Artificial intelligence– (AI) based fog/edge computing has become a promising paradigm for infectious disease. Various AI algorithms are embedded in cooperative fog/edge devices to construct medical Internet of Things environments, infectious disease forecast systems, smart health, and so on. However, these systems are usually done in isolation, which is called single-task learning. They do not consider the correlation and relationship between multiple/different tasks, so some common information in the model parameters or data characteristics is lost. In this study, each data center in fog/edge computing is considered as a task in the multi-task learning framework. In such a learning framework, a multi-task weighted Takagi-Sugeno-Kang (TSK) fuzzy system, called MW-TSKFS, is developed to forecast the trend of Coronavirus disease 2019 (COVID-19). MW-TSKFS provides a multi-task learning strategy for both antecedent and consequent parameters of fuzzy rules. First, a multi-task weighted fuzzy c-means clustering algorithm is developed for antecedent parameter learning, which extracts the public information among all tasks and the private information of each task. By sharing the public cluster centroid and public membership matrix, the differences of commonality and individuality can be further exploited. For consequent parameter learning of MW-TSKFS, a multi-task collaborative learning mechanism is developed based on ε-insensitive criterion and L2 norm penalty term, which can enhance the generalization and forecasting ability of the proposed fuzzy system. The experimental results on the real COVID-19 time series show that the forecasting tend model based on multi-task the weighted TSK fuzzy system has a high application value.
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by beta-coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has rapidly spread across the globe starting from February 2020. It is well established that during viral infection, extracellular vesicles become delivery/presenting vectors of viral material. However, studies regarding extracellular vesicle function in COVID-19 pathology are still scanty. Here, we performed a comparative study on exosomes recovered from the plasma of either MILD or SEVERE COVID-19 patients. We show that although both types of vesicles efficiently display SARS-CoV-2 spike-derived peptides and carry immunomodulatory molecules, only those of MILD patients are capable of efficiently regulating antigen-specific CD4+ T-cell responses. Accordingly, by mass spectrometry, we show that the proteome of exosomes of MILD patients correlates with a proper functioning of the immune system, while that of SEVERE patients is associated with increased and chronic inflammation. Overall, we show that exosomes recovered from the plasma of COVID-19 patients possess SARS-CoV-2-derived protein material, have an active role in enhancing the immune response, and possess a cargo that reflects the pathological state of patients in the acute phase of the disease.
Over the past decade, 70% of new and re-emerging infectious disease outbreaks in East Africa have originated from the Congo Basin where Rwanda is located. To respond to these increasing risks of disastrous outbreaks, the government began integrating One Health (OH) into its infectious disease response systems in 2011 to strengthen its preparedness and contain outbreaks. The strong performance of Rwanda in responding to the on-going COVID-19 pandemic makes it an excellent example to understand how the structure and principles of OH were applied during this unprecedented situation.
A rapid environmental scan of published and grey literature was conducted between August and December 2020, to assess Rwanda’s OH structure and its response to the COVID-19 pandemic. In total, 132 documents including official government documents, published research, newspaper articles, and policies were analysed using thematic analysis.
Rwanda’s OH structure consists of multidisciplinary teams from sectors responsible for human, animal, and environmental health. The country has developed OH strategic plans and policies outlining its response to zoonotic infections, integrated OH into university curricula to develop a OH workforce, developed multidisciplinary rapid response teams, and created decentralized laboratories in the animal and human health sectors to strengthen surveillance. To address COVID-19, the country created a preparedness and response plan before its onset, and a multisectoral joint task force was set up to coordinate the response to the pandemic. By leveraging its OH structure, Rwanda was able to rapidly implement a OH-informed response to COVID-19.
Rwanda’s integration of OH into its response systems to infectious diseases and to COVID-19 demonstrates the importance of applying OH principles into the governance of infectious diseases at all levels. Rwanda exemplifies how preparedness and response to outbreaks and pandemics can be strengthened through multisectoral collaboration mechanisms. We do expect limitations in our findings due to the rapid nature of our environmental scan meant to inform the COVID-19 policy response and would encourage a full situational analysis of OH in Rwanda’s Coronavirus response.