1/ Very good thread about all the things that most modelers fail at, which is predicting outcome. As shown your assumptions are everything. For example, our model only estimate immunity through simplified cohort dynamics. Its good for that, it just happen it is also very useful.
2/ Language is a model that is useful to communicate ideas. In the same way as language, models shape reality. If your model simplifies an specific aspect, your reality also becomes less rich. You always have to be careful what model you accept as correct and why.
3/ but the most important realization you have to develop is that models are useful, until they arent. The more disconnected from reality, the more effects you are explaining without fully understanding them.
4/ For example, in our model fitting is everything, you don't start from an idealized situation; you start trying to derive what happened and the constraints that reality impose on it. We use serology, asymptomatic measurements, deaths series, prevalence of mutations, etc.
5/ if the model is not able to predict the mechanics of real life you need immediately to figure out if the approximation is gonna have a first, second or third order contribution to the phenomena. That's where the most interesting science happens.
6/ We found out that many things thought to have impact on the abstract don't have sizeable contributions to estimate immunity. For example, not long ago I had a discussion with an epidemiologist that believes that RtoD parameter is important. In the abstract it is.
7/ but the devil is in the details. On our model it can be shown that the actual contribution to the immunity is negligible, to the point that I doubled it, and you can look at it and know that it is wrong, but the outcome of roughly the same.
8/ we estimated it to be 11, this is what happens when you done it to 22. See how the model doesn't allow you to fit properly? But interestingly, under normal life there is a small difference, which for policy purposes is minimal.
9/ So, that begs the question: does it make sense to have complex distributions for the parameter when the mean can get you this with minimal impact in the end result?
10/ I still don't understand why epidemiologist insist in using low capacity predictive models where there are much better ways to do so. And it is not that difficult. We learned what we needed with @LDjaparidze to model epidemiological models in 6 months.

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More from @federicolois

31 Jan
Yes they should. Dexamethasone, Bromhexine, Melatonine and a few others like Colchine had in-silico interesting results as early as 1st of March. With the exception of dexa still waiting for the large scale RCTs.
Haven't said this publicly before but early on with a group of MDs, biotech and others researchers we built a protocol coupling statistical exploration techniques from AI with low toxicity drugs for profilaxis use. Apparently it was too innovative and rejected by our government.
With the exception of dexamethasone, all the others were already identified to be used in the early treatment of at risk with high probability contract protocol. Probably ivermectin that appeared later would have made the cut too, given the profile.
Read 9 tweets
18 Jan
1/n Language is powerful, because it gives hints on what is going on. I am in my home town, a 150k inhabitants city that has been isolated by government for a long time. Given my parents live here I have been tracking COVID here from early on.
2/n I even know the city infectious disease public official here and we exchanged notes on the early outbreak when there was just 2 deaths. Our estimation back then was between 120 to 150 deaths by the end of it.
3/n Fast forward to today, if we use the conservative method used by the WHO and CDC for correcting detected and actual infections it gives that 120k were infected. Remember 3rd world testing infrastructure.
Read 6 tweets
20 Dec 20
1/n It is our view with @LDjaparidze that lockdowns cause harm in subtle way. They do stop the virus, mind you, but when it eventually circulates again (and until vaccination it always does) vulnerable willpower to isolate is gone.
2/n Death minimizing is about virus circulation among healthy <60 while vulnerable *are still willing* to isolate at high levels. That is exactly what didn't happen in Argentina after the 5th month of lockdown.
3/n Oblivious to most (even the expert epidemiologists) after lockdowns death minimizing requires overshooting healthy <60 infections while vulnerable isolate at very high levels. None of that is happening.
Read 5 tweets
7 Nov 20
1/ The first rule of Lockdown Club is: You do not talk about deaths per million. The second rule of Lockdown Club is: You do not talk about deaths per million.
2/ Third rule of Lockdown Club: someone yells Sweden or herd immunity, you point out the other Nordics. Fourth rule: only two metrics to a discussion, cases and cases.
3/ Fifth rule: one lockdown per season, fellas. Sixth rule: no deaths, no herd. Seventh rule: lockdowns will go on as long as they have to.
Read 4 tweets
17 Oct 20
Controversial opinion: those that say its not possible to shield the vulnerable, also won't be able to prove if there is a difference (or lack of it) between the trajectory of the virus at Madrid and Stockholm. Who do you think has let it rip?
1/ There were many "Eureka" moments while working on our paper, but probably the most important of all happened pretty early. Non-linear models are highly sensitive to:
2/ We decided early on to eliminate as many parameters as possible. Location parameters are simple to fix, they are location parameters. Viral parameters also, you can go and say R0=3.3 and you made a choice. How many parameters are left if you do that?
Read 32 tweets
13 Oct 20
1/ Our preprint with @LDjaparidze is online at @medrxivpreprint
"SARS-CoV-2 waves in Europe: A 2-stratum SEIRS model solution"
medrxiv.org/content/10.110…
2/ We extended the SEIRS model to support stratified isolation levels for healthy <60 and vulnerable individuals.
3/ We forced the model to predict daily deaths curves and the reported age serology ratio for key metropolitan areas in Europe. The immunity level estimations obtained were: Madrid 43%; Catalonia 24%; Brussels 73%; and Stockholm 65%.
Read 13 tweets

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