SourceSeer: Forecasting Rare Disease Outbreaks Using Multiple Data Sources

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1 SourceSeer: Forecasting Rare Disease Outbreaks Using Multiple Data Sources Theodoros Rekatsinas University of Maryland with Saurav Ghosh 1, Sumiko Mekaru 2, Elaine Nsoesie 2, John Brownstein 2, Lise Getoor 3, Naren Ramakrishnan 1 1 : Virginia Tech, 2 : Boston Children s Hospital, 3 : UC Santa Cruz

2 Rare diseases Hantavirus 2. Infected excreta become airborne 3. Inhaled by humans 1. Virus contained in rodent excreta 4. Acute respiratory distress: serious infection that quickly worsens

3 Deluge of news feeds on diseases Track the progression and detect the emergence of outbreaks in realtime

4 Analyze related keywords Give me everything you have!!! I need all of it to improve my accuracy!!! to forecast the emergence of infectious diseases

5 It works!? At least for common diseases

6 What about rare ones?

7 Delayed spikes in keyword mentions # of Outbreaks Timeline of Hantavirus Incidences Timeline of Hantavirus Incidences # of Mentions Mentions of Hanta Keywords over Time 01/13 01/13 02/13 02/13 03/13 03/13 04/13 04/13 05/13 05/13 06/13 06/13 07/13 07/13 08/13 08/13 09/13 09/13 10/13 10/13 11/13 11/13 12/13 12/13 01/14 01/14 02/14 02/14 03/14 Date Date 01/13 02/13 03/13 04/13 05/13 06/13 07/13 08/13 09/13 Date 10/13 11/13 12/13 01/14 02/14 03/14 Chile Chile Brazil Argentina Uruguay Chile Argentina Figure 1: 1: Timeline of ofhantavirus outbreaks from January 2013toMarch2014for PLE 2. For the previous scenario, we consider using LE 2. For the previous scenario, we consider using Effectiveness: data source source Track in inisolation isolation incidents for forpredicting hantavirus Analyze s in Chile, Argentina, Brazil and Figure from Jan`13 their to Mar`14 correspon in Chile, from Argentina, Jan`13 to Mar`14 Brazil and Uruguay. Figure 2 their out- corpus of ofnews newsarticle the source accuracy histograms for Chile and Brazil. Effectiveness: S Diversity: Ou

8 troduce SourceSeer, anovelrarediseaseoutbreakforecast Other problems??? framework that consists of two major components: (a) analysis of past data to detect disease spatio-temporal patterns and (b) prediction of future outbreaks. * # of Sources Source Characteristics (Chile) Source Accuracy # of Sources Source Characteristics (Brazil) Source Accuracy * Sources are news publishers Figure 2: Source accuracy histograms for Chile and Brazil. Sources exhibit different delays and thus have different accuracies Since analyzing keyword mentions over time is not sufficient to discover the temporal patterns rare disease outbreaks may exhibit, we use topic models to discover the word

9 SOURCESEER SourceSeer s approach Input Detect disease topics #" Sources Source Entry &" -" Location - Topic Topic - Word!" '" /" Does a news paper predict a disease? V.S. %" $"," (" "." * + " )" 0"," Topic - Time OUTBREAK!!! Fuse expert votes and predict an outbreak

10 SOURCESEER SourceSeer s approach Topic Model Analyze available snapshots to detect abstract topics (capture word correlations) Detect spatial patterns and temporal patterns of topics Intuition: different diseases per location

11 SOURCESEER SourceSeer s approach Forecast Model Each source is an expert Find the reliable experts per location Intuition: Shouldn t I trust local sources more?

12 Each article associated with a source, a time stamp and a location Input to SourceSeer Source: Time: Dec 11, :12 Location: Chaiten, Chile Fallece paciente sospechoso de virus Hanta en Puerto Montt Break articles to tuples <src, loc, word, time stamp, count> Este lunes falleció en el hospital de Puerto Montt un presunto caso de virus hanta, proveniente del sector rural de Buil, en Chaitén. José Catin Oyarzo de 40 años, agricultor, fue atendido en la posta de Ayacara (Chaitén) el día viernes y este domingo fue trasladado al Hospital Base de Puerto Montt, con cefaleas, mialgias (dolor muscular), compromiso respiratorio y fiebre. Al aplicársele el test rápido se le asoció a una sospecha de hanta virus. El paciente se agravó por lo que debieron conectarlo a ventilación mecánica; sin embargo, Catin Oyarzo falleció al mediodía de este lunes, debido a su problema cardiopulmonar. Articles are updated per fixed time windows (e.g., weekly) Time

13 Each article associated with a source, a time stamp and a location Task of SourceSeer Source: Time: Dec 11, :12 Location: Chaiten, Chile Fallece paciente sospechoso de virus Hanta en Puerto Montt Este lunes falleció en el hospital de Puerto Montt un presunto caso de virus hanta, proveniente del sector rural de Buil, en Chaitén. José Catin Oyarzo de 40 años, agricultor, fue atendido en la posta de Ayacara (Chaitén) el día viernes y este domingo fue trasladado al Hospital Base de Puerto Montt, con cefaleas, mialgias (dolor muscular), compromiso respiratorio y fiebre. Al aplicársele el test rápido se le asoció a una sospecha de hanta virus. Will an outbreak occur in the next time window? El paciente se agravó por lo que debieron conectarlo a ventilación mecánica; sin embargo, Catin Oyarzo falleció al mediodía de este lunes, debido a su problema cardiopulmonar. Articles are updated per fixed time windows (e.g., weekly) Time

14 Spatio-temporal topic model Detect topic prominence per location #" Sources Source Entry &" -" Location - Topic Topic - Word!" '" Track topic evolution over time /" %"," (" "." * + " 0"," Detect word correlations $" )" Topic - Time

15 Forecast outbreaks: Single source Our model detects disease topic z t: future time point Will source s report an outbreak for location l? #" Sources &" -" Source Entry!" Outbreak(s, z; l, t) Location - Topic Topic - Word '" /" %"," (" "." * + " 0"," $" )" Topic - Time

16 Forecast outbreaks: Single source Our model detects disease topic z t: future time point For a location l, how similar is the content of source s to topic z? #" Sources &" -" Source Entry!" Relevance(s, z; l, t) Location - Topic Topic - Word '" /" %"," (" "." * + " 0"," $" )" Topic - Time

17 Forecast outbreaks: Single source Our model detects disease topic z t: future time point For a location l, how similar is the content of source s to topic z? #" &" %" $" -" Location - Topic Topic - Word," Sources Source Entry ("!" '" "." * + " )" /" 0"," Topic - Time F z : representative document for topic Relevance(s, z; l, t) = CosineSim (F s,l,t, F z ) F s,l,t : estimated content of source

18 Forecast outbreaks: Single source Our model detects disease topic z t: future time point For a location l, how similar is the content of source s to topic z? #" &" %" $" -" Location - Topic Topic - Word," Sources Source Entry ("!" '" "." * + " )" /" 0"," Topic - Time F z : representative document for topic Relevance(s, z; l, t) = CosineSim (F s,l,t, F z ) F s,l,t : estimated content of source Statistical models to estimate Fz and Fs,l,t

19 Forecast outbreaks: Single source Relevance(s, z; l, t) #" Sources Source Entry Intuition: Spikes in &" %" -" Location - Topic Topic - Word," ("!" '" "." * + " /" 0"," relevance indicate anomalies, i.e., $" )" Topic - Time potential outbreaks! Detect anomalies using OCSVMs for each source-location pair features are topic relevances

20 Forecast outbreaks: Multiple sources Each source-location OCSVM is an individual expert! Fuse predictions using weighted majority voting Combine expert accuracies to find prediction s confidence score Multiplicative weights to learn accuracies Delayed ground truth after outbreaks occur

21 Experimental highlights Goal Forecast Hantavirus outbreaks in Latin America Input data: corpus from June`12 to Mar`14 with mentions to Dengue, Avian Flu, Swine Flu and Hantavirus Evaluation: gold standard report provided by analysts Jan`13 to Mar`14

22 Topic discovery Hantavirus pulmonary syndrome virus epidemia enfermos hanta viral territorio pneumonia sangre ratones cariopulmonar Dengue fever dengue aegypti agua mosquitos agricultura respiratoria rurales agropecuano hemorragias suero SourceSeer detects topics related to all diseases (both rare and common) present in the corpus

23 Temporal pattern discovery Prominence Hantavirus pulmonary syndrome # of Outbreaks Timeline of Hantavirus Incidences 01/13 02/13 03/13 04/13 05/13 06/13 07/13 08/13 09/13 10/13 11/13 12/13 01/14 02/14 03/14 Week Index 01/13 02/13 03/13 04/13 05/13 Chile Argentina 06/13 07/13 08/13 Date 09/13 10/13 11/13 Brazil Uruguay 12/13 01/14 02/14 03/14 Prominence spikes aligned with occurrences

24 Forecasting outbreaks Algorithms SourceSeer: LocSeer: Keyword: BSR: source based predictions topic model only; ignore source focus and quality keyword based technique plus OCSVM for anomalies fixed rate of occurrence; uses ground truth Evaluation metrics F1-score: considers only if an occurrence was correctly predicted per country per week (ignores location and exact day) Quality: accuracy with respect to exact location (i.e., state) and day (We forecasted an outbreak but was the place and time correct?)

25 Is SourceSeer more accurate? F1-score /13 02/13 03/13 04/13 05/13 06/13 07/13 08/13 09/13 10/13 11/13 12/13 01/14 02/14 03/14 BSR Keyword LocSeer SourceSeer SourceSeer more accurate than baselines Statistical significance: Wilcoxon signed-rank test

26 What about prediction quality? 4 3 Quality /13 02/13 03/13 04/13 05/13 06/13 07/13 08/13 09/13 10/13 11/13 Possible max. quality value is 4 12/13 01/14 02/14 03/14 BSR Keyword LocSeer SourceSeer Many times SourceSeer forecasts correctly at the state level! Avg. lead-time ~ 8 days

27 Conclusions Analyze open source indicators to forecast rare-disease outbreaks Introduced SourceSeer that combines spatio-temporal topic models with multi-source anomaly detection SourceSeer forecasts outbreaks more accurately at a finer spatial granularity with a better lead-time than baselines

28 Conclusions Supported by Analyze open source indicators to forecast rare-disease outbreaks Introduced SourceSeer that combines spatio-temporal topic models with multi-source anomaly detection SourceSeer forecasts outbreaks more accurately at a finer spatial granularity with a better lead-time than baselines OSI, D12PC00337 Delivered to you by Thank you! thodrek@cs.umd.edu

SourceSeer: Forecasting Rare Disease Outbreaks Using Multiple Data Sources

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