COVID-19 Hospitalizations Forecasts Using Internet Search Data (preprint)

As the COVID-19 spread over the globe and new variants of COVID-19 keep occurring, reliable real-time forecasts of COVID-19 hospitalizations are critical for public health decision on medical resources allocations such as ICU beds, ventilators, and personnel to prepare for the surge of COVID-19 pandemics. Inspired by the strong association between public search behavior and hospitalization admission, we extended previously-proposed influenza tracking model, ARGO (AutoRegression with GOogle search data), to predict future 2-week national and state-level COVID-19 new hospital admissions. Leveraging the COVID-19 related time series information and Google search data, our method is able to robustly capture new COVID-19 variants’ surges, and self-correct at both national and state level. Based on our retrospective out-of-sample evaluation over 12-month comparison period, our method achieves on average 15% error reduction over the best alternative models collected from COVID-19 forecast hub. Overall, we showed that our method is flexible, self-correcting, robust, accurate, and interpretable, making it a potentially powerful tool to assist health-care officials and decision making for the current and future infectious disease outbreak.

COVID-19 and Influenza Joint Forecasts Using Internet Search Information in the United States (preprint)

As COVID-19 pandemic progresses, severe flu seasons may happen alongside an increase in cases in cases and death of COVID-19, causing severe burdens on health care resources and public safety. A consequence of a twindemic may be a mixture of two different infections in the same person at the same time, "flurona". Admist the raising trend of "flurona", forecasting both influenza outbreaks and COVID-19 waves in a timely manner is more urgent than ever, as accurate joint real-time tracking of the twindemic aids health organizations and policymakers in adequate preparation and decision making. Under the current pandemic, state-of-art influenza and COVID-19 forecasting models carry valuable domain information but face shortcomings under current complex disease dynamics, such as similarities in symptoms and public healthcare seeking patterns of the two diseases. Inspired by the inner-connection between influenza and COVID-19 activities, we propose ARGOX-Joint-Ensemble which allows us to combine historical influenza and COVID-19 disease forecasting models to a new ensemble framework that handles scenarios where flu and COVID co-exist. Our framework is able to emphasize learning from COVID-related or influenza signals, through a winner-takes-all ensemble fashion. Moreover, our experiments demonstrate that our approach is successful in adapting past influenza forecasting models to the current pandemic, while improving upon previous COVID-19 forecasting models, by steadily outperforming alternative benchmark methods, and remaining competitive with publicly available models.

COVID-19 Hospitalizations Forecasts Using Internet Search Data (preprint)

As the COVID-19 spread over the globe and new variants of COVID-19 keep occurring, reliable real-time forecasts of COVID-19 hospitalizations are critical for public health decision on medical resources allocations such as ICU beds, ventilators, and personnel to prepare for the surge of COVID-19 pandemics. Inspired by the strong association between public search behavior and hospitalization admission, we extended previously-proposed influenza tracking model, ARGO (AutoRegression with GOogle search data), to predict future 2-week national and state-level COVID-19 new hospital admissions. Leveraging the COVID-19 related time series information and Google search data, our method is able to robustly capture new COVID-19 variants' surges, and self-correct at both national and state level. Based on our retrospective out-of-sample evaluation over 12-month comparison period, our method achieves on average 15\% error reduction over the best alternative models collected from COVID-19 forecast hub. Overall, we showed that our method is flexible, self-correcting, robust, accurate, and interpretable, making it a potentially powerful tool to assist health-care officials and decision making for the current and future infectious disease outbreak.

COVID-19 Forecasts Using Internet Search Information in the United States (preprint)

As the COVID-19 ravaging through the globe, accurate forecasts of the disease spread is crucial for situational awareness, resource allocation, and public health decision-making. Alternative to the traditional disease surveillance data collected by the United States (US) Centers for Disease Control and Prevention (CDC), big data from Internet such as online search volumes has been previously shown to contain valuable information for tracking infectious disease dynamics. In this study, we evaluate the feasibility of using Internet search volume of relevant queries to track and predict COVID-19 pandemic. We found strong association between COVID-19 death trend and the search volume of symptom-related queries such as "loss of taste". Then, we further develop an influenza-tracking model to predict future 4-week COVID-19 deaths on the US national level, by combining search volume information with COVID-19 time series information. Encouraged by the 20% error reduction on national level comparing to the baseline time series model, we additionally build state-level COVID-19 deaths models, leveraging the cross-state cross-resolution spatial temporal framework that pools information from search volume and COVID-19 reports across states, regions and the nation. These variants of ARGOX are then aggregated in a winner-takes-all ensemble fashion to produce the final state-level 4-week forecasts. Numerical experiments demonstrate that our method steadily outperforms time series baseline models, and achieves the state-of-the-art performance among the publicly available benchmark models. Overall, we show that disease dynamics and relevant public search behaviors co-evolve during the COVID-19 pandemic, and capturing their dependencies while leveraging historical cases/deaths as well as spatial-temporal cross-region information will enable stable and accurate US national and state-level forecasts.

Early Detection of COVID-19 Hotspots Using Spatio-Temporal Data (preprint)

Recently, the Centers for Disease Control and Prevention (CDC) has worked with other federal agencies to identify counties with increasing coronavirus disease 2019 (COVID-19) incidence (hotspots) and offers support to local health departments to limit the spread of the disease. Understanding the spatio-temporal dynamics of hotspot events is of great importance to support policy decisions and prevent large-scale outbreaks. This paper presents a spatio-temporal Bayesian framework for early detection of COVID-19 hotspots (at the county level) in the United States. We assume both the observed number of cases and hotspots depend on a class of latent random variables, which encode the underlying spatio-temporal dynamics of the transmission of COVID-19. Such latent variables follow a zero-mean Gaussian process, whose covariance is specified by a non-stationary kernel function. The most salient feature of our kernel function is that deep neural networks are introduced to enhance the model's representative power while still enjoying the interpretability of the kernel. We derive a sparse model and fit the model using a variational learning strategy to circumvent the computational intractability for large data sets. Our model demonstrates better interpretability and superior hotspot-detection performance compared to other baseline methods.

COUnty aggRegation mixup AuGmEntation (COURAGE) COVID-19 Prediction (preprint)

The global spread of COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, has cast a significant threat to mankind. As the COVID-19 situation continues to evolve, predicting localized disease severity is crucial for advanced resource allocation. This paper proposes a method named COURAGE (COUnty aggRegation mixup AuGmEntation) to generate a short-term prediction of 2-week-ahead COVID-19 related deaths for each county in the United States, leveraging modern deep learning techniques. Specifically, our method adopts a self-attention model from Natural Language Processing, known as the transformer model, to capture both short-term and long-term dependencies within the time series while enjoying computational efficiency. Our model fully utilizes publicly available information of COVID-19 related confirmed cases, deaths, community mobility trends and demographic information, and can produce state-level prediction as an aggregation of the corresponding county-level predictions. Our numerical experiments demonstrate that our model achieves the state-of-the-art performance among the publicly available benchmark models.

High-resolution Spatio-temporal Model for County-level COVID-19 Activity in the U.S (preprint)

We present an interpretable high-resolution spatio-temporal model to estimate COVID-19 deaths together with confirmed cases one-week ahead of the current time, at the county-level and weekly aggregated, in the United States. A notable feature of our spatio-temporal model is that it considers the (a) temporal auto- and pairwise correlation of the two local time series (confirmed cases and death of the COVID-19), (b) dynamics between locations (propagation between counties), and (c) covariates such as local within-community mobility and social demographic factors. The within-community mobility and demographic factors, such as total population and the proportion of the elderly, are included as important predictors since they are hypothesized to be important in determining the dynamics of COVID-19. To reduce the model's high-dimensionality, we impose sparsity structures as constraints and emphasize the impact of the top ten metropolitan areas in the nation, which we refer (and treat within our models) as hubs in spreading the disease. Our retrospective out-of-sample county-level predictions were able to forecast the subsequently observed COVID-19 activity accurately. The proposed multi-variate predictive models were designed to be highly interpretable, with clear identification and quantification of the most important factors that determine the dynamics of COVID-19. Ongoing work involves incorporating more covariates, such as education and income, to improve prediction accuracy and model interpretability.