Abstract

BackgroundHepatitis is a serious public health problem with increasing cases and property damage in Heng County. It is necessary to develop a model to predict the hepatitis epidemic that could be useful for preventing this disease.MethodsThe autoregressive integrated moving average (ARIMA) model and the generalized regression neural network (GRNN) model were used to fit the incidence data from the Heng County CDC (Center for Disease Control and Prevention) from January 2005 to December 2012. Then, the ARIMA-GRNN hybrid model was developed. The incidence data from January 2013 to December 2013 were used to validate the models. Several parameters, including mean absolute error (MAE), root mean square error (RMSE), mean absolute percentage error (MAPE) and mean square error (MSE), were used to compare the performance among the three models.ResultsThe morbidity of hepatitis from Jan 2005 to Dec 2012 has seasonal variation and slightly rising trend. The ARIMA(0,1,2)(1,1,1)12 model was the most appropriate one with the residual test showing a white noise sequence. The smoothing factor of the basic GRNN model and the combined model was 1.8 and 0.07, respectively. The four parameters of the hybrid model were lower than those of the two single models in the validation. The parameters values of the GRNN model were the lowest in the fitting of the three models.ConclusionsThe hybrid ARIMA-GRNN model showed better hepatitis incidence forecasting in Heng County than the single ARIMA model and the basic GRNN model. It is a potential decision-supportive tool for controlling hepatitis in Heng County.

Highlights

  • In China, the Guangxi Zhuang Autonomous Region has a large burden of hepatocellular carcinoma, which has led to enormous property and health consequences [1]

  • The annual morbidity due to hepatitis in Heng County is higher than the average level in Guangxi, and is ranked first in legal infectious disease of Heng County [5, 6]

  • The interaction measures based on monitoring data usually show some lag, so an accurate prediction of the hepatitis epidemic is essential to making the correct public health policy decisions in advance

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Summary

Introduction

In China, the Guangxi Zhuang Autonomous Region has a large burden of hepatocellular carcinoma, which has led to enormous property and health consequences [1]. The annual morbidity due to hepatitis in Heng County is higher than the average level in Guangxi, and is ranked first in legal infectious disease of Heng County [5, 6] It has become a major public health problem in the county as well as in Guangxi. Heng County has been the key location of the Guangxi Beibu Gulf Economic Zone in recent years, which brings with it a large temporary floating population. This is a new potential threat contributing to increasing the incidence of hepatitis. The interaction measures based on monitoring data usually show some lag, so an accurate prediction of the hepatitis epidemic is essential to making the correct public health policy decisions in advance. It is necessary to develop a model to predict the hepatitis epidemic that could be useful for preventing this disease

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