department of Mathematics, Indian Institute of Technology Ropar, Rupnagar, Punjab, 140001, India
| | - Shin-Ichiro S Matsuzaki
- Biodiversity Division, National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki, 305-8506, Japan
| | - Linda May
- UK Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian, EH26 OQB, UK
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6
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Delecroix C, van Nes EH, van de Leemput IA, Rotbarth R, Scheffer M, ten Bosch Q. The potential of resilience indicators to anticipate infectious disease outbreaks, a systematic review and guide. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0002253. [PMID: 37815958 PMCID: PMC10564242 DOI: 10.1371/journal.pgph.0002253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 07/12/2023] [Indexed: 10/12/2023]
Abstract
To reduce the consequences of infectious disease outbreaks, the timely implementation of public health measures is crucial. Currently used early-warning systems are highly context-dependent and require a long phase of model building. A proposed solution to anticipate the onset or termination of an outbreak is the use of so-called resilience indicators. These indicators are based on the generic theory of critical slowing down and require only incidence time series. Here we assess the potential for this approach to contribute to outbreak anticipation. We systematically reviewed studies that used resilience indicators to predict outbreaks or terminations of epidemics. We identified 37 studies meeting the inclusion criteria: 21 using simulated data and 16 real-world data. 36 out of 37 studies detected significant signs of critical slowing down before a critical transition (i.e., the onset or end of an outbreak), with a highly variable sensitivity (i.e., the proportion of true positive outbreak warnings) ranging from 0.03 to 1 and a lead time ranging from 10 days to 68 months. Challenges include low resolution and limited length of time series, a too rapid increase in cases, and strong seasonal patterns which may hamper the sensitivity of resilience indicators. Alternative types of data, such as Google searches or social media data, have the potential to improve predictions in some cases. Resilience indicators may be useful when the risk of disease outbreaks is changing gradually. This may happen, for instance, when pathogens become increasingly adapted to an environment or evolve gradually to escape immunity. High-resolution monitoring is needed to reach sufficient sensitivity. If those conditions are met, resilience indicators could help improve the current practice of prediction, facilitating timely outbreak response. We provide a step-by-step guide on the use of resilience indicators in infectious disease epidemiology, and guidance on the relevant situations to use this approach.
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Affiliation(s)
- Clara Delecroix
- Department of Environmental Sciences, Wageningen University, Wageningen, The Netherlands
- Quantitative Veterinary Epidemiology, Wageningen University, Wageningen, The Netherlands
| | - Egbert H. van Nes
- Department of Environmental Sciences, Wageningen University, Wageningen, The Netherlands
| | | | - Ronny Rotbarth
- Department of Environmental Sciences, Wageningen University, Wageningen, The Netherlands
| | - Marten Scheffer
- Department of Environmental Sciences, Wageningen University, Wageningen, The Netherlands
| | - Quirine ten Bosch
- Quantitative Veterinary Epidemiology, Wageningen University, Wageningen, The Netherlands
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7
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Mellor J, Overton CE, Fyles M, Chawner L, Baxter J, Baird T, Ward T. Understanding the leading indicators of hospital admissions from COVID-19 across successive waves in the UK. Epidemiol Infect 2023; 151:e172. [PMID: 37664991 PMCID: PMC10600913 DOI: 10.1017/s0950268823001449] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 07/20/2023] [Accepted: 07/25/2023] [Indexed: 09/05/2023] Open
Abstract
Following the end of universal testing in the UK, hospital admissions are a key measure of COVID-19 pandemic pressure. Understanding leading indicators of admissions at the National Health Service (NHS) Trust, regional and national geographies help health services plan for ongoing pressures. We explored the spatio-temporal relationships of leading indicators of hospitalisations across SARS-CoV-2 waves in England. This analysis includes an evaluation of internet search volumes from Google Trends, NHS triage calls and online queries, the NHS COVID-19 app, lateral flow devices (LFDs), and the ZOE app. Data sources were analysed for their feasibility as leading indicators using Granger causality, cross-correlation, and dynamic time warping at fine spatial scales. Google Trends and NHS triages consistently temporally led admissions in most locations, with lead times ranging from 5 to 20 days, whereas an inconsistent relationship was found for the ZOE app, NHS COVID-19 app, and LFD testing, which diminished with spatial resolution, showing cross-correlation of leads between -7 and 7 days. The results indicate that novel surveillance sources can be used effectively to understand the expected healthcare burden within hospital administrative areas though the temporal and spatial heterogeneity of these relationships is a key determinant of their operational public health utility.
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Affiliation(s)
- Jonathon Mellor
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
| | - Christopher E Overton
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
- Department of Mathematical Sciences, University of Liverpool, Liverpool, UK
- Department of Mathematics, University of Manchester, Manchester, UK
| | - Martyn Fyles
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
- Department of Mathematics, University of Manchester, Manchester, UK
| | - Liam Chawner
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
| | - James Baxter
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
| | - Tarrion Baird
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
- Department of Pathology, University of Cambridge, Cambridge, UK
| | - Thomas Ward
- UK Health Security Agency, Data, Analytics and Surveillance, Nobel House, London, UK
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8
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Zhao L, Zou Y, David RE, Withington S, McFarlane S, Faust RA, Norton J, Xagoraraki I. Simple methods for early warnings of COVID-19 surges: Lessons learned from 21 months of wastewater and clinical data collection in Detroit, Michigan, United States. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 864:161152. [PMID: 36572285 PMCID: PMC9783093 DOI: 10.1016/j.scitotenv.2022.161152] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/19/2022] [Accepted: 12/19/2022] [Indexed: 05/12/2023]
Abstract
Wastewater-based epidemiology (WBE) has drawn great attention since the Coronavirus disease 2019 (COVID-19) pandemic, not only due to its capability to circumvent the limitations of traditional clinical surveillance, but also due to its potential to forewarn fluctuations of disease incidences in communities. One critical application of WBE is to provide "early warnings" for upcoming fluctuations of disease incidences in communities which traditional clinical testing is incapable to achieve. While intricate models have been developed to determine early warnings based on wastewater surveillance data, there is an exigent need for straightforward, rapid, broadly applicable methods for health departments and partner agencies to implement. Our purpose in this study is to develop and evaluate such early-warning methods and clinical-case peak-detection methods based on WBE data to mount an informed public health response. Throughout an extended wastewater surveillance period across Detroit, MI metropolitan area (the entire study period is from September 2020 to May 2022) we designed eight early-warning methods (three real-time and five post-factum). Additionally, we designed three peak-detection methods based on clinical epidemiological data. We demonstrated the utility of these methods for providing early warnings for COVID-19 incidences, with their counterpart accuracies evaluated by hit rates. "Hit rates" were defined as the number of early warning dates (using wastewater surveillance data) that captured defined peaks (using clinical epidemiological data) divided by the total number of early warning dates. Hit rates demonstrated that the accuracy of both real-time and post-factum methods could reach 100 %. Furthermore, the results indicate that the accuracy was influenced by approaches to defining peaks of disease incidence. The proposed methods herein can assist health departments capitalizing on WBE data to assess trends and implement quick public health responses to future epidemics. Besides, this study elucidated critical factors affecting early warnings based on WBE amid the COVID-19 pandemic.
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Affiliation(s)
- Liang Zhao
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI 48823, USA
| | - Yangyang Zou
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI 48823, USA
| | - Randy E David
- Detroit Health Department, 100 Mack Ave, Detroit, MI 48201, USA
| | | | - Stacey McFarlane
- Macomb County Health Division, 43525 Elizabeth Rd, Mount Clemens, MI 48043, USA
| | - Russell A Faust
- Oakland County Health Division, 1200 Telegraph Rd, Pontiac, MI 48341, USA
| | - John Norton
- Great Lakes Water Authority, 735 Randolph, Detroit, MI 48226, USA
| | - Irene Xagoraraki
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI 48823, USA.
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Stolerman LM, Clemente L, Poirier C, Parag KV, Majumder A, Masyn S, Resch B, Santillana M. Using digital traces to build prospective and real-time county-level early warning systems to anticipate COVID-19 outbreaks in the United States. SCIENCE ADVANCES 2023; 9:eabq0199. [PMID: 36652520 PMCID: PMC9848273 DOI: 10.1126/sciadv.abq0199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 12/19/2022] [Indexed: 06/17/2023]
Abstract
Coronavirus disease 2019 (COVID-19) continues to affect the world, and the design of strategies to curb disease outbreaks requires close monitoring of their trajectories. We present machine learning methods that leverage internet-based digital traces to anticipate sharp increases in COVID-19 activity in U.S. counties. In a complementary direction to the efforts led by the Centers for Disease Control and Prevention (CDC), our models are designed to detect the time when an uptrend in COVID-19 activity will occur. Motivated by the need for finer spatial resolution epidemiological insights, we build upon previous efforts conceived at the state level. Our methods-tested in an out-of-sample manner, as events were unfolding, in 97 counties representative of multiple population sizes across the United States-frequently anticipated increases in COVID-19 activity 1 to 6 weeks before local outbreaks, defined when the effective reproduction number Rt becomes larger than 1 for a period of 2 weeks.
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Affiliation(s)
- Lucas M. Stolerman
- Computational Health Informatics Program, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA
- Department of Mathematics, Oklahoma State University, Stillwater, OK, USA
| | - Leonardo Clemente
- Computational Health Informatics Program, Boston Children’s Hospital, Boston, MA, USA
- Machine Intelligence Group for the Betterment of Health and the Environment, Network Science Institute, Northeastern University, Boston, MA, USA
| | - Canelle Poirier
- Computational Health Informatics Program, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA
| | - Kris V. Parag
- NIHR Health Protection Research Unit, Behavioural Science and Evaluation, University of Bristol, Bristol, UK
| | | | - Serge Masyn
- Global Public Health, Janssen R&D, Beerse, Belgium
| | - Bernd Resch
- Department of Geoinformatics - Z-GIS, University of Salzburg, Salzburg, Austria
- Center for Geographic Analysis, Harvard University, Cambridge, MA, USA
| | - Mauricio Santillana
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA
- Machine Intelligence Group for the Betterment of Health and the Environment, Network Science Institute, Northeastern University, Boston, MA, USA
- Harvard University, T.H. Chan School of Public Health, Boston, MA, USA
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10
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den Daas C, Johnston M, Hubbard G, Dixon D. An experimental COVID-19 messaging study in a representative sample of the Scottish population: Increasing physical distancing intentions through self-efficacy. Br J Health Psychol 2022; 28:439-450. [PMID: 36317412 PMCID: PMC9878139 DOI: 10.1111/bjhp.12632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 06/01/2022] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Self-efficacy is important for adherence to transmission-reducing behaviours (e.g., physical distancing) as also shown in the CHARIS project. We aimed to show that a theory-based short message can increase physical distancing self-efficacy and intentions to keep physical distance. DESIGN Structured telephone surveys with a randomly selected nationally representative sample of adults in Scotland (N = 497). METHODS Participants were randomly assigned to one of two experimental conditions: message condition (short message to increase self-efficacy via vicarious experiences, verbal persuasion and emotional arousal) or control condition (no message). Followed by measures for self-efficacy and intention for physical distancing on 4-point scales. Adherence to physical distancing was assessed on a 5-point frequency scale (never - always). RESULTS Using mediation analyses with bootstrapping procedures, we first confirmed that self-efficacy was associated indirectly with adherence, via higher intentions in a partial mediation (unstandardized indirect effect .21, 95% CI .18-.25). The message increased self-efficacy; participants receiving the message reported higher self-efficacy (M = 4.23, SD = .80) compared to participants in the control condition (M = 4.08, SD = .77; standardized regression coefficient = .19, p < .05) and self-efficacy affected intention (.48, p < .001). There was a small significant indirect effect of the message on intention via self-efficacy (unstandardized indirect effect .07, CI .01-.14). CONCLUSIONS Increasing self-efficacy for physical distancing with a short message can successfully increase intention to physical distance via increased self-efficacy. As both self-efficacy and intentions are important predictors of adherence to transmission-reducing behaviours short messages have potential to limit the spread of COVID-19.
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Affiliation(s)
- Chantal den Daas
- Health Psychology GroupUniversity of Aberdeen Institute of Applied Health SciencesAberdeenUK
| | - Marie Johnston
- Health Psychology GroupUniversity of Aberdeen Institute of Applied Health SciencesAberdeenUK
| | - Gill Hubbard
- Department of Nursing and MidwiferyUniversity of the Highlands and Islands Institute of Health Research and InnovationInvernessUK
| | - Diane Dixon
- Health Psychology GroupUniversity of Aberdeen Institute of Applied Health SciencesAberdeenUK
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11
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Kumar A, Asghar A, Dwivedi P, Kumar G, Narayan RK, Jha RK, Parashar R, Sahni C, Pandey SN. A Bioinformatics Tool for Predicting Future COVID-19 Waves Based on a Retrospective Analysis of the Second Wave in India: Model Development Study. JMIR BIOINFORMATICS AND BIOTECHNOLOGY 2022; 3:e36860. [PMID: 36193192 PMCID: PMC9516867 DOI: 10.2196/36860] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 08/26/2022] [Accepted: 09/12/2022] [Indexed: 11/13/2022]
Abstract
Background
Since the start of the COVID-19 pandemic, health policymakers globally have been attempting to predict an impending wave of COVID-19. India experienced a devastating second wave of COVID-19 in the late first week of May 2021. We retrospectively analyzed the viral genomic sequences and epidemiological data reflecting the emergence and spread of the second wave of COVID-19 in India to construct a prediction model.
Objective
We aimed to develop a bioinformatics tool that can predict an impending COVID-19 wave.
Methods
We analyzed the time series distribution of genomic sequence data for SARS-CoV-2 and correlated it with epidemiological data for new cases and deaths for the corresponding period of the second wave. In addition, we analyzed the phylodynamics of circulating SARS-CoV-2 variants in the Indian population during the study period.
Results
Our prediction analysis showed that the first signs of the arrival of the second wave could be seen by the end of January 2021, about 2 months before its peak in May 2021. By the end of March 2021, it was distinct. B.1.617 lineage variants powered the wave, most notably B.1.617.2 (Delta variant).
Conclusions
Based on the observations of this study, we propose that genomic surveillance of SARS-CoV-2 variants, complemented with epidemiological data, can be a promising tool to predict impending COVID-19 waves.
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Affiliation(s)
- Ashutosh Kumar
- Department of Anatomy All India Institute of Medical Sciences - Patna Patna India
| | - Adil Asghar
- Department of Anatomy All India Institute of Medical Sciences - Patna Patna India
| | - Prakhar Dwivedi
- Department of Anatomy All India Institute of Medical Sciences - Patna Patna India
| | - Gopichand Kumar
- Department of Anatomy All India Institute of Medical Sciences - Patna Patna India
| | - Ravi K Narayan
- Department of Anatomy Dr B C Roy Multispeciality Medical Research Center Indian Institute of Technology-Kharagpur Kharagpur India
| | - Rakesh K Jha
- Department of Anatomy All India Institute of Medical Sciences - Patna Patna India
| | - Rakesh Parashar
- India Health Lead Oxford Policy Management Limited Oxford United Kingdom
| | - Chetan Sahni
- Department of Anatomy Institute of Medical Sciences Banaras Hindu University Varanasi India
| | - Sada N Pandey
- Department of Zoology Banaras Hindu University Varanasi India
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12
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Proverbio D, Kemp F, Magni S, Gonçalves J. Performance of early warning signals for disease re-emergence: A case study on COVID-19 data. PLoS Comput Biol 2022; 18:e1009958. [PMID: 35353809 PMCID: PMC9000113 DOI: 10.1371/journal.pcbi.1009958] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 04/11/2022] [Accepted: 02/23/2022] [Indexed: 01/12/2023] Open
Abstract
Developing measures for rapid and early detection of disease re-emergence is important to perform science-based risk assessment of epidemic threats. In the past few years, several early warning signals (EWS) from complex systems theory have been introduced to detect impending critical transitions and extend the set of indicators. However, it is still debated whether they are generically applicable or potentially sensitive to some dynamical characteristics such as system noise and rates of approach to critical parameter values. Moreover, testing on empirical data has, so far, been limited. Hence, verifying EWS performance remains a challenge. In this study, we tackle this question by analyzing the performance of common EWS, such as increasing variance and autocorrelation, in detecting the emergence of COVID-19 outbreaks in various countries. Our work illustrates that these EWS might be successful in detecting disease emergence when some basic assumptions are satisfied: a slow forcing through the transitions and not-fat-tailed noise. In uncertain cases, we observe that noise properties or commensurable time scales may obscure the expected early warning signals. Overall, our results suggest that EWS can be useful for active monitoring of epidemic dynamics, but that their performance is sensitive to certain features of the underlying dynamics. Our findings thus pave a connection between theoretical and empirical studies, constituting a further step towards the application of EWS indicators for informing public health policies.
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Affiliation(s)
- Daniele Proverbio
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
- College of Engineering, Mathematics and Physical Sciences, University of Exeter, Exeter, United Kingdom
| | - Françoise Kemp
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
| | - Stefano Magni
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
| | - Jorge Gonçalves
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
- Department of Plant Sciences, University of Cambridge, Cambridge, United Kingdom
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