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When to vaccinate for seasonal influenza: check the peak forecast

Background Seasonal influenza infects 5-20% of people every year in the United States, resulting in hospitalizations, deaths, and adverse economic impacts. To mitigate these impacts, influenza vaccines are developed and distributed annually; however, growing evidence suggests that vaccine effectiveness (VE) wanes over the course of a flu season. Delaying influenza vaccination for older adults has attracted attention as a potential public health strategy. However, given the uncertainties in seasonal peak, vaccine effectiveness, and waning rates, postponing vaccination could also lead to increased morbidity, motivating an evaluation of a range of potential scenarios. The aim of this study was to investigate favorable age group-specific vaccination schedules that could lead to the greatest disease burden reduction. Methods We systematically investigated a broad range of vaccination start times for five age groups under six combinations of initial effectiveness and waning rates, based on influenza cases and vaccine uptake data from 10 influenza seasons. We defined the most favorable vaccination schedule as the one that resulted in the greatest reduction in disease burden. Results In scenarios with fast waning, all age groups benefit from delaying vaccination regardless of initial VE and peak timing. In scenarios with slower waning, results are mixed. For the ≥65 group, high initial VE and slow waning suggests that in early-peaking seasons, early vaccination most effectively reduces disease burden, while in late-peaking seasons delaying vaccination is most effective. For the ≥65 group in medium and low initial VE, and slow waning scenarios, delaying vaccination appears to prevent the greatest number of cases, regardless of whether the season peaks early or late. Conclusion The most favorable vaccination schedule is sensitive to changes in initial VE, waning rate, and peak timing. Given estimates of these quantities from statistical and immunological models and observations, our methods can inform vaccination recommendations in order to most effectively reduce the annual disease burden caused by seasonal influenza. Specifically, accurate peak timing forecasts for the upcoming season have the potential to guide decisions on when to vaccinate.

59 BASIC BIOLOGICAL SCIENCES

Global Precipitation Measurement (GPM) Mission: Overview and Status

The Global Precipitation Measurement (GPM) Mission is an international satellite mission specifically designed to unify and advance precipitation measurements from a constellation of research and operational microwave sensors. NASA and JAXA will deploy a Core Observatory in 2014 to serve as a reference satellite to unify precipitation measurements from the constellation of sensors. The GPM Core Observatory will carry a Ku/Ka-band Dual-frequency Precipitation Radar (DPR) and a conical-scanning multi-channel (10-183 GHz) GPM Microwave Radiometer (GMI). The DPR will be the first dual-frequency radar in space to provide not only measurements of 3-D precipitation structures but also quantitative information on microphysical properties of precipitating particles. The DPR and GMI measurements will together provide a database that relates vertical hydrometeor profiles to multi-frequency microwave radiances over a variety of environmental conditions across the globe. This combined database will be used as a common transfer standard for improving the accuracy and consistency of precipitation retrievals from all constellation radiometers. For global coverage, GPM relies on existing satellite programs and new mission opportunities from a consortium of partners through bilateral agreements with either NASA or JAXA. Each constellation member may have its unique scientific or operational objectives but contributes microwave observations to GPM for the generation and dissemination of unified global precipitation data products. In addition to the DPR and GMI on the Core Observatory, the baseline GPM constellation consists of the following sensors: (1) Special Sensor Microwave Imager/Sounder (SSMIS) instruments on the U.S. Defense Meteorological Satellite Program (DMSP) satellites, (2) the Advanced Microwave Scanning Radiometer-2 (AMSR-2) on the GCOM-W1 satellite of JAXA, (3) the Multi-Frequency Microwave Scanning Radiometer (MADRAS) and the multi-channel microwave humidity sounder (SAPHIR) on the French-Indian MeghaTropiques satellite, (4) the Microwave Humidity Sounder (MHS) on the National Oceanic and Atmospheric Administration (NOAA)-19, (5) MHS instruments on MetOp satellites launched by the European Organization for the Exploitation of Meteorological Satellites (EUMETSAT), (6) the Advanced Technology Microwave Sounder (ATMS) on the National Polar-orbiting Operational Environmental Satellite System (NPOESS) Preparatory Project (NPP), and (7) ATMS instruments on the NOAA-NASA Joint Polar Satellite System (JPSS) satellites. Data from Chinese and Russian microwave radiometers may also become available through international collaboration under the auspices of the Committee on Earth Observation Satellites (CEOS) and Group on Earth Observations (GEO). The current generation of global rainfall products combines observations from a network of uncoordinated satellite missions using a variety of merging techniques. GPM will provide "next-generation" precipitation products characterized by: (1) more accurate instantaneous precipitation estimate (especially for light rain and cold-season solid precipitation), (2) intercalibrated microwave brightness temperatures from constellation radiometers within a consistent framework, and (3) unified precipitation retrievals from constellation radiometers using a common a priori hydrometeor database constrained by combined radar/radiometer measurements provided by the GPM Core Observatory. GPM is a science mission with integrated applications goals. GPM will provide a key measurement to improve understanding of global water cycle variability and freshwater availability in a changing climate. The DPR and GMI measurements will offer insights into 3-dimensional structures of hurricanes and midlatitude storms, microphysical properties of precipitating particles, and latent heat associated with precipitation processes. The GPM mission will also make data available in near realtime (within 3 hours of observations) forocietal applications ranging from position fixes of storm centers, numerical weather prediction, flood forecasting, freshwater management, landslide warning, crop prediction, to tracking of water-borne diseases. An overview of the GPM mission design, retrieval strategy, ground validation activities, and international science collaboration will be presented.

Hou, Arthur Y.

Modeled Forecasts of Dengue Fever in San Juan, PR Using NASA Satellite Enhanced Weather Forecasts

Dengue virus is transmitted between humans and mosquitoes of the genus Aedes and causes approximately 96 million cases of disease (dengue fever) each year (Bhatet al. 2013). Symptoms of dengue fever include fever, headache, nausea, vomiting, and eye, muscle and joint pain (CDC). More sever manifestations such as abdominal pain, bleeding from nose and gums, vomiting of blood, and clammy skin occur in rare cases of dengue hemorrhagic fever (CDC). Dengue fever occurs throughout tropical and sub-tropical regions worldwide, however, the geographical range and size of epidemics is increasing. Weather and climate are drivers of dengue virus transmission dynamics (Morin et al. 2013) by affecting mosquito proliferation and the virus extrinsic incubation period (i.e. required time for the virus to replicate and disseminate within the mosquito before it can retransmit the virus).

vector

Improving Public Health DSSs by Including Saharan Dust Forecasts Through Incorporation of NASA's GOCART Model Results

Approximately 2-3 billion metric tons of soil dust are estimated to be transported in the Earth's atmosphere each year. Global transport of desert dust is believed to play an important role in many geochemical, climatological, and environmental processes. This dust carries minerals and nutrients, but it has also been shown to carry pollutants and viable microorganisms capable of harming human, animal, plant, and ecosystem health. Saharan dust, which impacts the eastern United States (especially Florida and the southeast) and U.S. Territories in the Caribbean primarily during the summer months, has been linked to increases in respiratory illnesses in this region and has been shown to carry other human, animal, and plant pathogens. For these reasons, this candidate solution recommends integrating Saharan dust distribution and concentration forecasts from the NASA GOCART global dust cycle model into a public health DSS (decision support system), such as the CDC's (Centers for Disease Control and Prevention's) EPHTN (Environmental Public Health Tracking Network), for the eastern United States and Caribbean for early warning purposes regarding potential increases in respiratory illnesses or asthma attacks, potential disease outbreaks, or bioterrorism. This candidate solution pertains to the Public Health National Application but also has direct connections to Air Quality and Homeland Security. In addition, the GOCART model currently uses the NASA MODIS aerosol product as an input and uses meteorological forecasts from the NASA GEOS-DAS (Goddard Earth Observing System Data Assimilation System) GEOS-4 AGCM. In the future, VIIRS aerosol products and perhaps CALIOP aerosol products could be assimilated into the GOCART model to improve the results.

Berglund, Judith

Evaluation of Aerosol Data Assimilation and Forecasts in the NASA GEOS Model during the ASIA-AQ Campaign

Fine particulate matter (PM2.5) poses significant risks to human health and the environment by penetrating the lungs and causing respiratory and cardiovascular diseases, making it crucial to understand its sources and behavior for effective air quality management. The Goddard Earth Observing System (GEOS) Forward Processing (FP) system model, operated by the Global Modeling and Assimilation Office (GMAO) at NASA's Goddard Space Flight Center, provides real-time weather and aerosol analyses and forecasts. In addition to meteorological data assimilation, the GEOS-FP system also assimilates aerosol using Moderate Resolution Imaging Spectroradiometer (MODIS) Aerosol Optical Depth (AOD) and Aerosol Robotic Network (AERONET) AOD data. In this study, the aerosol data assimilation and forecasts performance of the GEOS-FP model were evaluated for predicting PM2.5 in Korea using observations from the Airborne and Satellite Investigation of Asian Air Quality (ASIA-AQ) campaign. The ASIA-AQ campaign, an international collaborative field study initiative, aims to enhance understanding of local air quality issues and address common challenges in interpreting satellite data and air quality modeling. Conducted in South Korea from February 15 to March 13, 2024, during the high PM2.5 concentration winter season, this campaign provided extensive airborne and ground observations for intensive analysis of PM2.5 model simulations. We demonstrate how the assimilation runs and the forecasting performance of PM2.5 at 24-hour and 48-hour intervals vary. Additionally, we analyzed the differences and characteristics of PM2.5 composition in cases of long-range transport and local emissions. Using ASIA-AQ airborne data, we also examined the vertical profile of fine particulate matter. Through the intensive observations of this campaign, the GEOS model was assessed over South Korea using both in situ and airborne measurements to establish a baseline and identify priorities for future development.

Seunghee Lee

Benefits of Using Remote Sensing for Health Alerts and Chronic Respiratory Exposures

Respiratory diseases such as asthma can be triggered by environmental conditions that can be monitored using Earth observing data and environmental forecast models. Frequent dust storms in the southwestern United States, the annual cycle of juniper pollen events in the spring, and increased aerosol and ozone concentrations in summer, are health concerns shared by the community at large. Being able to forecast the occurrence of these events would help the health care community prepare for increased visits to emergency rooms, as well as allow public health officials to issue alerts to affected persons. This information also is important to epidemiologists for analyzing long-term trends and impacts of these events on the health and well-being of the community. Earth observing data collected by remote sensing platforms are important for improving the performance of models that can forecast these events, and in turn, improve products and information for decision-making by public health authorities. This presentation will discuss the benefits of using remote sensing data for forecasting environmental events that can adversely affect individuals with respiratory ailments. The presentations will include a brief discussion on relevant Earth observing data, the forecast models used, and societal benefits of the resulting products and information. Several NASA-funded projects will be highlighted as examples

Luvall, J. C.

Improving Decision-Making Activities for Meningitis and Malaria

Public health professionals are increasingly concerned about the potential impact that climate variability and change can have on infectious disease. The International Research Institute for Climate and Society (IRI) is developing new products to increase the public health community's capacity to understand, use and demand the appropriate climate data and climate information to mitigate the public health impacts of climate on infectious disease, in particular meningitis and malaria. In this paper, we present the new and improved products that have been developed for: (i) estimating dust aerosol for forecasting risks of meningitis and (ii) for monitoring temperature and rainfall and integrating them into a vectorial capacity model for forecasting risks of malaria epidemics. We also present how the products have been integrated into a knowledge system (IRI Data Library Map Room, SERVIR) to support the use of climate and environmental information in climate-sensitive health decision-making.

parasitic diseases

The Global Precipitation Measurement (GPM) Mission's Scientific Achievements and Societal Contributions: Reviewing Four Years of Advanced Rain and Snow Observations

Precipitation represents a life-critical energy and hydrologic exchange between the Earth’s atmosphere and its surface. As such, knowledge of where, when, and how much rain and snow falls is essential for scientific research and societal applications. Building on the 17-year success of the Tropical Rainfall Measurement Mission (TRMM), the Global Precipitation Measurement (GPM) Core Observatory (GPM-CO) is the first U.S. National Aeronautical and Space Administration (NASA) satellite mission specifically designed with sensors to observe the structure and intensities of both rain and falling snow. The GPM-CO has proved to be a worthy successor to TRMM, extending and improving high-quality active and passive microwave observations across all times of day. The GPM-CO launched in early 2014, is a joint mission between NASA and the Japanese Aerospace Exploration Agency (JAXA), with sensors that include the NASA-provided GPM Microwave Imager and the JAXA-provided Dual-frequency Precipitation Radar. These sensors were devised with high accuracy standards enabling them to be used as a reference for inter-calibrating a constellation of partner satellite data. These intercalibrated partner satellite retrievals are used with infrared data to produce merged precipitation estimates at temporal scales of 30 minutes and spatial scales of 0.1° x 0.1°. Precipitation estimates from the GPM-CO and partner constellation satellites, provided in near real time and later reprocessed with all ancillary data, are an indispensable source of precipitation data for operational and scientific users. Advances have been made using GPM data, primarily in improving sensor calibration, retrieval algorithms, and ground validation measurements, and used to further our understanding of the characteristics of liquid and frozen precipitation and the science of water and hydrological cycles for climate/weather forecasting. These advances have extended to societal benefits related to water resources, operational numerical weather prediction, hurricane monitoring, prediction, and disaster response, extremes, and disease.

Applications

Public Health Data Applications Using the CDC Tracking Network: Augmenting Environmental Hazard Information with Lower-latency NASA Data

Exposure to environmental hazards is an important determinant of health, and the frequency and severity of exposures is expected to be impacted by climate change. Through a partnership with the U.S. National Aeronautics and Space Administration, the U.S. Centers for Disease Control and Prevention’s National Environmental Public Health Tracking Network is integrating timely observations and model data of priority environmental hazards into its publicly accessible Data Explorer (https://ephtracking.cdc.gov/DataExplorer/). Newly integrated datasets over the contiguous U.S. (CONUS) include: daily 5-day forecasts of air quality based on the Goddard Earth Observing System Composition Forecast (GEOS-CF), daily historical (1980-present) concentrations of speciated PM2.5 based on the Modern Era Retrospective analysis for Research and Applications, version 2 (MERRA-2), and Moderate Resolution Imaging Spectroradiometer (MODIS) daily near real-time maps of flooding (MCDWD). Data integrated into the CDC Tracking Network are broadly intended to improve community health through action by informing both research and early warning activities, including (1) describing temporal and spatial trends in disease and potential environmental exposures, (2) identifying populations most affected, (3) generating hypotheses about associations between health and environmental exposures, and (4) developing, guiding, and assessing environmental public health policies and interventions aimed at reducing or eliminating health outcomes associated with environmental factors.

air quality

TLife-LSTM: Forecasting Future COVID-19 Progression with Topological Signatures of Atmospheric Conditions

Understanding the impact of atmospheric conditions on SARS-CoV2 is critical to model COVID-19 dynamics and sheds a light on the future spread around the world. Furthermore, geographic distri- butions of expected clinical severity of COVID-19 may be closely linked to prior history of respiratory diseases and changes in humidity, tem- perature, and air quality. In this context, we postulate that by tracking topological features of atmospheric conditions over time, we can provide a quanti?able structural distribution of atmospheric changes that are likely to be related to COVID-19 dynamics. As such, we apply the machinery of persistence homology on time series of graphs to extract topological signatures and to follow geographical changes in relative humidity and temperature. We develop an integrative machine learning framework named Topological Lifespan LSTM (TLife-LSTM) and test its predictive capabilities on forecasting the dynamics of SARS-CoV2 cases. We validate our framework using the number of con?rmed cases and hospitalization rates recorded in the states of Washington and California in the USA. Our results demonstrate the predictive potential of TLife-LSTM in forecasting the dynamics of COVID-19 and modeling its complex spatio-temporal spread dynamics.

Gel, Yulia R.

Data Assimilation of SMAP Observations and the Impact on Weather Forecasts and Heat Stress

SPoRT produces real-time LIS soil moisture products for situational awareness and local numerical weather prediction over CONUS, Mesoamerica, and East Africa Currently interact/collaborate with operational partners on evaluation of soil moisture products Drought/fire Extreme heat Convective initiation Flood and water borne diseases Initial efforts to assimilate L2 soil moisture observations from SMOS (as a precursor for SMAP) have been successful Active/passive blended product from SMAP will be assimilated similarly and higher spatial resolution should improve on local-scale processes

Zavodsky, Bradley

NASA Earth Observation Systems and Applications for Health and Air Quality

There is a growing body of evidence that the environment can affect human health in ways that are both complex and global in scope. To address some of these complexities, NASA maintains a diverse constellation of Earth observing research satellites, and sponsors research in developing satellite data applications across a wide spectrum of areas. These include environmental health; infectious disease; air quality standards, policies, and regulations; and the impact of climate change on health and air quality in a number of interrelated efforts. The Health and Air Quality Applications fosters the use of observations, modeling systems, forecast development, application integration, and the research to operations transition process to address environmental health effects. NASA has been a primary partner with Federal operational agencies over the past nine years in these areas. This talk presents the background of the Health and Air Quality Applications program, recent accomplishments, and a plan for the future.

Omar, Ali H.

NASA Health and Air Quality Applications

There is a growing body of evidence that the environment can affect human health in ways that are both complex and global in scope. To address some of these complexities, NASA maintains a diverse constellation of Earth observing research satellites, and sponsors research in developing satellite data applications across a wide spectrum of areas. These include environmental health; infectious disease; air quality standards, policies, and regulations; and the impact of climate change on health and air quality in a number of interrelated efforts. The Health and Air Quality Applications fosters the use of observations, modeling systems, forecast development, application integration, and the research to operations transition process to address environmental health effects. NASA has been a primary partner with Federal operational agencies over the past nine years in these areas. This talk presents the background of the Health and Air Quality Applications program, recent accomplishments, and a plan for the future.

Air Quality Remote Sensing

Application of Satellite Observations to Manage Natural Disasters in the Lake Victoria Basin

Lake Victoria, the second largest fresh water lake in the Eastern part of Africa is a vital natural resource for the economic well being and prosperity of over 30 million people located in riparian regions of Uganda, Kenya and Tanzania. It covers a large area of about 68,870 km2 and produces a GDP of about US $30 billion per year. The region is also very much prone to natural disasters such as severe floods during heavy precipitation periods in the Eastern part of Africa. In addition to floods, the precipitation also produces large infestations of mosquito larvae due to the standing water in many areas. This further causes multiple vector borne diseases such as Malaria, Rift Valley Fever and more. These problems are of serious concern and require active and aggressive surveillance and management to minimize the loss of human and animal lives and property damage. Satellite imagery and observations along with the in situ measurements provide a great tool to analyze and study this area and inform the policy makers to make calculated policy decisions which are more beneficial to the environment. Recently, NASA and USAID have joined forces with the Regional Center for Mapping of Resources for Development (RCMRD) located in Nairobi, Kenya to utilize multiple NASA sensors such as TRMM, SRTM and MODIS to develop flood potential maps for the Lake Victoria Basin. The idea is to generate a flood forecasts and "nowcasts" that can be sent to the disaster management organizations of Uganda, Kenya, and Tanzania. Post flood event satellite imagery is becoming a common tool to assess the areas inundated by flooding. However, this work is unique undertaking by utilizing land imaging and atmospheric satellites to build credible flood potential maps. At same time, we are also studying the potential occurrence and spread of Rift Valley Fever disease based on the short term climate records and precipitation data. These activities require multi-nation coordination and agreements and multiple operational agencies within each respective country. It also requires credible in situ data such as precipitation, river flow rates and lake levels to further validate the global and regional Hood models and algorithms. This also requires a considerable amount of training and capacity building for the RCMRD experts who will help us validate the model results and eventually transition it for operational use. In a final analysis, Disaster management and humanitarian aid organizations need accurate and timely information for making decisions regarding deployment of relief teams and emergency supplies during major floods. Flood maps based on the use of satellite data have proven extremely valuable to such organizations for identifying the location, extent, and severity of these events. However, despite extraordinary efforts on the part of remote sensing data providers to rapidly deliver such maps, there is typically a delay of several days or even weeks from the on-set of flooding until such maps are available to the disaster management community. This paper summarizes efforts at NASA to address this problem through development of an integrated and automated process of a) flood forecasting b) flood detection, c) satellite data acquisition, d) rapid Hood mapping and distribution, and e) validation of Hood forecasting and detection products.

Habib, Shahid

Serotonin, atherosclerosis, and collateral vessel spasm

Studies on animal models demonstrate that platelet products contribute to vascular spasm in ischemic syndromes and that this is reversible with administration of ketanserin and thromboxane synthesis inhibitors. Laboratory animals (dogs, rabbits, and rats) that had femoral artery ligations exhibited supersensitivity to serotonin within days in their collateral blood vessels. This supersensitivity lasted at least 6 months. The response to serotonin was reversed by ketanserin, but not by 5HT-1 antagonists. Supersensitivity does not extend to norepinephrine, and alpha blockers do not influence the response to serotonin. It appears that platelet activation by endothelial injury contributes to ischemia through blood vessel occlusion and vascular spasm. When platelet activation occurs in vivo, blood vessel occlusion and vascular spasm are reversible in part by using ketanserin or agents that block thromboxane synthesis or its action. Combining both classes of agents reverses spasm completely. These findings support existing evidence that platelet products contribute to vascular disease, and provide an approach to improved management with currently available pharmacologic agents.

Review, Tutorial

Focused Assessment with Sonography for Trauma in weightlessness: a feasibility study

BACKGROUND: The Focused Assessment with Sonography for Trauma (FAST) examines for fluid in gravitationally dependent regions. There is no prior experience with this technique in weightlessness, such as on the International Space Station, where sonography is currently the only diagnostic imaging tool. STUDY DESIGN: A ground-based (1 g) porcine model for sonography was developed. We examined both the feasibility and the comparative performance of the FAST examination in parabolic flight. Sonographic detection and fluid behavior were evaluated in four animals during alternating weightlessness (0 g) and hypergravity (1.8 g) periods. During flight, boluses of fluid were incrementally introduced into the peritoneal cavity. Standardized sonographic windows were recorded. Postflight, the video recordings were divided into 169 20-second segments for subsequent interpretation by 12 blinded ultrasonography experts. Reviewers first decided whether a video segment was of sufficient diagnostic quality to analyze (determinate). Determinate segments were then analyzed as containing or not containing fluid. A probit regression model compared the probability of a positive fluid diagnosis to actual fluid levels (0 to 500 mL) under both 0-g and 1.8-g conditions. RESULTS: The in-flight sonographers found real-time scanning and interpretation technically similar to that of terrestrial conditions, as long as restraint was maintained. On blinded review, 80% of the recorded ultrasound segments were considered determinate. The best sensitivity for diagnosis in 0 g was found to be from the subhepatic space, with probability of a positive fluid diagnosis ranging from 9% (no fluid) to 51% (500 mL fluid). CONCLUSIONS: The FAST examination is technically feasible in weightlessness, and merits operational consideration for clinical contingencies in space.

NASA Discipline Life Sciences Technologies

Predicting and Mitigating Outbreaks of Vector-Borne Disease Utilizing Satellite Remote Sensing Technology and Models

The Public Health application area focuses on Earth science applications to public health and safety, particularly regarding infectious disease, emergency preparedness and response, and environmental health issues. The application explores issues of toxic and pathogenic exposure, as well as natural and man-made hazards and their effects, for risk characterization/mitigation and improvements to health and safety. The program elements of the NASA Applied Sciences Program are: Agricultural Efficiency, Air Quality, Climate, Disaster Management, Ecological Forecasting, Water Resources, Weather, and Public Health.

Estes, Sue M.