Past exam of the mathematical and Computational Biology course of the University of Cambridge / 2025 / Paper 2 / 4 / d / Solution

Before introduction there is no local infection exposure. Let $H=2024-2005=19$ years, using the actual elapsed time between introduction and sampling if exact dates are available. A lifelong resident aged $a_i$ has therefore had onlyyears of possible exposure. With a constant post-introduction force of infection $\lambda$, replace age by this exposure duration:Fit the same binomial regression with $\ln e_i$ as its offset. The predicted seroprevalence increases with age up to 19 and then reaches a plateau, since older residents all began local exposure at introduction.

This is equivalent to using a calendar-time force of infection of zero before 2005 and $\lambda$ afterwards. With a changing post-introduction rate, the more general exposure is ${\int }_{\max (2005,2024-a_i)}^{2024}\lambda (u)du$. Account separately for migration or infection acquired elsewhere, since current residence alone need not specify lifetime exposure. Subjects with exactly zero exposure have model probability zero and cannot be included by taking $\ln 0$ as an ordinary finite offset; handle them through the original probability model.