Document Type

Article

Publication Date

1-1-2020

Publication Title

Letters in Biomathematics

Abstract

Antibiotic-resistant tuberculosis (TB) strains pose a major challenge to TB eradication. Existing US epidemiological models have not fully incorporated the impact of antibiotic-resistance. To develop a more realistic model of US TB dynamics, we formulated a compartmental model integrating single-and multi-drug resistance. We fit twenty-seven parameters to twenty-two years of historical data using a genetic algorithm to minimize a non-differentiable error function. Since counts for several compartments are not available, many parameter combinations achieve very low error. We demonstrate that a crowd of near-best fits can provide compelling new evidence about the ranges of key parameters. While available data is sparse and insufficient to produce point estimates, our crowd of near-best fits computes remarkably consistent predictions about TB prevalence. We believe that our crowd-based approach is applicable to a common problem in mathematical biological research, namely situations where data are sparse and reliable point estimates cannot be directly obtained.

Keywords

Compartmental models, Disease dynamics, Genetic algorithm, Model fitting, Tuberculosis

Volume

7

Issue

1

First Page

15

Last Page

35

Comments

Archived as published. Open access article.

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Biology Commons

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