Abstract

The ongoing COVID-19 pandemic has posed a severe threat to public health worldwide. In this study, we aimed to evaluate several digital data streams as early warning signals of COVID-19 outbreaks in Canada, the US and their provinces and states. Two types of terms including symptoms and preventive measures were used to filter Twitter and Google Trends data. We visualized and correlated the trends for each source of data against confirmed cases for all provinces and states. Subsequently, we attempted to find anomalies in indicator time-series to understand the lag between the warning signals and real-word outbreak waves. For Canada, we were able to detect a maximum of 83% of initial waves 1 week earlier using Google searches on symptoms. We divided states in the US into two categories: category I if they experienced an initial wave and category II if the states have not experienced the initial wave of the outbreak. For the first category, we found that tweets related to symptoms showed the best prediction performance by predicting 100% of first waves about 2–6 days earlier than other data streams. We were able to only detect up to 6% of second waves in category I. On the other hand, 78% of second waves in states of category II were predictable 1–2 weeks in advance. In addition, we discovered that the most important symptoms in providing early warnings are fever and cough in the US. As the COVID-19 pandemic continues to spread around the world, the work presented here is an initial effort for future COVID-19 outbreaks.

Highlights

  • The COVID-19 pandemic caused by SARS-CoV-2 has been spreading rapidly and continuously posing a significant threat to human lives worldwide

  • The present study aimed to examine the potential of online platforms in providing early warnings of first and second waves of COVID-19 outbreaks in the US and Canada for an 8-month period

  • We aimed to perform a comparative study to understand the potential of Twitter activities and Google searches to be used in early warning systems of COVID-19 pandemic in Canada and the US

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Summary

Introduction

The COVID-19 pandemic caused by SARS-CoV-2 has been spreading rapidly and continuously posing a significant threat to human lives worldwide. Providing early signals ahead of outbreaks is essential for early public health responses. Prediction systems for other diseases have been built to facilitate management in disease emergencies and making rapid policy decisions [1, 2]. Disease monitoring and surveillance are essential to create situational awareness and initiate timely responses. Since the availability of testing is different from country to country, online platforms can help in monitoring disease occurrences. Web-based platforms can serve as sources where users self-report or search their health-related issues. In particular Twitter, has been taken into consideration for COVID-19 surveillance purposes

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