Dynamic Group Testing to Control and Monitor Disease Progression in a Population

Sundara Rajan Srinivasavaradhan;Pavlos Nikolopoulos;Christina Fragouli;Suhas Diggavi
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Abstract

Proactive testing and interventions are crucial for disease containment during a pandemic until widespread vaccination is achieved. However, a key challenge remains: Can we accurately identify all new daily infections with only a fraction of tests needed compared to testing everyone, everyday? Group testing reduces the number of tests but overlooks infection dynamics and non i.i.d nature of infections in a community, while on the other hand traditional SIR (Susceptible-Infected-Recovered) models address these dynamics but don’t integrate discrete-time testing and interventions. This paper bridges the gap. We propose a “discrete-time SIR stochastic block model” that incorporates group testing and daily interventions, as a discrete counterpart to the well-known continuous-time SIR model that reflects community structure through a specific weighted graph. We analyze the model to determine the minimum number of daily group tests required to identify all infections with vanishing error probability. We find that one can leverage the knowledge of the community and the model to inform nonadaptive group testing algorithms that are order-optimal, and therefore achieve the same performance as complete testing using a much smaller number of tests.
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控制和监测人群疾病进展的动态分组测试
在实现大范围疫苗接种之前,主动检测和干预对于大流行期间的疾病控制至关重要。然而,关键的挑战依然存在:与每天对每个人进行检测相比,我们能否只用一小部分检测就能准确识别每天所有的新感染病例?集体检测减少了检测次数,但却忽略了社区中的感染动态和感染的非即期性,而另一方面,传统的 SIR(易感者-感染者-康复者)模型解决了这些动态问题,但却没有整合离散时间检测和干预措施。本文弥补了这一不足。我们提出了一种 "离散时间 SIR 随机区块模型",该模型结合了分组检测和日常干预,是著名的连续时间 SIR 模型的离散对应模型,后者通过特定的加权图反映社区结构。我们对该模型进行了分析,以确定以消失的误差概率识别所有感染所需的最小每日分组测试次数。我们发现,我们可以利用对群体和模型的了解,为非适应性群体测试算法提供信息,这种算法是阶次最优的,因此可以用更少的测试次数达到与完全测试相同的性能。
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