Back to search
2508.08035

Analytical and numerical methods for spillover effects in prioritized PrEP for HIV prevention

Chiara Piazzola, Salman Safdar, Alex Viguerie, Abba B. Gumel

incompletemedium confidence
Category
Not specified
Journal tier
Specialist/Solid
Processed
Sep 28, 2025, 12:57 AM

Audit review

The paper’s derivation of the NNT uses the same linearization route and chain-rule identities as the model, but it drops a necessary minus sign when moving from the Taylor expansion to the integral form (from its equation (2.15) to (2.17)) and states the final approximations without a sign convention, so the printed formulas yield a negative NNT whenever PrEP reduces infections. The paper also omits explicit conditions for neglecting the μ-weighted integral term when passing from its equation (2.19) to the short-horizon approximation (2.14). By contrast, the model keeps the sign correct, explains the sign convention, and supplies a sufficient bound for ignoring the μ-term. Aside from these issues, the core identities and steps—definition of incidence λj, sensitivities ∂Ij/∂Ek = γk_j/Sk, γk_j(0)=0—match the paper’s setup and are used consistently by the model. See the paper’s definitions and steps around (2.8), (2.10)–(2.12), (2.13)–(2.19), and Proposition 2.4 for details.

Referee report (LaTeX)

\textbf{Recommendation:} minor revisions

\textbf{Journal Tier:} specialist/solid

\textbf{Justification:}

The paper offers a clean analytical pathway to quantify spillover-adjusted NNT in a way that complements detailed simulation, and the findings line up with realistic scenarios. The core derivations are solid, but a sign omission in the NNT formula and lack of an explicit condition for the short-horizon approximation need correction. These are presentational and do not undermine the main conclusions.