Early detection of disease outbreaks and non-outbreaks using incidence data: A framework using feature-based time series classification and machine learning.

Publication date: Feb 13, 2025

Forecasting the occurrence and absence of novel disease outbreaks is essential for disease management, yet existing methods are often context-specific, require a long preparation time, and non-outbreak prediction remains understudied. To address this gap, we propose a novel framework using a feature-based time series classification (TSC) method to forecast outbreaks and non-outbreaks. We tested our methods on synthetic data from a Susceptible-Infected-Recovered (SIR) model for slowly changing, noisy disease dynamics. Outbreak sequences give a transcritical bifurcation within a specified future time window, whereas non-outbreak (null bifurcation) sequences do not. We identified incipient differences, reflected in 22 statistical features and 5 early warning signal indicators, in time series of infectives leading to future outbreaks and non-outbreaks. Classifier performance, given by the area under the receiver-operating curve (AUC), ranged from 0 . 99 for large expanding windows of training data to 0 . 7 for small rolling windows. The framework is further evaluated on four empirical datasets: COVID-19 incidence data from Singapore, 18 other countries, and Edmonton, Canada, as well as SARS data from Hong Kong, with two classifiers exhibiting consistently high accuracy. Our results highlight detectable statistical features distinguishing outbreak and non-outbreak sequences well before potential occurrence, in both synthetic and real-world datasets presented in this study.

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Concepts Keywords
Canada Based
Covid Bifurcation
Forecast Classification
Outbreaks Early
Understudied Feature
Future
Incidence
Non
Occurrence
Outbreak
Outbreaks
Sequences
Series
Statistical
Synthetic

Semantics

Type Source Name
disease MESH COVID-19
disease IDO history
disease IDO process
pathway REACTOME Reproduction
disease MESH infection
drug DRUGBANK Coenzyme M
disease MESH recurrence
disease MESH infectious diseases
disease MESH influenza
disease MESH secondary infections
disease IDO susceptible population
drug DRUGBANK Ilex paraguariensis leaf
drug DRUGBANK Spinosad
disease IDO pathogen
disease IDO object
drug DRUGBANK Chlordiazepoxide
drug DRUGBANK Flunarizine
disease MESH death
disease IDO algorithm
disease MESH measles
pathway KEGG Measles
disease MESH malaria
pathway KEGG Malaria
disease MESH uncertainty
drug DRUGBANK Dihydrostreptomycin
disease MESH severe acute respiratory syndrome
drug DRUGBANK Aspartame
drug DRUGBANK Esomeprazole
drug DRUGBANK Isoxaflutole
disease IDO country
disease MESH emerging infectious diseases
disease MESH catch22
disease MESH asymptomatic infection
disease IDO symptom
drug DRUGBANK Pentaerythritol tetranitrate
drug DRUGBANK Saquinavir
disease MESH Angst

Original Article

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