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Gregory A. Wellenius

Publications and source records attributed to Gregory A. Wellenius.

4 recordsLinked to original sources

Modular Deep-Learning-Based Early Warning System for Deadly Heatwave Prediction

Severe heatwaves in urban areas significantly threaten public health, calling for establishing early warning strategies. Despite predicting occurrence of heatwaves and attributing historical mortality, predicting an incoming deadly heatwave remains a challenge due to the difficulty in defining and estimating heat-related mortality. Furthermore, establishing an early warning system imposes additional requirements, including data availability, spatial and temporal robustness, and decision costs. To address these challenges, we propose DeepTherm, a modular early warning system for deadly heatwave prediction without requiring heat-related mortality history. By highlighting the flexibility of deep learning, DeepTherm employs a dual-prediction pipeline, disentangling baseline mortality in the absence of heatwaves and other irregular events from all-cause mortality. We evaluated DeepTherm on real-world data across Spain. Results demonstrate consistent, robust, and accurate performance across diverse regions, time periods, and population groups while allowing trade-off between missed alarms and false alarms.

cs.LG

Optimizing Heat Alert Issuance with Reinforcement Learning

A key strategy in societal adaptation to climate change is using alert systems to prompt preventative action and reduce the adverse health impacts of extreme heat events. This paper implements and evaluates reinforcement learning (RL) as a tool to optimize the effectiveness of such systems. Our contributions are threefold. First, we introduce a new publicly available RL environment enabling the evaluation of the effectiveness of heat alert policies to reduce heat-related hospitalizations. The rewards model is trained from a comprehensive dataset of historical weather, Medicare health records, and socioeconomic/geographic features. We use scalable Bayesian techniques tailored to the low-signal effects and spatial heterogeneity present in the data. The transition model uses real historical weather patterns enriched by a data augmentation mechanism based on climate region similarity. Second, we use this environment to evaluate standard RL algorithms in the context of heat alert issuance. Our analysis shows that policy constraints are needed to improve RL's initially poor performance. Third, a post-hoc contrastive analysis provides insight into scenarios where our modified heat alert-RL policies yield significant gains/losses over the current National Weather Service alert policy in the United States.

cs.LG

Assessing the causal effects of a stochastic intervention in time series data: Are heat alerts effective in preventing deaths and hospitalizations?

The methodological development of this paper is motivated by the need to address the following scientific question: does the issuance of heat alerts prevent adverse health effects? Our goal is to address this question within a causal inference framework in the context of time series data. A key challenge is that causal inference methods require the overlap assumption to hold: each unit (i.e., a day) must have a positive probability of receiving the treatment (i.e., issuing a heat alert on that day). In our motivating example, the overlap assumption is often violated: the probability of issuing a heat alert on a cooler day is zero. To overcome this challenge, we propose a stochastic intervention for time series data which is implemented via an incremental time-varying propensity score (ItvPS). The ItvPS intervention is executed by multiplying the probability of issuing a heat alert on day $t$ -- conditional on past information up to day $t$ -- by an odds ratio $δ_t$. First, we introduce a new class of causal estimands that relies on the ItvPS intervention. We provide theoretical results to show that these causal estimands can be identified and estimated under a weaker version of the overlap assumption. Second, we propose nonparametric estimators based on the ItvPS and derive an upper bound for the variances of these estimators. Third, we extend this framework to multi-site time series using a spatial meta-analysis approach. Fourth, we show that the proposed estimators perform well in terms of bias and root mean squared error via simulations. Finally, we apply our proposed approach to estimate the causal effects of increasing the probability of issuing heat alerts on each warm-season day in reducing deaths and hospitalizations among Medicare enrollees in $2,837$ U.S. counties.

stat.AP

Impacts of Social Distancing Policies on Mobility and COVID-19 Case Growth in the US

Social distancing remains an important strategy to combat the COVID-19 pandemic in the United States. However, the impacts of specific state-level policies on mobility and subsequent COVID-19 case trajectories have not been completely quantified. Using anonymized and aggregated mobility data from opted-in Google users, we found that state-level emergency declarations resulted in a 9.9% reduction in time spent away from places of residence. Implementation of one or more social distancing policies resulted in an additional 24.5% reduction in mobility the following week, and subsequent shelter-in-place mandates yielded an additional 29.0% reduction. Decreases in mobility were associated with substantial reductions in case growth 2 to 4 weeks later. For example, a 10% reduction in mobility was associated with a 17.5% reduction in case growth 2 weeks later. Given the continued reliance on social distancing policies to limit the spread of COVID-19, these results may be helpful to public health officials trying to balance infection control with the economic and social consequences of these policies.

q-bio.PE