Application of spatial multicriteria decision analysis in healthcare: Identifying drivers and triggers of infectious disease outbreaks using ensemble learning
Bibliographic record
Abstract
Abstract Modelling infectious diseases is a complex and multi‐disciplinary problem that necessitates the combined use of multicriteria decision analysis (MCDA) and machine learning (ML) in a spatial framework. This research attempts to demonstrate the extensive applications of MCDA in the field of public health and to illustrate its utility with the combined use of spatial models and machine learning. The study investigates the risk factors for communicable diseases with a focus on vector‐borne infectious diseases, such as West Nile Virus (WNV), malaria, dengue, etc. It aims to quantify vector‐borne disease risk by examining the geographic contextual effects of socio‐economic, climatic, and environmental factors using the objective‐weighting technique adopted from MCDA and machine learning in a geographic information systems (GIS) framework. The authors attempted to minimize subjective bias from the decision space by utilizing an objective‐weighted technique to quantify the risk. The study adopted Shannon's entropy to derive weights for each factor and its classes. The derived weighted layers are fed to an artificial neural network to obtain a final map of risk susceptibility. This final risk map allows policymakers to examine vulnerable areas and identify the factors pivotal to the contribution of risk. Findings show the traffic volume as the most influential variable, and terrain slope as the least one in the disease spread for the study area. The risk appears to be concentrated and distributed along vegetation, wetlands, and around water bodies. The results produced by ensemble learning show great promise with more than 94% accuracy. The accuracy of the results was determined by the confusion matrix and the kappa index of agreement (KIA). The vector control programmes need to adapt to better manage the dynamic changes in patterns involving vector‐borne infectious diseases.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".