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This research applies denoising diffusion probabilistic models to influenza forecasting by treating spatiotemporal incidence data as images, enabling the generation of diverse epidemic trajectories from partial observations. The approach demonstrates competitive accuracy against traditional ensemble methods while effectively capturing complex multimodal uncertainty in disease dynamics. Although the application targets public health planning, the core innovation lies in adapting generative AI architectures for probabilistic prediction in dynamic systems.
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Generative diffusion models for spatiotemporal influenza forecasting

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arXiv:2604.24913v2 Announce Type: replace Abstract: Forecasting infectious disease incidence can provide important information to guide public health planning, yet it is difficult because epidemic dynamics are complex. Current mechanistic and statistical approaches often struggle to capture multimodal uncertainty or emergent trends. Influpaint adapts denoising diffusion probabilistic models to epidemic forecasting. By encoding influenza seasons as spatiotemporal images in which pixel intensity represents incidence, Influpaint learns a rich distribution of disease dynamics from a hybrid dataset of surveillance and simulated trajectories. Forecasting is formulated as a conditional generation (inpainting) task from partial observations. We show that Influpaint generates realistic, diverse epidemic trajectories and achieves forecast accuracy that is competitive with leading ensemble methods in retrospective evaluation. In real-time evaluation during the 2023--2025 U.S. CDC FluSight challenges, performance improved substantially across seasons, with highly accurate but somewhat overconfident projections in 2023--2025. The best performance was achieved with a training dataset containing 30% surveillance and 70% simulated trajectories. These results show that diffusion models can capture important spatiotemporal structure in influenza dynamics and provide a flexible framework for probabilistic infectious disease forecasting.

Abstract:Forecasting infectious disease incidence can provide important information to guide public health planning, yet it is difficult because epidemic dynamics are complex. Current mechanistic and statistical approaches often struggle to capture multimodal uncertainty or emergent trends. Influpaint adapts denoising diffusion probabilistic models to epidemic forecasting. By encoding influenza seasons as spatiotemporal images in which pixel intensity represents incidence, Influpaint learns a rich distribution of disease dynamics from a hybrid dataset of surveillance and simulated trajectories. Forecasting is formulated as a conditional generation (inpainting) task from partial observations. We show that Influpaint generates realistic, diverse epidemic trajectories and achieves forecast accuracy that is competitive with leading ensemble methods in retrospective evaluation. In real-time evaluation during the 2023--2025 U.S. CDC FluSight challenges, performance improved substantially across seasons, with highly accurate but somewhat overconfident projections in 2023--2025. The best performance was achieved with a training dataset containing 30% surveillance and 70% simulated trajectories. These results show that diffusion models can capture important spatiotemporal structure in influenza dynamics and provide a flexible framework for probabilistic infectious disease forecasting.

Machine Learning (cs.LG); Populations and Evolution (q-bio.PE)

arXiv:2604.24913 [cs.LG]

(or arXiv:2604.24913v2 [cs.LG] for this version)

https://doi.org/10.48550/arXiv.2604.24913 Focus to learn more arXiv-issued DOI via DataCite

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