Causal effect estimation on a graph of connected units is often complicated by entangled treatments, where the treatment assignment is not independent for each individual. This presents multiple challenges: accurately modeling treatment assignment mechanisms, adjusting for both observed and unobserved confounders to mitigate confounding bias, and constructing instrumental variables to adjust unobserved confounders within a graph structure. Prior research on estimating the causal effects of entangled treatments either assumed no unobserved confounders or relied on the manual selection of IVs, leading to gaps in the methodology. To bridge these gaps and build upon previous work, we introduce the Graph-Disentanglement Instrumental Variable (GDIV) model, a novel approach employing both Graph Neural Networks (GNNs) and Adversarial Networks to assess the causal effects on nodes in a graph, considering observed/unobserved confounders and the intricacies of treatment entanglement. Our GDIV estimator is validated through extensive experiments across synthetic and semisynthetic datasets, demonstrating its better performance over state-of-the-art methods. The ablation studies and robustness experiments verify the benefits of leveraging adversarial networks to generate IVs that satisfy the required assumptions.

We consider the setting of cascades that result from contagion dynamics on large realistic contact networks. We address the question of whether the structural properties of a (partially) observed cascade can characterize the contagion scenario and identify the interventions that might be in effect. Using epidemic spread as a concrete example, we study how social interventions such as compliance in social distancing, extent (and efficacy) of vaccination, and the transmissibility of disease can be inferred. The techniques developed are more generally applicable to other contagions as well.

We study allocation of COVID-19 vaccines to individuals based on the structural properties of their underlying social contact network. Using a realistic representation of a social contact network for the Commonwealth of Virginia, we study how a limited number of vaccine doses can be strategically distributed to individuals to reduce the overall burden of the pandemic. We show that allocation of vaccines based on individuals' degree (number of social contacts) and total social proximity time is significantly more effective than the usually used age-based allocation strategy in reducing the number of infections, hospitalizations and deaths. The overall strategy is robust even: (i) if the social contacts are not estimated correctly; (ii) if the vaccine efficacy is lower than expected or only a single dose is given; (iii) if there is a delay in vaccine production and deployment; and (iv) whether or not non-pharmaceutical interventions continue as vaccines are deployed. For reasons of implementability, we have used degree, which is a simple structural measure and can be easily estimated using several methods, including the digital technology available today. These results are significant, especially for resource-poor countries, where vaccines are less available, have lower efficacy, and are more slowly distributed.

We study the role of vaccine acceptance in controlling the spread of COVID-19 in the US using AI-driven agent-based models. Our study uses a 288 million node social contact network spanning all 50 US states plus Washington DC, comprised of 3300 counties, with 12.59 billion daily interactions. The highly-resolved agent-based models use realistic information about disease progression, vaccine uptake, production schedules, acceptance trends, prevalence, and social distancing guidelines. Developing a national model at this resolution that is driven by realistic data requires a complex scalable workflow, model calibration, simulation, and analytics components. Our workflow optimizes the total execution time and helps in improving overall human productivity.This work develops a pipeline that can execute US-scale models and associated workflows that typically present significant big data challenges. Our results show that, when compared to faster and accelerating vaccinations, slower vaccination rates due to vaccine hesitancy cause averted infections to drop from 6.7M to 4.5M, and averted total deaths to drop from 39.4K to 28.2K nationwide. This occurs despite the fact that the final vaccine coverage is the same in both scenarios. Improving vaccine acceptance by 10% in all states increases averted infections from 4.5M to 4.7M (a 4.4% improvement) and total deaths from 28.2K to 29.9K (a 6% increase) nationwide. The analysis also reveals interesting spatio-temporal differences in COVID-19 dynamics as a result of vaccine acceptance. To our knowledge, this is the first national-scale analysis of the effect of vaccine acceptance on the spread of COVID-19, using detailed and realistic agent-based models.

The COVID-19 pandemic represents the most significant public health disaster since the 1918 influenza pandemic. During pandemics such as COVID-19, timely and reliable spatio-temporal forecasting of epidemic dynamics is crucial. Deep learning-based time series models for forecasting have recently gained popularity and have been successfully used for epidemic forecasting. Here we focus on the design and analysis of deep learning-based models for COVID-19 forecasting. We implement multiple recurrent neural network-based deep learning models and combine them using the stacking ensemble technique. In order to incorporate the effects of multiple factors in COVID-19 spread, we consider multiple sources such as COVID-19 confirmed and death case count data and testing data for better predictions. To overcome the sparsity of training data and to address the dynamic correlation of the disease, we propose clustering-based training for high-resolution forecasting. The methods help us to identify the similar trends of certain groups of regions due to various spatio-temporal effects. We examine the proposed method for forecasting weekly COVID-19 new confirmed cases at county-, state-, and country-level. A comprehensive comparison between different time series models in COVID-19 context is conducted and analyzed. The results show that simple deep learning models can achieve comparable or better performance when compared with more complicated models. We are currently integrating our methods as a part of our weekly forecasts that we provide state and federal authorities.

Over the past decades, numerous techniques have been developed to forecast the temporal evolution of epidemic outbreaks. This paper proposes an approach that combines high resolution agent-based models using realistic social contact networks for simulating epidemic evolution with a particle filter based method for assimilation based forecasting. Agent-based modeling using realistic social contact networks provides two key advantages: (i) they capture the causal processes underlying the epidemic and hence are useful to understand the role of interventions on the course of the epidemics - typically time series models cannot capture this and as a result often do not perform well in such situations; (ii) they provide detailed forecast information - this allows us to produce forecast at high levels of temporal, spatial and social granularity. We also propose a new variation of particle filter technique called beam search particle filtering. The modification allows us to more efficiently search the parameter space which is necessitated by the fact that agent-based techniques are computationally expensive. We illustrate our methodology on the synthetic dataset of Ebola provided as a part of the NSF/NIH Ebola forecasting challenge. Our results show the efficacy of the proposed approach and suggest that agent-based causal models can be combined with filtering techniques to yield a new class of assimilation models for infectious disease forecasting.

Infectious disease epidemics such as influenza and Ebola pose a serious threat to global public health. It is crucial to characterize the disease and the evolution of the ongoing epidemic efficiently and accurately. Computational epidemiology can model the disease progress and underlying contact network, but suffers from the lack of real-time and fine-grained surveillance data. Social media, on the other hand, provides timely and detailed disease surveillance, but is insensible to the underlying contact network and disease model. This paper proposes a novel semi-supervised deep learning framework that integrates the strengths of computational epidemiology and social media mining techniques. Specifically, this framework learns the social media users' health states and intervention actions in real time, which are regularized by the underlying disease model and contact network. Conversely, the learned knowledge from social media can be fed into computational epidemic model to improve the efficiency and accuracy of disease diffusion modeling. We propose an online optimization algorithm to substantialize the above interactive learning process iteratively to achieve a consistent stage of the integration. The extensive experimental results demonstrated that our approach can effectively characterize the spatio-temporal disease diffusion, outperforming competing methods by a substantial margin on multiple metrics.

We describe ISIS, a high-performance-computing-based application to support computational epidemiology of infectious diseases. ISIS has been developed over the last seven years in close coordination with public health and policy experts. It has been used in a number of important federal planning and response exercises. ISIS grew out of years of experience in developing and using HPC-oriented models of complex socially coupled systems. This identified the guiding principle that complex models will be used by domain experts only if they can do realistic analysis without becoming computing experts.

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.