Ebola Virus Disease mathematical models and epidemiological parameters: a systematic review

Rebecca K. Nash, Sangeeta Bhatia, Christian Morgenstern, Patrick Doohan, David Jorgensen, Kelly McCain, Ruth McCabe, Dariya Nikitin, Alpha Forna, Gina Cuomo-Dannenburg, Joseph T. Hicks, Richard Sheppard, Tristan Naidoo, Sabine L. van Elsland, Cyril Geismar, Thomas Rawson, Sequoia Leuba, Jack Wardle, Isobel Routledge, Keith FraserNatsuko Imai-Eaton, Anne Cori, H Juliette T Unwin*

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

10 Citations (Scopus)
81 Downloads (Pure)

Abstract

Ebola Virus Disease (EVD) poses a recurring risk to human health. We conducted a systematic review (PROSPERO CRD42023393345) of EVD transmission models and parameters published prior to 7th July 2023 from PubMed and Web of Science. Two people screened each abstract and full text. Papers were extracted using a bespoke Access database, 10% were double extracted. We extracted 1,280 parameters and 295 models from 522 papers. Basic reproduction number estimates were highly variable as were effective reproduction numbers, likely reflecting spatiotemporal variability in interventions. Random effect estimates were 15.4 days (95% Confidence Interval (CI) 13.2-17.5) for the serial interval, 8.5 (95% CI 7.7-9.2) for the incubation period, 9.3 (95% CI 8.5-10.1) for the symptom-onset-to-death delay and 13.0 (95% CI 10.4-15.7) for symptom-onset-to-recovery. Common effect estimates were similar albeit with narrower CIs. Case fatality ratio estimates were generally high but highly variable, which could reflect heterogeneity in underlying risk factors. While a significant body of literature exists on EVD models and epidemiological parameter estimates, many of these studies focus on the West African Ebola epidemic and are primarily associated with Zaire Ebola virus. This leaves a critical gap in our knowledgeregarding other Ebola virus species and outbreak contexts.
Original languageEnglish
Pages (from-to)e762-e773
Number of pages12
JournalThe Lancet Infectious Diseases
Volume24
Issue number12
Early online date7 Aug 2024
DOIs
Publication statusPublished - 1 Dec 2024

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