Epidemic Forecasting

Weekly influenza surveillance counts guide vaccine distribution and public-health alerts, yet they are hard to forecast. Each region offers only a few seasons, waves shift in timing and height every year, and information that helps while a wave grows misleads after its peak, whereas last season's shape stays informative for a year. Existing epidemic graph models and general forecasters read a short fixed window and treat all past information alike, so they neither exploit earlier seasons nor discard stale associations when the epidemic phase changes. To address these limitations, we propose TERN, a forecaster built around a delta-rule fast-weight memory that decays channel-wise and erases along a learned address under gates driven by local epidemic-phase features, combined with an explicit seasonal reference and online adaptation. On three Cola-GNN influenza benchmarks, TERN outperformed epidemic graph models and general forecasters, matched or exceeded seasonal references, and a controlled comparison confirmed the contribution of the memory itself.

The COVID-19 pandemic has had profound impacts on global health, social structures, and economies. It disproportionately affected lower socioeconomic groups and those reliant on interaction-based jobs. Regulatory bodies faced the challenge of designing policies that preserve public health while limiting disruption to economic stability and productivity. Epidemiological models such as SIR and agent-based models (ABMs) have been used to study disease dynamics and the socioeconomic impacts of disease and interventions. Population-level models often simplify individual heterogeneity, while detailed ABMs can become computationally expensive as the numbers of agents and interactions increase. We propose ABM-SIRTEM, a hybrid model that incorporates occupation categories, economic productivity, and welfare at the individual level while dynamically modeling compliance with government interventions. We calibrate the model against historical positive and negative test counts from four U.S. states and examine the resulting compliance dynamics. This framework provides a basis for studying the interaction between disease spread and socioeconomic behavior in pandemic-response planning.

Moral language plays a central role in shaping online endorsement and the diffusion of information, yet existing moral foundation detection systems often suffer from poor cross-domain generalization, weak rationale grounding, and reliance on costly prompting-based large language models (LLMs). We introduce CHARM, a MAC- and Hate-speech-Aware Rationalealigned Moral foundation detection framework built on a lightweight fine-tuned LLM, which integrates complementary moral grounding, rationale alignment, and polarity-aware hate speech signals to support more robust and faithful moral prediction. Unlike prior dictionary-, fine-tune-, or prompt-based detectors, which decouple computation from psychological theory, CHARM is built so that each component -- MAC cross-attention, rationale alignment, and hate-speech modulation -- operationalizes a distinct psychological construct. Using a 30% subsample of the MFTC, MFRC, and News training pools together with the richer supervision in MFTCXplain, CHARM improves AUC by up to 15.3% in-domain, surpasses the supervised baselines on every out-of-domain dataset in both AUC and F1, and offers a scalable, low-cost alternative to prompting-based LLM detectors. We further apply CHARM to large-scale COVID-19 discourse on Twitter and show that moral value alignment is strongly associated with online endorsement behavior. By making moral framing measurable at scale, CHARM offers a practical tool for studying the spread of morally charged misinformation. Code and additional materials: https://github.com/HuixiangF/CHARM/.

Detecting infection-related behavioral changes in mosquitoes from video data is challenging because mosquitoes are small, move rapidly and irregularly, and are affected by environmental factors such as background, lighting, and shadows, which can make reliable feature extraction difficult. In this study, a YOLO- and Contrastive Language-Image Pre-training (CLIP)-based vision-language framework is proposed to classify mosquito flight frames of uninfected and Dengue virus serotype 2 (DENV2)-infected mosquitoes. First, YOLO is used to isolate mosquito regions from the background. Then, visual features extracted from video frames are aligned with biologically meaningful textual prompts in a shared embedding space. The multimodal model was fine-tuned using supervised bidirectional contrastive learning and evaluated through frame-level image-text similarity-based classification. The results show that the proposed method achieved 98.54% accuracy and 99.91% sensitivity at the frame level. After temporal aggregation of frame-level information, the model achieved complete video-level performance. The ablation results showed that fine-tuning and CLIP-based representations were essential for this domain, while the textual branch provided semantic image-text alignment rather than an accuracy advantage over the vision-only model. These findings suggest that vision-language models can provide a useful framework for analyzing infection-related biological behaviors from video data.

Identifying dengue virus-infected mosquitoes from control mosquitoes is a major challenge in analyzing mosquito locomotion behavior due to the small size and complexity of the video background. Conventional AI methods are often unable to extract accurate features from video frames and produce erroneous features. In this study, a three-step framework is introduced: first, mosquitoes are identified and the background is removed using the YOLO 11M model, then visual features are extracted using the Vision Transformer (ViT), and finally the videos are classified with a convolutional GRU (ConvGRU) classifier. A comparative analysis of different models, including Recurrent Neural Network (RNN), Long Short-Term Memory (LSTM), Gated Recurrent Unit (GRU), and their convolutional versions showed that the ConvGRU model achieved the best performance; it achieved 88.88% accuracy, 84.45% precision, 82.82% recall, and 82.81% F1 score. These results demonstrate that combining convolutional models with sequence-based networks, especially in the ConvGRU model, allows the simultaneous extraction of precise spatial features and long-term temporal dependencies from mosquito movements. Finally, the proposed framework provides a reliable solution for analyzing mosquito behavior in complex environments.

Malaria remains a leading cause of mortality in resource-limited settings, where expert microscopists are scarce. Automated diagnosis based on microscopy images thus has strong potential to improve care delivery. But for an algorithm to deploy, a necessary requirement is that it meet a suite of non-obvious (from a machine learning (ML) perspective) clinical constraints. Therefore, in close consultation with a national health center we developed a malaria diagnosis pipeline which addresses key requirements listed by the health care center but typically ignored in the ML malaria literature. In particular, it includes: (i) stopping criteria (to reduce image acquisition and time-to-result); (ii) human-in-the-loop functionality (for review and accountability); (iii) multi-species discrimination (since treatment varies by species); (iv) thick film detection (standard for microscopy); (v) computationally-efficient uncertainty calculations (to aid clinician review); and (vi) an edge device platform (since internet can be spotty in this catchment area). The mobile system performs all inference on-device using YOLOv13n deployed via TensorFlow Lite. It detects four species and white blood cells from Giemsa-stained thick blood smear images, aggregating per-image detections into slide-level parasitemia with World Health Organization (WHO)-standard quantification. This paper highlights these various clinical constraints and offers methods to address them. Evaluated on 2,739 annotated images across all four species, the system achieves mAP@0.5 of 0.863, per-image parasite count correlation of r = 0.812, slide-level r = 0.951 (soft counting, 10 images/slide), and runs entirely offline with a pipeline time of 10.27 +- 1.65 s per image.

Public health forecasts must respond to abrupt changes in surveillance data without over-extrapolating noise, reporting artifacts, or temporary trends. We evaluated autoregressive integrated moving average (ARIMA), random forest, and extreme gradient boosting (XGBoost) models using 190 weekly observations of publicly available Ontario COVID-19 case counts from January 2020 to October 2023. Rolling-origin time-series cross-validation preserved temporal order during model tuning and evaluation. Performance was assessed across three operating dimensions: responsiveness following selected turning points, forecast horizons of one to six weeks, and the amount of historical training data. We also developed Machine Learning and ARIMA Model Averaging (MLAMA), a non-negative performance-weighted ensemble with weights that vary by forecast horizon and responsiveness setting. Retrospective comparisons showed that ARIMA adapted rapidly after turning points but its normalized error increased at longer horizons. Random forest and XGBoost were less responsive initially but maintained more stable normalized error over longer horizons. For two-week forecasts at the end of the study period, training on the most recent data outperformed using longer historical periods, particularly for XGBoost. MLAMA achieved the lowest normalized mean absolute percentage error across most forecast horizons and ranked among the best-performing methods across responsiveness settings. These findings support selecting forecasting models according to operating conditions rather than relying on a single universally preferred approach. MLAMA provides a practical framework for combining complementary statistical and machine-learning forecasts. The accompanying Python package is currently maintained in a private repository while software validation and reproducibility testing are completed.

Wastewater-based surveillance is an effective tool for disease monitoring and can provide early warning of outbreaks. Although wastewater viral loads (WVL) correlate with disease burden, their utility for improving real-time forecasting remains under investigation. During the early phases of an epidemic, many indicators can effectively monitor disease spread, but their reliability may decline because of reporting fatigue and low prevalence. Hospital burden can vary substantially even during low-prevalence periods, making accurate forecasting of burden indicators essential for minimizing disease impacts. In this paper, we present principled approaches for processing wastewater data, characterizing its relationship with burden indicators, and generating real-time forecasts. We assess the predictability of WVL using entropy measures. We analyze the relationship between WVL and burden indicators using causality tests that capture temporal dynamics and the leading-indicator behavior of WVL. We incorporate these insights into a time-varying forecasting model that accounts for the evolving relationship between the signals. We also evaluate the effects of delays in WVL reporting through simulations. We test the utility of our methods by forecasting COVID-19 hospital admissions across Virginia and its health regions during periods of varying disease prevalence. Incorporating WVL improves forecast accuracy relative to baseline models, particularly during critical epidemic phases, and results in a 20 percentage point improvement in forecast coverage. Our results demonstrate that WVL signals can improve infectious disease forecasting even under conditions of low prevalence or delayed reporting.

Predicting the existence and type of links (edges) between nodes in a multi-relational graph is key for applications from social interaction prediction to knowledge relationship identification. Enhancing local features with relevant global information is crucial for accurate link prediction, yet it remains challenging. We address this by modeling the relationship between node pairs as node influence. That is, whether the node influence can be propagated and what type of influence is propagated indicates where and what type the edge is, which will be the most relevant local and global information to predict the edges. To this end, we extend the Susceptible-Infectious-Recovered (SIR) epidemic model to capture the influence propagation of nodes on a large scale through sub-graph structures. Subsequently, these sub-graphs are compressed using virtual edges, thereby substantially reducing the computation associated with utilizing the global graph structure. Finally, we propose the Influential Graph Neural Predictor, referred to as IGNP, a link prediction framework guided by influence propagation. Extensive experiments demonstrate the superiority of the proposed method, which outperforms strong baselines by a large margin on the widely used and real-world datasets.

Multi-agent collaborative filtering (CF) systems coordinate autonomous LLM-powered user and item agents through natural-language interaction to refine preferences and generate recommendations. These systems inherit vulnerabilities from both their data-driven nature and their multi-agent interactions, which manifest in distinct ways. Understanding how connectivity modulates vulnerability in these systems could facilitate the development of more robust recommendation pipelines. In this work, we adapt attacks and defenses from the general multi-agent systems (MAS) literature to the agent-based CF setting, evaluating them under systematically varied connectivity in the AgentCF framework, where CF connectivity is characterized along two axes: (i) candidate count (the number of item candidates per turn per user, measuring user-side interaction density) and (ii) catalog concentration (the degree of item catalog overlap across users). Our contributions include: (1) Adaptation: we reproduce MAS-inspired attacks and defenses in the agentic CF domain, confirming partial transferability of original observations. (2) Characterization: we characterize how the two aspects of connectivity shape attack and defense outcomes, revealing role asymmetries between user and item agents, non-monotonic temporal dynamics in attack efficacy, and divergent patterns across dissemination and extraction attack goals. Additionally, as an exploratory extension, we assess the applicability of epidemic-inspired static metrics in ranking CF configurations by expected attack outcome, potentially enabling cost-efficient robustness assessment. Implementation is available at https://github.com/anjunhu/ConnACF

Traffic congestion prediction is essential for congestion mitigation, but the COVID-19 pandemic and related control measures altered travel behavior and increased prediction complexity. This study predicts congestion in Alameda County, California, during pre-lockdown, lockdown, and post-lockdown periods. Weather, seasonality, and COVID-19 variables are incorporated, and Recursive Feature Elimination with Cross-Validation is used to select important features and reduce overfitting. Support vector regression, multiple linear regression, recurrent neural networks, and long short-term memory networks are trained and optimized. Because LSTM is more sensitive to hyperparameter settings, an adaptive parameter selection approach is used, while SVR and RNN are manually tuned. Performance is evaluated using Normalized Root Mean Square Error. Bidirectional LSTM consistently performs best across all periods because it captures temporal dependence in both directions. Integrated Gradients is used to interpret Bi-LSTM predictions, and SHapley Additive exPlanations is applied to SVR. New COVID-19 cases have a mainly negative effect on congestion during lockdown and post-lockdown, likely due to greater risk awareness, voluntary travel reduction, and compliance with mobility restrictions. In the post-pandemic period, higher hospitalization reduces travel and congestion, while higher fuel prices do not prevent a shift toward private vehicles and therefore increase congestion.

This paper proposes an automated classification method of COVID-19 chest CT volumes using improved 3D MLP-Mixer. Novel coronavirus disease 2019 (COVID-19) spreads over the world, causing a large number of infected patients and deaths. Sudden increase in the number of COVID-19 patients causes a manpower shortage in medical institutions. Computer-aided diagnosis (CAD) system provides quick and quantitative diagnosis results. CAD system for COVID-19 enables efficient diagnosis workflow and contributes to reduce such manpower shortage. In image-based diagnosis of viral pneumonia cases including COVID-19, both local and global image features are important because viral pneumonia cause many ground glass opacities and consolidations in large areas in the lung. This paper proposes an automated classification method of chest CT volumes for COVID-19 diagnosis assistance. MLP-Mixer is a recent method of image classification using Vision Transformer-like architecture. It performs classification using both local and global image features. To classify 3D CT volumes, we developed a hybrid classification model that consists of both a 3D convolutional neural network (CNN) and a 3D version of the MLP-Mixer. Classification accuracy of the proposed method was evaluated using a dataset that contains 1205 CT volumes and obtained 79.5% of classification accuracy. The accuracy was higher than that of conventional 3D CNN models consists of 3D CNN layers and simple MLP layers.

This paper proposes an automated classification method of chest CT volumes based on likelihood of COVID-19 cases. Novel coronavirus disease 2019 (COVID-19) spreads over the world, causing a large number of infected patients and deaths. Sudden increase in the number of COVID-19 patients causes a manpower shortage in medical institutions. Computer-aided diagnosis (CAD) system provides quick and quantitative diagnosis results. CAD system for COVID-19 enables efficient diagnosis workflow and contributes to reduce such manpower shortage. This paper proposes an automated classification method of chest CT volumes for COVID-19 diagnosis assistance. We propose a COVID-19 classification convolutional neural network (CNN) that has a 2D/3D hybrid feature extraction flows. The 2D/3D hybrid feature extraction flows are designed to effectively extract image features from anisotropic volumes such as chest CT volumes for diagnosis. The flows extract image features on three mutually perpendicular planes in CT volumes and then combine the features to perform classification. Classification accuracy of the proposed method was evaluated using a dataset that contains 1288 CT volumes. An averaged classification accuracy was 83.3%. The accuracy was higher than that of a classification CNN which does not have 2D and 3D hybrid feature extraction flows.

Emergency Departments (EDs) are critical access points in healthcare systems, yet they face persistent pressure from unpredictable patient demand, seasonal surges, and non-urgent visits. Effective ED planning requires forecasts at multiple decision-making levels: hospitals need local demand estimates for staffing and bed management, regions require forecasts to coordinate healthcare units, and national authorities need system-wide projections for capacity planning. However, most existing approaches forecast ED demand independently at a single level, ignoring the hierarchy linking hospitals, regions, and national systems. This can produce incoherent predictions, where hospital-level forecasts do not aggregate consistently to regional or national demand. We propose HierSTT, a hierarchical Transformer-based framework for coherent multi-level ED forecasting. HierSTT jointly predicts hospital, regional, and national level demand in a single end-to-end model. A Temporal Fusion Transformer captures national dynamics, while spatio-temporal Transformer encoder-decoder modules model regional and hospital demand conditioned on higher-level forecasts. A coherence-aware loss penalizes cross-level inconsistencies during training. We further introduce a nationwide Portuguese ED dataset covering 81 hospitals across 5 regional health administrations, with heterogeneous covariates at each level. Experiments show that HierSTT reduces average WAPE by 32% relative to the best non-hierarchical deep learning baseline and outperforms all classical hierarchical reconciliation methods, while producing near-coherent predictions across levels. Additional resources associated with this work are available at https://github.com/FilipaLino/HierSTT.

Accurate multi-week dengue forecasting supports timely vector-control interventions, outbreak preparedness, and healthcare resource allocation. However, newly established surveillance systems often lack the historical data needed to train reliable neural forecasting models. Although pretrained time-series models offer promising zero-shot forecasts, their cross-domain training may not capture local epidemiological dynamics. We propose TREA-Net, a Transferable Residual Epidemiological Adaptation Network for dengue forecasting under limited data. TREA-Net augments neural forecasting backbones with projections from an Environmental Time-Series Susceptible-Infected-Recovered model and learns a lightweight gated residual correction transferable from data-rich to data-scarce regions. Its node-invariant design accommodates surveillance systems with different numbers of locations, while target adaptation requires learning only two global parameters. We transfer knowledge from long-running dengue surveillance in Colombia and Nicaragua to 8-week-ahead forecasting in Mexico and Malaysia using only 78 or 104 weeks of target data. Across five neural backbones and ten transfer settings, TREA-Net improves the corresponding backbone in 9 out of 10 settings, with statistically significant gains. When integrated with TiRex, a foundation model for forecasting, it achieves the lowest mean absolute error across all target datasets. Conformal prediction further maintains empirical coverage while reducing 8-week prediction-interval width by 29.6% in Mexico. These results demonstrate TREA-Net's potential as a lightweight and portable early-warning framework for health agencies with limited surveillance data.

Regional surveillance data reflect local transmission, reporting, seeding, and external infection pressure, which are difficult to identify separately. We introduce GeoID-PINN, a physics-informed neural network (PINN) for susceptible-infectious-recovered-deceased (SIRD) dynamics. The model represents spatial dependence with a row-stochastic source-composition matrix whose rows assign nonnegative source weights that sum to one. We regularize this matrix toward a spatial prior constructed from distance, adjacency, commuting, or lead-lag information. In a four-region simulation with known truth, a compatible distance prior gives source-composition error 0.099. The error rises to 0.159 without regularization and 0.577 under a strongly misspecified prior, while trajectory fit and transmission-scale estimates remain similar. Accurate trajectories therefore do not guarantee recovery of the regional dependence structure. We also evaluate GeoID-PINN retrospectively using COVID-19 data from 64 Louisiana counties. Relative to an autoregressive negative-binomial baseline, Forecast-Trained Geo-PINN reduces mean squared error (MSE) from 32,957 to 11,468 and mean absolute error (MAE) from 70.60 to 57.73. The baseline has lower negative log likelihood (NLL), 5.158 versus 5.346, indicating better distributional fit but worse point accuracy. In a controlled 15-county comparison, county adjacency reduces MSE by 6.85 percent and MAE by 3.1 percent. Similar performance across plausible priors supports structured regularization but not unique edge recovery. These results require prior-sensitivity and observation-model checks before interpretation.

A consensus anomaly detection framework was applied to monthly malaria surveillance data from Ghana (2014-2023) to identify atypical transmission patterns. Anomalies were highly structured in space and time. Ashanti and Northern Regions accounted for most recurrent anomalies, with persistent hotspots at Tamale, Kumasi, and Accra. A key finding was the spatial distinction between anomaly burden (cumulative cases during anomalous periods) and anomaly frequency (persistence of unusual behaviour). Tamale had the highest burden during anomalies, whereas the highest anomaly rates clustered in Ashanti districts, showing that high-burden areas are not necessarily those with the most frequent anomalous transmission. Anomalous months formed a statistically distinct group, with much higher case counts (Cohen's $d = 3.252$) and large seasonal deviations ($d > 1.2$) compared with normal months. Malaria burden alone provides an incomplete picture of transmission dynamics. By distinguishing where malaria is most prevalent from where transmission behaves most unusually, this framework can strengthen surveillance, prioritise investigations, and support targeted control strategies.

Generation of clear and accessible public health narratives is critical for communicating complex epidemiological projections to policymakers and the general public at large. Such narratives require more than simply reporting numbers: projections must be contextualized and quantitatively grounded across multiple dimensions. Further, projections are often derived from large ensemble datasets which combine intervention assumptions, geographic and demographic strata, outcomes, time horizons, and uncertainty quantiles. However, directly using large language models (LLMs) to summarize and contextualize such data often leads to inconsistencies, omissions, and fragile behavior. We introduce an agentic framework (EpiNarrate) for public health report generation that separates structured numerical reasoning from natural-language generation. The framework first extracts scenario axes and organizes them into a partial-order schema, enabling systematic traversal of the underlying multidimensional space. It then constructs an augmented dataset and derives valid quantitative statements through a comparison grammar that enforces semantic and arithmetic consistency. To balance coverage and non-redundancy, we introduce an interestingness-driven selection mechanism based on maximum-entropy principles. Experiments on the COVID-19 Scenario Modeling Hub demonstrate that our model produces narratives with improved factual grounding and broader coverage of salient epidemiological patterns, while preserving the style of expert-written reports.

Abductive reasoning operates in two directions. The synthetic mode builds explanations from available hypotheses; the analytic mode, conversely, identifies the latent factors whose interaction accounts for a complex observed state. This paper develops the analytic mode as a non-greedy, risk-sensitive discipline of commitment, in which candidate factors coexist and interact, resolving into committed conclusions only when explicit governance conditions are met. The formal core is the $κ$-$τ$ apparatus: $κ$ encodes the epistemic interaction among hypotheses, and $τ$ sets a commitment threshold calibrated to the decision's stakes. The central contribution is the causal cluster, a structured object recording which latent factors participate in a decomposition, with what weights and interaction structure, together with a two-level architecture (intra-cluster $κ^*$, inter-cluster $κ^{**}$) that guards against causal misattribution. Demonstrated in epidemiological crisis decomposition and adversarial cyber threat analysis, the framework's contribution to human-AI reasoning is the legibility of suspended decomposition as a shared coordination object, providing structural resistance to premature convergence. In practice, the decision-maker is handed not a single imposed answer but the competing explanatory scenarios, weighted by plausibility and paired with the evidence that would resolve between them, so that sound action is possible even before the ambiguity is resolved.

Accurate dengue forecasting is crucial for public health planning, but remains challenging because incidence series are often short, noisy, non-stationary, nonlinear, and often affected by long-range temporal dependence. Fractional differencing in Autoregressive Fractionally Integrated Moving Average (ARFIMA) helps balance non-stationarity and persistence, but its linear structure limits its ability to capture nonlinear dynamics. Deep neural networks can model nonlinear patterns, but usually require large training samples and do not explicitly encode statistical long memory. Echo State Networks (ESNs), a widely used reservoir computing framework, are attractive in this setting because they retain nonlinear recurrent dynamics while training only a simple readout, making them suitable for data-scarce scenarios. However, standard ESNs lack long-term memory from a time-series perspective. This study proposes a long-memory reservoir computing framework that integrates dedicated long-memory and short-memory ESN reservoirs with a ridge-regression readout. We introduce two variants: Fractional ESN (fESN), which incorporates fractional-differencing dynamics into the reservoir to encode long-range dependence directly, and Wavelet ESN (wESN), which extracts stable low-frequency components through wavelet smoothing before modeling them with a memory-aware reservoir. We establish theoretical guarantees for closed-loop reservoir dynamics, showing that standard ESNs induce short-memory processes under mild conditions, whereas the proposed long-memory reservoirs generate polynomially decaying dependence consistent with statistical long memory. Across multiple dengue datasets and forecasting horizons, fESN and wESN outperform statistical and deep learning baselines. Combining conformal prediction with fESN and wESN provides distribution-free calibrated uncertainty intervals.

Numerical integration is a cornerstone of various scientific computing applications, such as engineering simulations and model evidence computations in probabilistic machine learning. Bayesian Quadrature uses Gaussian process surrogates that explicitly encode structural assumptions about the integrand to obtain integral estimates with quantified uncertainty. These surrogates are predominantly based on stationary covariance functions, which results in model misspecification for integrands exhibiting nonstationary behavior. We tackle this issue through an adaptively growing, tree-based partition of the integration domain into local stationary models. Our method recombines the local integral estimates through a hierarchy of GP conditioning that reintroduces cross-subdomain correlations, while model selection criteria control the tree growth to avoid unnecessary partitioning. The resulting algorithm is simple, requires no MCMC, and adapts its evaluation budget to local integrand complexity. On benchmark integration problems and a model evidence computation for an epidemiological model, Hierarchical Bayesian Quadrature achieves substantial gains over standard Bayesian Quadrature on nonstationary integrands while matching its performance on stationary ones.

Agent-based modeling (ABM) has the capability to model millions of individuals and their interactions, which is useful for policy making. However, ABMs have traditionally relied on static prior, which prevents the models from adapting to real-time changes. Our research provides a novel approach to addressing this information gap. Large language models (LLMs) offer new opportunities to predict human decision-making. Here, we introduce a scalable Hybrid Agent-based and Language-driven Epidemic (HALE) modeling framework that leverages LLMs to predict human decision-making in an ABM simulation. As a proof-of-concept, we use HALE to simulate COVID-19 and its effects in Salt Lake County, UT.

Automated malaria diagnosis from blood smear microscopy is a critical challenge in global health AI; in resource-limited settings, the scarcity of expert microscopists remains the primary bottleneck to timely and accurate diagnosis. Three compounding failure modes prevent reliable clinical deployment of existing deep learning systems. First, end-to-end detectors treat unannotated cells as background during training, producing recall figures that are strongly influenced by annotation completeness rather than reflecting true cell recovery. Second, Non-Maximum Suppression tends to suppress valid detections in dense smear regions where infection counts matter most. Third, existing whole-slide detection pipelines lack per-cell spatial evidence for clinical audit, despite image-level explainability methods such as Grad-CAM having been applied to malaria image classification tasks. We present MalariAI, a two-stage decoupled framework that addresses all three failure modes in a unified pipeline. Stage 1 applies an annotation-agnostic distance-transform guided watershed algorithm to isolate every cell in a full 1600x1200 blood smear image, recovering 75.95% of ground-truth cells by centroid localisation across the 120-image NIH BBBC041 test set without any ground-truth input. Stage 2 fine-tunes EfficientNet-B0 with Focal Loss (gamma = 2.0, per-class inverse-frequency weights) on 64x64 crops, achieving 98.36% overall classification accuracy with 87.5% and 75.0% per-class accuracy on the rare schizont and gametocyte stages, compared to only 24.57% and 25.95% AP for a Faster R-CNN baseline on the same classes. Grad-CAM++ heatmaps generated per detected cell provide instance-level spatial evidence for clinical audit, enabling microscopists to verify model predictions at the individual parasite level without sacrificing classification performance.

Reconstructing who infected whom often relies on case timing and published transmission links. However, two important questions remain: can a temporal pattern learned from other diseases transfer to a new outbreak, and how reliable are the transmission links used as ground truth? We learned a temporal prior from eleven disease groups using logistic regression. The model was locked before any target-outbreak data were accessed and was then tested without refitting on 29 Andes virus (ANDV) parent-ranking tasks. The locked prior achieved a mean reciprocal rank (MRR) of 0.571, compared with 0.274 for the strongest fair source-trained temporal baseline (permutation p<0.001). Its Top-1 accuracy was 37.9%, compared with 13.8%. The MRR advantage remained significant unless 7-8 favorable task outcomes were reversed. We separately examined the reliability of published transmission links. Among 75 epidemiologically linked inter-host pairs from the 2022 New York City mpox outbreak, 54.67% were genomically unresolved or unsupported as direct transmission links (exact 95% CI: 42.75-66.21%). We also tested whether retaining uncertain transmission edges changed source prioritization. In ANDV and Guangdong Delta outbreak graphs, the top-5 priority sets changed, with Jaccard similarity ranging from 0.429 to 0.667. These results show that temporal information learned across diseases can provide a useful ranking signal without target-specific refitting. They also show that uncertainty in published transmission links can affect which source cases are prioritized for investigation.

Characterizing the scenario underlying an epidemic from its disease cascade is an important task in simulation analytics. We propose boundary degree, the count of an infected node's contacts in the underlying contact network that were not infected, as a per-node cascade feature for this task. Through systematic ablation on realistic social contact networks of Tennessee and Virginia, we show that boundary degree alone improves scenario identification accuracy by 19%. Edge features, whose importance was observed empirically by prior work, consistently improve accuracy across all settings; we provide theoretical grounding for this observation. These effects are complementary. We prove that certain epidemic scenarios are indistinguishable without boundary or edge information. Prior feature engineering approaches included aggregate boundary statistics, but these were not among the top-ranked feature groups; the per-node representation we propose reveals their importance clearly. Our results suggest that contact tracing applications should track contacts with non-infected individuals, not only transmissions.

Metric aggregation divergence (MAD) is the silent inconsistency that arises when distinct pipeline stages in an agent-based model coupled with a multi-objective evolutionary algorithm (ABM+MOEA) independently re-implement how an outcome metric is extracted from simulation trajectories. Unlike deliberate analytical choices, MAD operates at the level of pipeline architecture: each stage is internally coherent, and the inconsistency becomes visible only when cross-stage outputs are compared. Code inspection of EpidemiOptim, a JAIR-published epidemic policy toolbox, reveals three structurally independent aggregation paths in peer-reviewed code. A faithful replication of this structure produces champion disagreement in 64.2% of independent runs (n=500, 95% CI: [59.9%, 68.3%]). In a 300-seed policy-flip experiment, divergent aggregation causes the optimizer to recommend the wrong champion in 83% of replications, with a mean welfare gap of 2.19 units and a Gini inequality gap of 0.050 units. In a follow-up inference audit, 3 of 249 flipped seeds cross the significance boundary itself. A complementary enterprise follow-up produces the predicted null under near-commensurable rankings (rho = 0.991), while a public upstream rerun of the Lake Problem DPS workflow shows that the archived published-path recommendation reaches joint-threshold success 0.401 whereas a shared contract-path rule reaches 0.552. We introduce the metric contract - a single shared callable enforced at dispatch time across all pipeline stages - as the remedy. Framed as standard engineering discipline applied to the cross-stage metric interface, the contract eliminates divergence by construction with approximately 3% runtime overhead.

Mechanistic epidemiological models are widely used to support infectious disease forecasting and public-health decision making. Bayesian calibration of such models is commonly performed using Markov chain Monte Carlo (MCMC), which can become computationally expensive for high-dimensional nonlinear systems and repeated near-real-time analyses. Here, we investigate simulation-based inference (SBI) using neural posterior estimation as a scalable alternative for Bayesian calibration of a mechanistic SECIR epidemiological model using COVID-19 intensive care unit (ICU) occupancy data from Germany during 2020. We compared SBI and MCMC across multiple epidemic phases using both 31-day inference windows and a substantially more challenging 201-day reconstruction problem involving multiple transmission change points. Posterior agreement was evaluated quantitatively using Wasserstein distances and Kullback-Leibler divergences together with posterior predictive checks. Across the 31-day windows, SBI recovered posterior distributions in strong agreement with MCMC while accurately reproducing observed ICU trajectories. In the 201-day setting, SBI preserved the dominant posterior structure despite increased uncertainty. SBI, by combining CPU and GPU resources, substantially reduced computational runtime compared with MCMC, which was restricted to running on CPUs. Whereas MCMC required approximately 1000 seconds for the 31-day inference problems, SBI achieved comparable posterior and predictive performance in approximately 60-70 seconds on a single GPU. For the 201-day inference problem, SBI required an average of 157 seconds, while the MCMC runs took over 19,000 seconds. Our results demonstrate that SBI provides a rapid and computationally efficient framework for Bayesian calibration of mechanistic epidemiological models, supporting repeated near-real-time inference and rapid outbreak analysis.

Epidemic forecasting models typically rely on surveillance data reported over administrative regions, treating them as atomic units, thereby obscuring sub-regional spatial structure that shapes disease dynamics. We introduce a spatially structured multimodal epidemic forecasting setting that integrates region-level temporal surveillance data with spatially localized auxiliary signals that are misaligned in resolution and structure, reflecting realistic public health reporting constraints. Building on this formulation, we propose M-SPICE (Multimodal SPatIal Context for Epidemic Forecasting), a structure-aware spatiotemporal forecasting framework that performs joint reasoning over temporal disease dynamics and spatial context via attention-based multimodal fusion, allowing spatial signals to selectively condition temporal representations across forecast horizons. We evaluate our approach on real-world COVID-19, influenza, and influenza-like illness (ILI) forecasting tasks under realistic real-time evaluation protocols. Across all forecasting settings, our method consistently outperforms state-of-the-art multivariate time-series, multimodal, and epidemiological forecasting baselines while maintaining strong probabilistic forecasting performance. Finally, interpretability analyses reveal when, where, and how spatial signals are leveraged, highlighting settings in which purely temporal, region-aggregated models are most likely to fail.

Epidemiological models often rely on survey data to represent how individuals make health-related decisions, such as whether to vaccinate or adopt protective behaviors. However, repeated large-scale surveys are costly, time-consuming, and limited in the range of scenarios they can capture. In this work, we investigate whether large language models (LLMs) can generate synthetic survey responses that reproduce patterns observed in real populations. Using longitudinal data from the FluPaths surveys, we first identify groups associated with broadly positive or negative attitudes toward vaccination through clustering analysis. We then evaluate several LLMs using a cluster-informed prompting approach to generate synthetic survey responses across multiple epidemic waves. Across models, the synthetic data generally reproduce the distributions of demographic characteristics, vaccination-related beliefs, risk perceptions, and health behaviors observed in the survey data. However, they are less successful at capturing how these factors vary together within respondents. Some models reproduce group-level vaccination trends more reliably than others, although performance varies across waves. We also trained a classifier to distinguish real from synthetic records and found that the generated responses remained identifiable as synthetic. Overall, our findings suggest that LLM-generated survey data may provide a useful tool for exploratory data augmentation and we hope that it could support agent-based epidemic modeling approaches. However, the generated data should not be treated as a substitute for human survey data without further methodological improvements and validation.

Accurate short-term electricity demand forecasting is critical for reliable power system operation, energy market planning, and infrastructure optimization. This paper presents a hybrid framework combining a Transformer encoder for temporal feature extraction with gradient-boosted decision trees (XGBoost) for daily electricity demand forecasting across New England. The framework integrates meteorological observations from six cities spanning all six New England states, calendar and holiday effects, autoregressive demand lags, and COVID-19 epidemiological variables. Hyperparameter optimization uses Optuna with a multivariate Tree-structured Parzen Estimator over 500 trials, with a leakage-free 70/15/15 chronological train-validation-test split. The hybrid model achieves a test RMSE of 8,876 MWh, MAPE of 2.05%, and R-squared of 0.906. A tabular-only XGBoost baseline achieves RMSE of 9,304 MWh, MAPE of 2.21%, and R-squared of 0.896. A Diebold-Mariano test (Harvey-Leybourne-Newbold correction) confirms the 427.7 MWh difference is statistically indistinguishable from noise (DM = -1.126, p = 0.262). An ablation study reveals COVID-19 features improved training accuracy but had asymmetric test effects: removal degraded hybrid RMSE by 3.2% while marginally improving XGBoost-only by 1.2%. A SHAP temporal analysis shows 5 of 8 COVID features rank higher on the post-acute test set than during pandemic-active training, indicating the model over-applies learned pandemic patterns. These findings establish temporal validity decay as a central mechanism: behavioral disruptions drove a strong COVID-demand signal during 2020-2021, but adaptation was complete by mid-2022, leaving epidemiological features as noise amplifying overfitting to stale pandemic patterns.

Seasonal influenza infects millions of people and causes substantial morbidity and mortality in the United States each year, making accurate short-term forecasting a core public-health need. Reliable forecasts of epidemic time series can inform vaccination timing, hospital staffing, and resource allocation, yet the comparative behavior of modern forecasting architectures on infectious-disease surveillance data remains insufficiently characterized. We address this gap through a systematic evaluation of regional influenza forecasting using influenza-like illness surveillance and influenza-associated hospitalization time series under both temporal and spatial generalization settings for 1-4-week-ahead prediction. We compare classical neural network architectures, numerical transformer-based models, pretrained time series foundation models, and LLM-based forecasting approaches. Across tasks, we demonstrate that a mixture-of-experts model that fuses multiple pretrained forecasters achieves the strongest overall performance, indicating that heterogeneous pretrained representations provide complementary predictive information. Our results further show that numerical transformer-based models produce reliable forecasts, while pretraining provides the largest gains at longer horizons, particularly when the pretraining domain is mechanistically aligned with influenza dynamics. In contrast, LLM-based time series methods underperform relative to numerical forecasters in this setting. Finally, we examine hospitalization information as both an auxiliary covariate and a pretraining source. Hospitalization signals provide complementary improvements in selected settings and clarify when additional surveillance streams enhance the robustness of multi-horizon forecasting. These findings provide actionable guidance on model selection, pretraining strategy, and auxiliary-signal use for influenza preparedness.

Nowadays, social media networks have become widely preferred sources of information. Especially during the time of the Coronavirus disease 2019 COVID 19 pandemic, social media has been one of the most used platforms to get the latest news and information related to COVID 19. Social media are popular because they offer free access to their registered users and allow them to do posting, disseminate information, and respond to others postings. With almost 4.6 billion social media users worldwide, it is not surprising the significant amount of information shared through these platforms could affect how people perceive and cope with the pandemic that we are facing right now. With decent use, social media can be a beneficial digital tool to spread reliable news and public awareness for patients, clinicians, and society. Specifically, this chapter describes linguistic, visual, and emotional indicators expressed in user disclosures. Thus, in this chapter, the related studies of social media platforms usage during the COVID 19 pandemic are explored and discussed in detail. This chapter also categorizes social media data used, introduces different deployed machine learning, feature engineering, natural language processing, and survey methods, and outlines directions for future research.

Crises alter both how people move and how they communicate. During emergencies such as wildfires and pandemics, changes in mobility patterns and online emotional discourse evolve jointly, yet they are typically studied in isolation. This paper presents a unified and interpretable pipeline that integrates mobility and social media data to identify cross-domain behavioral patterns in crisis settings. The framework is evaluated through two case studies: a short-horizon analysis of the January 2025 Los Angeles wildfires (prototype case) and a longitudinal analysis of UAE COVID-19 behavior from March 2020 to December 2021 (primary case, 671 days). The pipeline aligns heterogeneous daily signals, transforms them into binary behavioral states, applies Formal Concept Analysis (FCA) to extract co-occurrence structure, mines association rules, and validates rule stability through chronological holdout testing. A structured policy-translation layer renders robust rules as operational briefs specifying triggers, lead times, and action playbooks. Results reveal clear cross-domain behavioral structure in both crises. In the wildfire case, traffic stress, fear/anger sentiment, and governance discourse are tightly coupled within a 33-day window, with key rules reaching 100% confidence and lift scores up to 2.5. In the COVID case, repeated mobility adaptation and sentiment volatility yield 8 stable same-day rules (88% holdout pass rate) and 40 clean predictive rules with 2--7 day lead horizons. The work demonstrates that interpretable multimodal fusion can produce both scientifically credible and policy-actionable crisis intelligence.

Wastewater influenza surveillance can reveal community circulation before clinical reporting, but wastewater alone is not a fully identifiable proxy for human burden. Existing wastewater models assume a fixed evidence set, while generic evidence-acquisition methods treat official surveillance streams as interchangeable costly features. We cast wastewater-first influenza monitoring as a selective decision problem: starting from mandatory wastewater evidence, the system must decide whether wastewater is sufficient, which delayed official stream to query next, and when abstention is the only scientifically defensible action under source ambiguity. We propose Bayesian Selective Latent Inference (BSLI), a principled Bayesian method that maintains a posterior over latent burden and identifiability, certifies answerability through explicit scientific gates, and optimizes query-stop decisions with an exact cost-calibrated Bellman policy. We prove the key variational, answerability, Bellman-optimality, and one-dimensional cost-calibration properties. On a fixed public-data benchmark with 5,933 forecasting episodes and 3,102 source-ambiguity episodes, BSLI improves the matched-budget cost-performance frontier while preserving conservative abstention under source ambiguity.

Network dynamics - including spreading, influence maximisation, and epidemic modelling - remain largely confined to the transductive paradigm, where models are trained on a single network and cannot be reused on unseen graphs without retraining. We argue that inductive cross-network generalisation is a necessary prerequisite for Graph Foundation Models (GFMs) in this domain and propose four design properties towards this goal. As a proof of concept, ts-net (TopSpreadersNetwork), trained solely on synthetic multilayer networks (MLNs), demonstrates zero-shot generalisation to real-world MLNs of varying size and layer count, outperforming classical heuristics and transductive baselines on three of four metrics. Based on ts-net's performance, we further outline five open challenges towards building GFMs for network dynamics: scale, many-layer generalisation, self-supervised pretraining, cross-task transfer, and node-attribute integration.

Many important outcomes unfold as dynamic cascades, including product adoption, disease spread, financial distress, and information diffusion. A central challenge is to recover the hidden influence network behind these cascades. Existing methods typically assume a specific diffusion model, and their performance degrades substantially when that assumption is misspecified. We propose CascadeNet, a Jacobian-based machine learning framework for network recovery that does not require specifying a diffusion mechanism. The key idea is that the underlying influence structure can be characterized by the Jacobian of the one-step transition function. CascadeNet first constructs a flexible estimator of the transition function, and further applies Neyman-orthogonal debiasing via the Riesz representer, so that the debiased Jacobian is $\sqrt{n}$-consistent and asymptotically normal, enabling formal inference on the network structure. We validate CascadeNet in both a simulation exercise and a real-world empirical application. In simulations, where the data-generating process is known, CascadeNet achieves the highest network recovery accuracy across nine common data-generating processes. In an empirical application to COVID-19 transmission across Spain's 52 provinces, CascadeNet recovers transmission networks that are significantly correlated with the true inter-province mobility network, whereas networks recovered by baseline methods show no significant alignment with the ground truth.

Modelling individual decision-making during infectious disease outbreaks is crucial for understanding behavioural dynamics and informing effective public health interventions. Prior work has shown that large language models can simulate realistic human behaviour by generating agent decisions based on demographic prompts and situational context. We build on this foundation with a spatially grounded, agent-based simulation framework that integrates LLM-generated decisions about self-reported influenza-like illness into a census-based synthetic population of agents. Location is treated as a central feature: agents are assigned to spatial units within cities, capturing the spatial distributions of different demographic groups using real-world census data and enabling geographically diverse behavioural modelling. We implement and compare three decision scenarios, independent reasoning, household influence, and message framing, and simulate self-reporting outcomes in San Francisco and Atlanta. Results reveal that income and education are the dominant drivers of reporting rate variation, with smaller but consistent effects from geography, LLM model choice, and message framing. Our framework generates synthetic data that captures both social and geographic heterogeneity, supporting spatial epidemiological modelling and bias-aware behavioural analysis.

Deep learning has enabled significant advances in time-series causal inference, yet progress remains constrained by the lack of realistic benchmarks with observable counterfactual outcomes. Existing datasets either rely on real-world observations without ground-truth counterfactuals or on simplified simulations that fail to capture complex causal dynamics. To address this gap, we develop a large-scale benchmark for counterfactual prediction in epidemic time series under dynamic interventions. Unlike existing benchmarks, it supports static and time-varying treatments, as well as both single-policy and multi-policy intervention settings, enabling evaluation of causal inference methods across a broad range of causal inference scenarios. Leveraging a calibrated agent-based model grounded in real-world demographic, mobility, epidemiological, and policy data, we generate realistic counterfactual trajectories across more than 150 U.S. counties. Using this benchmark, we evaluate widely used and state-of-the-art causal inference methods, revealing substantial performance differences and highlighting the challenges of realistic time-series causal reasoning.

Epidemic LLM forecasters are usually trained and evaluated as static supervised models, whereas operational pandemic forecasting is a streaming process in which labels arrive after predictions and disease regimes shift over time. We study this mismatch in weekly COVID-19 hospitalization trend forecasting across five variant regimes. We introduce EpiEvolve, a self-evolving agent that wraps an LLM forecaster trained on the warm-start period and keeps its weights fixed during streaming. EpiEvolve adapts by storing forecast outcomes in a hierarchical episodic memory, reflecting on delayed labels, retrieving cases relevant to the current regime, and distilling recurring errors into strategic rules. The resulting context lets the forecaster reuse its own past predictions and outcomes in later weeks while following a chronological protocol that prevents future leakage. On the streaming dataset, EpiEvolve reaches $0.629$ average accuracy, compared with $0.561$ for the static backbone and $0.325$ for the external CDC ensemble, and reduces recovery lag after regime shifts from $5$ to $2$ weeks. Ablations show that reflection, strategic memory, and regime-aware retrieval each contribute to the gains.

Purpose The WHO's COVID-19 non-pharmaceutical interventions (e.g., lockdowns, vaccinations) effectively curb transmission but impose heavy economic strains. Existing research often neglects individual behaviors and falsely assumes perfect infection tracking and flawless policy execution, failing to account for real-world uncertainties and errors. Methods We propose an integrative approach incorporating uncertainties in both epidemic measurement (infections/hospitalizations) and policy implementation. We built a simulation model of 1,000 individuals making real-time choices regarding mask-wearing, vaccination, and shopping. Concurrently, policymakers deploy interventions (lockdowns, mandates) based on health and economic observations. This framework is driven by hierarchical reinforcement learning agents, utilizing deep Q-networks alongside uncertainty-aware policy gradient variants (DDPG and TD3). Results The simulations effectively managed the epidemic's progression. Masking and vaccinations proved highly effective, significantly reducing both the outbreak's peak height and duration. By integrating individual behaviors, policy uncertainties, and multifaceted interventions, our dynamic control approach successfully mitigated the epidemic's impact. Conclusions Our model overcomes previous research limitations by embedding uncertainty and human behavior into public health policy frameworks. The simulation demonstrates that accounting for individual choices and imperfect data is crucial for designing effective interventions during complex pandemics, with masks and vaccines serving as pivotal tools.

We investigate whether large language models produce different medical triage recommendations for identical neurological symptoms when only the patient's stated gender and age vary. Using three model families--Gemini 3.5 Flash, Claude Sonnet 4.6, and GPT-5.4-mini--we present a standardized symptom profile (persistent headache, blurred vision, morning nausea, visual disturbances) across seven demographic conditions: three age groups (25, 38, 65) x two genders (male, female), plus a gender-unspecified baseline (n = 30 per condition per model, 630 total trials). We find a stark, systemic gender-dependent triage disparity: young women receive significantly lower emergency room (ER) referral rates than age-matched men (Gemini: 0% vs. 23.3%; Claude: 6.7% vs. 96.7%; GPT: 6.7% vs. 66.7%, all p < 0.001). The disparity disappears at age 65 for all models. The primary mechanism is diagnostic substitution: the models anchor on a gender-associated diagnosis, preferentially classifying young women with Idiopathic Intracranial Hypertension (IIH)--a condition epidemiologically linked to women of childbearing age--while diagnosing men with generic increased intracranial pressure with space-occupying lesions in the differential. This diagnostic closure routes female patients to lower-urgency care (outpatient doctor appointments) despite comparable severity ratings (7-9/10). Our findings demonstrate that clinical LLMs replicate documented human clinical biases by using epidemiological priors to suppress triage urgency, suggesting that AI triage engines must decouple urgency assessment from probabilistic diagnostic priors. We release all code, prompts, and raw results.

In nature, events that affect some individuals or groups but not others constitute an implicit intervention and are known as natural experiments. For example, the COVID-19 pandemic was an intervention by the coronavirus on the sub-population infected with COVID. We ask, do natural experiments occur in existing real-world datasets? If yes, how should we treat them? To detect natural experiments in data, we use causal discovery to recover the underlying causal graph and perform feature selection based on causal links. If downstream performance improves by treating the data as interventional rather than observational, we argue that this suggests the dataset contains natural experiments. We first validate this hypothesis by simulating datasets with and without natural experiments using synthetic graphs. We then perform a systematic empirical evaluation on a large suite of real-world datasets. Our results indicate that real-world datasets do contain natural experiments and we can take advantage of those natural experiments to improve model performance using causal inference. Our work represents the initial foray into this area, offering a preliminary exploration within a limited scope.

Human behaviour during epidemics affects infectious disease dynamics, but quantifying this remains deeply challenging. Here we introduce the Epi-LLM framework: a novel integration of agent-based modelling, real-life epigames, and large language models (LLMs) in which a synthetic society of agents reasons and adapts dynamically over an outbreak contact network. Comparing synthetic agent behaviour against a no-intervention SEIR baseline and human participant data from the AUIB epigame study, we find that LLM agents across four different architectures reduced peak active infections, with quarantine compliance peaking at 58-65% on day six of the 15-day simulation. A binomial generalised linear model showed that perceived health severity was the strongest predictor of quarantine behaviour ($β= 0.33, p = 0.002$), yielding a pseudo-$R^2$ of 0.055, comparable to the 0.072 observed in the human trial. LLM architecture is a key determinant of epidemic dynamics: low-variance architectures offer greater internal validity for testing behavioural rules, while high-variance models may better represent real-world decision-making. Geographic labels alone do not induce culturally differentiated behaviour; explicit attitudinal parameterisation is required. This proof-of-principle work lays the groundwork for deploying the Epi-LLM framework as a scalable, risk-free simulation environment for pandemic preparedness research.

Accurate malaria forecasting remains a major challenge in sub-Saharan Africa, where strong seasonality, reporting uncertainty, and non-stationary transmission dynamics reduce the reliability of conventional models. In Ghana, district-level malaria surveillance requires forecasting frameworks that are probabilistically rigorous and robust under limited data. This study proposes a hybrid framework integrating Gaussian Process Regression (GPR) with Holt-Winters exponential smoothing for modelling monthly under-five malaria admissions. GPR captures non-linear behaviour and predictive uncertainty, while Holt-Winters stabilises long-horizon forecasts and preserves seasonal structure. Using ten years of district-level data (2014-2023), performance was evaluated via rolling-origin expanding-window validation. The hybrid model achieved $R^2 = 0.9906$ versus $0.8213$ for Holt-Winters alone, with $94.2\%$ of residuals within $\pm 2σ$ bounds. Forecasts for 2024-2028 project average monthly admissions from approximately 8{,}000 to 12{,}200 cases. Spatio-temporal analysis revealed pronounced ecological heterogeneity: northern high-burden districts exhibited stable relative patterns despite large absolute fluctuations. The framework provides a scalable probabilistic approach for malaria early warning and operational planning in endemic settings, supporting Ghana's national malaria control strategy.

Reliable quantification of malaria dynamics in sub-Saharan Africa is hindered by short, noisy, and spatially heterogeneous surveillance records. In Ghana, health-facility data from 2014 to 2023 reveal non-linear and age-specific fluctuations in hospital admissions, yet existing approaches struggle to capture stochastic variability or provide credible uncertainty bounds. This study develops a Bayesian nonlinear inference framework that integrates a cubic baseline with a damped oscillatory kernel, estimated via an affine-invariant ensemble Markov Chain Monte Carlo sampler. The framework accommodates limited data, models parameter uncertainty, and generates probabilistic forecasts for children under five years and individuals aged five years or more. Results show strong empirical adequacy ($R^2 = 0.9958$ for $<5$ years; $R^2 = 0.9956$ for $\geq 5$ years) with residual errors below $2\%$ and well-mixed posteriors confirming convergence. District-level analysis reveals pronounced spatial heterogeneity, with coefficients of variation ranging from $<0.07$ in urban centres such as Kumasi to $>3.3$ in peripheral districts such as Mpohor and Bia East. Forecasts for 2024-2026 indicate a gradual resurgence: from 137,000 to 149,000 cases among children under five years and from 348,000 to 375,000 cases among older individuals, with uncertainty widening over time. By producing probabilistic forecasts, this Bayesian framework provides a principled tool for anticipating malaria fluctuations and strengthening data-driven decision-making in Ghana's national malaria control strategy.

Malaria remains a leading cause of mortality in sub-Saharan Africa, where scarce diagnostic infrastructure makes timely, accurate diagnosis particularly challenging. While deep learning offers a compelling path toward automated malaria screening, clinical adoption is hindered by computational cost and opacity in decision-making. This work benchmarks four deep learning models spanning a wide range of designed design architectures and model capacities on the NLM-Malaria dataset, jointly evaluating predictive performance, robustness, and post-hoc explainability. We find that lightweight, efficient-by-design models match their heavier counterparts in predictive performance, and the Friedman test confirms no statistically significant performance differences. CAM-based XAI methods consistently localize diagnostically relevant regions, while fine-grained attribution methods produce less targeted explanations, particularly with heavier backbones. Robustness evaluation under three types of image corruption further reveals that model confidence degrades faster than accuracy, providing a practical signal for human review. However, no XAI method is robust to corruption, with explanation reliability degrading at noise levels plausible in clinical practice, even when predictions remain accurate. These findings support the deployment of lightweight architectures for malaria diagnosis in resource-constrained settings, while highlighting the vulnerability of post-hoc explanations as an important consideration for responsible clinical deployment.

Spatio-temporal graph-based models have typically been used to forecast new cases of infectious diseases such as COVID-19 and chickenpox outbreaks. However, the use of stochastic modelling into their learning process has been surprisingly under-investigated and rarely considered entire data sets of large countries. As a result, it is unknown whether these models would provide accurate forecasts in real-world disease spread scenarios. In this work, we propose a spatio-temporal stochastic graph-based architecture that integrates a stochastic formulation and uncertainty approximation process to forecast new infectious disease cases. We find that our approach can adapt to encode large and small population geographical networks within a single model architecture. Using two real-world data sets, COVID-19 in the US and chickenpox in Hungary, we report an enhanced effect of the proposed architecture across predictions of the 2022 first wave for COVID-19 in the US and comparative results of chickenpox waves during 2012-2014 in Hungary. By benchmarking with four spatio-temporal graph-based models, quantitative results show competitive overall weekly performance of the proposed approach on forecasting new cases for all 3,218 US counties and all 20 Hungary counties. The proposed approach can represent overall epidemic progression relative to baselines, though with a one-step delay; while exhibiting a reduced sensitivity to high-frequency and low-amplitude variability.

Disease forecasting models typically rely on a single data stream, making models brittle when histories are short or noisy. Recent top-performing models have shown that synthesizing multiple reporting systems for the same disease improves performance. Other recent work takes this idea a step further, using transfer learning to train a forecasting model for one disease using data from a different disease. We expand upon each of these approaches greatly, training machine learning models on data that span 66 infectious diseases and several data streams. We investigate the value of incorporating different data streams for forecasting 20 different disease data streams. We find that incorporating other data streams improves forecasting in the vast majority (84.9%) of time series and model structures considered. However, our work highlights that the quality of the added data matters, where adding data extremely different from the target data stream can sometimes degrade forecast performance. A major contribution of this work is in compiling a publicly-available database of data for use by the infectious disease forecasting community.

Chart-to-data extraction with vision-language models (VLMs) is increasingly evaluated on benchmarks that show diminishing headroom (frontier VLMs exceed 89% on ChartQA) and with metrics that treat extracted points as unordered key-value pairs, ignoring the temporal structure of time series and penalizing small alignment shifts as catastrophic failures. We address both gaps with EpiCurveBench, a benchmark of 1,000 real-world epidemic curve images curated from diverse public-health sources, and EpiCurveSimilarity (ECS), an evaluation metric that aligns predicted and ground-truth series via dynamic programming, tolerating local temporal shifts and gaps while penalizing them proportionally. Evaluating six methods--three frontier closed VLMs, one open VLM, and two specialized chart-extraction systems--we find the strongest model reaches only 52.3% ECS, and that ECS spreads the four general-purpose VLMs over a 25-point range where key-value metrics (RMS, SCRM) compress them into a 5-point band. We further validate ECS against four downstream epidemiological summary statistics, finding that higher ECS predicts smaller errors in total counts, peak timing, and peak magnitude, and higher growth-rate fidelity; across all four, ECS correlates 1.5--3.6 times more strongly than Dynamic Time Warping, which lacks a gap penalty and therefore cannot distinguish a truncated prediction from a temporally faithful one. EpiCurveBench targets a high-impact public-health application--unlocking decades of outbreak data trapped in published figures--but the benchmark and metric apply directly to any structured time-series chart-extraction setting.

Decentralized learning enhances privacy, scalability, and fault tolerance by distributing data and computation across nodes. A popular approach is Federated learning, which relies on a central aggregator, yet faces challenges such as server vulnerabilities, scalability issues, privacy risks and most importantly, the single point of failure. Alternatively Gossip Learning and Epidemic Learning offer fully decentralization through peer-to-peer exchanges of model updates, ensuring robustness and privacy, at the price of slower model convergence. In this work, we introduce a novel decentralized learning framework called HEAL. HEAL is the first cross-layer decentralized learning framework that exploits an optimized self-organizing and self-healing underlying P2P overlay combining the strengths of Federated Learning, Gossip and Epidemic Learning. Leveraging the recently proposed Elevator algorithm, HEAL promotes dynamically chosen nodes to act as aggregators. Through simulations, we demonstrate that HEAL has similar performances to that of Federated Learning in crash-free settings, while being fully decentralized and fault-tolerant. In crash and churn prone environments HEAL outperforms Gossip and Epidemic Learning.

Epidemic forecasting faces a fundamental challenge: human behavior dynamically responds to disease spread, creating feedback loops that induce distribution shifts at policy intervention points. This renders data-driven models unreliable under distribution shift. We propose \textbf{SL-BiLEM} (Structured Learnable Behavior-in-the-Loop Epidemic Model), leveraging physical constraints as regularization for robust extrapolation. The framework decomposes effective transmission as $β_{\text{eff}}(t,g) = β_0(g) \times m_{\text{policy}}(t) \times m_{\text{media}}(t) \times m_{\text{comp}}(t,g)$, where monotonicity, smoothness, and bounded-jump constraints on the learned compliance function maintain predictive validity under novel policy regimes. Beyond forecasting, SL-BiLEM enables counterfactual analysis for intervention decision support. We validate forecasting on three real-world datasets (cruise ship, school influenza, and school-district COVID-19 surveillance) and evaluate counterfactual recovery on synthetic benchmarks with known ground truth. SL-BiLEM demonstrates: (1) 76% improvement over neural-mechanistic baselines, with only 53% OOD degradation versus 1142% for neural baselines under policy-induced shift; (2) 100% bootstrap CI coverage across 27 synthetic counterfactual experiments; and (3) Treatment Effect Accuracy exceeding 0.85. These results establish SL-BiLEM as an interpretable tool for public health decision-makers seeking accurate prediction and principled intervention planning.

We document inverse scaling in LLMs on forecasting problems whose underlying time series exhibit superlinear growth and tail risk of regime change, a structure common in finance and epidemiology. On these tasks, more capable models produce worse distributional forecasts. The pattern appears on ForecastBench-Sim (FBSim), a contamination-free, simulated-world benchmark we release, in forecasting synthetic SIR epidemics with a matched linear control, and replicates in real-world datasets on COVID-19, measles, housing markets, and hyperinflation. A per-quantile decomposition shows the failure concentrates at the upper tail, which more capable models shift upward to track aggressive extrapolations of growth, while the lower tail stays put. A within-family study of Llama-3.1 shows that both model scale and post-training independently contribute to this effect. Domain knowledge does not reliably rescue calibration. This inverse scaling does not appear on single-threshold metrics common in LLM forecasting benchmarks, reversing the sign of the capability--accuracy relationship on identical outputs. Single-threshold scoring at conventional cutoffs misses the upper-tail cost; tail-inclusive scoring reverses the sign of the capability--accuracy relationship on the same outputs. We recommend that LLM forecasting evaluations use continuous (and unbounded) measures of accuracy alongside bounded binary threshold metrics.

COVID-19 was a significant challenge that led to the loss of numerous lives daily. Not only a certain country was involved in this outbreak, but even the world has suffered because of the coronavirus. Imaging techniques using computed tomography (CT) and X-rays of the lungs are the most useful tools for the COVID-19 or any other pandemic disease screening process. Technology today has revolutionized the world by using artificial intelligence to replace manual processes with automated machines, which enable the system to imitate the human brain by making wise decisions based on experience. Motivated by this, our work proposes to use convolutional neural networks (CNN) based models for designing a computer-aided diagnosis (CAD) system that differentiates between COVID-19 and healthy lung pictures. We used two different sets of X-ray images of the lungs in addition to two different sets of CT scans and the classification is done using a variety of networks that have been pre-trained such as VGG (16, 19), Densenet (121), Resnet (50, 50 V2, 101 V2), Mobile net (V2), Xception Inception (V3, Resnet V2), Efficient net (B0) and Nasnet (Large). On the X-ray and CT image datasets, Resnet and VGG architecture have shown the ability to properly differentiate COVID-19 from normal images, with an average accuracy of 95 to 98 percent respectively. Our acquired results on the classification datasets are competitive and superior to previously reported findings in the literature.

Dental aerosol procedures produce sub-50 micrometre nuclei that can remain airborne for long periods in enclosed clinics, creating pathways for airborne pathogen transmission. Reynolds-Averaged Navier-Stokes (RANS) simulations with Euler-Lagrange particle tracking capture this transport accurately but require very long run times per scenario, which precludes real-time clinical decision support in 3D. We present the Eulerian-Lagrangian Graph Interaction Network (ELGIN), a physics-informed graph surrogate that jointly predicts carrier-flow dynamics on the OpenFOAM polyhedral mesh and the per-parcel motion of the polydisperse spray cloud. ELGIN couples a multi-head Graph Transformer with Jacobi-preconditioned learnable pressure projection and a turbulence-closure head to a sigmoid-gated Lagrangian Interaction Network through differentiable inverse-distance mesh-parcel coupling, and advances parcels with a symplectic Stormer-Verlet integrator. A four-stage physics-informed curriculum stabilises 260-step autoregressive rollouts without gradient explosion. A parameter sweep with foam-extend 4.1 OpenFOAM reactingParcelFoam across clinically relevant ventilation rates and handpiece spray speeds provides CFD ground truth. This article reports a single-case demonstration in which both ELGIN and a Lagrangian-only baseline (M0) are trained and evaluated on Sweep_Case_03 of a twenty-case sweep; full 16/2/2 retraining is in progress and will replace all reported metrics. On this case, ELGIN tracks the foam-extend particle cloud much more closely than M0: mean parcel displacement error falls from 19.56% to 16.20% of room width and cloud radius-of-gyration error from 9.85% to 6.58%. A 26-second rollout completes in ~64 s on a 4 GB GPU, approximately 37x faster than the foam-extend reference pipeline, toward per-appointment infection-risk screening once the multi-case checkpoint is in place.

One of the main causes of death around the globe is malaria. Researchers have sought to develop predictive models for malaria outbreaks based on meteorological data, climate data and the breeding cycle of Plasmodium, the causative agent of malaria. This study predicts the severity of malaria based on environmental and biological factors. A logistic regression model was developed in this study to predict the severity of malaria based on such factors as sickle cell disease, stagnant water, garbage dump, wet lawns, and the use of treated mosquito nets, with an 83.3% accuracy rate. The study was carried out in the Bosomtwe District of Ghana with 417 respondents. It was deduced that although children in the District are highly prone to malaria infection, the severity is very low. The study recommends that not just having a good sample size alone is important during machine learning model development, but also having a good sample representation of the various class labels is equally important.

Probabilistic forecasting of infectious diseases is crucial for public health but relies on labor-intensive manual model curation by expert modeling teams. This bespoke development bottlenecks scalability to granular geographic resolutions or emerging pathogens. Here, we present an autonomous system using Large Language Model (LLM)-guided tree search to iteratively generate, evaluate, and optimize executable forecasting software. In a fully prospective, real-time evaluation during the 2025-2026 US respiratory season, the system autonomously discovered methodologically diverse models for influenza, COVID-19, and respiratory syncytial virus (RSV). Aggregating these machine-generated models yielded an ensemble that consistently matched or outperformed the gold-standard, human-curated Centers for Disease Control and Prevention (CDC) hub ensembles out-of-sample. The system successfully navigated data-scarce "cold start" scenarios for RSV. Moreover, controlled retrospective ablations revealed that optimizing log-scale distance metrics prevents reward hacking, while an automated judge-in-the-loop ensures structural fidelity to complex scientific theories. By autonomously translating epidemiological theory into accurate, transparent code, this framework overcomes the modeling labor bottleneck, enabling rapid deployment of expert-level disease forecasting at unprecedented scales.

The increasing adoption of data-driven decision-making in public health has established epidemic forecasting as a critical area of research. Recent advances in multivariate forecasting models better capture complex temporal dependencies than conventional univariate approaches, which model individual series independently. Despite this potential, the development of robust epidemic forecasting methods is constrained by the lack of high-quality benchmarks comprising diverse multivariate datasets across infectious diseases and geographical regions. To address this gap, we present EpiCastBench, a large-scale benchmarking framework featuring 40 curated (correlated) multivariate epidemic datasets. These publicly available datasets span a wide range of infectious diseases and exhibit diverse characteristics in terms of temporal granularity, series length, and sparsity. We analyze these datasets to identify their global features and structural patterns. To ensure reproducibility and fair comparison, we establish standardized evaluation settings, including a unified forecasting horizon, consistent preprocessing pipelines, diverse performance metrics, and statistical significance testing. By leveraging this framework, we conduct a comprehensive evaluation of 15 multivariate forecasting models spanning statistical baselines to state-of-the-art deep learning and foundation models. All datasets and code are publicly available on Kaggle (https://www.kaggle.com/datasets/aimltsf/epicastbench) and GitHub (https://github.com/aimltsf/EpiCastBench).

Accurate spatiotemporal pattern analysis is critical in fields such as urban traffic, meteorology, and public health monitoring. However, existing methods face performance bottlenecks, typically yielding only incremental gains and often exhibiting limited cross-domain transferability. We analyze this bottleneck through spatial and temporal entropy measures, which are used as diagnostic indicators of spatiotemporal complexity mismatch rather than as guarantees that entropy alignment alone yields better forecasting. Empirically, larger mismatch is often accompanied by higher prediction uncertainty, especially under a fixed model-capacity budget. Guided by this diagnostic, we propose a scalable, adaptive framework that harmonizes spatial and temporal feature representations. Spatial dimensionality is compressed via low-rank matrix embedding to preserve essential structure, while an extended temporal horizon captures long-range dependencies and mitigates cumulative errors arising from temporal heterogeneity. Extensive experiments on urban traffic, meteorological, and epidemic datasets demonstrate substantial accuracy gains and broad applicability across the evaluated domains, suggesting that the framework is promising for a wide range of spatiotemporal tasks beyond the current study. The code is available on GitHub at https://github.com/ST-Balance/ST-Balance.

Accurate epidemic forecasting is crucial for public health response, resource allocation, and outbreak intervention, but remains difficult with sparse, noisy, and highly non-stationary data. Because epidemics unfold across interacting regions, spatiotemporal methods are natural candidates for improving forecasts. Despite growing interest in spatial information, no standardized benchmark exists, and current evaluations often use simple chronological train-test splits that do not reflect real-time forecasting practice. We address this gap with SpatialEpiBench, a challenging benchmark for spatiotemporal epidemic forecasting in realistic public-health settings. SpatialEpiBench includes 11 epidemic datasets with standardized rolling evaluations and outbreak-specific metrics. We evaluate adjacency-informed forecasting models with widely used epidemic priors that adapt general models to epidemiology, but find that most methods underperform a simple last-value baseline from 1 day to 1 month ahead, even during outbreaks and with these priors. We identify three major failure modes: (1) poor outbreak anticipation, (2) difficulty handling sparsity and noise, and (3) limited utility of common geographic adjacency for epidemiological spatial information. We release benchmark data, code, and instructions at https://github.com/Rachel-Lyu/SpatialEpiBench to support development of operationally useful epidemic forecasting models.

The use of content features, particularly textual and linguistic for fake news detection is under-researched, despite empirical evidence showing the features could contribute to differentiating real and fake news. To this end, this study investigates a selection of content features such as word bigrams, part of speech distribution etc. to improve fake news detection. We performed a series of experiments on a new dataset gathered during the COVID-19 pandemic and using Decision Tree, K-Nearest Neighbor, Logistic Regression, Support Vector Machine and Random Forest. Random Forest yielded the best results, followed closely by Support Vector Machine, across all setups. In general, both the textual and linguistic features were found to improve fake news detection when used separately, however, combining them into a single model did not improve the detection significantly. Differences were also noted between the use of bigrams and part of speech tags. The study shows that textual and linguistic features can be used successfully in detecting fake news using the traditional machine learning approach as opposed to deep learning.