Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.

The time-varying reproduction number (Rt) is an important measure of transmissibility during outbreaks. Estimating whether and how rapidly an outbreak is growing (Rt > 1) or declining (Rt < 1) can inform the design, monitoring and adjustment of control measures in real-time. We use a popular R...

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Main Authors: Rebecca K Nash, Pierre Nouvellet, Anne Cori
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-06-01
Series:PLOS Digital Health
Online Access:https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000052&type=printable
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author Rebecca K Nash
Pierre Nouvellet
Anne Cori
author_facet Rebecca K Nash
Pierre Nouvellet
Anne Cori
author_sort Rebecca K Nash
collection DOAJ
description The time-varying reproduction number (Rt) is an important measure of transmissibility during outbreaks. Estimating whether and how rapidly an outbreak is growing (Rt > 1) or declining (Rt < 1) can inform the design, monitoring and adjustment of control measures in real-time. We use a popular R package for Rt estimation, EpiEstim, as a case study to evaluate the contexts in which Rt estimation methods have been used and identify unmet needs which would enable broader applicability of these methods in real-time. A scoping review, complemented by a small EpiEstim user survey, highlight issues with the current approaches, including the quality of input incidence data, the inability to account for geographical factors, and other methodological issues. We summarise the methods and software developed to tackle the problems identified, but conclude that significant gaps remain which should be addressed to enable easier, more robust and applicable estimation of Rt during epidemics.
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institution Kabale University
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language English
publishDate 2022-06-01
publisher Public Library of Science (PLoS)
record_format Article
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spelling doaj-art-558f27e7cc79468fafd1d0d681d3c7572025-02-05T05:33:39ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702022-06-0116e000005210.1371/journal.pdig.0000052Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.Rebecca K NashPierre NouvelletAnne CoriThe time-varying reproduction number (Rt) is an important measure of transmissibility during outbreaks. Estimating whether and how rapidly an outbreak is growing (Rt > 1) or declining (Rt < 1) can inform the design, monitoring and adjustment of control measures in real-time. We use a popular R package for Rt estimation, EpiEstim, as a case study to evaluate the contexts in which Rt estimation methods have been used and identify unmet needs which would enable broader applicability of these methods in real-time. A scoping review, complemented by a small EpiEstim user survey, highlight issues with the current approaches, including the quality of input incidence data, the inability to account for geographical factors, and other methodological issues. We summarise the methods and software developed to tackle the problems identified, but conclude that significant gaps remain which should be addressed to enable easier, more robust and applicable estimation of Rt during epidemics.https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000052&type=printable
spellingShingle Rebecca K Nash
Pierre Nouvellet
Anne Cori
Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
PLOS Digital Health
title Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
title_full Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
title_fullStr Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
title_full_unstemmed Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
title_short Real-time estimation of the epidemic reproduction number: Scoping review of the applications and challenges.
title_sort real time estimation of the epidemic reproduction number scoping review of the applications and challenges
url https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000052&type=printable
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AT annecori realtimeestimationoftheepidemicreproductionnumberscopingreviewoftheapplicationsandchallenges