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Abstract Accurate forecasts can enable more effective public health responses during seasonal influenza epidemics. For the 2021–22 and 2022–23 influenza seasons, 26 forecasting teams provided national and jurisdiction-specific probabilistic predictions of weekly confirmed influenza hospital admissions for one-to-four weeks ahead. Forecast skill is evaluated using the Weighted Interval Score (WIS), relative WIS, and coverage. Six out of 23 models outperform the baseline model across forecast weeks and locations in 2021–22 and 12 out of 18 models in 2022–23. Averaging across all forecast targets, the FluSight ensemble is the 2^ndmost accurate model measured by WIS in 2021–22 and the 5^thmost accurate in the 2022–23 season. Forecast skill and 95% coverage for the FluSight ensemble and most component models degrade over longer forecast horizons. In this work we demonstrate that while the FluSight ensemble was a robust predictor, even ensembles face challenges during periods of rapid change. 

Healthcare acquired infections (HAIs) (e.g., Methicillin-resistant Staphylococcus aureus infection) have complex transmission pathways, spreading not just via direct person-to-person contacts, but also via contaminated surfaces. Prior work in mathematical epidemiology has led to a class of models – which we call load sharing models – that provide a discrete-time, stochastic formalization of HAI-spread on temporal contact networks. The focus of this paper is the source detection problem for the load sharing model. The source detection problem has been studied extensively in SEIR type models, but this prior work does not apply to load sharing models.We show that a natural formulation of the source detection problem for the load sharing model is computationally hard, even to approximate. We then present two alternate formulations that are much more tractable. The tractability of our problems depends crucially on the submodularity of the expected number of infections as a function of the source set. Prior techniques for showing submodularity, such as the "live graph" technique are not applicable for the load sharing model and our key technical contribution is to use a more sophisticated "coupling" technique to show the submodularity result. We propose algorithms for our two problem formulations by extending existing algorithmic results from submodular optimization and combining these with an expectation propagation heuristic for the load sharing model that leads to orders-of-magnitude speedup. We present experimental results on temporal contact networks based on fine-grained EMR data from three different hospitals. Our results on synthetic outbreaks on these networks show that our algorithms outperform baselines by up to 5.97 times. Furthermore, case studies based on hospital outbreaks of Clostridioides difficile infection show that our algorithms identify clinically meaningful sources.