Temporal Variations and Associated Remotely Sensed Environmental Variables of Dengue Fever in Chitwan District, Nepal

Hybrid Machine Learning Approach to Zero-Inflated Data Improves Accuracy of Dengue Prediction

BACKGROUND

Spatiotemporal dengue forecasting using machine learning (ML) can contribute to the development of prevention and control strategies for impending dengue outbreaks. However, training data for dengue incidence may be inflated with frequent zero values because of the rarity of cases, which lowers the prediction accuracy. This study aimed to understand the influence of spatiotemporal resolutions of data on the accuracy of dengue incidence prediction using ML models, to understand how the influence of spatiotemporal resolution differs between quantitative and qualitative predictions of dengue incidence, and to improve the accuracy of dengue incidence prediction with zero-inflated data.

METHODOLOGY

We predicted dengue incidence at six spatiotemporal resolutions and compared their prediction accuracy. Six ML algorithms were compared: generalized additive models, random forests, conditional inference forest, artificial neural networks, support vector machines and regression, and extreme gradient boosting. Data from 2009 to 2012 were used for training, and data from 2013 were used for model validation with quantitative and qualitative dengue variables. To address the inaccuracy in the quantitative prediction of dengue incidence due to zero-inflated data at fine spatiotemporal scales, we developed a hybrid approach in which the second-stage quantitative prediction is performed only when/where the first-stage qualitative model predicts the occurrence of dengue cases.

PRINCIPAL FINDINGS

At higher resolutions, the dengue incidence data were zero-inflated, which was insufficient for quantitative pattern extraction of relationships between dengue incidence and environmental variables by ML. Qualitative models, used as binary variables, eased the effect of data distribution. Our novel hybrid approach of combining qualitative and quantitative predictions demonstrated high potential for predicting zero-inflated or rare phenomena, such as dengue.

SIGNIFICANCE

Our research contributes valuable insights to the field of spatiotemporal dengue prediction and provides an alternative solution to enhance prediction accuracy in zero-inflated data where hurdle or zero-inflated models cannot be applied.

Spatiotemporal Characterization of Dengue Incidence and Its Correlation to Climate Parameters in Indonesia

Dengue has become a public health concern in Indonesia since it was first found in 1968. This study aims to determine dengue hotspot areas and analyze the spatiotemporal distribution of dengue and its association with dominant climate parameters nationally. Monthly data for dengue and climate observations (i.e., rainfall, relative humidity, average, maximum, and minimum temperature) at the regency/city level were utilized. Dengue hotspot areas were determined through K-means clustering, while Singular Value Decomposition (SVD) determined dominant climate parameters and their spatiotemporal distribution. Results revealed four clusters: Cluster 1 comprised cities with medium to high Incidence Rates (IR) and high Case Densities (CD) in a narrow area. Cluster 2 has a high IR and low CD, and clusters 3 and 4 featured medium and low IR and CD, respectively. SVD analysis indicated that relative humidity and rainfall were the most influential parameters on IR across all clusters. Temporal fluctuations in the first mode of IR and climate parameters were clearly delineated. The spatial distribution of heterogeneous correlation between the first mode of rainfall and relative humidity to IR exhibited higher values, which were predominantly observed in Java, Bali, Nusa Tenggara, the eastern part of Sumatra, the southern part of Kalimantan, and several locations in Sulawesi.

Semi-Supervised Text Classification Framework: An Overview of Dengue Landscape Factors and Satellite Earth Observation

In recent years there has been an increasing use of satellite Earth observation (EO) data in dengue research, in particular the identification of landscape factors affecting dengue transmission. Summarizing landscape factors and satellite EO data sources, and making the information public are helpful for guiding future research and improving health decision-making. In this case, a review of the literature would appear to be an appropriate tool. However, this is not an easy-to-use tool. The review process mainly includes defining the topic, searching, screening at both title/abstract and full-text levels and data extraction that needs consistent knowledge from experts and is time-consuming and labor intensive. In this context, this study integrates the review process, text scoring, active learning (AL) mechanism, and bidirectional long short-term memory (BiLSTM) networks, and proposes a semi-supervised text classification framework that enables the efficient and accurate selection of the relevant articles. Specifically, text scoring and BiLSTM-based active learning were used to replace the title/abstract screening and full-text screening, respectively, which greatly reduces the human workload. In this study, 101 relevant articles were selected from 4 bibliographic databases, and a catalogue of essential dengue landscape factors was identified and divided into four categories: land use (LU), land cover (LC), topography and continuous land surface features. Moreover, various satellite EO sensors and products used for identifying landscape factors were tabulated. Finally, possible future directions of applying satellite EO data in dengue research in terms of landscape patterns, satellite sensors and deep learning were proposed. The proposed semi-supervised text classification framework was successfully applied in research evidence synthesis that could be easily applied to other topics, particularly in an interdisciplinary context.