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Bayesian reconstruction of disease outbreaks by combining epidemiologic and genomic data

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Tanaka, Mark M., Jombart, Thibaut, Cori, Anne, Didelot, Xavier, Cauchemez, Simon, Fraser, Christophe and Ferguson, Neil (2014) Bayesian reconstruction of disease outbreaks by combining epidemiologic and genomic data. PLoS Computational Biology, 10 (1). e1003457. doi:10.1371/journal.pcbi.1003457

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Official URL: http://dx.doi.org/10.1371/journal.pcbi.1003457

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Abstract

Recent years have seen progress in the development of statistically rigorous frameworks to infer outbreak transmission trees (“who infected whom”) from epidemiological and genetic data. Making use of pathogen genome sequences in such analyses remains a challenge, however, with a variety of heuristic approaches having been explored to date. We introduce a statistical method exploiting both pathogen sequences and collection dates to unravel the dynamics of densely sampled outbreaks. Our approach identifies likely transmission events and infers dates of infections, unobserved cases and separate introductions of the disease. It also proves useful for inferring numbers of secondary infections and identifying heterogeneous infectivity and super-spreaders. After testing our approach using simulations, we illustrate the method with the analysis of the beginning of the 2003 Singaporean outbreak of Severe Acute Respiratory Syndrome (SARS), providing new insights into the early stage of this epidemic. Our approach is the first tool for disease outbreak reconstruction from genetic data widely available as free software, the R package outbreaker. It is applicable to various densely sampled epidemics, and improves previous approaches by detecting unobserved and imported cases, as well as allowing multiple introductions of the pathogen. Because of its generality, we believe this method will become a tool of choice for the analysis of densely sampled disease outbreaks, and will form a rigorous framework for subsequent methodological developments.

Item Type: Journal Article
Divisions: Faculty of Science > Life Sciences (2010- )
Journal or Publication Title: PLoS Computational Biology
Publisher: Public Library of Science
ISSN: 1553-7358
Official Date: 23 January 2014
Dates:
DateEvent
23 January 2014Published
11 December 2014Accepted
Volume: 10
Number: 1
Article Number: e1003457
DOI: 10.1371/journal.pcbi.1003457
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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