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Lopez VK, Cramer EY, Pagano R, Drake JM, O’Dea EB, Adee M, Ayer T, Chhatwal J, Dalgic OO, Ladd MA, Linas BP, Mueller PP, Xiao J, Bracher J, Castro Rivadeneira AJ, Gerding A, Gneiting T, Huang Y, Jayawardena D, Kanji AH, Le K, Mühlemann A, Niemi J, Ray EL, Stark A, Wang Y, Wattanachit N, Zorn MW, Pei S, Shaman J, Yamana TK, Tarasewicz SR, Wilson DJ, Baccam S, Gurung H, Stage S, Suchoski B, Gao L, Gu Z, Kim M, Li X, Wang G, Wang L, Wang Y, Yu S, Gardner L, Jindal S, Marshall M, Nixon K, Dent J, Hill AL, Kaminsky J, Lee EC, Lemaitre JC, Lessler J, Smith CP, Truelove S, Kinsey M, Mullany LC, Rainwater-Lovett K, Shin L, Tallaksen K, Wilson S, Karlen D, Castro L, Fairchild G, Michaud I, Osthus D, Bian J, Cao W, Gao Z, Lavista Ferres J, Li C, Liu TY, Xie X, Zhang S, Zheng S, Chinazzi M, Davis JT, Mu K, Pastore y Piontti A, Vespignani A, Xiong X, Walraven R, Chen J, Gu Q, Wang L, Xu P, Zhang W, Zou D, Gibson GC, Sheldon D, Srivastava A, Adiga A, Hurt B, Kaur G, Lewis B, Marathe M, Peddireddy AS, Porebski P, Venkatramanan S, Wang L, Prasad PV, Walker JW, Webber AE, Slayton RB, Biggerstaff M, Reich NG, Johansson MA. Challenges of COVID-19 Case Forecasting in the US, 2020-2021. PLoS Comput Biol 2024; 20:e1011200. [PMID: 38709852 PMCID: PMC11098513 DOI: 10.1371/journal.pcbi.1011200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 05/16/2024] [Accepted: 04/01/2024] [Indexed: 05/08/2024] Open
Abstract
During the COVID-19 pandemic, forecasting COVID-19 trends to support planning and response was a priority for scientists and decision makers alike. In the United States, COVID-19 forecasting was coordinated by a large group of universities, companies, and government entities led by the Centers for Disease Control and Prevention and the US COVID-19 Forecast Hub (https://covid19forecasthub.org). We evaluated approximately 9.7 million forecasts of weekly state-level COVID-19 cases for predictions 1-4 weeks into the future submitted by 24 teams from August 2020 to December 2021. We assessed coverage of central prediction intervals and weighted interval scores (WIS), adjusting for missing forecasts relative to a baseline forecast, and used a Gaussian generalized estimating equation (GEE) model to evaluate differences in skill across epidemic phases that were defined by the effective reproduction number. Overall, we found high variation in skill across individual models, with ensemble-based forecasts outperforming other approaches. Forecast skill relative to the baseline was generally higher for larger jurisdictions (e.g., states compared to counties). Over time, forecasts generally performed worst in periods of rapid changes in reported cases (either in increasing or decreasing epidemic phases) with 95% prediction interval coverage dropping below 50% during the growth phases of the winter 2020, Delta, and Omicron waves. Ideally, case forecasts could serve as a leading indicator of changes in transmission dynamics. However, while most COVID-19 case forecasts outperformed a naïve baseline model, even the most accurate case forecasts were unreliable in key phases. Further research could improve forecasts of leading indicators, like COVID-19 cases, by leveraging additional real-time data, addressing performance across phases, improving the characterization of forecast confidence, and ensuring that forecasts were coherent across spatial scales. In the meantime, it is critical for forecast users to appreciate current limitations and use a broad set of indicators to inform pandemic-related decision making.
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Affiliation(s)
- Velma K. Lopez
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Estee Y. Cramer
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Robert Pagano
- Unaffiliated, Tucson, Arizona, United States of America
| | - John M. Drake
- University of Georgia, Athens, Georgia, United States of America
| | - Eamon B. O’Dea
- University of Georgia, Athens, Georgia, United States of America
| | - Madeline Adee
- Massachusetts General Hospital, Boston, Massachusetts, United States of America
| | - Turgay Ayer
- Georgia Institute of Technology, Atlanta, Georgia, United States of America
| | - Jagpreet Chhatwal
- Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
| | - Ozden O. Dalgic
- Value Analytics Labs, Boston, Massachusetts, United States of America
| | - Mary A. Ladd
- Massachusetts General Hospital, Boston, Massachusetts, United States of America
| | - Benjamin P. Linas
- Boston University School of Medicine, Boston, Massachusetts, United States of America
| | - Peter P. Mueller
- Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
| | - Jade Xiao
- Georgia Institute of Technology, Atlanta, Georgia, United States of America
| | - Johannes Bracher
- Chair of Econometrics and Statistics, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | | | - Aaron Gerding
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Tilmann Gneiting
- Heidelberg Institute for Theoretical Studies, Heidelberg, Germany
| | - Yuxin Huang
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Dasuni Jayawardena
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Abdul H. Kanji
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Khoa Le
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Anja Mühlemann
- Institute of Mathematical Statistics and Actuarial Science, University of Bern, Bern, Switzerland
| | - Jarad Niemi
- Iowa State University, Ames, Iowa, United States of America
| | - Evan L. Ray
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Ariane Stark
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Yijin Wang
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Nutcha Wattanachit
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Martha W. Zorn
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Sen Pei
- Mailman School of Public Health, Columbia University, New York, New York, United States of America
| | - Jeffrey Shaman
- Mailman School of Public Health, Columbia University, New York, New York, United States of America
| | - Teresa K. Yamana
- Mailman School of Public Health, Columbia University, New York, New York, United States of America
| | - Samuel R. Tarasewicz
- Federal Reserve Bank of San Francisco, San Francisco, California, United States of America
| | - Daniel J. Wilson
- Federal Reserve Bank of San Francisco, San Francisco, California, United States of America
| | - Sid Baccam
- IEM, Bel Air, Maryland, United States of America
| | - Heidi Gurung
- IEM, Bel Air, Maryland, United States of America
| | - Steve Stage
- IEM, Baton Rouge, Louisiana, United States of America
| | | | - Lei Gao
- George Mason University, Fairfax, Virginia, United States of America
| | - Zhiling Gu
- Iowa State University, Ames, Iowa, United States of America
| | - Myungjin Kim
- Kyungpook National University, Bukgu, Daegu, Republic of Korea
| | - Xinyi Li
- Clemson University, Clemson, South Carolina, United States of America
| | - Guannan Wang
- College of William & Mary, Williamsburg, Virginia, United States of America
| | - Lily Wang
- George Mason University, Fairfax, Virginia, United States of America
| | - Yueying Wang
- Amazon, Seattle, Washington, United States of America
| | - Shan Yu
- University of Virginia, Charlottesville, Virginia, United States of America
| | - Lauren Gardner
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Sonia Jindal
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | | | - Kristen Nixon
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Juan Dent
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Alison L. Hill
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Joshua Kaminsky
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Elizabeth C. Lee
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | | | - Justin Lessler
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Claire P. Smith
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Shaun Truelove
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Matt Kinsey
- Johns Hopkins University Applied Physics Lab, Baltimore, Maryland, United States of America
| | - Luke C. Mullany
- Johns Hopkins University Applied Physics Lab, Baltimore, Maryland, United States of America
| | | | - Lauren Shin
- Johns Hopkins University Applied Physics Lab, Baltimore, Maryland, United States of America
| | - Katharine Tallaksen
- Johns Hopkins University Applied Physics Lab, Baltimore, Maryland, United States of America
| | - Shelby Wilson
- Johns Hopkins University Applied Physics Lab, Baltimore, Maryland, United States of America
| | - Dean Karlen
- University of Victoria and TRIUMF, Victoria, British Columbia, Canada
| | - Lauren Castro
- Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America
| | - Geoffrey Fairchild
- Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America
| | - Isaac Michaud
- Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America
| | - Dave Osthus
- Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America
| | - Jiang Bian
- Microsoft, Redmond, Washington, United States of America
| | - Wei Cao
- Microsoft, Redmond, Washington, United States of America
| | - Zhifeng Gao
- Microsoft, Redmond, Washington, United States of America
| | | | - Chaozhuo Li
- Microsoft, Redmond, Washington, United States of America
| | - Tie-Yan Liu
- Microsoft, Redmond, Washington, United States of America
| | - Xing Xie
- Microsoft, Redmond, Washington, United States of America
| | - Shun Zhang
- Microsoft, Redmond, Washington, United States of America
| | - Shun Zheng
- Microsoft, Redmond, Washington, United States of America
| | - Matteo Chinazzi
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | - Jessica T. Davis
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | - Kunpeng Mu
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | - Ana Pastore y Piontti
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | - Alessandro Vespignani
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | - Xinyue Xiong
- Laboratory for the Modeling of Biological and Socio-technical Systems, Northeastern University, Boston, Massachusetts, United States of America
| | | | - Jinghui Chen
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Quanquan Gu
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Lingxiao Wang
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Pan Xu
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Weitong Zhang
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Difan Zou
- University of California, Los Angeles, Los Angeles, California, United States of America
| | - Graham Casey Gibson
- Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America
| | - Daniel Sheldon
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Ajitesh Srivastava
- University of Southern California, Los Angeles, California, United States of America
| | - Aniruddha Adiga
- University of Virginia, Charlottesville, Virginia, United States of America
| | - Benjamin Hurt
- University of Virginia, Charlottesville, Virginia, United States of America
| | - Gursharn Kaur
- University of Virginia, Charlottesville, Virginia, United States of America
| | - Bryan Lewis
- University of Virginia, Charlottesville, Virginia, United States of America
| | - Madhav Marathe
- University of Virginia, Charlottesville, Virginia, United States of America
| | | | | | | | - Lijing Wang
- New Jersey Institute of Technology, Newark, New Jersey, United States of America
| | - Pragati V. Prasad
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Jo W. Walker
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Alexander E. Webber
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Rachel B. Slayton
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Matthew Biggerstaff
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Nicholas G. Reich
- University of Massachusetts, Amherst, Amherst, Massachusetts, United States of America
| | - Michael A. Johansson
- COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
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Bicher M, Zuba M, Rainer L, Bachner F, Rippinger C, Ostermann H, Popper N, Thurner S, Klimek P. Supporting COVID-19 policy-making with a predictive epidemiological multi-model warning system. COMMUNICATIONS MEDICINE 2022; 2:157. [PMID: 36476987 PMCID: PMC9729177 DOI: 10.1038/s43856-022-00219-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 11/17/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND In response to the SARS-CoV-2 pandemic, the Austrian governmental crisis unit commissioned a forecast consortium with regularly projections of case numbers and demand for hospital beds. The goal was to assess how likely Austrian ICUs would become overburdened with COVID-19 patients in the upcoming weeks. METHODS We consolidated the output of three epidemiological models (ranging from agent-based micro simulation to parsimonious compartmental models) and published weekly short-term forecasts for the number of confirmed cases as well as estimates and upper bounds for the required hospital beds. RESULTS We report on three key contributions by which our forecasting and reporting system has helped shaping Austria's policy to navigate the crisis, namely (i) when and where case numbers and bed occupancy are expected to peak during multiple waves, (ii) whether to ease or strengthen non-pharmaceutical intervention in response to changing incidences, and (iii) how to provide hospital managers guidance to plan health-care capacities. CONCLUSIONS Complex mathematical epidemiological models play an important role in guiding governmental responses during pandemic crises, in particular when they are used as a monitoring system to detect epidemiological change points.
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Affiliation(s)
- Martin Bicher
- grid.5329.d0000 0001 2348 4034Institute of Information Systems Engineering, TU Wien, Favoritenstraße 8-11, A-1040 Vienna, Austria ,dwh simulation services, dwh GmbH, Neustiftgasse 57-59, A-1070 Vienna, Austria
| | - Martin Zuba
- Austrian National Public Health Institute, Stubenring 6, A-1010 Vienna, Austria
| | - Lukas Rainer
- Austrian National Public Health Institute, Stubenring 6, A-1010 Vienna, Austria
| | - Florian Bachner
- Austrian National Public Health Institute, Stubenring 6, A-1010 Vienna, Austria
| | - Claire Rippinger
- dwh simulation services, dwh GmbH, Neustiftgasse 57-59, A-1070 Vienna, Austria
| | - Herwig Ostermann
- Austrian National Public Health Institute, Stubenring 6, A-1010 Vienna, Austria ,grid.41719.3a0000 0000 9734 7019Private University for Health Sciences, Medical Informatics and Technology GmbH, UMIT, Eduard-Wallnöfer-Zentrum 1, A-6060 Hall in Tirol, Austria
| | - Nikolas Popper
- grid.5329.d0000 0001 2348 4034Institute of Information Systems Engineering, TU Wien, Favoritenstraße 8-11, A-1040 Vienna, Austria ,dwh simulation services, dwh GmbH, Neustiftgasse 57-59, A-1070 Vienna, Austria ,Association for Decision Support Policy and Planning, DEXHELPP, Neustiftgasse 57-59, A-1070 Vienna, Austria
| | - Stefan Thurner
- grid.22937.3d0000 0000 9259 8492Section for Science of Complex Systems, Medical University of Vienna, Spitalgasse 23, A-1090 Vienna, Austria ,grid.484678.1Complexity Science Hub Vienna, Josefstädterstraße 39, A-1080 Vienna, Austria ,grid.209665.e0000 0001 1941 1940Santa Fe Institute, 1399 Hyde Park road, Santa Fe, NM 87501 USA
| | - Peter Klimek
- grid.22937.3d0000 0000 9259 8492Section for Science of Complex Systems, Medical University of Vienna, Spitalgasse 23, A-1090 Vienna, Austria ,grid.484678.1Complexity Science Hub Vienna, Josefstädterstraße 39, A-1080 Vienna, Austria
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