Cross-Country Learning for National Infectious Disease Forecasting Using European Data

Accurate forecasting of infectious disease incidence is critical for public health planning and timely intervention. While most data-driven forecasting approaches rely primarily on historical data from a single country, such data are often limited in length and variability, restricting the performance of machine learning (ML) models. In this work, we investigate a cross-country learning approach for infectious disease forecasting, in which a single model is trained on time series data from multiple countries and evaluated on a country of interest. This setting enables the model to exploit shared epidemic dynamics across countries and to benefit from an enlarged training set. We examine this approach through a case study on COVID-19 case forecasting in Cyprus, using surveillance data from European countries. We evaluate multiple ML models and analyse the impact of the lookback window length and cross-country `data augmentation' on multi-step forecasting performance. Our results show that incorporating data from other countries can lead to consistent improvements over models trained solely on national data. Although the empirical focus is on Cyprus and COVID-19, the proposed framework and findings are applicable to infectious disease forecasting more broadly, particularly in settings with limited national historical data.

Investigating Forecasting Models for Pandemic Infections Using Heterogeneous Data Sources: A 2-year Study with COVID-19

Emerging in December 2019, the COVID-19 pandemic caused widespread health, economic, and social disruptions. Rapid global transmission overwhelmed healthcare systems, resulting in high infection rates, hospitalisations, and fatalities. To minimise the spread, governments implemented several non-pharmaceutical interventions like lockdowns and travel restrictions. While effective in controlling transmission, these measures also posed significant economic and societal challenges. Although the WHO declared COVID-19 no longer a global health emergency in May 2023, its impact persists, shaping public health strategies. The vast amount of data collected during the pandemic offers valuable insights into disease dynamics, transmission, and intervention effectiveness. Leveraging these insights can improve forecasting models, enhancing preparedness and response to future outbreaks while mitigating their social and economic impact. This paper presents a large-scale case study on COVID-19 forecasting in Cyprus, utilising a two-year dataset that integrates epidemiological data, vaccination records, policy measures, and weather conditions. We analyse infection trends, assess forecasting performance, and examine the influence of external factors on disease dynamics. The insights gained contribute to improved pandemic preparedness and response strategies.