An Early Warning Approach to Monitor COVID-19 Activity with Multiple Digital Traces in Near Real-Time
Nicole E. Kogan, Leonardo Clemente, Parker Liautaud, Justin Kaashoek, Nicholas B. Link, Andre T. Nguyen, Fred S. Lu, Peter Huybers, Bernd Resch, Clemens Havas, … 展开作者
Nicole E. Kogan, Leonardo Clemente, Parker Liautaud, Justin Kaashoek, Nicholas B. Link, Andre T. Nguyen, Fred S. Lu, Peter Huybers, Bernd Resch, Clemens Havas, Andreas Petutschnig, Jessica Davis, Matteo Chinazzi, Backtosch Mustafa, William P. Hanage, Alessandro Vespignani, Mauricio Santillana
Non-pharmaceutical interventions (NPIs) have been crucial in curbing COVID-19 in the United States (US). Consequently, relaxing NPIs through a phased re-opening of the US amid still-high levels of COVID-19 susceptibility could lead to new epidemic waves. This calls for a COVID-19 early warning system. Here we evaluate multiple digital data streams as early warning indicators of increasing or decreasing state-level US COVID-19 activity between January and June 2020. We estimate the timing of sharp changes in each data stream using a simple Bayesian model that calculates in near real-time the probability of exponential growth or decay. Analysis of COVID-19-related activity on social network microblogs, Internet searches, point-of-care medical software, and a metapopulation mechanistic model, as well as fever anomalies captured by smart thermometer networks, shows exponential growth roughly 2-3 weeks prior to comparable growth in confirmed COVID-19 cases and 3-4 weeks prior to comparable growth in COVID-19 deaths across the US over the last 6 months. We further observe exponential decay in confirmed cases and deaths 5-6 weeks after implementation of NPIs, as measured by anonymized and aggregated human mobility data from mobile phones. Finally, we propose a combined indicator for exponential growth in multiple data streams that may aid in developing an early warning system for future COVID-19 outbreaks. These efforts represent an initial exploratory framework, and both continued study of the predictive power of digital indicators as well as further development of the statistical approach are needed.
We develop here a data-driven approach for disease recognition based on given symptoms, to be efficient tool for anomaly detection. In a clinical setting and when presented with a patient with a combination of traits, a doctor may wonder if a certain combination of symptoms may be especially predictive, such as the question, "Are fevers more informative in women than men?" The answer to this question is, yes. We develop here a methodology to enumerate such questions, to learn what are the stronger warning signs when attempting to diagnose a disease, called Conditional Predictive Informativity,…
The Alan Turing Institute(艾伦·图灵研究所);University of Warwick(华威大学)
One of the Greater London Authority's (GLA) response to the COVID-19 pandemic brings together multiple large-scale and heterogeneous datasets capturing mobility, transportation and traffic activity over the city of London to better understand 'busyness' and enable targeted interventions and effective policy-making. As part of Project Odysseus we describe an early-warning system and introduce an expectation-based scan statistic for networks to help the GLA and Transport for London, understand the extent to which populations are following government COVID-19 guidelines. We explicitly treat the c…
We are concerned with the issue of detecting changes and their signs from a data stream. For example, when given time series of COVID-19 cases in a region, we may raise early warning signals of outbreaks by detecting signs of changes in the cases. We propose a novel methodology to address this issue. The key idea is to employ a new information-theoretic notion, which we call the differential minimum description length change statistics (D-MDL), for measuring the scores of change sign. We first give a fundamental theory for D-MDL. We then demonstrate its effectiveness using synthetic datasets. …
Dashboards are the most common visualization method for displaying COVID-19 data and informing the public. We examined 15 different dashboards to see how various visualization techniques were used. This paper describes the creation and implementation of a dashboard for COVID-19 epidemic and vaccination administration data in Sri Lanka.
To control the current outbreak of the Coronavirus Disease 2019, constant monitoring of the epidemic is required since, as of today, no vaccines or antiviral drugs against it are known. We provide daily updated estimates of the reproduction number over time at https://stochastik-tu-ilmenau.github.io/COVID-19/. In this document, we describe the estimator we are using which was developed in (Fraser 2007), derive its asymptotic properties, and we give details on its implementation. Furthermore, we validate the estimator on simulated data, demonstrate that estimates on real data lead to plausible …
In response to the novel coronavirus disease (COVID-19), governments have introduced severe policy measures with substantial effects on human behavior. Here, we perform a large-scale, spatio-temporal analysis of human mobility during the COVID-19 epidemic. We derive human mobility from anonymized, aggregated telecommunication data in a nationwide setting (Switzerland; February 10 - April 26, 2020), consisting of ~1.5 billion trips. In comparison to the same time period from 2019, human movement in Switzerland dropped by 49.1%. The strongest reduction is linked to bans on gatherings of more tha…
Detecting changes in COVID-19 disease transmission over time is a key indicator of epidemic growth.Near real-time monitoring of the pandemic growth is crucial for policy makers and public health officials who need to make informed decisions about whether to enforce lockdowns or allow certain activities. The effective reproduction number Rt is the standard index used in many countries for this goal. However, it is known that due to the delays between infection and case registration, its use for decision making is somewhat limited. In this paper a near real-time COVINDEX is proposed for monitori…
Arizona State University(亚利桑那州立大学);Georgia Institute of Technology(佐治亚理工学院);Fred Hutchinson Cancer Research Center(弗雷德·哈钦森癌症研究中心)
In this paper, we present an efficient statistical method (denoted as "Adaptive Resources Allocation CUSUM") to robustly and efficiently detect the hotspot with limited sampling resources. Our main idea is to combine the multi-arm bandit (MAB) and change-point detection methods to balance the exploration and exploitation of resource allocation for hotspot detection. Further, a Bayesian weighted update is used to update the posterior distribution of the infection rate. Then, the upper confidence bound (UCB) is used for resource allocation and planning. Finally, CUSUM monitoring statistics to de…
The coronavirus disease 2019 (COVID-19) has become a public health emergency of international concern affecting 201 countries and territories around the globe. As of April 4, 2020, it has caused a pandemic outbreak with more than 11,16,643 confirmed infections and more than 59,170 reported deaths worldwide. The main focus of this paper is two-fold: (a) generating short term (real-time) forecasts of the future COVID-19 cases for multiple countries; (b) risk assessment (in terms of case fatality rate) of the novel COVID-19 for some profoundly affected countries by finding various important demog…
The current outbreak of COVID-19 has called renewed attention to the need for sound statistical analysis for monitoring mortality patterns and trends over time. Excess mortality has been suggested as the most appropriate indicator to measure the overall burden of the pandemic on mortality. As such, excess mortality has received considerable interest during the first months of the COVID-19 pandemic. Previous approaches to estimate excess mortality are somewhat limited, as they do not include sufficiently long-term trends, correlations among different demographic and geographic groups, and the a…
A broad range of natural and social systems from human microbiome to financial markets can go through critical transitions, where the system suddenly collapses to another stable configuration. Critical transitions can be unexpected, with potentially catastrophic consequences. Anticipating them early and accurately can facilitate controlled system manipulation and mitigation of undesired outcomes. Obtaining reliable predictions have been difficult, however, as often only a small fraction of the relevant variables can be monitored, and even minor perturbations can induce drastic changes in fragi…
F. Hoffmann-La Roche Ltd(罗氏制药公司);Max Planck Institute for Intelligent Systems(马克斯·普朗克智能系统研究所);ETH Zurich(苏黎世联邦理工学院);John A. Paulson School of Engineering and Applied Sciences, Harvard University(哈佛大学约翰·A·保尔森工程与应用科学学院);Beth Israel Deaconess Medical Center, Harvard Medical School(哈佛医学院贝斯以色列女执事医疗中心);MIT Critical Data, Laboratory for Computational Physiology, Institute for Medical Engineering and Science, Harvard-MIT Health Sciences & Technology(哈佛-麻省理工健康科学与技术研究所医学工程与科学研究所计算生理学实验室MIT关键数据);University Hospital of Tübingen(蒂宾根大学医院);Kantonsspital Winterthur(温特图尔州立医院)
Coronavirus Disease 2019 (COVID-19) is an emerging respiratory disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with rapid human-to-human transmission and a high case fatality rate particularly in older patients. Due to the exponential growth of infections, many healthcare systems across the world are under pressure to care for increasing amounts of at-risk patients. Given the high number of infected patients, identifying patients with the highest mortality risk early is critical to enable effective intervention and optimal prioritisation of care. Here, we pre…
Slope failures possess destructive power that can cause significant damage to both life and infrastructure. Monitoring slopes prone to instabilities is therefore critical in mitigating the risk posed by their failure. The purpose of slope monitoring is to detect precursory signs of stability issues, such as changes in the rate of displacement with which a slope is deforming. This information can then be used to predict the timing or probability of an imminent failure in order to provide an early warning. In this study, a more objective, statistical-learning algorithm is proposed to detect and …