Producing timely, well-informed and reliable forecasts for an ongoing epidemic of an emerging infectious disease is a huge challenge. Epidemiologists and policy makers have to deal with poor data quality, limited understanding of the disease dynamics, rapidly changing social environment and the uncertainty on effects of various interventions in place. Under this setting, detailed computational models provide a comprehensive framework for integrating diverse data sources into a well-defined model of disease dynamics and social behavior, potentially leading to better understanding and actions. In this paper, we describe one such agent-based model framework developed for forecasting the 2014-2015 Ebola epidemic in Liberia, and subsequently used during the Ebola forecasting challenge. We describe the various components of the model, the calibration process and summarize the forecast performance across scenarios of the challenge. We conclude by highlighting how such a data-driven approach can be refined and adapted for future epidemics, and share the lessons learned over the course of the challenge.

Modern epidemiological forecasts of common illnesses, such as the flu, rely on both traditional surveillance sources as well as digital surveillance data. However, most published studies have been retrospective. Concurrently, the reports about flu activity generally lags by several weeks and even when published are revised for several weeks more. We posit that effectively handling this uncertainty is one of the key challenges for a real-time prediction system in this sphere. In this paper, we present a detailed prospective analysis on the generation of robust quantitative predictions about temporal trends of flu activity, using several surrogate data sources for 15 Latin American countries. We present our findings about the limitations and possible advantages of correcting the uncertainty associated with official flu estimates. We also compare the prediction accuracy between model-level fusion of different surrogate data sources against data-level fusion. Finally, we present a novel matrix factorization approach using neighborhood embedding to predict flu case counts. Comparing our proposed ensemble method against several baseline methods helps us demarcate the importance of different data sources for the countries under consideration.

No abstract

We study allocation of COVID-19 vaccines to individuals based on the structural properties of their underlying social contact network. Even optimistic estimates suggest that most countries will likely take 6 to 24 months to vaccinate their citizens. These time estimates and the emergence of new viral strains urge us to find quick and effective ways to allocate the vaccines and contain the pandemic. While current approaches use combinations of age-based and occupation-based prioritizations, our strategy marks a departure from such largely aggregate vaccine allocation strategies. We propose a novel approach motivated by recent advances in (i) science of real-world networks that point to efficacy of certain vaccination strategies and (ii) digital technologies that improve our ability to estimate some of these structural properties. Using a realistic representation of a social contact network for the Commonwealth of Virginia, combined with accurate surveillance data on spatiotemporal cases and currently accepted models of within- and between-host disease dynamics, we study how a limited number of vaccine doses can be strategically distributed to individuals to reduce the overall burden of the pandemic. We show that allocation of vaccines based on individuals' degree (number of social contacts) and total social proximity time is significantly more effective than the currently used age-based allocation strategy in terms of number of infections, hospitalizations and deaths. Our results suggest that in just two months, by March 31, 2021, compared to age-based allocation, the proposed degree-based strategy can result in reducing an additional 56−110k infections, 3.2− 5.4k hospitalizations, and 700−900 deaths just in the Commonwealth of Virginia. Extrapolating these results for the entire US, this strategy can lead to 3−6 million fewer infections, 181−306k fewer hospitalizations, and 51−62k fewer deaths compared to age-based allocation. The overall strategy is robust even: (i) if the social contacts are not estimated correctly; (ii) if the vaccine efficacy is lower than expected or only a single dose is given; (iii) if there is a delay in vaccine production and deployment; and (iv) whether or not non-pharmaceutical interventions continue as vaccines are deployed. For reasons of implementability, we have used degree, which is a simple structural measure and can be easily estimated using several methods, including the digital technology available today. These results are significant, especially for resource-poor countries, where vaccines are less available, have lower efficacy, and are more slowly distributed.

Influenza-like illness (ILI) places a heavy social and economic burden on our society. Traditionally, ILI surveillance data is updated weekly and provided at a spatially coarse resolution. Producing timely and reliable high-resolution spatiotemporal forecasts for ILI is crucial for local preparedness and optimal interventions. We present TDEFSI 1 (T heory Guided Deep Learning Based Epidemic Forecasting with Synthetic I nformation), an epidemic forecasting framework that integrates the strengths of deep neural networks and high-resolution simulations of epidemic processes over networks. TDEFSI yields accurate high-resolution spatiotemporal forecasts using low-resolution time series data. During the training phase, TDEFSI uses high-resolution simulations of epidemics that explicitly model spatial and social heterogeneity inherent in urban regions as one component of training data. We train a two-branch recurrent neural network model to take both within-season and between-season low-resolution observations as features, and output high-resolution detailed forecasts. The resulting forecasts are not just driven by observed data but also capture the intricate social, demographic and geographic attributes of specific urban regions and mathematical theories of disease propagation over networks.We focus on forecasting the incidence of ILI and evaluate TDEFSI's performance using synthetic and real-world testing datasets at the state and county levels in the USA. The results show that, at the state level, our method achieves comparable/better performance than several state-of-the-art methods. At the county level, TDEFSI outperforms the other methods. The proposed method can be applied to other infectious diseases as well.