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During the 2022–2023 unprecedented mpox epidemic, near real-time short-term forecasts of the epidemic’s trajectory were essential in intervention implementation and guiding policy. However, as case levels have significantly decreased, evaluating model performance is vital to advancing the field of epidemic forecasting. Using laboratory-confirmed mpox case data from the Centers for Disease Control and Prevention and Our World in Data teams, we generated retrospective sequential weekly forecasts for Brazil, Canada, France, Germany, Spain, the United Kingdom, the United States and at the global scale using an auto-regressive integrated moving average (ARIMA) model, generalized additive model, simple linear regression, Facebook’s Prophet model, as well as the sub-epidemic wave andn-sub-epidemic modelling frameworks. We assessed forecast performance using average mean squared error, mean absolute error, weighted interval scores, 95% prediction interval coverage, skill scores and Winkler scores. Overall, then-sub-epidemic modelling framework outcompeted other models across most locations and forecasting horizons, with the unweighted ensemble model performing best most frequently. Then-sub-epidemic and spatial-wave frameworks considerably improved in average forecasting performance relative to the ARIMA model (greater than 10%) for all performance metrics. Findings further support sub-epidemic frameworks for short-term forecasting epidemics of emerging and re-emerging infectious diseases.
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Modeling approaches, challenges, and preliminary results for the opioid and heroin co-epidemic crisis
The U.S. is in the grips of a devastating opioid and heroin co-epidemic affecting nearly all socio-economic populations at great human (~7,800 new users/day) and financial ($78.5 billion/year) costs but with no obvious solution. We describe recent work and challenges to develop, integrate, and use several analytic multi-scale simulation models of these epidemics to develop insight into the epidemic’s complex underlying dynamics, generate causal hypotheses, and inform effective policy interventions. We developed preliminary agent-based, differential equation, network spread, and cellular automata models that reasonably replicate at multiple scales the past 17 years of this epidemic’s growth and spread at town, county, state, and national levels. Results suggest that some current approaches are unlikely to be very effective, some in fact may worsen the epidemic, and ultimately only certain combinations and sequences of policies are likely to have value, with important implications on both model architecture and policy optimization.
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- Award ID(s):
- 1742521
- PAR ID:
- 10301579
- Date Published:
- Journal Name:
- Proc Winter Simulation Conference
- Page Range / eLocation ID:
- 2821 to 2832
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Conference Paper:
- https://doi.org/10.1109/WSC.2017.8248006
