Mark Lambrecht is the director of the SAS Global Health and LifeSciences Practice that sets out the market strategic direction of its global health care and life sciences solutions and provides industry domain knowledge to colleagues and customers. He holds a PhD inBioscience Engineering and has worked as bioinformatics scientist in academia and industry. He regularly speaks at conferences and to media about the impact of the digital health transformation and the application areas of AI and analytics. Together with his team, he works with analytics industry solutions for data integration, AI, ML and advanced analytics and reporting and promotes their usage by professionals active in the life sciences to solve pharmaceutical industry and healthcare-related problems. He also advises senior management at health care and life sciences companies in major clinical and health care transformation projects where it concerns implementation of analytics enterprise software systems with the goal to optimize customers’ processes and develop new offerings. Mark develops new industry value propositions, identifies innovation areas for AI and analytics and creates thought leadership content in the age of digital health transformation.
1.How could AI help tackle the coronavirus outbreak? Please explain in detail.
AI and analytics can help to detect early signals of symptoms that would point at a possible new epidemic. With these sophisticated techniques, early signals can be found often weeks before officials raise the alarm and this can help limit the spread of the virus. They require special analytical techniques that can find rare but meaningful events, such as a spike in school absenteeism in a certain region or state. Each outbreak requires a combination of epidemiological, clinical and AI skillsets to adapt to the infectious agent or virus under study. To increase accuracy and precision, diverse information sources are combined into analytical data sets, e.g. official incidence records, clinical emergency data, physician’s records, social media, flight records, school absence, and sales data of anti-fever medication. AI can also help to complement the clinical findings, specific adverse events, and model characteristics of a new viral epidemic or pandemic such as 2019-nCOV. These early findings are crucial to ready the health care system and ensure the right capacity to put patients in quarantine or have enough antiviral medicines and materials ready.
In a later stage, policy decisions like the need for quarantines can be further evaluated ; today it is estimated that only 1 out of every 20 infected patients are being diagnosed for 2019-nCOV so the worst is yet to come.
AI can even help to predict where next outbreaks with new viruses will happen, by scanning for high-risk open-food markets with lots of people around.
AI can help in automation tasks for physicians and citizens, e.g. in the use of chatbots to rapidly survey citizens for symptoms. These systems can deal with thousands of patients per hour, unlike call centers, and generate high quality reports.
AI also helps in the clinical discovery, trials and manufacturing to ensure safe and efficient antiviral medicines and vaccines.
AI especially excels at seeing connections and correlations that humans would not find or observe.
2.Can AI be used in producing a vaccine for the coronavirus? How can AI help in this regard?
AI and analytics is used during every step of the development, manufacturing and commercialization of vaccines already today. Clinical trial information is analyzed using SAS and other analytical technology and show to authorities that the new vaccines are working and safe in a strictly controlled regulatory context. Activity is tested during and after manufacturing of vaccines using AI, and the quality of vaccine batches is monitored with a whole plethora of analytical techniques, such as image analytics and shelf life analysis.
In addition, once the vaccine is administered to the population, possible adverse events are collected, analyzed and reported using AI to see if it safe. This is called pharmacovigilance and some of the analytical approaches to detect rare adverse events have similarities with epidemic surveillance. AI is also using to screen scientific literature and other sources of unstructured information such as social media to detect consumption trends or countries or regions that have not yet been vaccinated. There are a lot of other areas where AI is becoming important such as digital or augmented clinical trials that allow capturing patient wearables or medical devices and learning more about the effect of the investigated vaccine or therapy.
3.Please briefly explain what syndromic surveillance, text mining and social media analysis are and how they can track specific disease symptoms to detect the earliest stages of infectious-disease outbreaks.
Syndromic surveillance uses clinical features that are showing without a formal diagnosis being confirmed in an individual. With text mining and social media analysis – advanced text analytics or natural language processing techniques can detect entities in free-form text, understand its context and use the resulting digital information for further statistical analysis.
Surveillance of symptoms or social media analytics alone is not able to reliable detect a new epidemic (like the halted Google Flu Trends project has demonstrated) but it is in the combination of different data sources and the application of sophisticated rare event analysis that data scientists and analysts can start to investigate and look for patterns.
4.How easy or difficult it is to deploy “predictive analytics” at hospitals and airports, in the UAE as an example?
Hospitals and airports already use predictive analytics technologies to better predict when nurses and doctors will be needed, score patients for the risk to develop sepsis, or score travelers for possible security or health issues. When starting to implement this fascinating technology, an analytics culture needs to be established and impactful use cases need to be identified. This requires considerable investment, a true data-driven analytics strategy supported by hospital or airport management over years. These investments need to occur well before a pandemic like 2019-nCOV starts.
5.Have any of these new technologies been deployed in any country so far? If so, where and how accurate were the results in general?
As mentioned, all these techniques have been deployed in hospitals, countries and at government agencies that deploy surveillance techniques at a lot of hospitals and government health systems all over the world. What changes between countries is the maturity of the e-health system, the readiness of the health care system to execute decisions and measure the outcomes, and the ability to gather high quality digital information. Not all regions and countries have centers of excellence where clinical specialists can closely work together with the statisticians and data scientists.
6.As you know, delivering the right information to the public – thus preventing an “infodemic” – is important in the battle against the virus. How can AI and/or new technologies help in this regard?
At SAS, our vision is to transform a world of data into a world of intelligence. Intelligence, or the results generated by AI, should drive decisions. By being transparent about those data-driven decisions, and explaining what these results means, what actions are taken to contain the problem and how the spread of the virus can be controlled – the public can deal with the reality and will understand. Transparency, showing the results of new programs, building dashboards for everyone, is key to build trust.
It is the rumors that are not founded in reality cause irrational behavior or panic. But not everything can be controlled – and that’s why governments, private companies and the WHO must do more to be ready for the next epidemic. We have learned a great deal since the SARS epidemic of 2003 and the ebola epidemic of 2013-2016 but we need to remain vigilant and invest in both new vaccine technologies (such as the plug-and-play vaccine technologies), good health care networks and a digital health system that can generate warnings and shape policy.
7.Feel free to include any other details.
Public health workers and doctors are first in line to tackle the coronavirus crisis. But they can’t do it on their own. We need to help them with correct public health information and help them understand the characteristics of each crisis. Pharmaceutical companies and research institutes are already sharing patient data, such as in the context of Project DataSphere or clinicalstudydatarequest.com to advance medical research. We also need to better balance patient privacy needs with sharing data at a supranational level and ensure that organizations like the WHO have enough means to deal with these global crises. As the world is globally connected at a physical and digital level, we must change our policies to reflect increased mobility of citizens, and be ready with countermeasures and increase the preparedness in case of pandemics and biohazards. AI and analytics are key technologies to catalyze these changes.