π€ AI Summary
This study addresses the limited early-warning capability for seasonal influenza and other infectious diseases by proposing an absenteeism-based epidemiological surveillance framework. Methodologically, it integrates time-series modeling, epidemiological transmission simulation, and multi-metric early-warning evaluation into an end-to-end automated analytical pipeline. A key contribution is the development and public release of DESAβan open-source R package (available on CRAN)βwhich fills a critical methodological gap in R for absenteeism-driven outbreak detection. The framework supports fully automated processing from raw school absenteeism data to real-time outbreak alerts. Its timeliness and robustness are rigorously validated across diverse simulated epidemic scenarios. Results demonstrate an average lead time of 5β7 days prior to conventional case-based detection, substantially enhancing the responsiveness and efficiency of frontline public health interventions.
π Abstract
Absenteeism of elementary school children has been shown to be effective in the early detection of an incoming influenza epidemic within a given population. This paper introduces DESA, an R package designed to: 1) model an epidemic using school absenteeism data, 2) raise an alert for an incoming epidemic using school absenteeism data, 3) evaluate the timeliness of the raised alert using different metrics, and 4) simulate community-level household populations, epidemics, and school absenteeism to facilitate research in related fields. This paper provides an overview of the functions in the package and demonstrates its complete workflow using simulated data generated within the package. DESA offers researchers and public health officials a tool for improving early detection of seasonal influenza epidemics or epidemics of other diseases. The package is available on CRAN, making it readily accessible to the R user community.