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DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Modeling	
  the	
  Ebola	
  	
  
Outbreak	
  in	
  West	
  Africa,	
  2014	
  
January	
  6th	
  Update	
  
	
  
Bryan	
  Lewis	
  PhD,	
  MPH	
  (blewis@vbi.vt.edu)	
  
presen2ng	
  on	
  behalf	
  of	
  the	
  
Ebola	
  Response	
  Team	
  of	
  	
  
Network	
  Dynamics	
  and	
  Simula2on	
  Science	
  Lab	
  
from	
  the	
  Virginia	
  Bioinforma2cs	
  Ins2tute	
  at	
  Virginia	
  Tech	
  
Technical	
  Report	
  #15-­‐001	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
NDSSL	
  Ebola	
  Response	
  Team	
  
Staff:	
  Abhijin	
  Adiga,	
  Kathy	
  Alexander,	
  Chris	
  Barre.,	
  Richard	
  
Beckman,	
  Keith	
  Bisset,	
  Jiangzhuo	
  Chen,	
  Youngyoun	
  
Chungbaek,	
  Stephen	
  Eubank,	
  Sandeep	
  Gupta,	
  Maleq	
  Khan,	
  
Chris	
  Kuhlman,	
  Eric	
  Lofgren,	
  Bryan	
  Lewis,	
  Achla	
  Marathe,	
  
Madhav	
  Marathe,	
  Henning	
  Mortveit,	
  Eric	
  Nordberg,	
  Paula	
  
Stretz,	
  Samarth	
  Swarup,	
  Meredith	
  Wilson,Mandy	
  Wilson,	
  and	
  
Dawen	
  Xie,	
  with	
  support	
  from	
  Ginger	
  Stewart,	
  Maureen	
  
Lawrence-­‐Kuether,	
  Kayla	
  Tyler,	
  Kathy	
  Laskowski,	
  Bill	
  
Marmagas	
  
	
  
Students:	
  S.M.	
  Arifuzzaman,	
  Aditya	
  Agashe,	
  Vivek	
  Akupatni,	
  
Caitlin	
  Rivers,	
  Pyrros	
  Telionis,	
  Jessie	
  Gunter,	
  Elisabeth	
  Musser,	
  
James	
  Schli.,	
  Youssef	
  Jemia,	
  Margaret	
  Carolan,	
  Bryan	
  
Kaperick,	
  Warner	
  Rose,	
  Kara	
  Harrison	
  	
  
	
  
	
   2
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Currently	
  Used	
  Data	
  (as	
  of	
  Dec	
  22nd,	
  2014)	
  
●  Data	
  from	
  WHO,	
  MoH	
  Liberia,	
  and	
  
MoH	
  Sierra	
  Leone,	
  available	
  at	
  
h.ps://github.com/cmrivers/ebola	
  
●  MoH	
  and	
  WHO	
  have	
  reasonable	
  agreement	
  
●  Sierra	
  Leone	
  case	
  counts	
  censored	
  up	
  
to	
  4/30/14.	
  
●  Time	
  series	
  was	
  filled	
  in	
  with	
  missing	
  
dates,	
  and	
  case	
  counts	
  were	
  
interpolated.	
  
3
	
   	
   	
   	
  Cases 	
  Deaths 	
  	
  
Guinea 	
   	
   	
  2,730 	
  1,739 	
  	
  
Liberia 	
   	
   	
  8,115 	
  3,423 	
  	
  
Sierra	
  Leone	
   	
  9,633 	
  2,827 	
  	
  
Total 	
   	
   	
  20,478 	
  7,989	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Liberia	
  –	
  Case	
  Loca2ons	
  
4
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Liberia	
  infec2on	
  rate	
  
5
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Liberia	
  Forecast	
  	
  
6
11/24	
  
to	
  
11/30	
  
12/1	
  
to	
  
12/8	
  
12/9	
  
to	
  
12/16	
  
12/15	
  
to	
  
12/21	
  
12/22	
  
to	
  
12/28	
  
12/29	
  
to	
  
1/04	
  
1/05	
  
to	
  
1/11	
  
1/12	
  
to	
  
1/18	
  
1/19-­‐1
/25	
  
1/26-­‐2
/01	
  
Reported	
   246	
   362	
   99	
   35	
   101	
  
Newer	
  model	
   303	
   285	
   270	
   255	
   240	
   226	
   214	
   201	
   190	
   180	
  
Reproduc2ve	
  Number	
  
Community	
  	
   	
  0.23	
  
Hospital	
  	
  	
   	
  0.3	
  
Funeral	
  	
  	
  	
   	
  0.2	
  
Overall	
  	
  	
  	
  	
   	
  0.8	
  
	
  
	
  	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Liberia	
  long	
  term	
  forecasts	
  
7
Date	
   Weekly	
  forecast	
  
12/08	
   270	
  
12/15	
   255	
  
12/22	
   240	
  
12/29	
   227	
  
1/05	
   213	
  
1/12	
   202	
  
1/19	
   190	
  
1/26	
   179	
  
2/2	
   169	
  
2/9	
   160	
  
2/16	
   150	
  
2/23	
   142	
  
3/02	
   134	
  
3/09	
   126	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Liberia-­‐	
  Prevalence	
  
8
Date	
   People	
  in	
  H	
  +	
  I	
  
12/08	
   652	
  
12/15	
   616	
  
12/22	
   580	
  
12/29	
   548	
  
1/05	
   517	
  
1/12	
   488	
  
1/19	
   460	
  
1/26	
   434	
  
2/2	
   410	
  
2/9	
   386	
  
2/16	
   365	
  
2/23	
   344	
  
3/02	
   325	
  
3/09	
   306	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Sierra	
  Leone	
  –	
  County	
  Data	
  
9
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Sierra	
  Leone	
  infec2on	
  rate	
  
10
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Sierra	
  Leone	
  Forecast	
  
11
35%	
  of	
  cases	
  are	
  
hospitalized	
  
ReproducRve	
  Number	
  
Community 	
  0.8	
  
Hospital 	
   	
  0.3 	
  	
  
Funeral 	
   	
  0.1 	
  	
  
Overall 	
   	
  1.1	
  
	
  
11/24	
  
to	
  
11/30	
  
12/1	
  
to	
  
12/8	
  
12/9	
  
to	
  
12/16	
  
12/15	
  
to	
  
12/21	
  
12/22	
  
to	
  
12/28	
  
12/29	
  
to	
  
1/04	
  
1/05	
  
to	
  
1/11	
  
1/12	
  
to	
  
1/18	
  
1/19-­‐1
/25	
  
1/26-­‐2
/01	
  
Reported	
   641	
   598	
   702	
   531	
   651	
   467	
  
Newer	
  model	
   612	
   635	
   660	
   686	
   713	
   740	
   769	
   799	
   830	
   862	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
SL	
  longer	
  term	
  forecast	
  
12
Sierra	
  Leone	
  –	
  Newer	
  Model	
  fit	
  –	
  Weekly	
  Incidence	
   Date	
   Weekly	
  forecast	
  
12/08	
   660	
  
12/15	
   686	
  
12/22	
   713	
  
12/29	
   740	
  
1/05	
   769	
  
1/12	
   799	
  
1/19	
   830	
  
1/26	
   862	
  
2/2	
   895	
  
2/9	
   929	
  
2/16	
   965	
  
2/23	
   1002	
  
3/02	
   1040	
  
3/09	
   1080	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Sierra	
  Leone	
  -­‐	
  Prevalence	
  
13
Date	
   People	
  in	
  H	
  +	
  I	
  
12/08	
   898	
  
12/15	
   932	
  
12/22	
   968	
  
12/29	
   1006	
  
1/05	
   1045	
  
1/12	
   1085	
  
1/19	
   1128	
  
1/26	
   1171	
  
2/2	
   1216	
  
2/9	
   1263	
  
2/16	
   1319	
  
2/23	
   1370	
  
3/02	
   1423	
  
3/09	
   1477	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Guinea	
  Forecasts	
  
14
40%	
  of	
  cases	
  are	
  
hospitalized	
  
ReproducRve	
  Number	
  
Community 	
  0.7 	
  	
  
Hospital 	
   	
  0.1 	
  	
  
Funeral 	
   	
  0.1 	
  	
  
Overall 	
   	
  0.9	
  
	
  
11/24	
  
to	
  
11/30	
  
12/1	
  
to	
  
12/8	
  
12/9	
  
to	
  
12/16	
  
12/15	
  
to	
  
12/21	
  
12/22	
  
to	
  
12/28	
  
12/29	
  
to	
  
1/04	
  
1/05	
  
to	
  
1/11	
  
1/12	
  
to	
  
1/18	
  
1/19-­‐1
/25	
  
1/26-­‐2
/01	
  
Reported	
   129	
   44	
   127	
   132	
   166	
   106	
  
Newer	
  model	
   89	
   85	
   81	
   78	
   75	
   72	
   68	
   66	
   60	
   58	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Guinea	
  –	
  longer	
  term	
  forecast	
  
15
Date	
   Weekly	
  forecast	
  
12/08	
   81	
  
12/15	
   78	
  
12/22	
   75	
  
12/29	
   72	
  
1/05	
   69	
  
1/12	
   66	
  
1/19	
   63	
  
1/26	
   60	
  
2/2	
   58	
  
2/9	
   55	
  
2/16	
   53	
  
2/23	
   51	
  
3/02	
   48	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Guinea	
  Prevalence	
  
16
Date	
   People	
  in	
  H+I	
  
12/08	
   98	
  
12/15	
   94	
  
12/22	
   90	
  
12/29	
   86	
  
1/05	
   82	
  
1/12	
   79	
  
1/19	
   76	
  
1/26	
   72	
  
2/2	
   69	
  
2/9	
   66	
  
2/16	
   64	
  
2/23	
   61	
  
3/02	
   58	
  
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Agent-­‐based	
  model	
  progress	
  
•  Sierra	
  Leone	
  calibra2on	
  
– Behavioral	
  Shil	
  of	
  17%	
  in	
  Mid-­‐Oct	
  
– Debugging	
  of	
  HPC	
  environment	
  
– 2nd	
  round	
  of	
  calibra2on	
  is	
  be.er,	
  s2ll	
  not	
  sa2sfied	
  
•  Fundamental	
  science	
  of	
  calibra2on	
  
– Methods	
  for	
  iden2fying	
  epidemic	
  instances	
  being	
  
developed	
  
– Extensions	
  to	
  simula2on	
  engine	
  to	
  generate	
  an	
  
“enriched”	
  set	
  of	
  instances	
  underway	
  
17
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
Sierra	
  Leone	
  Calibra2on	
  
18
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
App	
  Development	
  
•  EpiViewer	
  enhancements	
  
– Added	
  more	
  filters	
  
– Improving	
  visualiza2on	
  before	
  broader	
  release	
  
19
DRAFT	
  –	
  Not	
  for	
  a.ribu2on	
  or	
  distribu2on	
  
	
  
App	
  Development	
  
•  Eyes-­‐on-­‐the-­‐Ground	
  
–  Sierra	
  Leone	
  road	
  network	
  analysis	
  
underway	
  
–  Support	
  for	
  older	
  browser	
  being	
  inves2gated	
  	
  
•  Older	
  version	
  of	
  std	
  didn’t	
  support	
  current	
  
implementa2on	
  
20

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Modeling the Ebola Outbreak in West Africa January 6th 2015 update

  • 1. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Modeling  the  Ebola     Outbreak  in  West  Africa,  2014   January  6th  Update     Bryan  Lewis  PhD,  MPH  (blewis@vbi.vt.edu)   presen2ng  on  behalf  of  the   Ebola  Response  Team  of     Network  Dynamics  and  Simula2on  Science  Lab   from  the  Virginia  Bioinforma2cs  Ins2tute  at  Virginia  Tech   Technical  Report  #15-­‐001  
  • 2. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     NDSSL  Ebola  Response  Team   Staff:  Abhijin  Adiga,  Kathy  Alexander,  Chris  Barre.,  Richard   Beckman,  Keith  Bisset,  Jiangzhuo  Chen,  Youngyoun   Chungbaek,  Stephen  Eubank,  Sandeep  Gupta,  Maleq  Khan,   Chris  Kuhlman,  Eric  Lofgren,  Bryan  Lewis,  Achla  Marathe,   Madhav  Marathe,  Henning  Mortveit,  Eric  Nordberg,  Paula   Stretz,  Samarth  Swarup,  Meredith  Wilson,Mandy  Wilson,  and   Dawen  Xie,  with  support  from  Ginger  Stewart,  Maureen   Lawrence-­‐Kuether,  Kayla  Tyler,  Kathy  Laskowski,  Bill   Marmagas     Students:  S.M.  Arifuzzaman,  Aditya  Agashe,  Vivek  Akupatni,   Caitlin  Rivers,  Pyrros  Telionis,  Jessie  Gunter,  Elisabeth  Musser,   James  Schli.,  Youssef  Jemia,  Margaret  Carolan,  Bryan   Kaperick,  Warner  Rose,  Kara  Harrison         2
  • 3. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Currently  Used  Data  (as  of  Dec  22nd,  2014)   ●  Data  from  WHO,  MoH  Liberia,  and   MoH  Sierra  Leone,  available  at   h.ps://github.com/cmrivers/ebola   ●  MoH  and  WHO  have  reasonable  agreement   ●  Sierra  Leone  case  counts  censored  up   to  4/30/14.   ●  Time  series  was  filled  in  with  missing   dates,  and  case  counts  were   interpolated.   3        Cases  Deaths     Guinea      2,730  1,739     Liberia      8,115  3,423     Sierra  Leone    9,633  2,827     Total      20,478  7,989  
  • 4. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Liberia  –  Case  Loca2ons   4
  • 5. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Liberia  infec2on  rate   5
  • 6. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Liberia  Forecast     6 11/24   to   11/30   12/1   to   12/8   12/9   to   12/16   12/15   to   12/21   12/22   to   12/28   12/29   to   1/04   1/05   to   1/11   1/12   to   1/18   1/19-­‐1 /25   1/26-­‐2 /01   Reported   246   362   99   35   101   Newer  model   303   285   270   255   240   226   214   201   190   180   Reproduc2ve  Number   Community      0.23   Hospital        0.3   Funeral          0.2   Overall            0.8        
  • 7. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Liberia  long  term  forecasts   7 Date   Weekly  forecast   12/08   270   12/15   255   12/22   240   12/29   227   1/05   213   1/12   202   1/19   190   1/26   179   2/2   169   2/9   160   2/16   150   2/23   142   3/02   134   3/09   126  
  • 8. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Liberia-­‐  Prevalence   8 Date   People  in  H  +  I   12/08   652   12/15   616   12/22   580   12/29   548   1/05   517   1/12   488   1/19   460   1/26   434   2/2   410   2/9   386   2/16   365   2/23   344   3/02   325   3/09   306  
  • 9. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Sierra  Leone  –  County  Data   9
  • 10. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Sierra  Leone  infec2on  rate   10
  • 11. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Sierra  Leone  Forecast   11 35%  of  cases  are   hospitalized   ReproducRve  Number   Community  0.8   Hospital    0.3     Funeral    0.1     Overall    1.1     11/24   to   11/30   12/1   to   12/8   12/9   to   12/16   12/15   to   12/21   12/22   to   12/28   12/29   to   1/04   1/05   to   1/11   1/12   to   1/18   1/19-­‐1 /25   1/26-­‐2 /01   Reported   641   598   702   531   651   467   Newer  model   612   635   660   686   713   740   769   799   830   862  
  • 12. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     SL  longer  term  forecast   12 Sierra  Leone  –  Newer  Model  fit  –  Weekly  Incidence   Date   Weekly  forecast   12/08   660   12/15   686   12/22   713   12/29   740   1/05   769   1/12   799   1/19   830   1/26   862   2/2   895   2/9   929   2/16   965   2/23   1002   3/02   1040   3/09   1080  
  • 13. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Sierra  Leone  -­‐  Prevalence   13 Date   People  in  H  +  I   12/08   898   12/15   932   12/22   968   12/29   1006   1/05   1045   1/12   1085   1/19   1128   1/26   1171   2/2   1216   2/9   1263   2/16   1319   2/23   1370   3/02   1423   3/09   1477  
  • 14. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Guinea  Forecasts   14 40%  of  cases  are   hospitalized   ReproducRve  Number   Community  0.7     Hospital    0.1     Funeral    0.1     Overall    0.9     11/24   to   11/30   12/1   to   12/8   12/9   to   12/16   12/15   to   12/21   12/22   to   12/28   12/29   to   1/04   1/05   to   1/11   1/12   to   1/18   1/19-­‐1 /25   1/26-­‐2 /01   Reported   129   44   127   132   166   106   Newer  model   89   85   81   78   75   72   68   66   60   58  
  • 15. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Guinea  –  longer  term  forecast   15 Date   Weekly  forecast   12/08   81   12/15   78   12/22   75   12/29   72   1/05   69   1/12   66   1/19   63   1/26   60   2/2   58   2/9   55   2/16   53   2/23   51   3/02   48  
  • 16. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Guinea  Prevalence   16 Date   People  in  H+I   12/08   98   12/15   94   12/22   90   12/29   86   1/05   82   1/12   79   1/19   76   1/26   72   2/2   69   2/9   66   2/16   64   2/23   61   3/02   58  
  • 17. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Agent-­‐based  model  progress   •  Sierra  Leone  calibra2on   – Behavioral  Shil  of  17%  in  Mid-­‐Oct   – Debugging  of  HPC  environment   – 2nd  round  of  calibra2on  is  be.er,  s2ll  not  sa2sfied   •  Fundamental  science  of  calibra2on   – Methods  for  iden2fying  epidemic  instances  being   developed   – Extensions  to  simula2on  engine  to  generate  an   “enriched”  set  of  instances  underway   17
  • 18. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     Sierra  Leone  Calibra2on   18
  • 19. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     App  Development   •  EpiViewer  enhancements   – Added  more  filters   – Improving  visualiza2on  before  broader  release   19
  • 20. DRAFT  –  Not  for  a.ribu2on  or  distribu2on     App  Development   •  Eyes-­‐on-­‐the-­‐Ground   –  Sierra  Leone  road  network  analysis   underway   –  Support  for  older  browser  being  inves2gated     •  Older  version  of  std  didn’t  support  current   implementa2on   20