BackgroundWhile a new generation of computational statistics algorithms and availability of data streams raises the potential for recurrently regrounding dynamic models with incoming observations, the effectiveness of such arrangements can be highly subject to specifics of the configuration (e.g., frequency of sampling and representation of behaviour change), and there has been little attempt to identify effective configurations.MethodsCombining dynamic models with particle filtering, we explored a solution focusing on creating quickly formulated models regrounded automatically and recurrently as new data becomes available. Given a latent underlying case count, we assumed that observed incident case counts followed a negative binomial distribution. In accordance with the condensation algorithm, each such observation led to updating of particle weights. We evaluated the effectiveness of various particle filtering configurations against each other and against an approach without particle filtering according to the accuracy of the model in predicting future prevalence, given data to a certain point and a norm-based discrepancy metric. We examined the effectiveness of particle filtering under varying times between observations, negative binomial dispersion parameters, and rates with which the contact rate could evolve.ResultsWe observed that more frequent observations of empirical data yielded super-linearly improved accuracy in model predictions. We further found that for the data studied here, the most favourable assumptions to make regarding the parameters associated with the negative binomial distribution and changes in contact rate were robust across observation frequency and the observation point in the outbreak.ConclusionCombining dynamic models with particle filtering can perform well in projecting future evolution of an outbreak. Most importantly, the remarkable improvements in predictive accuracy resulting from more frequent sampling suggest that investments to achieve efficient reporting mechanisms may be more than paid back by improved planning capacity. The robustness of the results on particle filter configuration in this case study suggests that it may be possible to formulate effective standard guidelines and regularized approaches for such techniques in particular epidemiological contexts. Most importantly, the work tentatively suggests potential for health decision makers to secure strong guidance when anticipating outbreak evolution for emerging infectious diseases by combining even very rough models with particle filtering method.

Respiratory infections and chronic respiratory diseases impose a heavy health burden worldwide. Coughing is one of the most common symptoms of many such infections, and can be indicative of flare-ups of chronic respiratory diseases. Whether at a clinical or public health level, the capacity to identify bouts of coughing can aid understanding of population and individual health status. Developing health monitoring models in the context of respiratory diseases and also seasonal diseases with symptoms such as cough has the potential to improve quality of life, help clinicians and public health authorities with their decisions and decrease the cost of health services. In this paper, we investigated the ability to which a simple machine learning approach in the form of Hidden Markov Models (HMMs) could be used to classify different states of coughing using univariate (with a single energy band as the input feature) and multivariate (with a multiple energy band as the input features) binned time series using both of cough data. We further used the model to distinguish cough events from other events and environmental noise. Our Hidden Markov algorithm achieved 92% AUR (Area Under Receiver Operating Characteristic Curve) in classifying coughing events in noisy environments. Moreover, comparison of univariate with multivariate HMMs suggest a high accuracy of multivariate HMMs for cough event classifications.

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