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
- arXiv Links
- Abstract ↗PDF ↗
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.