JSM 2005 - Toronto

Abstract #304531

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 510
Type: Topic Contributed
Date/Time: Thursday, August 11, 2005 : 10:30 AM to 12:20 PM
Sponsor: Section on Statisticians in Defense and National Security
Abstract - #304531
Title: Time-distributed Effect of Exposure and Infectious Outbreaks
Author(s): Elena Naumova*+ and Ian MacNeill
Companies: Tufts University and The University of Western Ontario
Address: 136 Harrison Avenue, Boston, MA, 02111, United States
Keywords: distributed lag model ; Poisson regression ; outbreak signature ; time series analysis ; Monte Carlo simulations
Abstract:

In assessing associations between environmental exposures and infectious diseases, failure to account for a latent period between time of exposure and time of disease manifestation may lead to severe underestimation of the effects. To consider such time-distributed lags is a challenging task because the length of a latent period for food- or water-borne infections varies from hours to months and depends on the kind of pathogen, individual susceptibility to the pathogen, dose of exposure, and route of transmission. However, if person-to-person transmission is low, a distribution of delay may concur with a distribution of pathogen-specific incubation time. In our recent work, we outlined the framework for modeling outbreaks of water-borne and food-borne infections based on a notion of a disease "signature" and suggested a number of techniques to characterize lagged exposure-outcome relations.


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Revised March 2005