Published in

The Royal Society, Journal of the Royal Society. Interface, 146(15), p. 20180512, 2018

DOI: 10.1098/rsif.2018.0512

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Detection of HIV transmission clusters from phylogenetic trees using a multi-state birth–death model

Journal article published in 2018 by Joëlle Barido-Sottani ORCID, Timothy G. Vaughan, Tanja Stadler ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

HIV patients form clusters in HIV transmission networks. Accurate identification of these transmission clusters is essential to effectively target public health interventions. One reason for clustering is that the underlying contact network contains many local communities. We present a new maximum-likelihood method for identifying transmission clusters caused by community structure, based on phylogenetic trees. The method employs a multi-state birth–death (MSBD) model which detects changes in transmission rate, which are interpreted as the introduction of the epidemic into a new susceptible community, i.e. the formation of a new cluster. We show that the MSBD method is able to reliably infer the clusters and the transmission parameters from a pathogen phylogeny based on our simulations. In contrast to existing cutpoint-based methods for cluster identification, our method does not require that clusters be monophyletic nor is it dependent on the selection of a difficult-to-interpret cutpoint parameter. We present an application of our method to data from the Swiss HIV Cohort Study. The method is available as an easy-to-use R package.