A simple correction for COVID-19 sampling bias

https://doi.org/10.1016/j.jtbi.2020.110556Get rights and content

Highlights

  • Easy way to correct for COVID-19 testing bias.

  • Estimation of prevalence for COVID-19.

  • Using correction for publication bias to correct COVID-19 testing bias.

  • Principle of Insufficient Reason and maximum entropy for correction of COVID-19 testing bias.

Abstract

COVID-19 testing has become a standard approach for estimating prevalence which then assist in public health decision making to contain and mitigate the spread of the disease. The sampling designs used are often biased in that they do not reflect the true underlying populations. For instance, individuals with strong symptoms are more likely to be tested than those with no symptoms. This results in biased estimates of prevalence (too high). Typical post-sampling corrections are not always possible. Here we present a simple bias correction methodology derived and adapted from a correction for publication bias in meta analysis studies. The methodology is general enough to allow a wide variety of customization making it more useful in practice. Implementation is easily done using already collected information. Via a simulation and two real datasets, we show that the bias corrections can provide dramatic reductions in estimation error.

Keywords

Estimation of prevalence
Symptoms
Outbreak
Epidemic
Entropy

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