Quantifying Uncertainty in Mechanistic Models of Infectious Disease

Am J Epidemiol. 2021 Jul 1;190(7):1377-1385. doi: 10.1093/aje/kwab013.

Abstract

This primer describes the statistical uncertainty in mechanistic models and provides R code to quantify it. We begin with an overview of mechanistic models for infectious disease, and then describe the sources of statistical uncertainty in the context of a case study on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe the statistical uncertainty as belonging to 3 categories: data uncertainty, stochastic uncertainty, and structural uncertainty. We demonstrate how to account for each of these via statistical uncertainty measures and sensitivity analyses broadly, as well as in a specific case study on estimating the basic reproductive number, ${R}_0$, for SARS-CoV-2.

Keywords: Monte Carlo simulation; SARS-CoV-2; infectious disease modeling; mechanistic models; sensitivity analyses; statistics; uncertainty.

MeSH terms

  • Basic Reproduction Number
  • COVID-19 / transmission*
  • Communicable Diseases
  • Epidemiologic Measurements*
  • Humans
  • Models, Statistical*
  • Monte Carlo Method
  • Pandemics
  • SARS-CoV-2
  • Uncertainty*