Deep learning model meets community-based surveillance of acute flaccid paralysis

Autor: Gelan Ayana, Kokeb Dese, Hundessa Daba Nemomssa, Hamdia Murad, Efrem Wakjira, Gashaw Demlew, Dessalew Yohannes, Ketema Lemma Abdi, Elbetel Taye, Filimona Bisrat, Tenager Tadesse, Legesse Kidanne, Se-woon Choe, Netsanet Workneh Gidi, Bontu Habtamu, Jude Kong
Jazyk: angličtina
Rok vydání: 2025
Předmět:
Zdroj: Infectious Disease Modelling, Vol 10, Iss 1, Pp 353-364 (2025)
Druh dokumentu: article
ISSN: 2468-0427
DOI: 10.1016/j.idm.2024.12.002
Popis: Acute flaccid paralysis (AFP) case surveillance is pivotal for the early detection of potential poliovirus, particularly in endemic countries such as Ethiopia. The community-based surveillance system implemented in Ethiopia has significantly improved AFP surveillance. However, challenges like delayed detection and disorganized communication persist. This work proposes a simple deep learning model for AFP surveillance, leveraging transfer learning on images collected from Ethiopia's community key informants through mobile phones. The transfer learning approach is implemented using a vision transformer model pretrained on the ImageNet dataset. The proposed model outperformed convolutional neural network-based deep learning models and vision transformer models trained from scratch, achieving superior accuracy, F1-score, precision, recall, and area under the receiver operating characteristic curve (AUC). It emerged as the optimal model, demonstrating the highest average AUC of 0.870 ± 0.01. Statistical analysis confirmed the significant superiority of the proposed model over alternative approaches (P
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