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Prediction of measles cases in US counties: A machine learning approach
Stephanie A Kujawski1, Boshu Ru1, Nelson Lee Afanador1
1Merck & Co., Inc. Rahway, NJ, USA.
Background:
Although measles was declared eliminated from the United States in 2000, the frequency of measles outbreaks has increased in recent years. The ability to predict the locations of future cases could aid efforts to prevent and contain measles in the United States.
Methods:
We estimated county-level measles risk using a machine learning model with 17 predictor variables, which was trained on 2014 and 2018 United States county-level measles case data and tested on data from 2019. We compared the predicted and actual locations of 2019 measles cases.
Results:
The model accurately predicted 95 % (specificity) of United States counties without measles cases and 72 % (sensitivity) of the United States counties that experienced ≥1 measles case in 2019, accounting for 94 % of all measles cases in 2019. Among the top 30 counties with the highest risk scores, the model accurately predicted 22 (73 %) counties with a measles case in 2019, corresponding to 72 % of all measles cases.
Conclusions:
This machine learning model accurately predicted a majority of the United States counties at high risk for measles and could be used as a framework by state and national health agencies in their measles prevention and containment efforts.
Insights
A machine learning model accurately predicted measles outbreaks in most US counties. This tool can help health agencies prevent and contain future measles cases effectively.
Area of Science:
- Epidemiology
- Public Health
- Machine Learning in Healthcare
Background:
- Measles, declared eliminated in the US in 2000, has seen a rise in outbreaks.
- Predicting measles case locations is crucial for effective prevention and containment strategies.
Purpose of the Study:
- To develop and validate a machine learning model for predicting county-level measles risk in the United States.
- To aid public health agencies in identifying high-risk areas for measles prevention.
Main Methods:
- A machine learning model was developed using 17 predictor variables.
- The model was trained on US county-level measles case data from 2014 and 2018.
- Model performance was evaluated by comparing predictions with actual 2019 measles case data.
Main Results:
- The model achieved 95% specificity and 72% sensitivity in predicting counties with and without measles cases in 2019.
- It accounted for 94% of all reported measles cases in 2019.
- The model correctly identified 73% of the top 30 highest-risk counties, capturing 72% of all cases.
Conclusions:
- The developed machine learning model accurately predicts a majority of US counties at high risk for measles.
- This predictive framework can significantly support state and national health agencies in their measles prevention and containment efforts.
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