interventions

interventions

Specify the core interventions. Other interventions can be defined by the user by inheriting from these classes.

Classes

Name Description
BaseScreening Base class for screening.
BaseTest Base class for screening and triage.
BaseTreatment Base treatment class.
BaseTriage Base class for triage.
BaseTxVx Base class for therapeutic vaccination
BaseVaccination Base vaccination class for determining who will receive a vaccine.
CampaignDelivery Base class for any intervention that uses campaign delivery; handles interpolation of input years.
EventSchedule Run functions on different days
Intervention Base class for interventions.
RoutineDelivery Base class for any intervention that uses routine delivery; handles interpolation of input years.
campaign_screening Campaign screening - an instance of base screening combined with campaign delivery.
campaign_triage Campaign triage - an instance of base triage combined with campaign delivery.
campaign_txvx Campaign delivery of therapeutic vaccine - an instance of treat_num combined
campaign_vx Campaign vaccination - an instance of base vaccination combined with campaign delivery.
dx Testing products are used within screening and triage. Their fundamental property is that they classify people
dynamic_pars A generic intervention that modifies a set of parameters at specified points
linked_txvx Deliver therapeutic vaccine. This intervention should be used if TxVx delivery
routine_screening Routine screening - an instance of base screening combined with routine delivery.
routine_triage Routine triage - an instance of base triage combined with routine delivery.
routine_txvx Routine delivery of therapeutic vaccine - an instance of treat_num combined
routine_vx Routine vaccination - an instance of base vaccination combined with routine delivery.
treat_delay Treat people after a fixed delay
treat_num Treat a fixed number of people each timestep.
tx Treatment products include anything used to treat cancer or precancer, as well as therapeutic vaccination.
vx Vaccine product

BaseScreening

interventions.BaseScreening(age_range=None, **kwargs)

Base class for screening.

Parameters

Name Type Description Default
age_range (list/tuple/arr) age range for screening, e.g. [30,50] required
kwargs (dict) passed to BaseTest required

Methods

Name Description
apply Perform screening by finding who’s eligible, finding who accepts, and applying the product.
check_eligibility Return an array of indices of agents eligible for screening at time t, i.e. sexually active
apply
interventions.BaseScreening.apply(sim)

Perform screening by finding who’s eligible, finding who accepts, and applying the product.

check_eligibility
interventions.BaseScreening.check_eligibility(sim)

Return an array of indices of agents eligible for screening at time t, i.e. sexually active females in age range, plus any additional user-defined eligibility, which often includes the screening interval.

BaseTest

interventions.BaseTest(product=None, prob=None, eligibility=None, **kwargs)

Base class for screening and triage.

Parameters

Name Type Description Default
product (str/Product) the diagnostic to use required
prob (float/arr) annual probability of eligible women receiving the diagnostic required
eligibility (inds/callable) indices OR callable that returns inds required
label (str) the name of screening strategy required
kwargs (dict) passed to Intervention() required

Methods

Name Description
deliver Deliver the diagnostics by finding who’s eligible, finding who accepts, and applying the product.
deliver
interventions.BaseTest.deliver(sim)

Deliver the diagnostics by finding who’s eligible, finding who accepts, and applying the product.

BaseTreatment

interventions.BaseTreatment(
    product=None,
    prob=None,
    eligibility=None,
    age_range=None,
    **kwargs,
)

Base treatment class.

Parameters

Name Type Description Default
product (str/Product) the treatment product to use required
accept_prob (float/arr) acceptance rate of treatment - interpreted as the % of women eligble for treatment who accept required
eligibility (inds/callable) indices OR callable that returns inds required
label (str) the name of treatment strategy required
kwargs (dict) passed to Intervention() required

Methods

Name Description
apply Perform treatment by getting candidates, checking their eligibility, and then treating them.
check_eligibility Check people’s eligibility for treatment
get_accept_inds Get indices of people who will acccept treatment; these people are then added to a queue or scheduled for receiving treatment
get_candidates Get candidates for treatment on this timestep. Implemented by derived classes.
apply
interventions.BaseTreatment.apply(sim)

Perform treatment by getting candidates, checking their eligibility, and then treating them.

check_eligibility
interventions.BaseTreatment.check_eligibility(sim)

Check people’s eligibility for treatment

get_accept_inds
interventions.BaseTreatment.get_accept_inds(sim)

Get indices of people who will acccept treatment; these people are then added to a queue or scheduled for receiving treatment

get_candidates
interventions.BaseTreatment.get_candidates(sim)

Get candidates for treatment on this timestep. Implemented by derived classes.

BaseTriage

interventions.BaseTriage(age_range=None, **kwargs)

Base class for triage.

Parameters

Name Type Description Default
kwargs dict passed to BaseTest {}

BaseTxVx

interventions.BaseTxVx(**kwargs)

Base class for therapeutic vaccination

Methods

Name Description
deliver Deliver the intervention. This applies on a single timestep, whereas apply() methods
deliver
interventions.BaseTxVx.deliver(sim)

Deliver the intervention. This applies on a single timestep, whereas apply() methods apply on every timestep and can selectively call this method.

BaseVaccination

interventions.BaseVaccination(
    product=None,
    prob=None,
    age_range=None,
    sex=None,
    eligibility=None,
    label=None,
    **kwargs,
)

Base vaccination class for determining who will receive a vaccine.

Parameters

Name Type Description Default
product (str/Product) the vaccine to use required
prob (float/arr) annual probability of eligible population getting vaccinated required
age_range (list/tuple) age range to vaccinate required
sex (int/str/list) sex to vaccinate - accepts 0/1 or ‘f’/‘m’ or a list of both required
eligibility (inds/callable) indices OR callable that returns inds required
label (str) the name of vaccination strategy required
kwargs (dict) passed to Intervention() required

Methods

Name Description
apply Perform vaccination by finding who’s eligible for vaccination, finding who accepts, and applying the vaccine product.
check_eligibility Determine who is eligible for vaccination
shrink Shrink vaccination intervention
apply
interventions.BaseVaccination.apply(sim)

Perform vaccination by finding who’s eligible for vaccination, finding who accepts, and applying the vaccine product.

check_eligibility
interventions.BaseVaccination.check_eligibility(sim)

Determine who is eligible for vaccination

shrink
interventions.BaseVaccination.shrink(in_place=True)

Shrink vaccination intervention

CampaignDelivery

interventions.CampaignDelivery(
    years,
    interpolate=None,
    prob=None,
    annual_prob=True,
)

Base class for any intervention that uses campaign delivery; handles interpolation of input years.

EventSchedule

interventions.EventSchedule()

Run functions on different days

This intervention is a a kind of generalization of dynamic_pars to allow more flexibility in triggering multiple, arbitrary operations and to more easily assemble multiple changes at different times. This intervention can be used to implement scale-up or other changes to interventions without needing to implement time-dependency in the intervention itself.

To use the intervention, simply index the intervention by t or by date.

Example:

iv = EventSchedule() iv[1] = lambda sim: print(sim.t) iv[‘2020-04-02’] = lambda sim: print(‘foo’)

Intervention

interventions.Intervention(
    label=None,
    show_label=False,
    do_plot=None,
    line_args=None,
)

Base class for interventions.

Parameters

Name Type Description Default
label str a label for the intervention (used for plotting, and for ease of identification) None
show_label bool whether or not to include the label in the legend False
do_plot bool whether or not to plot the intervention None
line_args dict arguments passed to pl.axvline() when plotting None

Methods

Name Description
apply Apply the intervention. This is the core method which each derived intervention
disp Print a detailed representation of the intervention
finalize Finalize intervention
initialize Initialize intervention – this is used to make modifications to the intervention
plot_intervention Plot the intervention
shrink Remove any excess stored data from the intervention; for use with sim.shrink().
to_json Return JSON-compatible representation
apply
interventions.Intervention.apply(sim)

Apply the intervention. This is the core method which each derived intervention class must implement. This method gets called at each timestep and can make arbitrary changes to the Sim object, as well as storing or modifying the state of the intervention.

Parameters
Name Type Description Default
sim the Sim instance required
Returns
Name Type Description
None
disp
interventions.Intervention.disp()

Print a detailed representation of the intervention

finalize
interventions.Intervention.finalize(sim=None)

Finalize intervention

This method is run once as part of sim.finalize() enabling the intervention to perform any final operations after the simulation is complete (e.g. rescaling)

initialize
interventions.Intervention.initialize(sim=None)

Initialize intervention – this is used to make modifications to the intervention that can’t be done until after the sim is created.

plot_intervention
interventions.Intervention.plot_intervention(sim, ax=None, **kwargs)

Plot the intervention

This can be used to do things like add vertical lines at timepoints when interventions take place. Can be disabled by setting self.do_plot=False.

Note 1: you can modify the plotting style via the line_args argument when creating the intervention.

Note 2: By default, the intervention is plotted at the timepoints stored in self.timepoints. However, if there is a self.plot_timepoints attribute, this will be used instead.

Parameters
Name Type Description Default
sim the Sim instance required
ax the axis instance None
kwargs passed to ax.axvline() {}
Returns
Name Type Description
None
shrink
interventions.Intervention.shrink(in_place=False)

Remove any excess stored data from the intervention; for use with sim.shrink().

Parameters
Name Type Description Default
in_place bool whether to shrink the intervention (else shrink a copy) False
to_json
interventions.Intervention.to_json()

Return JSON-compatible representation

Custom classes can’t be directly represented in JSON. This method is a one-way export to produce a JSON-compatible representation of the intervention. In the first instance, the object dict will be returned. However, if an intervention itself contains non-standard variables as attributes, then its to_json method will need to handle those.

Note that simply printing an intervention will usually return a representation that can be used to recreate it.

Returns
Name Type Description
JSON-serializable representation (typically a dict, but could be anything else)

RoutineDelivery

interventions.RoutineDelivery(
    years=None,
    start_year=None,
    end_year=None,
    prob=None,
    annual_prob=True,
)

Base class for any intervention that uses routine delivery; handles interpolation of input years.

campaign_screening

interventions.campaign_screening(
    product=None,
    age_range=None,
    eligibility=None,
    prob=None,
    years=None,
    interpolate=None,
    annual_prob=None,
    **kwargs,
)

Campaign screening - an instance of base screening combined with campaign delivery. See base classes for a description of input arguments.

Examples::

screen1 = hpv.campaign_screening(product='hpv', prob=0.2, years=2030) # Screen 20% of the eligible population in 2020
screen2 = hpv.campaign_screening(product='hpv', prob=0.02, years=[2025,2030]) # Screen 20% of the eligible population in 2025 and again in 2030

campaign_triage

interventions.campaign_triage(
    product=None,
    age_range=None,
    eligibility=None,
    prob=None,
    years=None,
    interpolate=None,
    annual_prob=None,
    **kwargs,
)

Campaign triage - an instance of base triage combined with campaign delivery. See base classes for a description of input arguments.

Examples::

# Example 1: In 2030, triage all positive screens into confirmatory testing or therapeutic vaccintion
screened_pos = lambda sim: sim.get_intervention('screening').outcomes['positive']
triage1 = hpv.campaign_triage(product='pos_screen_assessment', eligibility=screen_pos, prob=0.9, years=2030)

campaign_txvx

interventions.campaign_txvx(
    product=None,
    prob=None,
    age_range=None,
    eligibility=None,
    years=None,
    interpolate=True,
    annual_prob=None,
    **kwargs,
)

Campaign delivery of therapeutic vaccine - an instance of treat_num combined with campaign delivery. See base classes for a description of input arguments.

campaign_vx

interventions.campaign_vx(
    product=None,
    prob=None,
    age_range=None,
    sex=0,
    eligibility=None,
    years=None,
    interpolate=True,
    annual_prob=None,
    **kwargs,
)

Campaign vaccination - an instance of base vaccination combined with campaign delivery. See base classes for a description of input arguments.

dx

interventions.dx(df, hierarchy=None)

Testing products are used within screening and triage. Their fundamental property is that they classify people into exactly one result state. They do not change anything about the People.

Methods

Name Description
administer Administer a testing product.
administer
interventions.dx.administer(sim, inds, return_format='dict')

Administer a testing product.

Returns
Name Type Description
if return_format==‘array’: an array of length len(inds) with integer entries that map each person to one of the result_states
if return_format==‘dict’: a dictionary keyed by result_states with values containing the indices of people classified into this state

dynamic_pars

interventions.dynamic_pars(pars=None, **kwargs)

A generic intervention that modifies a set of parameters at specified points in time.

The intervention takes a single argument, pars, which is a dictionary of which parameters to change, with following structure: keys are the parameters to change, then subkeys ‘days’ and ‘vals’ are either a scalar or list of when the change(s) should take effect and what the new value should be, respectively.

You can also pass parameters to change directly as keyword arguments.

Parameters

Name Type Description Default
pars dict described above None
kwargs dict passed to Intervention() {}

Examples::

interv = hpv.dynamic_pars(condoms=dict(timepoints=10, vals={'c':0.9})) # Increase condom use amount casual partners to 90%
interv = hpv.dynamic_pars({'beta':{'timepoints':[10, 15], 'vals':[0.005, 0.015]}, # At timepoint 10, reduce beta, then increase it again
                          'debut':{'timepoints':10, 'vals':dict(f=dict(dist='normal', par1=20, par2=2.1), m=dict(dist='normal', par1=19.6, par2=1.8))}}) # Increase mean age of sexual debut

Methods

Name Description
apply Loop over the parameters, and then loop over the timepoints, applying them if any are found
initialize Initialize with a sim
apply
interventions.dynamic_pars.apply(sim)

Loop over the parameters, and then loop over the timepoints, applying them if any are found

initialize
interventions.dynamic_pars.initialize(sim)

Initialize with a sim

linked_txvx

interventions.linked_txvx(**kwargs)

Deliver therapeutic vaccine. This intervention should be used if TxVx delivery is linked to another program that determines eligibility, e.g. a screening program. Handling of dates is assumed to be handled by the linked intervention.

routine_screening

interventions.routine_screening(
    product=None,
    prob=None,
    eligibility=None,
    age_range=None,
    years=None,
    start_year=None,
    end_year=None,
    annual_prob=None,
    **kwargs,
)

Routine screening - an instance of base screening combined with routine delivery. See base classes for a description of input arguments.

Examples::

screen1 = hpv.routine_screening(product='hpv', prob=0.02) # Screen 2% of the eligible population every year
screen2 = hpv.routine_screening(product='hpv', prob=0.02, start_year=2020) # Screen 2% every year starting in 2020
screen3 = hpv.routine_screening(product='hpv', prob=np.linspace(0.005,0.025,5), years=np.arange(2020,2025)) # Scale up screening over 5 years starting in 2020

routine_triage

interventions.routine_triage(
    product=None,
    prob=None,
    eligibility=None,
    age_range=None,
    years=None,
    start_year=None,
    end_year=None,
    annual_prob=None,
    **kwargs,
)

Routine triage - an instance of base triage combined with routine delivery. See base classes for a description of input arguments.

Examples::

# Example 1: Triage 40% of the eligible population in all years
triage1 = hpv.routine_triage(product='via_triage', prob=0.4)

# Example 2: Triage positive screens into confirmatory testing or theapeutic vaccintion
screened_pos = lambda sim: sim.get_intervention('screening').outcomes['positive']
triage2 = hpv.routine_triage(product='pos_screen_assessment', eligibility=screen_pos, prob=0.9, start_year=2030)

routine_txvx

interventions.routine_txvx(
    product=None,
    prob=None,
    age_range=None,
    eligibility=None,
    start_year=None,
    end_year=None,
    years=None,
    annual_prob=None,
    **kwargs,
)

Routine delivery of therapeutic vaccine - an instance of treat_num combined with routine delivery. See base classes for a description of input arguments.

Examples::

txvx1 = hpv.routine_txvx(product='txvx1', prob=0.9, age_range=[25,26], start_year=2030) # Vaccinate 90% of 25yo women every year starting 2025
txvx2 = hpv.routine_txvx(product='txvx1', prob=np.linspace(0.2,0.8,5), age_range=[25,26], years=np.arange(2030,2035)) # Scale up vaccination over 5 years starting in 2020

routine_vx

interventions.routine_vx(
    product=None,
    prob=None,
    age_range=None,
    sex=0,
    eligibility=None,
    start_year=None,
    end_year=None,
    years=None,
    **kwargs,
)

Routine vaccination - an instance of base vaccination combined with routine delivery. See base classes for a description of input arguments.

Examples::

vx1 = hpv.routine_vx(product='bivalent', age_range=[9,10], prob=0.9, start_year=2025) # Vaccinate 90% of girls aged 9-10 every year
vx2 = hpv.routine_vx(product='bivalent', age_range=[9,10], prob=0.9, sex=[0,1], years=np.arange(2020,2025)) # Screen 90% of girls and boys aged 9-10 every year from 2020-2025
vx3 = hpv.routine_vx(product='quadrivalent', prob=np.linspace(0.2,0.8,5), years=np.arange(2020,2025)) # Scale up vaccination over 5 years starting in 2020

treat_delay

interventions.treat_delay(delay=None, **kwargs)

Treat people after a fixed delay

Parameters

Name Type Description Default
delay int years of delay between becoming eligible for treatment and receiving treatment. None

Methods

Name Description
add_to_schedule Add people who are willing to accept treatment to the treatment scehduler
apply Apply treatment. On each timestep, this method will add eligible people who are willing to accept treatment to a
get_candidates Get the indices of people who are candidates for treatment
add_to_schedule
interventions.treat_delay.add_to_schedule(sim)

Add people who are willing to accept treatment to the treatment scehduler

apply
interventions.treat_delay.apply(sim)

Apply treatment. On each timestep, this method will add eligible people who are willing to accept treatment to a scheduler, and then will treat anyone scheduled for treatment on this timestep.

get_candidates
interventions.treat_delay.get_candidates(sim)

Get the indices of people who are candidates for treatment

treat_num

interventions.treat_num(max_capacity=None, **kwargs)

Treat a fixed number of people each timestep.

Parameters

Name Type Description Default
max_capacity int maximum number who can be treated each timestep None

Methods

Name Description
add_to_queue Add people who are willing to accept treatment to the queue
apply Apply treatment. On each timestep, this method will add eligible people who are willing to accept treatment to a
get_candidates Get the indices of people who are candidates for treatment
add_to_queue
interventions.treat_num.add_to_queue(sim)

Add people who are willing to accept treatment to the queue

apply
interventions.treat_num.apply(sim)

Apply treatment. On each timestep, this method will add eligible people who are willing to accept treatment to a queue, and then will treat as many people in the queue as there is capacity for.

get_candidates
interventions.treat_num.get_candidates(sim)

Get the indices of people who are candidates for treatment

tx

interventions.tx(
    df,
    clearance=0.8,
    genotype_pars=None,
    imm_init=None,
    imm_boost=None,
)

Treatment products include anything used to treat cancer or precancer, as well as therapeutic vaccination. They change fundamental properties about People, including their prognoses and infectiousness.

Methods

Name Description
administer Loop over treatment states to determine those who are successfully treated and clear infection
get_people_in_state Find people within a given state/genotype. Returns indices
administer
interventions.tx.administer(sim, inds, return_format='dict')

Loop over treatment states to determine those who are successfully treated and clear infection

get_people_in_state
interventions.tx.get_people_in_state(state, g, sim)

Find people within a given state/genotype. Returns indices

vx

interventions.vx(genotype_pars=None, imm_init=None, imm_boost=None)

Vaccine product

Methods

Name Description
administer Apply the vaccine to the requested people indices.
administer
interventions.vx.administer(people, inds)

Apply the vaccine to the requested people indices.

Functions

Name Description
default_dx Create default diagnostic products
default_tx Create default treatment products
default_vx Create default vaccine products

default_dx

interventions.default_dx(prod_name=None)

Create default diagnostic products

default_tx

interventions.default_tx(prod_name=None)

Create default treatment products

default_vx

interventions.default_vx(prod_name=None)

Create default vaccine products