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Non-parametric survival analysis of infectious disease data

Eben Kenah

Journal of the Royal Statistical Society: Series B (Statistical Methodology) · 2013 · Volume 75 · Issue 2

DOI: 10.1111/j.1467-9868.2012.01042.x

Abstract

Summary.The paper develops non-parametric methods based on contact intervals for the analysis of infectious disease data. The contact interval from personito personjis the time between the onset of infectiousness iniand infectious contact fromitoj, where we define infectious contact as a contact sufficient to infect a susceptible individual. The hazard function of the contact interval distribution equals the hazard of infectious contact fromitoj, so it provides a summary of the evolution of infectiousness over time. When who infects whom is observed, the Nelson–Aalen estimator produces an unbiased estimate of the cumulative hazard function of the contact interval distribution. When who infects whom is not observed, we use an expectation–maximization algorithm to average the Nelson–Aalen estimates from all possible combinations of who infected whom consistent with the observed data. This converges to a non-parametric maximum likelihood estimate of the cumulative hazard function that we call the marginal Nelson–Aalen estimate. We study the behaviour of these methods in simulations and use them to analyse household surveillance data from the 2009 influenza A(H1N1) pandemic.

Keywords

Chain binomial models, Contact intervals, Generation intervals, Infectious disease, Non-parametric methods, Survival analysis

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