Content moderators review disturbing content to protect social media users, often at significant cost to their mental health. Recent reports document the mental health conditions of African moderators as notably problematic. Beyond the content itself, what factors contribute to the deteriorating mental health of these workers? We surveyed 134 moderators across Africa to understand their mental health and interviewed 15 moderators to contextualize their experiences. We found that African moderators suffer from high psychological distress and lower well-being compared to moderators in other areas. Former moderators showed significantly higher distress levels, demonstrating long-term impact that extends beyond their moderation work. Our interviews showed that systemic and structural labor conditions contribute to moderators’ severe psychological distress and diminished mental well-being. Corporate wellness programs promoted by platforms were found ineffective and inadequate. We discuss how this requires holistic attention and structural solutions by all involved parties to improve moderators’ mental health.

Anticipating inpatient length of stay (LoS) can be of crucial aid for efficient hospital management, admissions planning, resource allocation and care quality improvement. Anticipating LoS can be achieved by applying machine learning techniques on historical patient data for developing predictive models. Ethically, these models cannot serve as substitutes for medical unit heads, solely responsible for authorizing patients’ discharge, but they can be exploited by management systems for effective hospital planning. Therefore, the prediction system should be designed and adapted to work in a true hospital setting. This study focuses on early hospital LoS prediction for different admission units and employs domain adaptation to leverage information learned from a potential source domain. Time series data from 110,079 admissions into 8 intensive care units (ICUs) and 60,492 admissions into 9 ICUs were respectively extracted from eICU-CRD and MIMIC-IV and fed into a Long-Short Term Memory network and a Fully connected network to train a source domain model. Learned weights were then transferred either partially or fully from a source domain to target domains. SHapley Additive exPlanations (SHAP) algorithms were used to study the effect of weight transfer on feature importance. Compared against the benchmark, the proposed weight transfer model showed statistically significant gains in prediction accuracy (between 1% and 5%) as well as computation time (up to 2 h saved) for some target domains. The proposed method provides an adaptable clinical decision support system for hospital management that can facilitate processes of data access via the ethical committee, computation infrastructures and time.

Rapidly increasing volumes of news feeds from diverse data sources, such as online newspapers, Twitter and online blogs are proving to be extremely valuable resources in helping anticipate, detect, and forecast outbreaks of rare diseases. This paper presents SourceSeer, a novel algorithmic framework that combines spatio-temporal topic models with sourcebased anomaly detection techniques to effectively forecast the emergence and progression of infectious rare diseases. SourceSeer is capable of discovering the location focus of each source allowing sources to be used as experts with varying degrees of authoritativeness. To fuse the individual source predictions into a final outbreak prediction we employ a multiplicative weights algorithm taking into account the accuracy of each source. We evaluate the performance of SourceSeer using incidence data for hantavirus syndromes in multiple countries of Latin America provided by HealthMap over a timespan of fifteen months. We demonstrate that SourceSeer makes predictions of increased accuracy compared to several baselines and is capable of forecasting disease outbreaks in a timely manner even when no outbreaks were previously reported.

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.

Modern epidemiological forecasts of common illnesses, such as the flu, rely on both traditional surveillance sources as well as digital surveillance data. However, most published studies have been retrospective. Concurrently, the reports about flu activity generally lags by several weeks and even when published are revised for several weeks more. We posit that effectively handling this uncertainty is one of the key challenges for a real-time prediction system in this sphere. In this paper, we present a detailed prospective analysis on the generation of robust quantitative predictions about temporal trends of flu activity, using several surrogate data sources for 15 Latin American countries. We present our findings about the limitations and possible advantages of correcting the uncertainty associated with official flu estimates. We also compare the prediction accuracy between model-level fusion of different surrogate data sources against data-level fusion. Finally, we present a novel matrix factorization approach using neighborhood embedding to predict flu case counts. Comparing our proposed ensemble method against several baseline methods helps us demarcate the importance of different data sources for the countries under consideration.