How Disease Experts Forecast COVID19 Toll!

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BREDA, NETHERLANDS – 2020/03/23: Paramedics move a patient on a stretcher to be transferred to another hospital due to overload amid Coronavirus outbreak.
The capacity of Brabant hospitals, including intensive care, will be insufficient in the coming week. Due to overload, approximately 500 to 700 patients will have to be taken to intensive care and other departments in hospitals outside the province, Marcel Visser reported on behalf of the Regional Consultation Acute Care Chain in Brabant in a conversation at the Elisabeth-TweeSteden Hospital in Tilburg. (Photo by Robin Utrecht/SOPA Images/LightRocket via Getty Images)
  • Disease experts guide pandemic models with their informed advice.
  • As the COVID19 pandemic accelerates it is becoming increasingly clear how a pandemic end can be predicted by researchers.
  • As experts continue to predict rising number of deaths and new cases each week they offer valuable insight on containing and curbing the disease.
  • The forecasts of April peak in the US have gone right

Statistical models of infectious disease are vital for understanding where the COVID-19 pandemic is headed, writes Jeffrey Brainard, the Associate News Editor of Science Magazine.

However, this predictive power of the statistical models has its limitations as they are driven by data. As the circumstances change continuously, the data also becomes sparse making it impossible for the models to be highly accurate. Because of this constant data collecting surveys are needed, especially at this time.

Informed Judgement Shaping Disease Models

A useful complement to numerical models is forecasts made by experts using their informed judgment, says Tom McAndrew, a biostatistics postdoctoral researcher at the University of Massachusetts, Amherst.

Each week since February, he and his faculty adviser, Nicholas Reich, have been surveying about 20 experts in public health and infectious disease, asking for their best estimates of future COVID-19 cases, hospitalizations, and deaths.

How Are Experts Forecasting It?

In last week’s survey, the specialists predicted that total U.S. deaths from COVID-19 will rise substantially in coming weeks; on average, they estimated that in the most likely scenario, the number of deaths will reach 45,157 on 1 May and 74,631 on 1 June.

The experts’ understanding of the dynamics of disease outbreaks informs their estimates, McAndrew says, much as weather forecasters craft predictions based on data and experience.

The Idea of Superforecasters

Inspiration for the effort is the Good Judgment Project, launched by psychologists at the University of Pennsylvania in 2011. It studied ways to improve forecasting using crowdsourcing; its team won competitions sponsored by an organization funded by U.S. spy agencies—the U.S. Intelligence Advanced Research Projects Activity—to accurately predict geopolitical events, such as the likelihood of chemical weapons inspections in Syria.

The project “ended up identifying ‘superforecasters,’ those who had an uncanny ability to make very accurate predictions,” McAndrew says.

What did the expert surveys reveal?

He notes that, in the first surveys of disease experts he conducted, the consensus predictions of the number of confirmed U.S. cases were lower than those actually reported later.

But as the pandemic has expanded, McAndrew says, the forecasts made by the experts have become increasingly accurate.

On a hopeful note, the group forecasted last week that the United States will reach its peak number of monthly deaths no later than April.

Judgment calls

In a survey last week, 19 disease modelers offered a range of estimates for future COVID-19 death totals in the United States.

doi:10.1126/science.abc4234

About the Author

Jeffrey Brainard joined Science as an associate news editor in 2017. He covers an array of topics and edits the In Brief section in the print magazine.

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Source: Science