Epidemic Forecasting

Agent-based model (ABM) are a kind of computer model that makes it possible to simulate a set of autonomous interacting programs called agents in a shared virtual environment. Among other application field, it has been commonly used to simulate social phenomena such as urban segregation, opinion dynamic or epidemiological crisis [1]. Recently, a research emphasis has been put on ABM to study in silico the impact of non-pharmaceutical interventions to mitigate the SARS-CoV-2 outbreak of 2020, with few of them that had a great impact on global political responses [2]. Among the model used COMOKIT [3] has been design to simulate the every-day-life of inhabitant of various cities in Vietnam and test policy interventions for various COVID-19 spread scenarios. Such endeavor required huge computational power to handle a huge number of simulation replication over a large set of parameters. In this proposal we present a python package that enables to easily generate, explore and build reports for any COMOKIT experiment to be launched over High-Performance Computing (HPC) infrastructure.

This paper presents a reproducible and process-aware pipeline for predictive monitoring of clinical pathways. The approach integrates data lifting, temporal reconstruction, event log construction, prefix-based representations, and predictive modeling to support continuous reasoning on partially observed patient trajectories, overcoming the limitations of traditional retrospective process mining. The framework is evaluated on COVID-19 clinical pathways using ICU admission as the prediction target, considering 4,479 patient cases and 46,804 prefixes. Predictive models are trained and evaluated using a case-level split, with 896 patients in the test set. Logistic Regression achieves the best performance (AUC 0.906, F1-score 0.835). A detailed prefix-based analysis shows that predictive performance improves progressively as new clinical events become available, with AUC increasing from 0.642 at early stages to 0.942 at later stages of the pathway. The results highlight two key findings: predictive signals emerge progressively along clinical pathways, and process-aware representations enable effective early risk estimation from evolving patient trajectories. Overall, the findings suggest that predictive monitoring in healthcare is best conceived as a continuous, dynamically aware process, in which risk estimates are progressively refined as the patient journey evolves.

This paper presents a Koopman-based framework for early outbreak detection and intervention selection in a multi-agent epidemic simulation. Agents exhibit mobility patterns, heterogeneous susceptibility, immunity-dependent viral load progression, and local transmission through co-location. The goal of the simulation is to study near-critical epidemic regimes in which small changes in exposure or timing can alter the final outcome. Aggregate daily observables from early trajectory windows are encoded into a low-dimensional Koopman latent space whose approximately linear evolution supports short-horizon forecasting and outbreak risk estimation. These representations are combined with a random forest classifier trained to predict whether the final attack rate exceeds a major outbreak threshold. Experiments near the system tipping points show strong early warning performance, with Koopman-derived features contributing to class separation. Counterfactual analysis further shows that minimal interventions, such as keeping a single selected agent at home for one day, can reduce attack rates and, often, shift the trajectory below the outbreak threshold.

Malaria, childhood acute respiratory infection, and child undernutrition together account for over two million deaths annually in children under five, with the burden concentrated in low and middle-income countries where climate variability modulates transmission, exposure, and nutritional outcomes. Routine health surveillance in these settings remains sparse and reactive. Satellite-derived representations of the Earth's surface offer a scalable, low-cost complement to traditional covariates, yet their utility as predictors of population health outcomes is poorly characterised. We summarise findings from three studies evaluating AlphaEarth Foundations 64-dimensional satellite embeddings as predictors of population health outcomes, focusing on vulnerable populations. The studies span infectious disease (malaria, respiratory infection) and stunting. In each study, embeddings provide predictive value at sufficient spatial granularity: (i) malaria prediction across Nigeria shows consistent per-region R^2 gains; (ii) childhood acute respiratory infection prediction across 11 DHS countries increases pooled R^2 from 0.157 to 0.206 across three tree-based estimators; (iii) stunting prediction across 35 countries is neutral at country level due to collinearity with fixed effects. The stunting case is currently limited by lack of DHS cluster-level coordinates, which is the next key experiment.

I developed a new version of Latent Semantic Scaling (LSS) employing word2vec as a masked language model. Unlike original spatial models, it assigns polarity scores to words and documents as predicted probabilities of seed words to occur in given contexts. These probabilistic polarity scores are more accurate, interpretable and consistent than those spatial polarity models can produce in text analysis. I demonstrate these advantages by applying both probabilistic and spatial models to China Daily's coverage of China and other countries during the coronavirus disease (COVID) pandemic in terms of achievement in health issues. The result suggests that more advanced masked language models would further improve the semisupervised machine learning technique.

This study analyzes COVID-19 care pathways using the COVID Data for Shared Learning dataset. We build a transparent, reproducible pipeline that transforms heterogeneous clinical tables into a process-mining-ready event log and applies discovery, declarative conformance checking, and outcome analysis. The reconstructed pathways highlight the monitoring backbone of inpatient care, variability at the Emergency department-admission interface, and outcome differences driven by age and exposure to intensive care units. These insights support triage standardization, capacity planning, and step-down coordination from intensive care units to lower-acuity wards, showing how process mining can inform evidence-based hospital governance.

Forecasting infectious disease incidence can provide important information to guide public health planning, yet is difficult because epidemic dynamics are complex. Current mechanistic and statistical approaches often struggle to capture multimodal uncertainty or emergent trends. Influpaint adapts denoising diffusion probabilistic models to epidemic forecasting. By encoding influenza seasons as spatiotemporal images in which pixel intensity represents incidence, Influpaint learns a rich distribution of disease dynamics from a hybrid dataset of surveillance and simulated trajectories. Forecasting is formulated as a conditional generation (inpainting) task from partial observations. We show that Influpaint generates realistic, diverse epidemic trajectories and achieves forecast accuracy that is competitive with leading ensemble methods in retrospective evaluation. In real-time evaluation during the 2023--2025 U.S. CDC FluSight challenges, performance improved substantially across seasons, with highly accurate but somewhat overconfident projections in 2024--2025. The best performance was achieved with a training dataset containing 30% surveillance and 70% simulated trajectories. These results show that diffusion models can capture important spatiotemporal structure in influenza dynamics and provide a flexible framework for probabilistic infectious disease forecasting.

Air pollution is a worldwide public health threat that can cause or exacerbate many illnesses, including respiratory disease, cardiovascular disease, and some cancers. However, epidemiological studies and public health decision-making are stymied by the inability to assess pollution exposure impacts in near real time. To address this, developing accurate digital twins of environmental pollutants will enable timely data-driven analytics - a crucial step in modernizing health policy and decision-making. Although other models predict and analyze fine particulate matter exposure, they often rely on modeled input data sources and data streams that are not regularly updated. Another challenge stems from current models relying on predefined grids. In contrast, our deep-learning approach interpolates surface level PM2.5 concentrations between sparsely distributed US EPA monitoring stations in a grid-free manner. By incorporating additional, readily available datasets - including topographic, meteorological, and land-use data - we improve its ability to predict pollutant concentrations with high spatial and temporal resolution. This enables model querying at any spatial location for rapid predictions without computing over the entire grid. To ensure robustness, we randomize spatial sampling during training to enable our model to perform well in both dense and sparse monitored regions. This model is well suited for near real-time deployment because its lightweight architecture allows for fast updates in response to streaming data. Moreover, model flexibility and scalability allow it to be adapted to various geographical contexts and scales, making it a practical tool for delivering accurate and timely air quality assessments. Its capacity to rapidly evaluate multiple scenarios can be especially valuable for decision-making during public health crises.

Epidemic forecasting has become an integral part of real-time infectious disease outbreak response. While collaborative ensembles composed of statistical and machine learning models have become the norm for real-time forecasting, standardized benchmark datasets for evaluating such methods are lacking. Further, there is limited understanding on performance of these methods for novel outbreaks with limited historical data. In this paper, we propose IDOBE, a curated collection of epidemiological time series focused on outbreak forecasting. IDOBE compiles from multiple data repositories spanning over a century of surveillance and across U.S. states and global locations. We perform derivative-based segmentation to generate over 10,000 outbreaks covering multiple outcomes such as cases and hospitalizations for 13 diseases. We consider a variety of information-theoretic and distributional measures to quantify the epidemiological diversity of the dataset. Finally, we perform multi-horizon short-term forecasting (1- to 4-week-ahead) through the progression of the outbreak using 11 baseline models and report on their performance. In addition to standard metrics such as NMSE and MAPE for point forecasts, we include probabilistic scoring rules such as Normalized Weighted Interval Score (NWIS) to quantify the performance. We find that MLP-based methods have the most robust performance, with statistical methods having a slight edge during the pre-peak phase. IDOBE dataset along with baselines are released publicly on https://github.com/NSSAC/IDOBE to enable standardized, reproducible benchmarking of outbreak forecasting methods.

Rabies remains a major public health concern across many African and Asian countries, where accurate diagnosis is critical for effective epidemiological surveillance. The gold standard diagnostic methods rely heavily on fluorescence microscopy, necessitating skilled laboratory personnel for the accurate interpretation of results. Such expertise is often scarce, particularly in regions with low annual sample volumes. This paper presents an automated, AI-driven diagnostic system designed to address these challenges. We developed a robust pipeline utilizing fluorescent image analysis through transfer learning with four deep learning architectures: EfficientNetB0, EfficientNetB2, VGG16, and Vision Transformer (ViTB16). Three distinct data augmentation strategies were evaluated to enhance model generalization on a dataset of 155 microscopic images (123 positive and 32 negative). Our results demonstrate that TrivialAugmentWide was the most effective augmentation technique, as it preserved critical fluorescent patterns while improving model robustness. The EfficientNetB0 model, utilizing Geometric & Color augmentation and selected through stratified 3fold cross-validation, achieved optimal classification performance on cropped images. Despite constraints posed by class imbalance and a limited dataset size, this work confirms the viability of deep learning for automating rabies diagnosis. The proposed method enables fast and reliable detection with significant potential for further optimization. An online tool was deployed to facilitate practical access, establishing a framework for future medical imaging applications. This research underscores the potential of optimized deep learning models to transform rabies diagnostics and improve public health outcomes.

Large language models are increasingly deployed to simulate patients for clinical training, research, and mental health tools, yet population-level validity remains largely untested. We introduce PsychBench, the first epidemiological audit of LLM patient simulation: 28,800 profiles from four frontier models (GPT-4o-mini, DeepSeek-V3, Gemini-3-Flash, GLM-4.7) evaluated against NHANES and NESARC-III baselines across 120 intersectional cohorts. The central finding is a coherence-fidelity dissociation: models produce clinically plausible individuals while misrepresenting the populations they are drawn from. Variance compression ranges from 14 percent (GLM-4.7) to 62 percent (DeepSeek-V3), eliminating the distributional tails of clinical reality. Despite test-retest correlations above r = 0.90, 36.66 percent of cases cross diagnostic thresholds between runs. Symptom correlation matrices diverge across demographic groups beyond split-half noise, with transgender populations diverging three to five times more than racial differences. Calibration bias is systematic and asymmetric. Models overestimate depression severity for most groups by 3.6 to 6.1 points (Cohen d = 1.13 to 1.91), consistent with training on clinical corpora with elevated base rates. For transgender women the direction inverts: models capture only 8 to 46 percent of documented minority stress elevation, yielding a -5.42 residual (d = -1.55). Models also attribute irritability to Black men and fatigue to women beyond matched controls, encoding racialized and gendered assumptions. Patterns replicate across US and Chinese architectures, indicating failures tied to current training paradigms rather than isolated implementations. For most users, LLM mental health tools risk pathologizing ordinary distress; for transgender users, algorithmic erasure of genuine need. The patients look right. They do not represent real populations.

This paper examines whether students are entering the generative AI era with sufficiently strong educational foundations, focusing on the relationship between learning environments and changes in ICT related career aspirations across countries. The analysis uses country-level data from PISA 2018 and 2022, combining indicators of student autonomy, digital skills and teacher support. A mixed-method approach is applied, including descriptive statistics, regression analysis, clustering, latent representation learning (using Variational Autoencoder-VAE), discriminant analysis and probabilistic modeling to capture both observable and latent dimensions of educational readiness. Unlike prior research that treats learning loss, digital skills and career expectations separately, our analysis integrates them within a comparative longitudinal framework. It shifts the focus from short-term post-pandemic effects to the structural capacity of education systems to prepare students for digital and AI-driven labor markets. Results show a global but uneven increase in ICT career aspirations. Digital skills emerge as the strongest and most consistent predictor, while teacher support plays a complementary role. Autonomy shows weaker, context-dependent effects. Educational readiness is multidimensional, and ICT aspirations evolve relatively independently from other career domains.

Accurate and reliable forecasting of epidemic incidences is critical for public health preparedness, yet it remains a challenging task due to complex nonlinear temporal dependencies and heterogeneous spatial interactions. Often, point forecasts generated by spatiotemporal models are unreliable in assigning uncertainty to future epidemic events. Probabilistic forecasting of epidemics is therefore crucial for providing the best or worst-case scenarios rather than a simple, often inaccurate, point estimate. We present deep spatiotemporal engression methods to generate accurate and reliable probabilistic forecasts on low-frequency epidemic datasets. The proposed methods act as distributional lenses, and out-of-sample probabilistic forecasts are generated by sampling from the trained models. Our frameworks encapsulate lightweight deep generative architectures, wherein uncertainty is quantified endogenously, driven by a pre-additive noise component during model construction. We establish geometric ergodicity and asymptotic stationarity of the spatiotemporal engression processes under mild assumptions on the network weights and pre-additive noise process. Comprehensive evaluations across six epidemiological datasets over three forecast horizons demonstrate that the proposal consistently outperforms several temporal and spatiotemporal benchmarks in both point and probabilistic forecasting. Additionally, we explore the explainability of the proposal to enhance the models' practical application for informed, timely public health interventions.

Epidemiological forecasting from surveillance data is a hard problem and hybridizing mechanistic compartmental models with neural models is a natural direction. The mechanistic structure helps keep trajectories epidemiologically plausible, while neural components can capture non-stationary, data-adaptive effects. In practice, however, many seemingly straightforward couplings fail under partial observability and continually shifting transmission dynamics driven by behavior, waning immunity, seasonality, and interventions. We catalog these failure modes and show that robust performance requires making non-stationarity explicit: we extract and extrapolate multi-scale structure from the observed infection series and use it as an interpretable control signal for a controlled neural ODE coupled to an epidemiological model. Concretely, we decompose infections into trend, seasonal, and residual components and use these signals to drive continuous-time latent dynamics while jointly forecasting and inferring time-varying transmission, recovery, and immunity-loss rates. Across early outbreak and multi-wave regimes, our approach attains the lowest RMSE on all five datasets (27-70% reduction over the strongest baseline), achieves the best peak detection accuracy, and recovers time-varying epidemiological rates within ground-truth ranges, without relying on auxiliary covariates.

Reliable epidemiological reasoning requires synthesizing study evidence to infer disease burden, transmission dynamics, and intervention effects at the population level. Existing medical question answering benchmarks primarily emphasize clinical knowledge or patient-level reasoning, yet few systematically evaluate evidence-grounded epidemiological inference. We present EpiQAL, to our knowledge the first diagnostic benchmark for epidemiological question answering over research literature, comprising three subsets built from open-access articles across diverse diseases. The three subsets progressively test factual recall, multi-step inference, and conclusion reconstruction under incomplete information, and are constructed through a quality-controlled pipeline combining taxonomy guidance, multi-model verification, and difficulty screening. Experiments on fifteen models spanning open-source and proprietary systems reveal that current LLMs show limited performance on epidemiological reasoning, with multi-step inference posing the greatest challenge. Model rankings shift across subsets, and scale alone does not predict success. Chain-of-Thought prompting benefits multi-step inference but yields mixed results elsewhere. EpiQAL provides fine-grained diagnostic signals for evidence-grounding, inferential reasoning, and conclusion reconstruction.

With the growing use of large language models, concerns over content authenticity have spurred a variety of watermarking schemes. These schemes use secret keys to detect machine-generated text while remaining imperceptible to readers. Detection typically reduces to statistical hypothesis testing for the presence of watermarks, a topic that is now well studied. In contrast, the finer-grained task of localizing which segments of a text are watermarked is much less explored; existing approaches often lack scalability or guarantees robust to paraphrasing and post-editing. We bring a new perspective to this segmentation problem through the lens of epidemic change-points and, by exploiting this connection, propose WISER, a novel and computationally efficient watermark segmentation algorithm. We establish finite-sample error bounds and consistency for detecting multiple watermarked segments in a single text. Complementing these theoretical results, our extensive numerical experiments show that WISER outperforms state-of-the-art baseline methods, both in terms of computational speed as well as accuracy, on various benchmark datasets embedded with diverse watermarking schemes. Together, these theoretical and empirical results position WISER as an effective tool for watermark localization and illustrate how classical statistical ideas can yield theoretically valid and computationally efficient solutions to a modern problem of immediate importance.

Data fusion, the process of combining observational and experimental data, can enable the identification of causal effects that would otherwise remain non-identifiable. Although identification algorithms have been developed for specific scenarios, do-calculus remains the only general-purpose tool for causal data fusion, particularly when variables are present in some data sources but not others. However, approaches based on do-calculus may encounter computational challenges as the number of variables increases and the causal graph grows in complexity. Consequently, there exists a need to reduce the size of such models while preserving the essential features. For this purpose, we propose pruning (removing unnecessary variables) and clustering (combining variables) as preprocessing operations for causal data fusion. We generalize earlier results on a single data source and derive conditions for applying pruning and clustering in the case of multiple data sources. We give sufficient conditions for inferring the identifiability or non-identifiability of a causal effect in a larger graph based on a smaller graph and show how to obtain the corresponding identifying functional for identifiable causal effects. Examples from epidemiology and social science demonstrate the use of the results.

This paper presents a hybrid modeling approach that couples an Agent-Based Model (ABM) with a partial differential equation (PDE) model in an epidemic setting to simulate the spatial spread of infectious diseases using a compartmental structure with seven health states. The goal is to reduce the computational complexity of a full-ABM by introducing a coupled ABM-PDE model that offers significantly faster simulations while maintaining comparable accuracy. Our results demonstrate that the hybrid model not only reduces the overall simulation runtime (defined as the number of runs required for stable results multiplied by the duration of a single run) but also achieves smaller errors across both 25% and 100% population samples. The coupling mechanism ensures consistency at the model interface: agents crossing from the ABM into the PDE domain are removed and represented as density contributions, while surplus density in the PDE domain is used to generate agents with plausible trajectories derived from mobile phone data. We evaluate the hybrid model using real-world mobility and infection data for the Berlin-Brandenburg region in Germany, showing that it captures the core epidemiological dynamics while enabling efficient large-scale simulations. These results demonstrate that the proposed ABM-PDE framework provides a robust and computationally efficient alternative to full-scale agent-based simulations, making it suitable for realistic epidemic modeling and scenario analysis.

The pandemic in 2020 and 2021 had enormous economic and societal consequences, and studies show that contact tracing algorithms can be key in the early containment of the virus. While large strides have been made towards more effective contact tracing algorithms, we argue that privacy concerns currently hold deployment back. The essence of a contact tracing algorithm constitutes the communication of a risk score. Yet, it is precisely the communication and release of this score to a user that an adversary can leverage to gauge the private health status of an individual. We pinpoint a realistic attack scenario and propose a contact tracing algorithm with differential privacy guarantees against this attack. The algorithm is tested on the two most widely used agent-based COVID19 simulators and demonstrates superior performance in a wide range of settings. Especially for realistic test scenarios and while releasing each risk score with epsilon=1 differential privacy, we achieve a two to ten-fold reduction in the infection rate of the virus. To the best of our knowledge, this presents the first contact tracing algorithm with differential privacy guarantees when revealing risk scores for COVID19.

The COVID19 pandemic had enormous economic and societal consequences. Contact tracing is an effective way to reduce infection rates by detecting potential virus carriers early. However, this was not generally adopted in the recent pandemic, and privacy concerns are cited as the most important reason. We substantially improve the privacy guarantees of the current state of the art in decentralized contact tracing. Whereas previous work was based on statistical inference only, we augment the inference with a learned neural network and ensure that this neural augmentation satisfies differential privacy. In a simulator for COVID19, even at epsilon=1 per message, this can significantly improve the detection of potentially infected individuals and, as a result of targeted testing, reduce infection rates. This work marks an important first step in integrating deep learning into contact tracing while maintaining essential privacy guarantees.