Estimating vaccination uptake is an integral part of ensuring public health. It was recently shown that vaccination uptake can be estimated automatically from web data, instead of slowly collected clinical records or population surveys. All prior work in this area assumes that features of vaccination uptake collected from the web are temporally regular. We present the first ever method to remove this assumption from vaccination uptake estimation: our method dynamically adapts to temporal fluctuations in time series web data used to estimate vaccination uptake. We show our method to outperform the state of the art compared to competitive baselines that use not only web data but also curated clinical data. This performance improvement is more pronounced for vaccines whose uptake has been irregular due to negative media attention (HPV-1 and HPV-2), problems in vaccine supply (DiTeKiPol), and targeted at children of 12 years old (whose vaccination is more irregular compared to younger children).
@cite_5: Accurate real-time tracking of influenza outbreaks helps public health officials make timely and meaningful decisions that could save lives. We propose an influenza tracking model, ARGO (AutoRegression with GOogle search data), that uses publicly available online search data. In addition to having a rigorous statistical foundation, ARGO outperforms all previously available Google-search–based tracking models, including the latest version of Google Flu Trends, even though it uses only low-quality search data as input from publicly available Google Trends and Google Correlate websites. ARGO not only incorporates the seasonality in influenza epidemics but also captures changes in people’s online search behavior over time. ARGO is also flexible, self-correcting, robust, and scalable, making it a potentially powerful tool that can be used for real-time tracking of other social events at multiple temporal and spatial resolutions.
@cite_4: We present a machine learning-based methodology capable of providing real-time (“nowcast”) and forecast estimates of influenza activity in the US by leveraging data from multiple data sources including: Google searches, Twitter microblogs, nearly real-time hospital visit records, and data from a participatory surveillance system. Our main contribution consists of combining multiple influenza-like illnesses (ILI) activity estimates, generated independently with each data source, into a single prediction of ILI utilizing machine learning ensemble approaches. Our methodology exploits the information in each data source and produces accurate weekly ILI predictions for up to four weeks ahead of the release of CDC’s ILI reports. We evaluate the predictive ability of our ensemble approach during the 2013–2014 (retrospective) and 2014–2015 (live) flu seasons for each of the four weekly time horizons. Our ensemble approach demonstrates several advantages: (1) our ensemble method’s predictions outperform every prediction using each data source independently, (2) our methodology can produce predictions one week ahead of GFT’s real-time estimates with comparable accuracy, and (3) our two and three week forecast estimates have comparable accuracy to real-time predictions using an autoregressive model. Moreover, our results show that considerable insight is gained from incorporating disparate data streams, in the form of social media and crowd sourced data, into influenza predictions in all time horizons.
@cite_2: We present a method that uses ensemble learning to combine clinical and web-mined time-series data in order to predict future vaccination uptake. The clinical data is official vaccination registries, and the web data is query frequencies collected from Google Trends. Experiments with official vaccine records show that our method predicts vaccination uptake effectively (4.7 Root Mean Squared Error). Whereas performance is best when combining clinical and web data, using solely web data yields comparative performance. To our knowledge, this is the first study to predict vaccination uptake using web data (with and without clinical data).
Linear models have been used previously to estimate health events, for instance by combining data from multiple sources with an ensemble of decision trees @cite_4 , or, closer to our work, by using query frequencies for influenza like illness @cite_5 or vaccination uptake estimation @cite_2 . These approaches are designed for stationary time-series analysis, i.e. they assume data is generated by a stationary stochastic process. Our motivation is that vaccination uptake often does not follow stationary seasonal patterns. External events such as disease outbreaks, suspicion of adverse effects, or temporary vaccine shortages can alter uptake patterns for shorter or longer periods of time. Hence, while historical data is a good estimator in stable periods, as shown in @cite_2 , we reason that adapting the estimation to any unstability can reduce estimation error. We experimentally confirm this on all official children vaccines data used in Denmark between 2011 - 2016.