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At least 271 records · Page 15

Fast and accurate influenza forecasting in the United States with Inferno

Infectious disease forecasting is an emerging field and has the potential to improve public health through anticipatory resource allocation, situational awareness, and mitigation planning. By way of exploring and operationalizing disease forecasting, the U.S. Centers for Disease Control and Prevention (CDC) has hosted FluSight since the 2013/14 flu season, an annual flu forecasting challenge. Since FluSight’s onset, forecasters have developed and improved forecasting models in an effort to provide more timely, reliable, and accurate information about the likely progression of the outbreak. While improving the predictive performance of these forecasting models is often the primary objective, it is also important for a forecasting model to run quickly, facilitating further model development and improvement while providing flexibility when deployed in a real-time setting. In this vein I introduce Inferno, a fast and accurate flu forecasting model inspired by Dante, the top performing model in the 2018/19 FluSight challenge. When pseudoprospectively compared to all models that participated in FluSight 2018/19, Inferno would have placed 2nd in the national and regional challenge as well as the state challenge, behind only Dante. Inferno, however, runs in minutes and is trivially parallelizable, while Dante takes hours to run, representing a significant operational improvement with minimal impact to performance. Forecasting challenges like FluSight should continue to monitor and evaluate how they can be modified and expanded to incentivize the development of forecasting models that benefit public health.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Identifying spatiotemporal patterns in opioid vulnerability: investigating the links between disability, prescription opioids and opioid-related mortality

Background: The opioid crisis remains one of the most daunting and complex public health problems in the United States. This study investigates the national epidemic by analyzing vulnerability profiles of three key factors: opioid-related mortality rates, opioid prescription dispensing rates, and disability rank ordered rates. Methods: This study utilizes county level data, spanning the years 2014 through 2020, on the rates of opioid-related mortality, opioid prescription dispensing, and disability. To successfully estimate and predict trends in these opioid-related factors, we augment the Kalman Filter with a novel spatial component. To define opioid vulnerability profiles, we create heat maps of our filter’s predicted rates across the nation’s counties and identify the hotspots. In this context, hotspots are defined on a year-by-year basis as counties with rates in the top 5% nationally. Results: Our spatial Kalman filter demonstrates strong predictive performance. From 2014 to 2018, these predictions highlight consistent spatiotemporal patterns across all three factors, with Appalachia distinguished as the nation’s most vulnerable region. Starting in 2019 however, the dispensing rate profiles undergo a dramatic and chaotic shift. Conclusions: The initial primary drivers of opioid abuse in the Appalachian region were likely prescription opioids; however, it now appears that abuse is sustained by illegal drugs. Additionally, we find that the disabled subpopulation may be more at risk of opioid-related mortality than the general population. Public health initiatives must extend beyond controlling prescription practices to address the transition to and impact of illicit drug use.

60 APPLIED LIFE SCIENCES↗

Solutions Network Formulation Report: Improving NOAA's PORTS(R) Through Enhanced Data Inputs from NASA's Ocean Surface Topography Mission

The Nation uses water-level data for a variety of practical purposes, including nautical charting, maritime navigation, hydrography, coastal engineering, and tsunami and storm surge warnings. Long-term applications include marine boundary determinations, tidal predictions, sea-level trend monitoring, oceanographic research, and climate research. Accurate and timely information concerning sea-level height, tide, and ocean current is needed to understand their impact on coastal management, disaster management, and public health. Satellite altimeter data products are currently used by hundreds of researchers and operational users to monitor ocean circulation and to improve scientists understanding of the role of the oceans in climate and weather. The NOAA (National Oceanic and Atmospheric Administration) National Ocean Service has been monitoring sea-level variations for many years. NOAA s PORTS (Physical Oceanographic Real-Time System) DST (decision support tool), managed by the Center for Operational Oceanographic Products and Services, supports safe and cost-efficient navigation by providing ship masters and pilots with accurate real-time information required to avoid groundings and collisions. This report assesses the capacity of NASA s satellite altimeter data to meet societal decision support needs through incorporation into NOAA s PORTS. NASA has a long heritage of collecting data for ocean research, including its current Terra and Aqua missions. Numerous other missions provide additional important information for coastal management issues, and data collection will continue in the coming decade with such missions as the OSTM (Ocean Surface Topography Mission). OSTM will provide data on sea-surface heights for determining ocean circulation, climate change, and sea-level rise. We suggest that NASA incorporate OSTM altimeter data (C- and Ku-band) into NOAA s PORTS DST in support of NASA s Coastal Management National Application with secondary support to the Disaster Management and Public Health National Applications.

Guest, DeNeice↗

Changes in trachoma indicators in Kiribati with two rounds of azithromycin mass drug administration, measured in serial population-based surveys

Baseline mapping in the two major population centers of Kiribati showed that trachoma was a public health problem in need of programmatic interventions. After conducting two annual rounds of antibiotic mass drug administration (MDA), Kiribati undertook trachoma impact surveys in 2019, using standardized two-stage cluster surveys in the evaluation units of Kiritimati Island and Tarawa. In Kiritimati, 516 households were visited and in Tarawa, 772 households were visited. Nearly all households had a drinking water source and access to an improved latrine. The prevalence of trachomatous trichiasis remained above the elimination threshold (0.2% in ≥15-year-olds) and was virtually unchanged from baseline. The prevalence of trachomatous inflammation—follicular (TF) in 1–9-year-olds decreased by approximately 40% from baseline in both evaluation units but remained above the 5% TF prevalence threshold for stopping MDA. TF prevalence at impact survey was 11.5% in Kiritimati and 17.9% in Tarawa. Infection prevalence in 1–9-year-olds by PCR was 0.96% in Kiritimati and 3.3% in Tarawa. Using a multiplex bead assay to measure antibodies to the C. trachomatis antigen Pgp3, seroprevalence in 1–9-year-olds was 30.2% in Kiritimati and 31.4% in Tarawa. The seroconversion rate, in seroconversion events/100 children/year, was 9.0 in Kiritimati and 9.2 in Tarawa. Seroprevalence and seroconversion rates were both assessed by four different assays, with strong agreement between tests. These results show that, despite decreases in indicators associated with infection at impact survey, trachoma remains a public health problem in Kiribati, and provide additional information about changes in serological indicators after MDA.

60 APPLIED LIFE SCIENCES↗

Detection and attribution of long-term and fine-scale changes in spring phenology over urban areas: A case study in New York State

Spring phenology plays an essential role in climate change, terrestrial ecosystem, and public health. Field-based monitoring and understanding of changes in spring phenology for long periods and in large regions are challenging due to the limited in-site observations. Space-based remotely sensed observations offer great potentials for monitoring decadal spring phenology changes from regional to global scales. However, the coarse-scale remotely sensed observations are insufficient to capture fine-scale spring phenology dynamics, especially in urban areas, and this makes it challenging for understanding the combined effects of climate change and urbanization on spring phenology. We derived the start of phenology season (SOS) in New York State using 30 m Landsat observations from 1990 to 2015 to understand the impact of the environment and urbanization on SOS. The results show that SOS for different years reveals heterogeneous spatial distribution. Most regions of New York State have been experiencing significant spring phenology changes in form of earlier onset of vegetation greening, ranging from 0.2 to 0.6 day/year during 1990 to 2015, and this trend varies slightly with latitudes and urbanization levels. Further, spatial correlation analysis shows that the increase in temperature and urbanization could both promote the advancement of SOS. However, the effect of urbanization (partial correlation coefficient (R) ranges from −0.289 to −0.542) on SOS is greater than the effect of temperature (R ranges from 0.006 to −0.192). The study generates a high spatio-temporal resolution spring phenology dataset for ecological, environmental and public health studies, especially in urban areas, and reveals the importance of better accounting for the urbanization effects when quantifying the SOS dynamics in phenology models.

Landsat↗

In silico analyses of diversity and dissemination of antimicrobial resistance genes and mobile genetics elements, for plasmids of enteric pathogens

The antimicrobial resistance (AMR) mobilome plays a key role in the dissemination of resistance genes encoded by mobile genetics elements (MGEs) including plasmids, transposons (Tns), and insertion sequences (ISs). These MGEs contribute to the dissemination of multidrug resistance (MDR) in enteric bacterial pathogens which have been considered as a global public health risk. To further understand the diversity and distribution of AMR genes and MGEs across different plasmid types, we utilized multiple sequence-based computational approaches to evaluate AMR-associated plasmid genetics. A collection of 1,309 complete plasmid sequences from Gammaproteobacterial species, including 100 plasmids from each of the following 14 incompatibility (Inc) types: A/C, BO, FIA, FIB, FIC, FIIA, HI1, HI2, I1, K, M, N, P except W, where only 9 sequences were available, was extracted from the National Center for Biotechnology Information (NCBI) GenBank database using BLAST tools. The extracted FASTA files were analyzed using the AMRFinderPlus web-based tools to detect antimicrobial, disinfectant, biocide, and heavy metal resistance genes and ISFinder to identify IS/Tn MGEs within the plasmid sequences. In silico prediction based on plasmid replicon types showed that the resistance genes were diverse among plasmids, yet multiple genes were widely distributed across the plasmids from enteric bacterial species. These findings provide insights into the diversity of resistance genes and that MGEs mediate potential transmission of these genes across multiple plasmid replicon types. This notion was supported by the observation that many IS/Tn MGEs and resistance genes known to be associated with them were common across multiple different plasmid types. Our results provide critical insights about how the diverse population of resistance genes that are carried by the different plasmid types can allow for the dissemination of AMR across enteric bacteria. The results also highlight the value of computational-based approaches and in silico analyses for the assessment of AMR and MGEs, which are important elements of molecular epidemiology and public health outcomes.

59 BASIC BIOLOGICAL SCIENCES↗

Potential Impact of a US Climate Policy and Air Quality Regulations on Future Air Quality and Climate Change

We have investigated how future air quality and climate change are influenced by the US air quality regulations that existed or were proposed in 2013 and a hypothetical climate mitigation policy that aims to reduce 2050 CO2 emissions to be 50% below 2005 emissions. Using the NASA GISS ModelE2 general circulation model, we look at the impacts for year 2030 and 2055. The US energy-sector emissions are from the GLIMPSE project (GEOS-Chem LIDORT Integrated with MARKAL (MARKet ALlocation) for the Purpose of Scenario Exploration), and other US emissions data sets and the rest of the world emissions data sets are based on the RCP4.5 scenario. The US air quality regulations are projected to have a strong beneficial impact on US air quality and public health in year 2030 and 2055 but result in positive radiative forcing. Under this scenario, no more emission constraints are added after 2020, and the impacts on air quality and climate change are similar between year 2030 and 2055. Surface particulate matter with a diameter smaller than 2.5 micron PM(sub 2:5) is reduced by 2 approximately μg/m(sup -3) on average over the USA, and surface ozone by approximately 8 ppbv. The improved air quality prevents about 91 400 premature deaths in the USA, mainly due to the PM(sub 2:5) reduction approximately (74 200 lives saved). The air quality regulations reduce the light-reflecting aerosols (i.e., sulfate and organic matter) more than the light-absorbing species (i.e., black carbon and ozone), leading to a strong positive radiative forcing (RF) over the USA by both aerosols' direct and indirect forcing: the total RF is approximately 0.04 W m(sup -2) over the globe, and approximately 0.8 W m(sup -2) over the USA. Under the hypothetical climate policy, a future CO2 emissions cut is achieved in part by relying less on coal, and thus SO2 emissions are noticeably reduced. This provides air quality co-benefits, but it could lead to potential climate disbenefits over the USA. In 2055, the US mean total RF is +C02 W m(sup -2) due to positive aerosol direct and indirect forcing, while the global mean total RF is -0.06 W m(sup -2) due to the dominant negative CO2 RF (instantaneous RF). To achieve a regional-scale climate benefit via a climate policy, it is critical (1) to have multinational efforts to reduce greenhouse gas (GHG) emissions and (2) to simultaneously target emission reduction of light-absorbing species (e.g., BC and O3) on top of long-lived species. The latter is very desirable as the resulting climate benefit occurs faster and provides cobenefits to air quality and public health.

Air quality↗

The value of adding black carbon to community monitoring of particulate matter

Low-cost particulate matter (PM) sensors are increasingly used by researchers, public health agencies, and the public to measure spatial and temporal variations in air pollution, which can inform strategies for community air pollution reduction. While low-cost PM sensors provide a valuable measure of harmful fine particulate matter (PM 2.5 ), a significant portion of ambient PM 2.5 is typically the secondary product of air pollution emitted by varied sources outside of community boundaries. In contrast, concentrations of black carbon (BC), a component of PM 2.5 , are directly emitted by a few specific sources, such as diesel engines within communities. Motivated by community organizations seeking to understand persistent sources of local pollution, this study deployed a suite of custom-built BC sensors alongside a network of low-cost PM sensors for four weeks in two seasons at 50 stationary locations in the adjacent cities of Richmond, North Richmond, and San Pablo, California, east of the San Francisco Bay. Concentrations of BC varied more than PM 2.5 both temporally and spatially. Monthly network-average BC was 3×higher in winter than late spring, while PM 2.5 was only 10% lower. In both seasons, average PM 2.5 concentrations at two-thirds of sites were within ±10% of the network average, whereas two-thirds of sites had BC levels outside of ±10% of the network-average concentration. The most and least polluted locations were more persistent across seasons for BC than PM 2.5 , and the temporal dynamics of BC at these sites were similar, signifying that they are impacted by the same emission sources. Together, these spatiotemporal trends show that BC is a better indicator of the proximity and activity of local pollution sources than PM 2.5 . Thus, including BC in addition to PM 2.5 in community monitoring networks can provide additional insights about local sources of air pollution.

54 ENVIRONMENTAL SCIENCES↗

Agnostic capture of pathogens for the detection and diagnostics of emerging threats

The continued emergence of pathogens, whether novel, re-emerging, or engineered, poses a persistent global biosecurity and public health challenge. Recent outbreaks, including COVID-19, Lassa fever, Marburg virus, mpox, and avian influenza, underscore the urgent need for robust systems that enable rapid surveillance, early diagnosis, and timely countermeasures before widespread human transmission occurs. In this article, we focus on early detection technologies and systematically evaluate current diagnostic and sensing modalities. We highlight sequencing and spectroscopy as two complementary approaches capable of providing broad, agnostic detection and rich biological insight. Our analysis emphasizes that scientific innovation alone is insufficient: effective preparedness also requires improved data curation, integration, and sharing to build AI-ready resources that accelerate future responses. We argue for coordinated advances in both technological capabilities and supporting infrastructure to enable the rapid identification and characterization of emerging pathogens and to fully leverage modern science against evolving infectious threats.

Environmental health↗

Facility Cybersecurity Framework Best Practices

Federal facilities are increasingly adopting automation and connecting to the Internet creating an energy-internet-of-things environment that converges operational technology (OT) and information technology (IT). Today's buildings increasingly weave together networked sensors and cyber and physical systems that enable data to be collected, aggregated, exchanged, stored and monetized in new ways. Building technological advances have created new energy technology, services, markets and value creation opportunities (e.g. transactive energy, two-way grid communications, machine learning, and increased use of renewable and distributed energy resources). But as larger data sets are being exchanged at faster speeds between an increasing number of OT systems, it becomes more difficult to protect the security of the data lifecycle and the physical equipment it interacts with. These challenges are especially difficult to overcome because the economic and environmental gain (interoperability, big data, social networks and ubiquitous information sharing) are driving these prominent trends in the digital age. Often cybersecurity is an afterthought. The U.S. Department of Energy’s (DOE) Federal Energy Management Program (FEMP) funded the Pacific Northwest National Laboratory (PNNL) to develop various cybersecurity tools, trainings, and reports to aid federal facility managers – and other building owners and operators – in better applying frameworks and lessons learned from the National Institute of Standards and Technology (NIST) Cybersecurity Framework (CSF), risk management framework (RMF), DOE’s cybersecurity capability maturity model (C2M2), and a wide variety of industry best practices and guidance documents (i.e., NIST 800 series, Department of Defense United Facilities Criteria). This set of tools, collectively known as the FEMP Facility-Related Control System Cyber Toolkit (FRCS Cyber Toolkit)2, is focused on cybersecurity concerns from facility-related control systems and other operational technology (OT), such as industrial control systems (ICS). The FRCS Cyber Toolkit can be applied across six of the sixteen critical infrastructure sectors designated by the Department of Homeland Security, including government facilities, healthcare and public health, commercial facilities (e.g., public assembly, offices, lodging), financial services (e.g., banking and insurance), emergency services (e.g., fire and police stations), and information technology. With increasingly converged IT and OT systems, it is crucial to address OT cybersecurity considerations and assess how the seam of these two systems could impact the overall cybersecurity posture of a facility. The objective of this report is to provide an overview of the best possible method to use FRCS Cyber Toolkit (section 2.0) and distilled cybersecurity best practices for the federal facilities to address growing non-linear cyber threats (section 3.0). Recommendations in this document are aggregated from several NIST and other documents (see Appendix A for additional details).

97 MATHEMATICS AND COMPUTING↗

Clean Energy Co-Benefits: Air Quality, Health and Just Energy Transitions

Outdoor air pollution is a leading environmental risk factor and contributes to public health concerns. With assistance from the Department of State, NREL researchers supported the expansion of the Intervention Model for Air Pollution (InMAP) to Global InMAP model. This model offers a new approach to estimating the human health impacts caused by air pollutant emissions and how those impacts are distributed across populations around the world. Further research sponsored by the U.S. Agency for International Development (USAID) and executed by NREL and the University of Minnesota applied the Global InMAP Model for the first time in a study of the effects of renewable electricity deployment on air quality and human health in Southeast Asia. This brief details the inception, application, and novel approach of the Global InMAP model, and more broadly NREL's capabilities for air quality modeling and health effects co-benefits analyses in the context of just energy transitions.

air quality↗

Machine Learning-Enabled Wearable Piezoelectric Acoustic Sensor for Real-Time Breast Abnormality Detection

In contemporary society, breast health has become a significant public health concern, particularly among women. According to statistics from the World Health Organization, both the incidence and mortality rates of breast tumors have steadily increased in recent years. Therefore, effective early-stage screening and postoperative monitoring are essential for maintaining breast health. However, conventional clinical diagnostic modalities are typically bulky, operationally complex, and unsuitable for continuous real-time monitoring, which limits their use in portable and everyday health management applications. To address these limitations, this study proposes a machine learning-integrated wearable piezoelectric sensing platform as an auxiliary tool for breast health assessment. The device consists of a PDMS matching layer embedded with flexible silver nanowires, a P(VDF-TrFE) piezoelectric layer, and a multi-channel low-noise signal acquisition circuit. It is capable of acquiring acoustic echo signals from tissue-mimicking environments and automatically evaluating signal validity using a convolutional neural network (CNN). By integrating piezoelectric sensing with deep learning-based signal analysis, the proposed system achieves a signal-to-noise ratio exceeding 70 dB and a real-time classification accuracy above 96% under controlled conditions. These results demonstrate that the platform provides a compact, portable, and intelligent approach for wearable sensing of mechanical heterogeneity and highlight its potential for future development in continuous biomedical monitoring technologies.

He, Shuaitong↗

Health-risk based approach to setting drinking water standards for long-term space missions

In order to develop plausible and appropriate drinking water contaminant standards for longer-term NASA space missions, such as those planned for the Space Exploration Initiative, a human health risk characterization was performed using toxicological and exposure values typical of space operations and crew. This risk characterization showed that the greatest acute waterborne health concern was from microbial infection leading to incapacitating gastrointestinal illness. Ingestion exposure pathways for toxic materials yielded de minimus acute health risks unlikely to affect SEI space missions. Risks of chronic health problems were within acceptable public health limits. Our analysis indicates that current Space Station Freedom maximum contamination levels may be unnecessarily strict. We propose alternative environmental contaminant values consistent with both acceptable short and long-term crew health safety.

Macler, Bruce A.↗

When Weather Matters: Science and Service to Meet Critical Societal Needs

The goal of weather prediction is to provide information people and organizations can use to reduce weather-related losses and enhance societal benefits, including protection of life and property, public health and safety, and support of economic prosperity and quality of life. In economic terms, the benefit of the investment in public weather forecasts and warnings is substantial: the estimated annualized benefit is about $31.5 billion, compared to the $5.1 billion cost of generating the information. Between 1980 and 2009, 96 weather disasters in the United States each caused at least $1 billion in damages, with total losses exceeding $700 billion. Between 1999 and 2008, there were an average of 629 direct weather fatalities per year. The annual impacts of adverse weather on the national highway system and roads are staggering: 1.5 million weather-related crashes with 7,400 deaths, more than 700,000 injuries, and $42 billion in economic losses.

Weather forecasting↗

Predicting river turbidity in Pine Island Bayou using machine learning techniques coupled with variational mode decomposition

Elevated turbidity levels pose significant public health risks by facilitating the transport of harmful pollutants, including metals, organic compounds, and pathogenic microorganisms into the surface water. These conditions create serious challenges for public recreational water use and drinking water treatment, leading to economic losses and health risks. This study utilizes water monitoring data in Pine Island Bayou, Texas, and develops a Sequence-to-Sequence (S2S) model to predict turbidity using Attention-based Gated Recurrent Units with Encoder-Decoder (AT-GRU-ED) and Long Short-Term Memory (LSTM), coupled with Variational Mode Decomposition (VMD). Compared to the model without VMD, the model demonstrates satisfactory 72-hour turbidity prediction performance, achieving MAEs of 2.60 and 3.29 NTU (reductions of 53% and 58%), RMSEs of 21.08 and 31.49 NTU (reductions of 82% and 80%), and R² values of 0.96 and 0.84 on the validation and test sets, respectively. Feature importance analysis reveals that water temperature is the dominant factor influencing seasonal turbidity patterns, while real-time hourly rainfall significantly contributes to short-term variability. Turbidity typically peaks within 48 hours after rainfall events due to lagged effects from surface runoff and upstream flow. Findings suggest suspending recreational water use and water supply pumping for three days after heavy rainfall can benefit public health and improve water treatment processes. Discharges above 100 m3/s are found to accelerate sediment dilution and transport, reducing turbidity levels more quickly after the peak. In conclusion, the proposed model demonstrates reliable 72-hour turbidity prediction, supporting decision-making for water treatment plant operations and providing early warning for public recreational water use.

Deep learning↗

Land Use Patterns and Fecal Contamination of Coastal Waters in Western Puerto Rico

The Department of Environmental Health of the Graduate School of Public Health of the Medical Sciences Campus, University of Puerto Rico (UPR-RCM) conducted this research project on how different patterns of land use affect the microbiological quality of rivers flowing into Mayaguez Bay in Western Puerto Rico. Coastal shellfish growing areas, stream and ocean bathing beaches, and pristine marine sites in the Bay are affected by the discharge of the three study rivers. Satellite imagery was used to study watershed land uses which serve as point and nonpoint sources of pathogens affecting stream and coastal water users. The study rivers drain watersheds of different size and type of human activity (including different human waste treatment and disposal facilities). Land use and land cover in the study watersheds were interpreted, classified and mapped using remotely sensed images from NASA's Landsat Thematic Mapper (TM). This study found there is a significant relationship between watershed land cover and microbiological water quality of rivers flowing into Mayaguez Bay in Western Puerto Rico. Land covers in the Guanajibo, Anasco, and Yaguez watersheds were classified into forested areas, pastures, agricultural zones and urban areas so as to determine relative contributions to fecal water contamination. The land cover classification was made processing TM images with IDRISI and ERDAS software.

Norat, Jose↗

Artificial Intelligence and Critical Systems: From Hype to Reality

Artificial intelligence will be deployed increasingly in more systems that affect public health, safety, and welfare. These systems will better utilize scarce resources; prevent disasters; and increase safety, reliability, comfort, and convenience. Despite the technological challenges and public fears, these systems will improve the quality of life of millions of people worldwide.

97 MATHEMATICS AND COMPUTING↗