These are the slides for the talk given in the Data Science Lounge at the Data+AI Summit, 2020.

### Introduction

This post is a demonstration of how to use PyMC3 to infer the disease parameters for COVID-19. PyMC3 is a probablistic programming framework that is used for Bayesian modeling. It accomplishes this through both Markov Chain Monte Carlo (MCMC) and Variational Inference methods. The work here looks at using the currently available data for the infected cases in the United States as a time-series and attempts to model this using a compartmental model. We try to infer the disease parameters and eventually estimate \(R_0\) using MCMC sampling.

This work is for illustration purposes only and real-life modeling requires far more sophisticated tools than what is shown here. Various assumptions regarding population dynamics are made here, which may not be valid for large non-homogeneous populations. Finally, interventions such as social distancing and vaccinations are not considered here.

This post will cover the following:

Compartmental models for Epidemics

Where the data comes from and how it is ingested

The SIR and an overview of the SIRS model

Bayesian Inference for ODEs with PyMC3

Inference Workflow on Databricks

### Compartmental Models for Epidemics

For an overview of compartmental models and their behavior, please refer to this notebook in Julia - https://github.com/sjster/Epidemic.

Compartmental models are a set of Ordinary Differential Equations (ODEs) for closed populations, which imply that there is movement of the population in or out of this compartment. These aim to model disease propagation in compartments of populations that are homogeneous. As you can imagine, these assumptions may not be valid in large populations. It is also important to point out here that vital statistics such as the number of births and deaths in the population may not be included in this model. The following list mentions some of the compartmental models along with the various compartments of disease propagation, however this is not an exhaustive list by any means.

- Susceptible Infected (SI)
- Susceptible Infected Recovered (SIR)
- Susceptible Infected Susceptible (SIS)
- Susceptible Infected Recovered Susceptible (SIRS)
- Susceptible Infected Recovered Dead (SIRD)
- Susceptible Exposed Infected Recovered (SEIR)
- Susceptible Exposed Infected Recovered Susceptible (SEIRS)
- Susceptible Exposed Infected Recovered Dead (SEIRD)
- Maternally-derived Immunity Susceptible Infectious Recovered (MSIR)
- SIDARTHE (https://www.nature.com/articles/s41591-020-0883-7)

The last one is more recent and specifically targets COVID-19 and maybe worth a read for those interested. Real-world disease modeling often involves more than just the temporal evolution of disease stages since many of the assumptions associated with compartments are violated. It becomes critical to look at the spatial discretization and evolution of the progression of the disease through the population. An example of a framework that models this spatio-temporal evolution is GLEAM (Fig.1).

*Fig. 1*

Tools such as GLEAM use the population census data and the mobility patterns to understand how people move geographically. GLEAM divides the globe into spatial grids of roughly 25km x 25km. There are broadly two types of mobility: global or long-range mobility and local or short-range mobility. Long term mobility mostly involves air travel and as such airports are considered a central hub for disease transmission. Travel by sea is also another significant factor and therefore naval ports are another type of access point. Along with the mathematical models listed above, this provides a stochastic framework that can be used to make millions of simulations to draw inferences about parameters and make forecasts.

### The Data

The data is obtained from the Johns Hopkins CSSE Github page where case counts are regularly updated

The data is available as CSV files which can be read in through Python Pandas.

### The SIR and SIRS models

#### SIR Model

The SIR model is given by the set of 3 Ordinary Differential Equations (ODEs) shown below. There are three compartments in this model.

$$ \dfrac{dS}{dt} = -\lambda \dfrac{SI}{N} $$

$$ \dfrac{dI}{dt} = \lambda \dfrac{SI}{N} - \mu I $$

$$ \dfrac{dR}{dt} = f\mu I $$

Here ’S’, ‘I’ and ‘R’ refer to the susceptible, infected and recovered portions of the population of size ‘N’ such that

$$ S + I + R = N $$

The assumption here is that once you have recovered from the disease, lifetime immunity is conferred on an individual. This is not the case for a lot of diseases and hence may not be a valid model.

\(\lambda\) is the rate of infection and \(\mu\) is the rate of recovery from the disease. The fraction of people who recover from the infection is given by ‘f’ but for the purpose of this work, ‘f’ is set to 1 here. We end up with an Initial Value problem for our set of ODEs where I(0) is assumed to be known from the case counts at the beginning of the pandemic and S(0) can be estimated as N - I(0). Here we make the assumption that the entire population is susceptible. The goal is to accomplish the following:

- Use Bayesian Inference to make estimates about \(\lambda\) and \(\mu\)
- Use the above parameters to estimate I(t) for any time ’t’
- Compute \( R_0 \)

￼As already pointed out, \(\lambda\) is the disease transmission coefficient. This depends on the number of interactions, in unit time, with infectious people. This in turn depends on the number of infectious people in the population.

￼$$ \lambda = contact \ rate \times transmission \ probability $$

The force of infection or risk at any time ’t’ is defined as \(\lambda \dfrac{I_t}{N}\). Also, \(\mu\) is the fraction of recovery that happens in unit time. \(\mu^{-1}\) is hence the mean recovery time. The ‘basic reproduction number’ \(R_0\)￼ is the average number of secondary cases produced by a single primary case (Examples https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002118/). \(R_0\) is also defined in terms of the \(\lambda\) and \(\mu\) as the ratio given by

$$ R_0 = \dfrac{\lambda}{\mu} $$

This assumes that \(S_0\) is close to 1.

If \(R_0\) > 1, we have a proliferation of the disease and we have a pandemic. If we vaccinate a fraction ‘p’ of the population to get \( (1 - p)R_0 < 1 \) ￼, we can halt the spread of the disease.

#### SIRS Model

The SIRS model, shown below, makes no assumption of lifetime immunity once an infected person has recovered. Therefore, one goes from the recovered compartment to the susceptible compartment. As such, this is probably a better low-fidelity baseline model for COVID-19 where it is suggested that the acquired immunity is short-term. The only additional parameter here is \(\gamma\) which refers to the rate at which immunity is lost and the infected individual moves from the recovered pool to the susceptible pool.

$$ \dfrac{dS}{dt} = -\lambda \dfrac{SI}{N} + \gamma R $$

$$ \dfrac{dI}{dt} = \lambda \dfrac{SI}{N} - \mu I $$

$$ \dfrac{dR}{dt} = \mu I - \gamma R $$

For this work, only the SIR model is implemented, and the SIRS model and its variants are left for future work.

### Using PyMC3 to Infer the Disease Parameters

We can discretize the SIR model using a first order or a second order temporal differentiation scheme which can then be passed to PyMC3 which will march the solution forward in time using these discretized equations. The parameters \(\lambda\) and \(\mu\) can then be fitted using the Monte Carlo sampling procedure.

#### First order scheme

The first order scheme using forward differentiation is given by

$$
\dfrac{S*t - S*{p}}{\Delta t} = -\lambda \dfrac{SI}{N}
$$

$$
\dfrac{I*t - I*{p}}{\Delta t} = \lambda \dfrac{SI}{N} - \mu I
$$

$$
\dfrac{R*t - R*{p}}{\Delta t} = \mu I
$$

where p = t - 1

#### Second order scheme

The second order scheme using forward differentiation is given by
$$
S*{t} = (4 - \dfrac{2 \Delta t \lambda I}{N}) \dfrac{S*{t-1}}{3} - \dfrac{S_{t-2}}{3}
$$

$$
I*t = (\dfrac{2 \Delta t \lambda S*{t-1}}{N} - 2\Delta t \mu + 4) I*{t-1} - \dfrac{I*{t-2}}{3}
$$

$$
R*t = \dfrac{2 \Delta t \mu I*{t-1} + 4 R*{t-1} - R*{t-2}}{3}
$$

#### The DifferentialEquation Method in PyMC3

While one can provide the discretization manually with one’s desired higher order discretization scheme, this quickly becomes cumbersome and error prone not to mention computationally inefficient. Fortunately, PyMC3 has an ODE module to help do this. We can use the DifferentialEquation method from the ODE module which takes as input a function that returns the value of the set of ODEs as a vector, the time steps where the solution is desired, the number of states corresponding to the number of equations and the number of variables we would like to have solved. One of the disadvantages of this method is that it tends to be slow. The recommended best practice is to use the ‘sunode’ module (Fig. 3) in PyMC3. For e.g. the same problem took 5.4 mins using DifferentialEquations vs. 16s with sunode for 100 samples,100 tuning samples and 20 time points.

*Fig. 2*

The syntax for using the sunode module is shown in Fig. 3. While there are some syntactic differences, the general structure is the same as that of DifferentialEquations.

*Fig. 3*

#### The Inference Process for an SIR Model

In order to perform inference on the parameters we seek, we start by selecting reasonable priors for the disease parameters. Based on our understanding of the behavior of these parameters, a lognormal distribution is a reasonable prior. Ideally, we want the mean parameter of this lognormal to be in the neighborhood of what we expect the desired parameters to reside. For good convergence and solutions, it is also essential that the data likelihood is appropriate (domain expertise!). It is common to pick one of the following as the likelihood.

- Normal distribution
- Lognormal distribution
- Student’s t-distribution

We obtain the Susceptible (S(t)) and Infectious (I(t)) numbers from the ODE solver and then sample for values of $\lambda$ and $\mu$ as shown below.

*Fig. 4*

### The Inference Workflow with PyMC3 on Databricks

Since developing a model such as this, for estimating the disease parameters using Bayesian inference, is an iterative process we would like to automate away as much as possible. It is probably a good idea to instantiate a class of model objects with various parameters and have automated runs. Fortunately, automating the execution is quite easy to accomplish using Databricks notebooks, each cell contains a combination of the desired parameters (Fig. 5) and once executed outputs the plots without user intervention. It is also a good idea to save the trace information, inference metrics such as \(\hat{R}\) along with other metadata information for each run. A file format such as NetCDF can be used for this although it could be as simple as using the Python built-in database module ‘shelve’.

*Fig. 5*

#### Sample Results

These results are purely for illustration purposes and extensive experimentation is needed before meaningful results can be expected from this simulation. The case count for United States from January to October is shown below (Fig 6).

*Fig. 6*

Fig. 7 shows the results of an inference run where the posterior distributions of \(\lambda\), \(\mu\) and \(R_0\) are displayed. One of the advantages of performing Bayesian inference is that the distributions show the mean value estimate along with the Highest Density Interval (HDI) for quantifying uncertainty. It is also prudent to check the trace (at the very least!) to ensure sampling was done properly.

*Fig. 7*

### Notes and Guidelines

Some general guidelines for modeling and inference:

- Use at least 5000 samples and 1000 samples for tuning.
- For the results shown above, I have used:
- Mean: \(\lambda\) = 1.5, \(\mu\) = 1.5.
- Standard deviation: 2.0 for both parameters.

- Sample from 3 chains at least.
- Set
**target_accept**to > 0.85 . - If possible, sample in parallel with
**cores=n**, where ‘n’ is the number of cores available. - Inspect the trace for convergence.
- Limited time-samples have an impact on inference accuracy, it is always better to have more good quality data.
- Normalize your data, large values are generally not good for convergence.

#### Debugging your model

Since the backend for PyMC3 is theano, the Python print statement cannot be used to inspect the value of a variable. Use

**theano.printing.Print(DESCRIPTIVE_STRING)(VAR)**to accomplish this.Initialize stochastic variables by passing a ‘testval’. This is very helpful to check those pesky ‘Bad Energy’ errors, which are usually due to poor choice of likelihoods or priors. Use

**Model.check_test_point()**to verify this.Use

**step = pm.Metropolis()**for quick debugging, this runs much faster but results in a rougher posterior.If the sampling is slow, check your prior and likelihood distributions.

### References

The work by the Priesemann Group

Demetri Pananos work on the PyMC3 page