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Title: Applying infectious disease forecasting to public health: a path forward using influenza forecasting examples

Abstract

Infectious disease forecasting aims to predict characteristics of both seasonal epidemics and future pandemics. Accurate and timely infectious disease forecasts could aid public health responses by informing key preparation and mitigation efforts. For forecasts to be fully integrated into public health decision-making, federal, state, and local officials must understand how forecasts were made, how to interpret forecasts, and how well the forecasts have performed in the past. Since the 2013–14 influenza season, the Influenza Division at the Centers for Disease Control and Prevention (CDC) has hosted collaborative challenges to forecast the timing, intensity, and short-term trajectory of influenza-like illness in the United States. Additional efforts to advance forecasting science have included influenza initiatives focused on state-level and hospitalization forecasts, as well as other infectious diseases. Using CDC influenza forecasting challenges as an example, this paper provides an overview of infectious disease forecasting; applications of forecasting to public health; and current work to develop best practices for forecast methodology, applications, and communication. These efforts, along with other infectious disease forecasting initiatives, can foster the continued advancement of forecasting science.

Authors:
ORCiD logo [1];  [2];  [2];  [3];  [4];  [5];  [6];  [7];  [8];  [9];  [10];  [11];  [12];  [13];  [14];  [15];  [16];  [4]
  1. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States); Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States); Johns Hopkins Univ., Baltimore, MD (United States)
  2. Council of State and Territorial Epidemiologists, Atlanta, GA (United States)
  3. Public Health Institute, Oakland, CA (United States)
  4. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States)
  5. Florida Department of Health, Bartow, FL (United States)
  6. Florida Department of Health, Miami, FL (United States)
  7. New York City Department of Health and Mental Hygiene, NY (United States)
  8. New York Univ. (NYU), NY (United States)
  9. Harris County Public Health, Houston, TX (United States)
  10. Houston Health Department, Houston, TX (United States)
  11. New Jersey Department of Health, Trenton, NJ (United States)
  12. California Department of Public Health, Richmond, CA (United States)
  13. State of Connecticut Department of Health, Hartford, CT (United States)
  14. Washington State Department of Health, Olympia, WA (United States)
  15. Oregon Health Authority, Portland, OR (United States)
  16. Centers for Disease Control and Prevention, San Juan, PR (United States)
Publication Date:
Research Org.:
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Org.:
USDOE Office of Science (SC); Centers for Disease Control and Prevention (CDC)
OSTI Identifier:
1905018
Grant/Contract Number:  
SC0014664; NU38OT000297–01-00
Resource Type:
Accepted Manuscript
Journal Name:
BMC Public Health (Online)
Additional Journal Information:
Journal Name: BMC Public Health (Online); Journal Volume: 19; Journal Issue: 1; Journal ID: ISSN 1471-2458
Publisher:
BioMed Central
Country of Publication:
United States
Language:
English
Subject:
59 BASIC BIOLOGICAL SCIENCES; decision making; disease outbreaks; emergency preparedness; forecast; infectious disease; influenza; pandemic

Citation Formats

Lutz, Chelsea S., Huynh, Mimi P., Schroeder, Monica, Anyatonwu, Sophia, Dahlgren, F. Scott, Danyluk, Gregory, Fernandez, Danielle, Greene, Sharon K., Kipshidze, Nodar, Liu, Leann, Mgbere, Osaro, McHugh, Lisa A., Myers, Jennifer F., Siniscalchi, Alan, Sullivan, Amy D., West, Nicole, Johansson, Michael A., and Biggerstaff, Matthew. Applying infectious disease forecasting to public health: a path forward using influenza forecasting examples. United States: N. p., 2019. Web. doi:10.1186/s12889-019-7966-8.
Lutz, Chelsea S., Huynh, Mimi P., Schroeder, Monica, Anyatonwu, Sophia, Dahlgren, F. Scott, Danyluk, Gregory, Fernandez, Danielle, Greene, Sharon K., Kipshidze, Nodar, Liu, Leann, Mgbere, Osaro, McHugh, Lisa A., Myers, Jennifer F., Siniscalchi, Alan, Sullivan, Amy D., West, Nicole, Johansson, Michael A., & Biggerstaff, Matthew. Applying infectious disease forecasting to public health: a path forward using influenza forecasting examples. United States. https://doi.org/10.1186/s12889-019-7966-8
Lutz, Chelsea S., Huynh, Mimi P., Schroeder, Monica, Anyatonwu, Sophia, Dahlgren, F. Scott, Danyluk, Gregory, Fernandez, Danielle, Greene, Sharon K., Kipshidze, Nodar, Liu, Leann, Mgbere, Osaro, McHugh, Lisa A., Myers, Jennifer F., Siniscalchi, Alan, Sullivan, Amy D., West, Nicole, Johansson, Michael A., and Biggerstaff, Matthew. Tue . "Applying infectious disease forecasting to public health: a path forward using influenza forecasting examples". United States. https://doi.org/10.1186/s12889-019-7966-8. https://www.osti.gov/servlets/purl/1905018.
@article{osti_1905018,
title = {Applying infectious disease forecasting to public health: a path forward using influenza forecasting examples},
author = {Lutz, Chelsea S. and Huynh, Mimi P. and Schroeder, Monica and Anyatonwu, Sophia and Dahlgren, F. Scott and Danyluk, Gregory and Fernandez, Danielle and Greene, Sharon K. and Kipshidze, Nodar and Liu, Leann and Mgbere, Osaro and McHugh, Lisa A. and Myers, Jennifer F. and Siniscalchi, Alan and Sullivan, Amy D. and West, Nicole and Johansson, Michael A. and Biggerstaff, Matthew},
abstractNote = {Infectious disease forecasting aims to predict characteristics of both seasonal epidemics and future pandemics. Accurate and timely infectious disease forecasts could aid public health responses by informing key preparation and mitigation efforts. For forecasts to be fully integrated into public health decision-making, federal, state, and local officials must understand how forecasts were made, how to interpret forecasts, and how well the forecasts have performed in the past. Since the 2013–14 influenza season, the Influenza Division at the Centers for Disease Control and Prevention (CDC) has hosted collaborative challenges to forecast the timing, intensity, and short-term trajectory of influenza-like illness in the United States. Additional efforts to advance forecasting science have included influenza initiatives focused on state-level and hospitalization forecasts, as well as other infectious diseases. Using CDC influenza forecasting challenges as an example, this paper provides an overview of infectious disease forecasting; applications of forecasting to public health; and current work to develop best practices for forecast methodology, applications, and communication. These efforts, along with other infectious disease forecasting initiatives, can foster the continued advancement of forecasting science.},
doi = {10.1186/s12889-019-7966-8},
journal = {BMC Public Health (Online)},
number = 1,
volume = 19,
place = {United States},
year = {Tue Dec 10 00:00:00 EST 2019},
month = {Tue Dec 10 00:00:00 EST 2019}
}

Works referenced in this record:

Update: Influenza Activity in the United States During the 2017–18 Season and Composition of the 2018–19 Influenza Vaccine
journal, June 2018

  • Garten, Rebecca; Blanton, Lenee; Elal, Anwar Isa Abd
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 67, Issue 22
  • DOI: 10.15585/mmwr.mm6722a4

Comparison of Filtering Methods for the Modeling and Retrospective Forecasting of Influenza Epidemics
journal, April 2014


Surveillance for Influenza during the 2009 Influenza A (H1N1) Pandemic-United States, April 2009-March 2010
journal, December 2010

  • Brammer, L.; Blanton, L.; Epperson, S.
  • Clinical Infectious Diseases, Vol. 52, Issue Supplement 1
  • DOI: 10.1093/cid/ciq009

Forecasting Influenza Outbreaks in Boroughs and Neighborhoods of New York City
journal, November 2016


Estimating Influenza Disease Burden from Population-Based Surveillance Data in the United States
journal, March 2015


Accurate Influenza Monitoring and Forecasting Using Novel Internet Data Streams: A Case Study in the Boston Metropolis
journal, January 2018

  • Lu, Fred Sun; Hou, Suqin; Baltrusaitis, Kristin
  • JMIR Public Health and Surveillance, Vol. 4, Issue 1
  • DOI: 10.2196/publichealth.8950

Assessing the Use of Influenza Forecasts and Epidemiological Modeling in Public Health Decision Making in the United States
journal, August 2018


The Measurement of Performance in Probabilistic Diagnosis
journal, October 1978

  • Hilden, J.; Habbema, J. D. F.; Bjerregaard, B.
  • Methods of Information in Medicine, Vol. 17, Issue 04
  • DOI: 10.1055/s-0038-1636442

Subregional Nowcasts of Seasonal Influenza Using Search Trends
journal, January 2017

  • Kandula, Sasikiran; Hsu, Daniel; Shaman, Jeffrey
  • Journal of Medical Internet Research, Vol. 19, Issue 11
  • DOI: 10.2196/jmir.7486

Results from the centers for disease control and prevention’s predict the 2013–2014 Influenza Season Challenge
journal, July 2016


A systematic review of studies on forecasting the dynamics of influenza outbreaks
journal, December 2013

  • Nsoesie, Elaine O.; Brownstein, John S.; Ramakrishnan, Naren
  • Influenza and Other Respiratory Viruses, Vol. 8, Issue 3
  • DOI: 10.1111/irv.12226

Dating the emergence of pandemic influenza viruses
journal, July 2009

  • Smith, Gavin J. D.; Bahl, Justin; Vijaykrishna, Dhanasekaran
  • Proceedings of the National Academy of Sciences, Vol. 106, Issue 28
  • DOI: 10.1073/pnas.0904991106

Nowcasting the Spread of Chikungunya Virus in the Americas
journal, August 2014


CDC Grand Rounds: Modeling and Public Health Decision-Making
journal, December 2016

  • Fischer, Leah S.; Santibanez, Scott; Hatchett, Richard J.
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 65, Issue 48
  • DOI: 10.15585/mmwr.mm6548a4

Strictly Proper Scoring Rules, Prediction, and Estimation
journal, March 2007

  • Gneiting, Tilmann; Raftery, Adrian E.
  • Journal of the American Statistical Association, Vol. 102, Issue 477
  • DOI: 10.1198/016214506000001437

Modeling and public health emergency responses: Lessons from SARS
journal, March 2011


The annual impact of seasonal influenza in the US: Measuring disease burden and costs
journal, June 2007

  • Molinari, Noelle-Angelique M.; Ortega-Sanchez, Ismael R.; Messonnier, Mark L.
  • Vaccine, Vol. 25, Issue 27, p. 5086-5096
  • DOI: 10.1016/j.vaccine.2007.03.046

Combination strategies for pandemic influenza response - a systematic review of mathematical modeling studies
journal, December 2009

  • Lee, Vernon J.; Lye, David C.; Wilder-Smith, Annelies
  • BMC Medicine, Vol. 7, Issue 1
  • DOI: 10.1186/1741-7015-7-76

Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine
journal, June 2016

  • Davlin, Stacy L.; Blanton, Lenee; Kniss, Krista
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 65, Issue 22
  • DOI: 10.15585/mmwr.mm6522a3

Modeling infectious disease dynamics in the complex landscape of global health
journal, March 2015


Epidemic Forecasting is Messier Than Weather Forecasting: The Role of Human Behavior and Internet Data Streams in Epidemic Forecast
journal, November 2016

  • Moran, Kelly R.; Fairchild, Geoffrey; Generous, Nicholas
  • Journal of Infectious Diseases, Vol. 214, Issue suppl 4
  • DOI: 10.1093/infdis/jiw375

How emergency managers (mis?)interpret forecasts
journal, June 2018

  • Wernstedt, Kris; Roberts, Patrick S.; Arvai, Joseph
  • Disasters, Vol. 43, Issue 1
  • DOI: 10.1111/disa.12293

Forecasting influenza outbreak dynamics in Melbourne from Internet search query surveillance data
journal, March 2016

  • Moss, Robert; Zarebski, Alexander; Dawson, Peter
  • Influenza and Other Respiratory Viruses, Vol. 10, Issue 4
  • DOI: 10.1111/irv.12376

Collaborative efforts to forecast seasonal influenza in the United States, 2015–2016
journal, January 2019

  • McGowan, Craig J.; Biggerstaff , Matthew; Johansson, Michael
  • Scientific Reports, Vol. 9, Issue 1
  • DOI: 10.1038/s41598-018-36361-9

Seasonal and pandemic influenza surveillance considerations for constructing multicomponent systems
journal, March 2009


Mitigation strategies for pandemic influenza in the United States
journal, April 2006

  • Germann, T. C.; Kadau, K.; Longini, I. M.
  • Proceedings of the National Academy of Sciences, Vol. 103, Issue 15
  • DOI: 10.1073/pnas.0601266103

Influenza Forecasting in Human Populations: A Scoping Review
journal, April 2014


Agent-based models of malaria transmission: a systematic review
journal, August 2018


Update: Influenza Activity in the United States During the 2016–17 Season and Composition of the 2017–18 Influenza Vaccine
journal, June 2017

  • Blanton, Lenee; Alabi, Noreen; Mustaquim, Desiree
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 66, Issue 25
  • DOI: 10.15585/mmwr.mm6625a3

Results from the second year of a collaborative effort to forecast influenza seasons in the United States
journal, September 2018


Infectious Disease Modeling Methods as Tools for Informing Response to Novel Influenza Viruses of Unknown Pandemic Potential
journal, April 2015

  • Gambhir, Manoj; Bozio, Catherine; O'Hagan, Justin J.
  • Clinical Infectious Diseases, Vol. 60, Issue suppl_1
  • DOI: 10.1093/cid/civ083

Influenza Virus Evolution, Host Adaptation, and Pandemic Formation
journal, June 2010


Reply to Bracher: Scoring probabilistic forecasts to maximize public health interpretability
journal, September 2019

  • Reich, Nicholas G.; Osthus, Dave; Ray, Evan L.
  • Proceedings of the National Academy of Sciences, Vol. 116, Issue 42
  • DOI: 10.1073/pnas.1912694116

Influenza Virus Evolution, Host Adaptation, and Pandemic Formation
journal, June 2010


Modeling and public health emergency responses: Lessons from SARS
journal, March 2011


Results from the second year of a collaborative effort to forecast influenza seasons in the United States
journal, September 2018


The annual impact of seasonal influenza in the US: Measuring disease burden and costs
journal, June 2007

  • Molinari, Noelle-Angelique M.; Ortega-Sanchez, Ismael R.; Messonnier, Mark L.
  • Vaccine, Vol. 25, Issue 27, p. 5086-5096
  • DOI: 10.1016/j.vaccine.2007.03.046

Assessing the Use of Influenza Forecasts and Epidemiological Modeling in Public Health Decision Making in the United States
journal, August 2018


Collaborative efforts to forecast seasonal influenza in the United States, 2015–2016
journal, January 2019

  • McGowan, Craig J.; Biggerstaff , Matthew; Johansson, Michael
  • Scientific Reports, Vol. 9, Issue 1
  • DOI: 10.1038/s41598-018-36361-9

The Measurement of Performance in Probabilistic Diagnosis
journal, October 1978

  • Hilden, J.; Habbema, J. D. F.; Bjerregaard, B.
  • Methods of Information in Medicine, Vol. 17, Issue 04
  • DOI: 10.1055/s-0038-1636442

Mitigation strategies for pandemic influenza in the United States
journal, April 2006

  • Germann, T. C.; Kadau, K.; Longini, I. M.
  • Proceedings of the National Academy of Sciences, Vol. 103, Issue 15
  • DOI: 10.1073/pnas.0601266103

Surveillance for Influenza during the 2009 Influenza A (H1N1) Pandemic-United States, April 2009-March 2010
journal, December 2010

  • Brammer, L.; Blanton, L.; Epperson, S.
  • Clinical Infectious Diseases, Vol. 52, Issue Supplement 1
  • DOI: 10.1093/cid/ciq009

Infectious Disease Modeling Methods as Tools for Informing Response to Novel Influenza Viruses of Unknown Pandemic Potential
journal, April 2015

  • Gambhir, Manoj; Bozio, Catherine; O'Hagan, Justin J.
  • Clinical Infectious Diseases, Vol. 60, Issue suppl_1
  • DOI: 10.1093/cid/civ083

Epidemic Forecasting is Messier Than Weather Forecasting: The Role of Human Behavior and Internet Data Streams in Epidemic Forecast
journal, November 2016

  • Moran, Kelly R.; Fairchild, Geoffrey; Generous, Nicholas
  • Journal of Infectious Diseases, Vol. 214, Issue suppl 4
  • DOI: 10.1093/infdis/jiw375

How emergency managers (mis?)interpret forecasts
journal, June 2018

  • Wernstedt, Kris; Roberts, Patrick S.; Arvai, Joseph
  • Disasters, Vol. 43, Issue 1
  • DOI: 10.1111/disa.12293

A systematic review of studies on forecasting the dynamics of influenza outbreaks
journal, December 2013

  • Nsoesie, Elaine O.; Brownstein, John S.; Ramakrishnan, Naren
  • Influenza and Other Respiratory Viruses, Vol. 8, Issue 3
  • DOI: 10.1111/irv.12226

Seasonal and pandemic influenza surveillance considerations for constructing multicomponent systems
journal, March 2009


Modeling infectious disease dynamics in the complex landscape of global health
journal, March 2015


Communicating Uncertainty in Weather Forecasts: A Survey of the U.S. Public
journal, October 2008

  • Morss, Rebecca E.; Demuth, Julie L.; Lazo, Jeffrey K.
  • Weather and Forecasting, Vol. 23, Issue 5
  • DOI: 10.1175/2008waf2007088.1

Combination strategies for pandemic influenza response - a systematic review of mathematical modeling studies
journal, December 2009

  • Lee, Vernon J.; Lye, David C.; Wilder-Smith, Annelies
  • BMC Medicine, Vol. 7, Issue 1
  • DOI: 10.1186/1741-7015-7-76

Results from the centers for disease control and prevention’s predict the 2013–2014 Influenza Season Challenge
journal, July 2016


Agent-based models of malaria transmission: a systematic review
journal, August 2018


Strictly Proper Scoring Rules, Prediction, and Estimation
journal, March 2007

  • Gneiting, Tilmann; Raftery, Adrian E.
  • Journal of the American Statistical Association, Vol. 102, Issue 477
  • DOI: 10.1198/016214506000001437

Comparison of Filtering Methods for the Modeling and Retrospective Forecasting of Influenza Epidemics
journal, April 2014


Forecasting Influenza Outbreaks in Boroughs and Neighborhoods of New York City
journal, November 2016


Influenza Forecasting in Human Populations: A Scoping Review
journal, April 2014


Nowcasting the Spread of Chikungunya Virus in the Americas
journal, August 2014


Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine
journal, June 2016

  • Davlin, Stacy L.; Blanton, Lenee; Kniss, Krista
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 65, Issue 22
  • DOI: 10.15585/mmwr.mm6522a3

Update: Influenza Activity in the United States During the 2016–17 Season and Composition of the 2017–18 Influenza Vaccine
journal, June 2017

  • Blanton, Lenee; Alabi, Noreen; Mustaquim, Desiree
  • MMWR. Morbidity and Mortality Weekly Report, Vol. 66, Issue 25
  • DOI: 10.15585/mmwr.mm6625a3

Subregional Nowcasts of Seasonal Influenza Using Search Trends
journal, January 2017

  • Kandula, Sasikiran; Hsu, Daniel; Shaman, Jeffrey
  • Journal of Medical Internet Research, Vol. 19, Issue 11
  • DOI: 10.2196/jmir.7486

Accurate Influenza Monitoring and Forecasting Using Novel Internet Data Streams: A Case Study in the Boston Metropolis
journal, January 2018

  • Lu, Fred Sun; Hou, Suqin; Baltrusaitis, Kristin
  • JMIR Public Health and Surveillance, Vol. 4, Issue 1
  • DOI: 10.2196/publichealth.8950