Crossref Citations
This article has been cited by the following publications. This list is generated based on data provided by
Crossref.
Johnsen, Tim K
and
Gao, Jerry Z
2020.
Elastic Net to Forecast COVID-19 Cases.
p.
1.
Laudanski, Krzysztof
Shea, Gregory
DiMeglio, Matthew
Restrepo, Mariana
and
Solomon, Cassie
2020.
What Can COVID-19 Teach Us about Using AI in Pandemics?.
Healthcare,
Vol. 8,
Issue. 4,
p.
527.
Marques, Gonçalo
Agarwal, Deevyankar
and
de la Torre Díez, Isabel
2020.
Automated medical diagnosis of COVID-19 through EfficientNet convolutional neural network.
Applied Soft Computing,
Vol. 96,
Issue. ,
p.
106691.
Brown, Sherry-Ann
Rhee, June-Wha
Guha, Avirup
and
Rao, Vijay U.
2020.
Innovation in Precision Cardio-Oncology During the Coronavirus Pandemic and Into a Post-pandemic World.
Frontiers in Cardiovascular Medicine,
Vol. 7,
Issue. ,
Nirmala, A.P.
and
More, Sneha
2020.
Role of Artificial Intelligence in fighting against COVID -19.
p.
1.
Emile, Sameh Hany
and
Hamid, Hytham K. S.
2020.
Fighting COVID‐19, a place for artificial intelligence.
Transboundary and Emerging Diseases,
Shams, M. Y.
Elzeki, O. M.
Abd Elfattah, Mohamed
Medhat, T.
and
Hassanien, Aboul Ella
2020.
Big Data Analytics and Artificial Intelligence Against COVID-19: Innovation Vision and Approach.
Vol. 78,
Issue. ,
p.
147.
Pham, Quoc-Viet
Nguyen, Dinh C.
Huynh-The, Thien
Hwang, Won-Joo
and
Pathirana, Pubudu N.
2020.
Artificial Intelligence (AI) and Big Data for Coronavirus (COVID-19) Pandemic: A Survey on the State-of-the-Arts.
IEEE Access,
Vol. 8,
Issue. ,
p.
130820.
Nadeem, Osama
Saeed, Muhammad Shajee
Tahir, Muhammad Ali
and
Mumtaz, Rafia
2020.
A Survey of Artificial Intelligence and Internet of Things (IoT) based approaches against Covid-19.
p.
214.
Kaushik, Ajeet Kumar
Dhau, Jaspreet Singh
Gohel, Hardik
Mishra, Yogendra Kumar
Kateb, Babak
Kim, Nam-Young
and
Goswami, Dharendra Yogi
2020.
Electrochemical SARS-CoV-2 Sensing at Point-of-Care and Artificial Intelligence for Intelligent COVID-19 Management.
ACS Applied Bio Materials,
Vol. 3,
Issue. 11,
p.
7306.
Scott, Ian A
and
Coiera, Enrico W
2020.
Can
AI
help in the fight against
COVID
‐19?
.
Medical Journal of Australia,
Vol. 213,
Issue. 10,
p.
439.
Pal, Ratnabali
Sekh, Arif Ahmed
Kar, Samarjit
and
Prasad, Dilip K.
2020.
Neural Network Based Country Wise Risk Prediction of COVID-19.
Applied Sciences,
Vol. 10,
Issue. 18,
p.
6448.
Cascón-Katchadourian, Jesús-Daniel
2020.
Tecnologías para luchar contra la pandemia Covid-19: geolocalización, rastreo, big data, SIG, inteligencia artificial y privacidad.
El profesional de la información,
Ming, Long Chiau
Untong, Noorazrina
Aliudin, Nur Amalina
Osili, Norliza
Kifli, Nurolaini
Tan, Ching Siang
Goh, Khang Wen
Ng, Pit Wei
Al-Worafi, Yaser Mohammed
Lee, Kah Seng
and
Goh, Hui Poh
2020.
Mobile Health Apps on COVID-19 Launched in the Early Days of the Pandemic: Content Analysis and Review.
JMIR mHealth and uHealth,
Vol. 8,
Issue. 9,
p.
e19796.
Srinivasa Rao, Arni S. R.
and
Krantz, Steven G.
2020.
Come What May, Digital Health Technologies Will Never Be Able to Predict the Emergence of Unknown Viruses and Microorganisms with any Degree of Certainty.
Journal of Medical Systems,
Vol. 44,
Issue. 12,
Naseem, Maleeha
Akhund, Ramsha
Arshad, Hajra
and
Ibrahim, Muhammad Talal
2020.
Exploring the Potential of Artificial Intelligence and Machine Learning to Combat COVID-19 and Existing Opportunities for LMIC: A Scoping Review.
Journal of Primary Care & Community Health,
Vol. 11,
Issue. ,
Ye, Jiancheng
2020.
The Role of Health Technology and Informatics in a Global Public Health Emergency: Practices and Implications From the COVID-19 Pandemic.
JMIR Medical Informatics,
Vol. 8,
Issue. 7,
p.
e19866.
Chiroma, Haruna
Ezugwu, Absalom E.
Jauro, Fatsuma
Al-Garadi, Mohammed A.
Abdullahi, Idris N.
and
Shuib, Liyana
2020.
Early survey with bibliometric analysis on machine learning approaches in controlling COVID-19 outbreaks.
PeerJ Computer Science,
Vol. 6,
Issue. ,
p.
e313.
El Helow, Kariman Ramzy
and
Salem, Abdel-Badeeh M.
2020.
Are Artificial Intelligence (AI) And Machine Learning (ML) Having An Effective Role In Helping Humanity Address The New Coronavirus Pandemic?.
WSEAS TRANSACTIONS ON BIOLOGY AND BIOMEDICINE,
Vol. 17,
Issue. ,
p.
119.
Adly, Aya Sedky
Adly, Afnan Sedky
and
Adly, Mahmoud Sedky
2020.
Approaches Based on Artificial Intelligence and the Internet of Intelligent Things to Prevent the Spread of COVID-19: Scoping Review.
Journal of Medical Internet Research,
Vol. 22,
Issue. 8,
p.
e19104.
Emerging and novel pathogens are a significant problem for global public health. This is especially true for viral diseases that are easily and readily transmissible and have asymptomatic infectivity periods. The novel coronavirus (SARS-CoV-2) described in December 2019 (COVID-19) has resulted in major quarantines to prevent further spread, including major cities, villages, and public areas throughout China and across the globe.1–3 As of February 25, 2020, the World Health Organization’s situational data indicate ∼77,780 confirmed cases in 25 countries, including 2,666 deaths due to COVID-19.4 Most deaths reported so far have been in China.5 The Centers for Disease Control and Prevention (CDC) and the World Health Organization have issued interim guidelines to protect the population and to attempt to prevent the further spread of the SARS-CoV-2 virus from infected individuals.6 Cities and villages throughout China are unable to accommodate such large numbers of infected individuals while maintaining the quarantine, and several new hospitals have been built to manage the infected individuals.Reference Wang, Zhu and Umlauf7 It is imperative that we evaluate novel models to attempt to control the rapidly spreading SARS-CoV-2.8 Technology can assist in faster identification of possible cases to yield more timely interventions.
To reduce the time needed to identify a person under investigation (PUI) for COVID-19 and their rapid isolation, we propose to collect a basic travel history along with the more common signs and symptoms using a mobile phone–based online survey. Such data can be used in the preliminary screening and early identification of possible COVID-19 cases. Thousands of data points can be processed through an artificial intelligence (AI) framework that can evaluate individuals and stratify them into no risk, minimal risk, moderate risk, and high risk groups. The high-risk cases identified can then be quarantined earlier, thus decreasing the chance of spreading the virus (Table 1).
Table 1. Steps involved in the collection of data through a mobile phone-based survey
Appendix 1 (online) lists the details of the steps involved in collecting data from all respondents independent of whether or not they think they are infected. The AI algorithm described in Appendix 2 (online) can identify possible cases and send an alert to the nearest health clinic as well as to the respondent for an immediate health visit. We call this an “alert for health check recommendation for COVID-19.” If the respondent is unable to commute to the health center, the health department can send an alert to a mobile health unit to conduct a door-to-door assessment and even test for the virus. If a respondent does not have an immediate risk of symptoms or signs related to the viral infection, then an AI-based health alert cab be sent to the respondent to notify them that there is no current risk of COVID-19. Figure 1 summarizes the outcomes of data collection and identification of possible cases.
Fig. 1. Conceptual framework of data collection and possible COVID-19 identification. (a) A geographical region (eg, a city, county, town, or village) with households in it. (b) Respondents and nonrespondents of a mobile phone–based web survey. (c) Possible identified cases of COVID-19 among the survey respondents and possible cases of COVID-19 among nonrespondents of the survey.
Fig. 2. Number of possible cases identified through artificial intelligence (AI) framework versus the number of individuals who responded to a mobile phone–based web survey.
The signs and symptoms data recorded in step 5 of the algorithm are collected prior to Health Check Recommended for Coronavirus (HCRC) alerts or Health Check Recommended for Coronavirus (MHCRC) alerts (for possible identification and assessment) and No Health Check Recommended for Coronavirus (NCRC) alerts (for nonidentified respondents). These procedures are explained in steps 3 and 4 in Appendix 2. The extended analysis we propose can help determine any association among sociodemographic variables and the signs and symptoms, such as fever and lower respiratory infection including cough and shortness of breath, in individuals with and without possible infection. A 2 x 2 table of number of COVID-19 cases identified through AI and the number of people responded to a mobile survey is described in Figure 2.
Applications of AI and deep learning can be useful tools in assisting diagnoses and decision making in treatment.Reference Liang, Tsui and Ni10,Reference Rao and Diamond11 Several studies have promoted disease detection through AI models.Reference Neill12–Reference Kumar, Kumar and Saboo15 The use of mobile phonesReference Tomlinson, Solomon and Singh16–Reference Bastawrous and Armstrong19 and web-based portalsReference Paolotti, Carnahan and Colizza20,Reference Fabic, Choi and Bird21 have been tested successfully in health-related data collection. In addition, our proposed algorithm can be easily extended to identify individuals who might have any mild symptoms and signs. However, such techniques must be applied in a timely way for relevant and rapid results. Apart from cost-effectiveness, our proposed modeling method could greatly assist in identifying and controlling COVID-19 in populations under quarantine due to the spread of SARS-CoV-2.
Acknowledgments
We thank Professor N.V. Joshi, Indian Institute of Science, Bengaluru, and Mr P. Sashank, CEO Exaactco Compusoft Global Solutions, Hyderabad, India, for their editorial comments.
Financial support
No financial support was provided relevant to this article.
Conflicts of interest
All authors report no conflicts of interest relevant to this article.
Authors contributions
ASRSR designed the study, developed the methods and wrote the first draft of the paper. JAV contributed in clinical verbiage editing, inputs and editing into the draft.
Appendix 1. Steps Involved in Data Collection Through Mobile Phones
We have developed our data collection criteria based on the CDC’s Flowchart to Identify and Assess 2019 Novel Coronavirus,9 and we have added additional variables for the extended utility of our efforts in identifying infected and controlling the spread (see Table 1 in the text).
Appendix 2. Algorithm
Let O 1, O 2, O 3, O 4, O 5 be the outputs recorded during the data collection steps 1 through 5 described in the Appendix 1. The 3 outputs within O2 are given as
and 9 pairs of outputs within O5 are given as
where the pair O5i, D5i for i = A, B, …I represents the respondent’s response regarding the presence or absence of ith sign and symptom (O5i) and duration of corresponding sign and symptom (D5i)
(1) If the set of identifiers, I 1, for
is equal to one of the elements of the set C 1, for
for a respondent, then, send HCRC or MHCRC. If I 1 is not equal to any of the elements of the set C 1 then proceed to test criteria (3).
(2) If the set of identifiers, I 2, for
is equal to one of the elements of the set C 1, then send HCRC or MHCRC to that respondent, else proceed to the test criteria (4).
(3) If I 1 is equal to one of the elements of the set C 2, for
then the respondent will be sent an NCRC alert.
(4) If I 2 is equal to one of the elements of the set C 2, then the respondent will be sent an NCRC alert.
A comparison of test criteria results of (3) and (4) with their corresponding geographic and sociodemographic details will yield further investigations of signs and symptoms based on whether or not an individual in the survey has traveled to coronavirus-affected areas or has had contact with any person who is known to have COVID-19. Here, we focus only on the identification of cases; further analysis techniques are beyond our scope. However, our approach is flexible enough to capture various other associations within the populations.
Appendix 3. Further Computations on the Data Collected
Suppose n and m are individuals in a region who have responded and not responded, respectively, for a mobile phone–based online survey. Responses are randomly associated and not depended on the sickness due to the virus. The pair
yields the proportions of those who have responded and not responded in that region. Notably, we can compute ${\bi \frac{{m}\over{{n + m}}}}$ because the value m is known to us in that region. Here, n 1 of n are possible cases identified through our algorithm, and m 1 of m are possible cases of the virus that were not identified by the algorithm because m individuals never responded to the survey. Because n and m are known to us, one of the following relations will hold:
Thus, we will see which of the relations listed in (A2.1) is true. When n>m, one of the following relations will hold:
However, we will never know which of the relations in (A2.1) is true because m 1 were never identified by the algorithm. For example, suppose 2,000 individuals respond to the survey, and of these, 500 individuals do not respond to the survey and 400 are identified as possible cases by the algorithm. If there are 100 possible cases of virus (which we do not have a mechanism to count) among the 500 who never responded, then the relation
is true. Similarly, other relations of (A2.2) could arise when n>m Using a similar argument, we can verify that when other relations of (A2.1) are true, we are still unsure which of the relations in (A2.1) are true. The 2 × 2 contingency options are provided in Figure 2 (in the text) to visualize the data to be generated using the proposed method.
Theorem: Let there be N individuals in a region. The probability that n 1 cases identified through the AI framework given that there are n individuals responded to the survey is ${\bi \frac{{{{n_{\bf 1}}N}}\over{{{n^{\bf 2}}}}}.}$
Proof: Let N = n + m, and let
be the collection of n individuals who responded,
be the collection of m individuals who did not responded. Suppose
is the collection of respondents who are identified as possible cases. Here U ∪ V can be considered the region shown in (a), U shown in (b) and U 1 in (c) shown in Figure 1 (in the text).
Suppose we define 2 events E 1 and U using the sets U, V and U 1 as follows:
E 1: n 1 of n responded cases are identified through the algorithm
E : n of N have responded to the survey.
The conditional probability of the event E 1 given the event E, say, P(E1/E) is computed as follows:
▪