Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.

Mathematical and statistical methods are invaluable in epidemiological investigations, enhancing our understanding of disease transmission dynamics and informing effective control measures. In this study, we presented a method to estimate transmissibility using patient-level data, with application t...

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Main Authors: Youngsuk Ko, Eunok Jung
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317083
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author Youngsuk Ko
Eunok Jung
author_facet Youngsuk Ko
Eunok Jung
author_sort Youngsuk Ko
collection DOAJ
description Mathematical and statistical methods are invaluable in epidemiological investigations, enhancing our understanding of disease transmission dynamics and informing effective control measures. In this study, we presented a method to estimate transmissibility using patient-level data, with application to the 2015 MERS outbreak at Pyeongtaek St. Mary's Hospital, the Republic of Korea. We developed a stochastic model based on individual case data to derive a likelihood function for disease transmission. Through scenario-based analysis, we explored transmission dynamics, including the role of superspreaders, and investigated how mask-wearing impacted infection control within the hospital. Our findings indicated that the superspreader during the MERS outbreak had approximately 25 times higher transmissibility compared to other patients. Under scenarios of prolonged hospital transmission periods, the number of cases could potentially increase threefold. The impact of mask-wearing in the hospital was significant, with reductions in the epidemic scale ranging from 17% to 77%, depending on the type of mask and intervention intensity. This study quantifies key risk factors in hospital-based transmission, demonstrating the effectiveness of intervention measures. The methodology developed here can be readily adapted to other infectious diseases, providing valuable insights for future outbreak preparedness and response strategies.
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spelling doaj-art-534e03c755284cb786529ba24a8f74db2025-02-05T05:32:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031708310.1371/journal.pone.0317083Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.Youngsuk KoEunok JungMathematical and statistical methods are invaluable in epidemiological investigations, enhancing our understanding of disease transmission dynamics and informing effective control measures. In this study, we presented a method to estimate transmissibility using patient-level data, with application to the 2015 MERS outbreak at Pyeongtaek St. Mary's Hospital, the Republic of Korea. We developed a stochastic model based on individual case data to derive a likelihood function for disease transmission. Through scenario-based analysis, we explored transmission dynamics, including the role of superspreaders, and investigated how mask-wearing impacted infection control within the hospital. Our findings indicated that the superspreader during the MERS outbreak had approximately 25 times higher transmissibility compared to other patients. Under scenarios of prolonged hospital transmission periods, the number of cases could potentially increase threefold. The impact of mask-wearing in the hospital was significant, with reductions in the epidemic scale ranging from 17% to 77%, depending on the type of mask and intervention intensity. This study quantifies key risk factors in hospital-based transmission, demonstrating the effectiveness of intervention measures. The methodology developed here can be readily adapted to other infectious diseases, providing valuable insights for future outbreak preparedness and response strategies.https://doi.org/10.1371/journal.pone.0317083
spellingShingle Youngsuk Ko
Eunok Jung
Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
PLoS ONE
title Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
title_full Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
title_fullStr Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
title_full_unstemmed Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
title_short Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea.
title_sort mathematical and statistical approaches in epidemiological investigation of hospital infection a case study of the 2015 middle east respiratory syndrome outbreak in korea
url https://doi.org/10.1371/journal.pone.0317083
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