Publications

Abstract not provided.

Abstract not provided.

Abstract not provided.

Abstract not provided.

Abstract not provided.

As social distancing policies and recommendations went into effect in response to COVID-19, people made rapid changes to the places they visit. These changes are clearly seen in mobility data, which records foot traffic using location trackers in cell phones. While mobility data is often used to extract the number of customers that visit a particular business or business type, it is the frequency and duration of concurrent occupancy at those sites that governs transmission. Understanding the way people interact at different locations can help target policies and inform contact tracing and prevention strategies. This paper outlines methods to extract interactions from mobility data and build networks that can be used in epidemiological models. Several measures of interaction are extracted: interactions between people, the cumulative interactions for a single person, and cumulative interactions that occur at particular businesses. Network metrics are computed to identify structural trends which show clear changes based on the timing of stay-at-home orders. Measures of interaction and structural trends in the resulting networks can be used to better understand potential spreading events, the percent of interactions that can be classified as close contacts, and the impact of policy choices to control transmission.

Abstract not provided.

Producing and distributing COVID-19 vaccine during the pandemic is a major logistical challenge requiring careful planning and efficient execution. This report presents information on logistical, policy and technical issues relevant to rapidly fielding a COVID-19 vaccination program. For this study we (a) conducted literature review and subject matter expert elicitation to understand current vaccine manufacturing and distribution capabilities and vaccine allocation strategies, (b) designed a baseline vaccine distribution strategy and modeling strategy to provide insight into the potential for targeted distribution of limited initial vaccine supplies, and (c) developed parametric interfaces to enable vaccine distribution scenarios to be analyzed in depth with Sandias Adaptive Recovery Model that will allow us evaluate the additional sub- populations and alternative distribution scenarios from a public health benefit and associated economic disruption Principal issues, challenges, and complexities that complicate COVID-19 vaccine delivery identified in our literature and subject matter expert investigation include these items: The United States has not mounted an urgent nationwide vaccination campaign in recent history. The existing global manufacturing and distribution infrastructure are not able to produce enough vaccine for the population immediately. Vaccines, once available will be scarce resources. Prioritization for vaccine allocation will be built on existing distribution networks. Vaccine distribution may not have a universal impact on disease transmission and morbidity because of scarcity, priority population demographics, and underlying disease transmission rates. Considerations for designing a vaccine distribution strategy are discussed. A baseline distribution strategy is designed and tested using the Adaptive Recovery Model, which couples a deterministic compartmental epidemiological model and a stochastic network model. We show the impact of this vaccine distribution strategy on hospitalizations, mortality, and contact tracing requirements. This model can be used to quantitatively evaluate alternative distribution scenarios, guiding policy decisions as vaccine candidates are narrowed down.

Abstract not provided.

This report documents a new approach to designing disease control policies that allocate scarce testing, contact tracing, and vaccination resources to better control community transmission of COVID19 or similar diseases. The Adaptive Recovery Model (ARM) combines a deterministic compartmental disease model with a stochastic network disease propagation model to enable us to simulate COVID-19 community spread through the lens of two complementary modeling motifs. ARM contact networks are derived from cell-phone location data that have been anonymized and interpreted as individual arrivals to specic public locations. Modeling disease spread over these networks allows us to identify locations within communities conducive to rapid disease spread. ARM applies this model- and data-derived abstractions of community transmission to evaluate the effectiveness of disease control measures including targeted social distancing, contact tracing, testing and vaccination. The architecture of ARM provides a unique capacity to help decision makers understand how best to deploy scarce testing, tracing and vaccination resources to minimize disease-spread potential in a community. This document details the novel mathematical formulations underlying ARM, presents a dynamical stability analysis of the deterministic model components, a sensitivity analysis of control parameters and network structure, and summarizes a process for deriving contact networks from cell-phone location data. An example use case steps through applying ARM to evaluate three targeted social distancing policies using Bernalillo County, New Mexico as an exemplar test locale. This step-by-step analysis demonstrates how ARM can be used to measure the relative performance of competing public health policies. Initial scenario tests of ARM shows that ARMs design focus on resource utilization rather than simple incidence prediction can provide decision makers with additional quantitative guidance for managing ongoing public health emergencies and planning future responses.

This report summarizes the goals and findings of eight research projects conducted under the Computing and Information Sciences (CIS) Research Foundation and related to the COVID- 19 pandemic. The projects were all formulated in response to Sandia's call for proposals for rapid-response research with the potential to have a positive impact on the global health emergency. Six of the projects in the CIS portfolio focused on modeling various facets of disease spread, resource requirements, testing programs, and economic impact. The two remaining projects examined the use of web-crawlers and text analytics to allow rapid identification of articles relevant to specific technical questions, and categorization of the reliability of content. The portfolio has collectively produced methods and findings that are being applied by a range of state, regional, and national entities to support enhanced understanding and prediction of the pandemic's spread and its impacts.

One challenge of using compartmental SEIR models for public health planning is the difficulty in manually tuning parameters to capture behavior reflected in the real-world data. This team conducted initial, exploratory analysis of a novel technique to use physics-informed machine learning tools to rapidly develop data-driven models for physical systems. This machine learning approach may be used to perform data assimilation of compartment models which account for unknown interactions between geospatial domains (i.e. diffusion processes coupling across neighborhoods/counties/states/etc.). Results presented here are early, proof-of-concept ideas that demonstrate initial success in using a physically informed neural network (PINN) model to assimilate data in a compartmental epidemiology model. The results demonstrate initial success and warrant further research and development.

Abstract not provided.

Sandia National Laboratories currently has 27 COVID-related Laboratory Directed Research & Development (LDRD) projects focused on helping the nation during the pandemic. These LDRD projects cross many disciplines including bioscience, computing & information sciences, engineering science, materials science, nanodevices & microsystems, and radiation effects & high energy density science.

Abstract not provided.

Abstract not provided.

Abstract not provided.

This study developed and tested biologically inspired computational methods to detect anomalous signals in data streams that could indicate a pending outbreak or bio-weapon attack. Current large-scale biosurveillance systems are plagued by two principal deficiencies: (1) timely detection of disease-indicating signals in noisy data and (2) anomaly detection across multiple channels. Anomaly detectors and data fusion components modeled after human immune system processes were tested against a variety of natural and synthetic surveillance datasets. A pilot scale immune-system-based biosurveillance system performed at least as well as traditional statistical anomaly detection data fusion approaches. Machine learning approaches leveraging Deep Learning recurrent neural networks were developed and applied to challenging unstructured and multimodal health surveillance data. Within the limits imposed of data availability, both immune systems and deep learning methods were found to improve anomaly detection and data fusion performance for particularly challenging data subsets.

Abstract not provided.

The research and development of new algorithmic and statistical methods of outbreak detection is an ongoing research priority in the field of biosurveillance. The early detection of emergent disease outbreaks is crucial for effective treatment and mitigation. New detection methods must be compared to established approaches for proper evaluation. This comparison requires biosurveillance test data that accurately reflects the complexity of the real-world data it will be applied to. While the test and evaluation of new detection methods is best performed on real data, it is often impractical to obtain such data as it is either proprietary or limited in scope. Thus, scientists must turn to synthetic data generation to provide enough data to properly eval- uate new detection methodologies. This paper evaluates three such synthetic data sources: The WSARE dataset, the Noufilay equation-based approach, and the Project Mimic data generator.

A patient in the United States has been diagnosed with Ebola. Fear and panic kicks in across the country, and hospitals are inundated with hundreds of people, some infected with the highly contagious disease and others not. Blood tests are needed for positive diagnoses, but the diagnostic labs are overwhelmed with blood samples to test, and staff are overworked and stressed. Infected people need to be quarantined and treated, but it's hard to find rooms to quarantine so many patients. Sick people who need triage and regular care for other emergencies are afraid to go to hospitals for fear of Ebola, which has a 50% fatality rate. And since hospitals are so overwhelmed, sick people often stay home, infecting heathy people around them; the U.S. is now in the grips a full-blown Ebola outbreak. Sandia's high-performance computers simulated such a nightmare scenario recently, and with good reason. An Ebola outbreak in the United States could be devastating if hospitals are not prepared. When an Ebola outbreak in West Africa became a global concern in 2014, health advisers were alarmed at the length of time it took to properly diagnose infected people. In rural areas in Liberia, for example, blood samples from ailing people would be sent to a laboratory for testing, but the closest lab was hundreds of miles away through difficult and sometimes impassable roads. In more urban areas, blood samples would be sent to nearby labs, but those labs were often already overburdened by the sheer volume of samples to test. Staff at some treatment centers were unaware that a lab a little farther away might have the capacity to take in more samples. Meanwhile, undiagnosed infected people were unknowingly spreading the disease to many others around them, worsening the outbreak. The U.S. Defense Threat Reduction Agency (DTRA) and Centers for Disease Control and Prevention (CDC) posed a serious question: how do we improve blood-sample transportation routes in Liberia to ensure that samples taken from ill people are tested as quickly as possible, ensuring a proper diagnosis and faster treatment? Sandia scientists, already experts in transportation modeling for nuclear materials, quickly swarmed on this problem. The Sandia Ebola response team immediately set out to collect data from the region using available maps and local information, and transformed the raw data to GIS maps. Then, applying Sandia transportation routing algorithms, the team identified the optimal routes to get blood samples to the best laboratory for testing, even if that lab was not geographically the closest. The models also showed the best possible locations for mobile diagnostic laboratories that would better support the very rural regions that were most affected by the Ebola outbreak.

Abstract not provided.

Abstract not provided.

Abstract not provided.

Abstract not provided.