Conspectus
The spread
of infectious diseases due to travel and trade can be
seen throughout history, whether from early settlers or traveling
businessmen. Increased globalization has allowed infectious diseases
to quickly spread to different parts of the world and cause widespread
infection. Posthoc analysis of more recent outbreaksSARS,
MERS, swine flu, and COVID-19has demonstrated that the causative
viruses were circulating through populations for days or weeks before
they were first detected, allowing disease to spread before quarantines,
contact tracing, and travel restrictions could be implemented. Earlier
detection of future novel pathogens could decrease the time before
countermeasures are enacted. In this Account, we examined a variety
of novel technologies from the past 10 years that may allow for earlier
detection of infectious diseases. We have arranged these technologies
chronologically from prehuman predictive technologies to population-level
screening tools. The earliest detection methods utilize artificial
intelligence to analyze factors such as climate variation and zoonotic
spillover as well as specific species and geographies to identify
where the infection risk is high. Artificial intelligence can also
be used to monitor health records, social media, and various publicly
available data to identify disease outbreaks faster than traditional
epidemiology. Secondary to predictive measures is monitoring infection
in specific sentinel animal species, where domestic animals or wildlife
are indicators of potential disease hotspots. These hotspots inform
public health officials about geographic areas where infection risk
in humans is high. Further along the timeline, once the disease has
begun to infect humans, wastewater epidemiology can be used for unbiased
sampling of large populations. This method has already been shown
to precede spikes in COVID-19 diagnoses by 1 to 2 weeks. As total
infections increase in humans, bioaerosol sampling in high-traffic
areas can be used for disease monitoring, such as within an airport.
Finally, as disease spreads more quickly between humans, rapid diagnostic
technologies such as lateral flow assays and nucleic acid amplification
become very important. Minimally invasive point-of-care methods can
allow for quick adoption and use within a population. These individual
diagnostic methods then transfer to higher-throughput methods for
more intensive population screening as an infection spreads. There
are many promising early warning technologies being developed. However,
no single technology listed herein will prevent every future outbreak.
A combination of technologies from across our infection timeline would
offer the most benefit in preventing future widespread disease outbreaks
and pandemics.