Effective reproduction numbers are commonly overestimated early in a disease outbreak

Date

2011

Authors

Mercer, Geoffry
Glass, Kathryn
Becker, Niels

Journal Title

Journal ISSN

Volume Title

Publisher

John Wiley & Sons Inc

Abstract

Reproduction numbers estimated from disease incidence data can give public health authorities valuable information about the progression and likely size of a disease outbreak. Here, we show that methods for estimating effective reproduction numbers commonly give overestimates early in an outbreak. This is due to many factors including the nature of outbreaks that are used for estimation, incorrectly accounting for imported cases and outbreaks arising in subpopulations with higher transmission rates. Awareness of this bias is necessary to correctly interpret estimates from early disease outbreak data.

Description

Keywords

Keywords: 2009 H1N1 influenza; article; awareness; calculation; controlled study; disease transmission; effective reproduction number; epidemic; epidemiological data; health survey; mathematical model; population size; probability; systematic error; Basic Reproduct Bias; Importation; Influenza; Reproduction number

Citation

Source

Statistics in Medicine

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

Restricted until

2037-12-31