On the sensitivity of non-pharmaceutical intervention models for SARS-CoV-2 spread estimation

Author:

Soltesz KristianORCID,Gustafsson Fredrik,Timpka Toomas,Jaldén Joakim,Jidling Carl,Heimerson Albin,Schön Thomas B.,Spreco Armin,Ekberg Joakim,Dahlström Örjan,Carlson Fredrik Bagge,Jöud Anna,Bernhardsson Bo

Abstract

AbstractIntroductionA series of modelling reports that quantify the effect of non-pharmaceutical interventions (NPIs) on the spread of the SARS-CoV-2 virus have been made available prior to external scientific peer-review. The aim of this study was to investigate the method used by the Imperial College COVID-19 Research Team (ICCRT) for estimation of NPI effects from the system theoretical viewpoint of model identifiability.MethodsAn input-sensitivity analysis was performed by running the original software code of the systems model that was devised to estimate the impact of NPIs on the reproduction number of the SARS-CoV-2 infection and presented online by ICCRT in Report 13 on March 30 2020. An empirical investigation was complemented by an analysis of practical parameter identifiability, using an estimation theoretical framework.ResultsDespite being simplistic with few free parameters, the system model was found to suffer from severe input sensitivities. Our analysis indicated that the model lacks practical parameter identifiability from data. The analysis also showed that this limitation is fundamental, and not something readily resolved should the model be driven with data of higher reliability.DiscussionReports based on system models have been instrumental to policymaking during the SARS-CoV-2 pandemic. With much at stake during all phases of a pandemic, we conclude that it is crucial to thoroughly scrutinise any SARS-CoV-2 effect analysis or prediction model prior to considering its use as decision support in policymaking. The enclosed example illustrates what such a review might reveal.

Publisher

Cold Spring Harbor Laboratory

Reference19 articles.

1. Ferguson NM , Laydon D , Nedjati-Gilani G , Imai N , Ainslie K , Baguelin M , et al. Report 9 - Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. [Preprint]. [posted 2020 March 16

2. cited 2020 April 29]. Available from: https://doi.org/10.25561/77482

3. Flaxman S , Mishra S , Gandy A , Unwin HJT , Coupland H , Mellan TA , et al. Report 13 - Estimating the number of infections and the impact of non-pharmaceutical interventions on COVID-19 in 11 European countries. [Preprint]. [posted 2020 March 30

4. cited 2020 April 29]. Available from: https://doi.org/10.25561/77731

5. Boseley S. New data, new policy: why UK’ s coronavirus strategy changed. The Guardian. 2020 March 16 [cited 2020 May 3]. Available from: https://www.theguardian.com/world/2020/mar/16/new-data-new-policy-why-uks-coronavirus-strategy-has-changed

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