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Debiasing targeted testing data

This repository contains the R scripts needed to reproduce the results reported in the manuscript 'Improving local prevalence estimates of SARS-CoV-2 infections using a causal debiasing framework'.

Installation

To run these scripts, you will need R version 3.6.3 or later, widely available on Unix-like, Windows and Mac families of operating systems. If you have R version 4.0.0 or above on Windows, you will also need to install Rtools. The demo below has been tested on macOS 10.15 Catalina, Windows 10 and CentOS Linux 7. To get started, first clone this repository onto your local machine. Next, open an R console, and install the renv R package if you don't have it already (e.g. via install.packages("renv")). Then, run the following, changing path_to_dir to the path of your local version of this repository,

path_to_dir <- "path/to/jbc-turing-rss-testdebiasing"
setwd(path_to_dir)
renv::activate(path_to_dir)
renv::restore(path_to_dir)
# 3 minutes, 10 seconds

to install the required packages for the scripts.

Demo

The repository includes a subset of the data for the lower-tier local authority of Adur and its corresponding PHE region of the South East. To load the data and the prevdebiasr package:

base::load("data/example.RData")
library(prevdebiasr)

This loads two data frames: southeast_df containing weekly Pillar 1+2 testing data and REACT study data for the whole of the South East, and adur_df containing weekly Pillar 1+2 data for Adur, from the end of May 2020 to the beginning of August 2021. The columns nt and Nt contain the number of of positive and total Pillar 1+2 tests respectively, while the columns nr and Nr contain the corresponding number of REACT tests. The column M contains the population of the relevant region.

To generate estimates for δ for the South East, i.e. the log odds ratio of being tested in the infected versus the non-infected subpopulations:

control_debias <- get_control_parameters(alpha_testing = 3e-4)
delta_df <- specify_delta_prior(southeast_df, control_debias)
# 2 minutes, 28 seconds

The get_control_parameters() function is a utility to set the hyperparameters of the statistical model. See the manuscript and ?get_control_parameters for more details. The output delta_df is a data frame with two columns: delta_prior_mean and delta_prior_sd contain the mean and standard deviation of a moment-matched Gaussian approximation for δ, to be used downstream in estimating debiased prevalence.

head(delta_df)
#   delta_prior_mean delta_prior_sd
# 1         2.888957      0.3226672
# 2         2.881859      0.3045518
# 3         2.875330      0.2829014
# 4         2.869367      0.2568006
# 5         2.895197      0.2599046
# 6         2.878135      0.2641643

To obtain estimates of debiased prevalence for Adur:

adur_df <- cbind(adur_df, delta_df)
adur_prevalence <- local_prevalence(adur_df, control_debias)
# 1 minute, 33 seconds

The output adur_prevalence is a list containing three matrices: log_post, norm_post and log_lik corresponding to the log posterior, the normalised posterior, and the log likelihood for debiased prevalence. Each matrix is of dimension 'number of weeks' x 'number of prevalence bins'. The prevalence bins used can be found in control_debias$bin.d.

adur_prevalence$norm_post[1:3, 30:32]
#             45           48           51
# 1 0.0188419722 0.0231530560 0.0266946627
# 2 0.0002964074 0.0002060873 0.0001500834
# 3 0.0483394905 0.0429635767 0.0402508229

Scripts to reproduce manuscript results

To subdirectory scripts contains all the code needed to reproduce the results in the manuscript. On a CentOS Linux 7 computing cluster using 24 CPUs, running all the scripts took approximately 16 hours.

00_download_data.R fetches the required data. In case any of the links in this script are broken, we have also made the data available as a zip file at this Zenodo repository.
01_preprocess_data.R performs some initial preprocessing of the data for downstream use.
02_calculate_infectiousness_estimates computes the time-dependent probability of being infectiousness conditional on returning a (true) positive PCR test
03_prevalence_comparisons.R calculates prevalence estimates and credible intervals using 1) only Pillar 1+2 data and 2) only REACT data.
04a_main_run.R contains the analysis scripts to generate the results in the main part of the manuscript. 04b_main_cut.R contains the analysis scripts to generate the results for Validation 2. 05_supp_run.R contains the analysis scripts to generate the results for the supplementary material.
06*.R contains the plotting scripts to generate the figures in the main part of the manuscript.
07*.R contains the plotting scripts to generate the figures in the supplementary material.

create_SIR_transition_matrices.R precalculates the hidden Markov model transition matrices in transmats/ needed to fit the stochastic epidemic model.

Notes

The scripts to generate the map plots in 06f_delta_variant.R requires the additional R packages "sf" and "rgdal". They are not installed here by default due to their large number of dependencies.

The script to generate SI Figure 15 uses python. To install the relevant dependencies via a conda environment, run conda env create -f testdebiasing.yml.