Model uncertainty and decision making: Predicting the Impact of COVID-19 Using the CovidSim Epidemiological Code

Abstract

Abstract The severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) virus has rapidly spread worldwide since December 2019, and early modelling work of this pandemic has assisted in identifying effective government interventions. The UK government relied in part on the CovidSim model developed by the MRC Centre for Global Infectious Disease Analysis at Imperial College London, to model various non-pharmaceutical intervention strategies, and guide its government policy in seeking to deal with the rapid spread of the COVID-19 pandemic during March and April 2020. CovidSim is subject to different sources of uncertainty, namely parametric uncertainty in the inputs, model structure uncertainty (i.e., missing epidemiological processes) and scenario uncertainty, which relates to uncertainty in the set of conditions under which the model is applied. We have undertaken an extensive parametric sensitivity analysis and uncertainty quantification of the current CovidSim code. From the over 900 parameters that are provided as input to CovidSim, we identified a key subset of 19 parameters to which the code output is most sensitive. We find that the uncertainty in the code is substantial, in the sense that imperfect knowledge in these inputs will be magnified to the outputs, up to the extent of ca. 300%. Most of this uncertainty can be traced back to the sensitivity of three parameters. Compounding this, the model can display significant bias with respect to observed data, such that the output variance does not capture this validation data with high probability. We conclude that quantifying the parametric input uncertainty is not sufficient, and that the effect of model structure and scenario uncertainty cannot be ignored when validating the model in a probabilistic sense.