As COVID-19 transitions into an endemic disease that remains constantly present in the population at a stable level, monitoring its prevalence without invasive measures becomes increasingly important. In this paper, we present a deep neural network estimator for the COVID-19 daily case count based on wastewater surveillance data and other confounding factors. This work builds upon the study by Jiang, Kolozsvary, and Li (2024), which connects the COVID-19 case counts with testing data collected early in the pandemic. Using the COVID-19 testing data and the wastewater surveillance data during the period when both data were highly reliable, one can train an artificial neural network that learns the nonlinear relation between the COVID-19 daily case count and the wastewater viral RNA concentration. From a machine learning perspective, the main challenge lies in addressing temporal feature reliability, as the training data has different reliability over different time periods.

The COVID-19 pandemic has presented significant challenges in Nigeria's public health systems since the first case reported on February 27, 2020. This study investigates key factors that contribute to state vulnerability, quantifying them through a composite risk score integrating population density (weight 0.2), poverty (0.4), access to healthcare (0.3), and age risk (0.1), adjusted by normalized case rates per 100,000. States were categorized into low-, medium-, and high-density areas to analyze trends and identify hotspots using geographic information system (GIS) mapping. The findings reveal that high-density urban areas, such as Lagos, accounting for 35.4% of national cases, had the highest risk scores (Lagos: 673.47 vs. national average: 28.16). These results align with global and local studies on the spatial variability of COVID-19 in Nigeria, including international frameworks such as the CDC Social Vulnerability Index. Google Trends data highlight variations in public health awareness, serving as a supplementary analysis to contextualize vulnerability. The risk score provides a prioritization tool for policymakers to allocate testing, vaccines, and healthcare resources to high-risk areas, though data gaps and rural underreporting call for further research. This framework can extend to other infectious diseases, offering lessons for future pandemics in resource-limited settings.

The analysis of causation is a challenging task that can be approached in various ways. With the increasing use of machine learning based models in computational socioeconomics, explaining these models while taking causal connections into account is a necessity. In this work, we advocate the use of an explanatory framework from cooperative game theory augmented with $do$ calculus, namely causal Shapley values. Using causal Shapley values, we analyze socioeconomic disparities that have a causal link to the spread of COVID-19 in the USA. We study several phases of the disease spread to show how the causal connections change over time. We perform a causal analysis using random effects models and discuss the correspondence between the two methods to verify our results. We show the distinct advantages a non-linear machine learning models have over linear models when performing a multivariate analysis, especially since the machine learning models can map out non-linear correlations in the data. In addition, the causal Shapley values allow for including the causal structure in the variable importance computed for the machine learning model.

Previous research has shown mixed evidence on the associations between mobility data and COVID-19 case rates, analysis of which is complicated by differences between places on factors influencing both behavior and health outcomes. We aimed to evaluate the county-level impact of shifting the distribution of mobility on the growth in COVID-19 case rates from June 1 - November 14, 2020. We utilized a modified treatment policy (MTP) approach, which considers the impact of shifting an exposure away from its observed value. The MTP approach facilitates studying the effects of continuous exposures while minimizing parametric modeling assumptions. Ten mobility indices were selected to capture several aspects of behavior expected to influence and be influenced by COVID-19 case rates. The outcome was defined as the number of new cases per 100,000 residents two weeks ahead of each mobility measure. Primary analyses used targeted minimum loss-based estimation (TMLE) with a Super Learner ensemble of machine learning algorithms, considering over 20 potential confounders capturing counties' recent case rates as well as social, economic, health, and demographic variables. For comparison, we also implemented unadjusted analyses. For most weeks considered, unadjusted analyses suggested strong associations between mobility indices and subsequent growth in case rates. However, after confounder adjustment, none of the indices showed consistent associations after hypothetical shifts to reduce mobility. While identifiability concerns limit our ability to make causal claims in this analysis, MTPs are a powerful and underutilized tool for studying the effects of continuous exposures.

This study explored how population mobility flows form commuting networks across US counties and influence the spread of COVID-19. We utilized 3-level mixed effects negative binomial regression models to estimate the impact of network COVID-19 exposure on county confirmed cases and deaths over time. We also conducted weighting-based analyses to estimate the causal effect of network exposure. Results showed that commuting networks matter for COVID-19 deaths and cases, net of spatial proximity, socioeconomic, and demographic factors. Different local racial and ethnic concentrations are also associated with unequal outcomes. These findings suggest that commuting is an important causal mechanism in the spread of COVID-19 and highlight the significance of interconnected of communities. The results suggest that local level mitigation and prevention efforts are more effective when complemented by similar efforts in the network of connected places. Implications for research on inequality in health and flexible work arrangements are discussed.