Lauren Gardner's research while affiliated with Johns Hopkins University and other places

Publications (33)

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Background: Diarrhea remains a leading cause of childhood illness throughout the world and is caused by various species of ecologically sensitive pathogens. The emerging Planetary Health movement emphasizes the interdependence of human health with natural systems, and much of its focus has been on infectious diseases and their interactions with env...
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Background The COVID-19 pandemic has caused societal disruption globally and South America has been hit harder than other lower-income regions. This study modeled effects of 6 weather variables on district-level SARS-CoV-2 reproduction numbers (Rt) in three contiguous countries of Tropical Andean South America (Colombia, Ecuador, and Peru), adjusti...
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Infectious disease modelling can serve as a powerful tool for situational awareness and decision support for policy makers. However, COVID-19 modelling efforts faced many challenges, from poor data quality to changing policy and human behaviour. To extract practical insight from the large body of COVID-19 modelling literature available, we provide...
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In this Viewpoint, Lauren Gardner, winner of the 2022 Lasker-Bloomberg Public Service Award for creating the COVID-19 Dashboard, discusses the development of the Dashboard and the factors that contributed to its success.
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Since the US reported its first COVID-19 case on January 21, 2020, the science community has been applying various techniques to forecast incident cases and deaths. To date, providing an accurate and robust forecast at a high spatial resolution has proved challenging, even in the short term. Here we present a novel multi-stage deep learning model t...
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Academic researchers, government agencies, industry groups, and individuals have produced forecasts at an unprecedented scale during the COVID-19 pandemic. To leverage these forecasts, the United States Centers for Disease Control and Prevention (CDC) partnered with an academic research lab at the University of Massachusetts Amherst to create the U...
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On Jan 22, 2020, a day after the USA reported its first COVID-19 case, the Johns Hopkins University Center for Systems Science and Engineering (JHU CSSE) launched the first global real-time coronavirus surveillance system: the JHU CSSE COVID-19 Dashboard. As of June 1, 2022, the dashboard has served the global audience for more than 30 consecutive...
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Background The COVID-19 pandemic has caused societal disruption globally and South America has been hit harder than other lower-income regions. This study modeled effects of 6 weather variables on district-level SARS-CoV-2 reproduction numbers (R t ) in three contiguous countries of Tropical Andean South America (Colombia, Ecuador, and Peru), adjus...
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Background Infectious disease modeling can serve as a powerful tool for science-based management of outbreaks, providing situational awareness and decision support for policy makers. Predictive modeling of an emerging disease is challenging due to limited knowledge on its epidemiological characteristics. For COVID-19, the prediction difficulty was...
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SignificanceThis paper compares the probabilistic accuracy of short-term forecasts of reported deaths due to COVID-19 during the first year and a half of the pandemic in the United States. Results show high variation in accuracy between and within stand-alone models and more consistent accuracy from an ensemble model that combined forecasts from al...
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Identifying the critical factors related to influenza spreading is crucial in predicting and mitigating epidemics. Specifically, uncovering the relationship between epidemic onset and various risk indicators such as socioeconomic, mobility and climate factors can reveal locations and travel patterns that play critical roles in furthering an outbrea...
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Short-term probabilistic forecasts of the trajectory of the COVID-19 pandemic in the United States have served as a visible and important communication channel between the scientific modeling community and both the general public and decision-makers. Forecasting models provide specific, quantitative, and evaluable predictions that inform short-term...
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An impressive number of COVID-19 data catalogs exist. None, however, are optimized for data science applications, e.g., inconsistent naming and data conventions, uneven quality control, and lack of alignment between disease data and potential predictors pose barriers to robust modeling and analysis. To address this gap, we generated a unified datas...
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The emergence of the early COVID-19 epidemic in the United States (U.S.) went largely undetected, due to a lack of adequate testing and mitigation efforts. The city of New Orleans, Louisiana experienced one of the earliest and fastest accelerating outbreaks, coinciding with the annual Mardi Gras festival, which went ahead without precautions. To ga...
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Meteorological variables, such as the ambient temperature and humidity, play a well-established role in the seasonal transmission of respiratory viruses and influenza in temperate climates. Since the onset of the novel coronavirus disease 2019 (COVID-19) pandemic, a growing body of literature has attempted to characterize the sensitivity of COVID-1...
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Objective: Clinical trials ensure that pharmaceutical treatments are safe, efficacious, and effective for public consumption, but are extremely complex, taking up to 10 years and $2.6 billion to complete. One main source of complexity arises from the collaboration between actors, and network science methodologies can be leveraged to explore that c...
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Background: More than 80,000 dengue cases including 215 deaths were reported nationally in less than 7 months between 2016 and 2017, a fourfold increase in the number of reported cases compared to the average number over 2010-2016. The region of Negombo, located in the Western province, experienced the greatest number of dengue cases in the countr...
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Background Within 4 months of COVID-19 first being reported in the USA, it spread to every state and to more than 90% of all counties. During this period, the US COVID-19 response was highly decentralised, with stay-at-home directives issued by state and local officials, subject to varying levels of enforcement. The absence of a centralised policy...
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COVID-19 is present in every state and over 90 percent of all counties in the United States. Decentralized government efforts to reduce spread, combined with the complex dynamics of human mobility and the variable intensity of local outbreaks makes assessing the effect of large-scale social distancing on COVID-19 transmission in the U.S. is a chall...
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The first influenza pandemic in our century started in 2009, spreading from Mexico to the rest of the world, infecting a noticeable fraction of the world population. The outbreak reached Europe in late April, and eventually, almost all countries had confirmed H1N1 cases. On 6 May, Swedish authorities reported the first confirmed influenza case. By...
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The introduction and spread of emerging infectious diseases is increasing in both prevalence and scale. Whether naturally, accidentally or maliciously introduced, the substantial uncertainty surrounding the emergence of novel viruses, specifically where they may come from and how they will spread, demands robust and quantifiably validated outbreak...
Preprint
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Background More than 80,000 dengue cases including 215 deaths were reported nationally in less than seven months between 2016-2017, a fourfold increase in the number of reported cases compared to the average number over 2010-2016. The region of Negombo, located in the Western province, experienced the greatest number of dengue cases in the country...

Citations

... Here, we focus on reported cases and primarily on the European Forecast Hub but our observations hold, in our view, across COVID-19 Forecast Hubs and to a lesser degree targets. We focus on reported cases as these represent the most common forecast target for COVID-19 forecast models (Nixon et al. 2022), they are often of the most direct interest due to being a leading indicator for other metrics such as hospitalisations (Meakin et al. 2022), and they are generally the most challenging to predict . In general, 5 main classes of forecast models are submitted Cramer et al. 2022), statistical forecasting models such as ARIMA models, mechanistic forecasting models based on the compartmental modelling framework and its generalisations (Srivastava, Xu, and Prasanna 2020;Li et al. 2021), semi-mechanistic approaches that blend both of these approaches (Castro et al. 2021;, agent-based simulation models (Rakowski et al. 2010;Adamik et al. 2020), and human insight based forecast models that may also include elements of other methods (Karlen 2020; . ...
... Therefore a coherent judgment on Covid-19 studies and NPIs is possible only with quite a few diculties. 4 see [193] 136 of 164 ...
... In the 14 th century, the Black Death caused by Yersinia pestis, raged for three centuries across the continent of Europe, killing more than 25 million people [2]. Since 2019, the COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly worldwide, infected nearly 700 million people and caused almost 7 million death [3]. Although medical level and epidemic prevention measures have been substantially improved, infectious disease is still a great threat to human health. ...
... Forecasting COVID-19 in the USA has been done as a collective effort, with several teams of infectious disease modelers submitting forecasts for each county and state to the COVID-19 Forecast Hub [2], coordinated by researchers at the University of Massachusetts Amherst, who then generate an ensemble forecast building on the teams' inputs. The US Center for Disease Prevention and Control (CDC) relies on this ensemble forecast to inform how health officials formulate policy, communicate with the public, and devise clinical guidelines. ...
... 6 However, even within the scientific community, the sheer volume of information obstructs efficient synthesis of the literature to establish best practices. 9 Efforts to address some of these problems exist, such as recruiting researchers to conduct rapid and publicly available reviews of papers. 10 Nevertheless, these disparate efforts (including informal reviews on social media) still leave information scattered and difficult to synthesise. ...
... Both prior to and during the COVID-19 pandemic, forecasts of public health indicators around outbreaks have been used as inputs to decision-making [6]. Hospitalization forecasts can provide useful information for healthcare providers to better allocate medical resources and communicate treatment plans [7]. ...
... Standard SIR-type modelling [27], for instance, is associated with the "who" and the "when", with the "who" being associated with a fixed-number of states-susceptible, infected, etc. that are associated with individuals [28]. It is the "when" and, relatedly, "how many" that has dominated the modelling of the COVID-19 pandemic, with standard SIR models, and variations thereof [29][30][31], playing an important role [32,33]. However, more sophisticated techniques, such as deep learning, have also been used [34]. ...
... In addition, historical data are analyzed to identify and visualize disease-related trends, such as seasonal influenza, which has often been occurring around the same months throughout the preceding decades, and may, therefore, be predicted with a reasonable accuracy [6,48]. In contrast, other researchers report that the influenza virus continuously evolves into slightly different variations each year, which makes forecasting the timing of influenza outbreaks as well as their impacts on the society very difficult [49]. ...
... One way to attempt improving the robustness of forecasts is to combine them into an ensemble forecast, whereby predictions from several different models are combined into a single forecast. This reduces reliance on a single forecasting model and, given a minimum quality of the constituent models, the average performance of ensembles is generally comparable, if not better than, its best constituent models [8,21]. Ensemble methods have been widely used in real-time during the COVID-19 pandemic to leverage the contributions of multiple modelling groups to a single forecasting task [8,22,23], as well as previously during outbreaks of influenza [18,24], Ebola virus disease [25], dengue [26], and Zika [27]. ...