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episodes/compare-interventions.Rmd

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## Introduction
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In this tutorial, we will compare intervention scenarios against each other. To quantify the effect of an intervention, we need to compare our intervention scenario to a counterfactual (baseline) scenario. The *counterfactual* here is the scenario in which nothing changes, often referred to as the "do-nothing" scenario. The counterfactual scenario may feature:
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- No interventions at all, or
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- Existing interventions in place (if we are investigating the potential impact of an additional intervention)
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We must also define our *outcome of interest* to make comparisons between intervention and counterfactual scenarios. The outcome of interest can be:
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- Direct model outputs (e.g., number of infections, hospitalizations)
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- Epidemiological metrics (e.g., epidemic peak time, final outbreak size)
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- Health impact measures (e.g., Quality-Adjusted Life Years [QALYs] or Disability-Adjusted Life Years [DALYs])

episodes/contact-matrices.Rmd

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## The contact matrix
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The basic contact matrix represents the amount of contact or mixing within and between different subgroups of a population. The subgroups are often age categories but can also be:
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- Geographic areas (e.g., different regions or countries)
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- Risk groups (e.g., high/low risk occupations)
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- Social settings (e.g., household, workplace, school)
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### A Note on Notation
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For a contact matrix with rows $i$ and columns $j$:
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- $C[i,j]$ represents the average number of contacts that individuals in group $i$ have with individuals in group $j$
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- This average is calculated as the total number of contacts between groups $i$ and $j$, divided by the number of individuals in group $i$
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One of the arguments we gave the function `contact_matrix()` is `symmetric=TRUE`. This ensures that the total number of contacts from one group to another is equal to the total from the second group back to the first (see the `socialmixr` [vignette](https://cran.r-project.org/web/packages/socialmixr/vignettes/socialmixr.html) for more detail).
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However, when contact matrices are estimated from surveys or other sources, the *reported* number of contacts may differ by age group for several reasons:
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- Recall bias: Different age groups may have different abilities to remember and report contacts accurately
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- Reporting bias: Some groups may systematically over- or under-report their contacts
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- Sampling uncertainty: Limited sample sizes can lead to statistical variations

episodes/disease-burden.Rmd

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## Introduction
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In previous tutorials we have used mathematical models to generate trajectories of infections, but we may also be interested in measures of disease burden. These measures could include:
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- Health outcomes in the population (e.g., mild vs. severe infections)
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- Healthcare system impacts (e.g., hospitalizations, ICU admissions)
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- Economic impacts (e.g., productivity loss, healthcare costs)
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In mathematical models, we can track disease burden in different ways:
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1. **Integrated approach**: Include burden compartments directly in the transmission model (e.g., hospital compartments in ODE models)
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2. **Separated approach**: First simulate transmission, then use the results to estimate burden
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The choice between these approaches depends on whether burden affects transmission. For example:
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- For Ebola, hospitalizations are important for transmission due to high-risk healthcare settings
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- For many respiratory infections, severe illness typically occurs after the infectious period, so burden can be modeled separately
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2. **Burden model**: Converts new infections to hospitalizations by accounting for delays between infection and hospitalization
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To convert infections to hospitalizations, we need to consider:
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- The probability that an infection leads to hospitalization (infection-hospitalization ratio, IHR)
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- The time delay from infection to hospital admission
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- The time spent in hospital before discharge
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We'll use the `{epiparameter}` package to define these delay distributions. The Gamma distribution is commonly used for these delays because:
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- It's flexible and can model various shapes
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- It's bounded at zero (negative delays don't make sense)
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- It's supported by empirical data for many infectious diseases
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## Summary
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In this tutorial, we learned how to estimate hospitalizations based on daily new infections from a transmission model. This approach can be extended to other measures of disease burden, such as:
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- ICU admissions
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- Deaths
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- Disability-Adjusted Life-Years (DALYs)
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- Healthcare costs
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These burden estimates are valuable for:
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- Healthcare system planning
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- Health economic analyses
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- Policy decision-making

episodes/model-choices.Rmd

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## What is the outcome of interest?
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The outcome of interest is typically a measurable quantity derived from the mathematical model. This could include:
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- The number of infections over time
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- The peak number of hospitalizations
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- The total number of severe disease cases
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## Will any interventions be modelled?
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Finally, interventions such as vaccination, social distancing, or treatment programs may be of interest. Different models have varying capabilities to incorporate interventions:
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- Some models can simulate continuous interventions (e.g., ongoing vaccination programs)
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- Others handle discrete interventions (e.g., one-time school closures)
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- Some models may not include intervention capabilities at all

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