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Harnessing Artificial Intelligence for Public Health and Epidemiology: Opportunities, Barriers, and Pathways to Equitable Global Impact

Author: IJCSIT
Publisher: Zenodo
DOI: 10.5121/ijcsit.2025.17504
Source: https://zenodo.org/records/17718634/files/17525ijcsit04.pdf
DOI: 10.5121/ijcsi .2025.17504 57
HARNESSING ARTIFICIAL INTELLIGENCE FOR
PUBLIC HEALTH AND EPIDEMIOLOGY:
OPPORTUNITIES, BARRIERS, AND PATHWAYS TO
EQUITABLE GLOBAL IMPACT
Shana az Mohammed 1, Nasa Mohammed 2, S u hi Balammaga y 3, Si eesha
Kolla 4, S ujan Kuma Gan a 5, Shuaib Abdul Khade 6
1.3 School o Compu e and In o ma ion Sciences, Uni e si y o he Cumbe lands, KY,
USA
2 Depa men o Heal hCa e Adminis a ion. Valpa aiso Uni e si y, IN, USA
4 Depa men o In o ma ion Technology, Na ional Ins i u es o Heal h, USA
5 Depa men o In o ma ion Technology, JNTU, Telangana, India
6 Depa men o In o ma ion Technology, Conco dia Uni e si y, WI, USA
ABSTRACT
A i icial In elligence (AI) is ans o ming public heal h and epidemiology by enabling ea lie de ec ion,
imp o ed su eillance, p edic i e o ecas ing, and mo e e icien esponses o heal h h ea s. Le e aging
echniques such as machine lea ning, deep lea ning, na u al language p ocessing, and compu e ision, AI
can p ocess as and di e se da a sou ces, including elec onic heal h eco ds, mobile heal h apps,
genomic sequencing, and social media. These ools enhance ou b eak p edic ion accu acy, op imize
accine dis ibu ion, accele a e con ac acing, and map disease ansmission, as demons a ed du ing he
COVID-19 pandemic. Beyond in ec ious disease, AI also suppo s moni o ing o non-communicable
diseases and men al heal h h ough passi e da a collec ion and beha io al end analysis. Despi e i s
p omise, ba ie s hinde widesp ead, equi able adop ion. Key conce ns include da a p i acy, algo i hmic
bias, lack o anspa ency, and he digi al di ide, which isk wo sening heal h dispa i ies i no add essed.
E ec i e in eg a ion o AI in o public heal h equi es obus go e nance amewo ks, c oss-sec o
collabo a ion, and wo k o ce capaci y-building. Looking o wa d, ede a ed lea ning, explainable AI, and
s ong egula o y mechanisms will be essen ial o ensu e e hical, accoun able, and globally inclusi e use.
By c i ically assessing cu en applica ions and cha ing u u e p io i ies, his s udy unde sco es how AI
can s eng hen heal h sys ems o be mo e esponsi e, e idence-d i en, and equi able wo ldwide.
KEYWORDS
A i icial In elligence, Public Heal h, Epidemiology, Disease Su eillance, Machine Lea ning, Ou b eak
P edic ion, Heal h In o ma ics, P edic i e Analy ics, Da a P i acy, Heal h Equi y, Digi al Heal h,
Explainable AI, COVID-19, Non-Communicable Diseases, Popula ion Heal h.
1. INTRODUCTION
The p ima y goals o epidemiology and public heal h a e o p o ec and imp o e popula ion
heal h h ough su eillance, illness p e en ion, policy o mula ion, and heal h p omo ion [1].
His o ically, public heal h app oaches elied ex ensi ely on s a is ical modeling, manual da a
collec ion, and ield epidemiological s udies o assess illness ends, iden i y isk ac o s, and
alloca e heal h esou ces. Howe e , due o he massi e olume o heal h- ela ed da a om
wea able senso s, genomic sequencing, social media, elec onic heal h eco ds (EHRs), and
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en i onmen al senso s, adi ional me hodologies a e no longe capable o e icien ly analyzing
and comp ehending such as amoun s o dynamic, complex da a [2].
In his si ua ion, a i icial in elligence (AI), wi h i s excep ional pa e n ecogni ion, p edic i e
analy ics, and decision suppo capabili ies, is seen as a game-changing echnology [3]. Using
machine lea ning, deep lea ning, and na u al language p ocessing, AI sys ems can ins an ly si
h ough millions o s uc u ed and uns uc u ed heal h da a poin s o deli e mo e p ecise and
imely da a-d i en insigh s in o public heal h ends, disease ansmission, and new heal h isks
[4]. Enhancing epidemiological models, iden i ying high- isk g oups, and ad ancing e idence-
based policies all depend on his accomplishmen .
AI sys ems we e u ilized o manage accine supply chains, ack con ac s, p edic ou b eaks, and
e en comba misin o ma ion du ing he COVID-19 pandemic, making i one o he mos
success ul uses o AI in his o y [5]. These applica ions a e being esea ched o ch onic illness
p e en ion, men al heal h moni o ing, and o he in ec ious diseases such as in luenza, dengue
e e , and mala ia. In hese applica ions, AI coo dina es esou ce deploymen o a ge ed public
heal h and ea ly in e en ion ini ia i es whe e hey a e mos e ec i e.
The use o AI in public heal h aises conce ns abou da a quali y, algo i hmic bias,
in e ope abili y, p i acy, and a lack o egula o y s anda ds [6]. AI sys ems ha le e age biased
da a sou ces may con inue o p omo e heal h inequi ies, and he lack o openness o some
algo i hms may e ode public us and make people esis an o mo al esponsibili y. The e o e, i
is c i ical o ensu e ha AI sys ems a e open, equi able, and secu e, and ha hey a e also
sensi i e o human igh s and accoun able o public heal h objec i es [7].
This s udy pape also c i ically examines p esen uses, examples, p oblems, e hics, and u u e
po en ial in an e o o explo e he complex ole o AI in epidemiology and public heal h [8].
By c i ically examining bo h he social and echnological aspec s o AI in eg a ion, he p ojec
will gain quali a i e insigh s on how o de elop heal hie , mo e e ec i e, and mo e equi able
heal h sys ems ha can add ess p esen and u u e public heal h issues [9].
2. LITERATURE REVIEW
Ad ancemen s in compu ing powe , big da a analy ics, and machine lea ning (ML) algo i hms
ha e esul ed in a majo inc ease in he con e gence o public heal h and AI [10]. While
s a is ical eg ession models and geog aphical analysis a e use ul, hey a e o en unable o handle
high-dimensional da a, missing alues, eal- ime in e ence, and nonlinea ela ionships, among
o he epidemiologic di icul ies. A a ie y o AI modali ies ex end hose s a egies by u ilizing
decision-suppo sys ems, eal- ime moni o ing, and p edic i e modeling [11].
P e ious esea ch highligh s how machine lea ning is ans o ming disease su eillance,
speci ically in e ms o in ec ious disease epidemic p edic ion and moni o ing. Using deep
lea ning models o o ecas COVID-19 case spikes based on mo emen , a el, and longi udinal
heal h da a is one example [12]. Sys ems such as BlueDo and Heal hMap can now de ec ea ly
epidemics by using synd omic da a ex ac ed om social media, news media, and clinical
epo ing hanks o na u al language p ocessing (NLP) echniques [13].The mos p o ound end
is he use o AI o manage non-communicable diseases (NCDs) [14]. AI suppo ed isk
s a i ica ion and he diabe es, ca dio ascula , and men al heal h ea ly de ec ion models. AI
deployed in mobile heal h (mHeal h) echnologies imp o es emo e heal h moni o ing, especially
in u al se ings [15]. AI suppo s he analysis o he social de e minan s o heal h, which a e
deeply ing ained in complex and uns uc u ed da a.
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Howe e , he e a e se e al se ious issues aised in he li e a u e. Algo i hmic bias, da a quali y,
anspa ency laws, and e hics a e among he equen ly discussed subjec s. Acco ding o
s udies, desc ibing a i icial in elligence (XAI) is c i ical o winning public and heal hca e
p o essional us [16]. The e ha e also been claims o a lack o a ailable local da a and
in as uc u e cons ain s impeding AI esea ch and applica ion in low- and middle-income
coun ies (LMICs) [17].
The ollowing able is a synop ic ep esen a ion o signi ican s udies ha ha e g ea ly
con ibu ed o he e olu ion o AI in public heal h and epidemiology:
Table 1: Summa y o Key Li e a u e on AI in Public Heal h and Epidemiology
No el AI F amewo k: PH-AIEX (Public Heal h AI wi h Explainabili y and Fede a ed Lea ning)
Desc ip ion:
A modula AI amewo k designed o public heal h and epidemiology, PH-AIEX places a high
alue on equali y, scalabili y, and anspa ency. Explainable AI (XAI) laye s o in e p e abili y,
ede a ed lea ning o p i acy-p ese ing modeling, and hyb id deep lea ning a chi ec u es
(inco po a ing LSTM o empo al da a, GNN o ela ional da a, and a en ion-based modules o
mul i-sou ce in eg a ion) a e all combined in his app oach.
Key ea u es:
• Fede a ed Lea ning Backbone: Facili a es coope a i e modeling among hospi als and
ins i u ions wi hou equi ing aw da a sha ing.
• The Explainable AI (XAI) Laye a ibu es p edic ions using SHAP o LIME o imp o e
clinical in e p e abili y.
• LSTM o ime se ies (ou b eak p edic ion), GNN o ela ional con ac acing, and
a en ion o in eg a ing many da a sou ces (such as social media, mobili y, and EHRs)
a e all combined in a hyb id a chi ec u e.
3. METHODOLOGY
He e, me hodology applied o assess he in eg a ion o AI in epidemiology and public heal h is
explained [18]. I co e s da a sou ces, AI me hods, model aining and alida ion, and
pe o mance me ics. The me hodology was designed o in es iga e some o he nume ous uses
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o AI, anging om p edic ing ou b eaks o esou ce alloca ion, u ilizing ac ual measu emen s in
da a se s and modelling in as uc u e [19].
Sys ema ic Re iew Me hodology
Da abases sea ched:
• PubMed/MEDLINE.
• The Scopus
• The Web o Science
• IEEE Xplo e
• EMBASE
• Coch ane Lib a y
Sea ch S a egy:
• Keywo ds: "Public Heal h," "Epidemiology," o "Disease Su eillance" in conjunc ion
wi h "A i icial In elligence," "Machine Lea ning," o "Deep Lea ning."
• Range o da es: 2018-2025
• Documen ypes include echnical and medical con e ence pape s, sys ema ic e iews,
and pee - e iewed a icles.
Inclusion C i e ia:
• Resea ch using o e alua ing AI in epidemiological o public heal h si ua ions.
• Obse a ional, modeling, o expe imen al s udy using eal heal hca e da a.
• Resea ch p esen ing pe o mance me ics o ou comes ele an o esou ce alloca ion,
ou b eak o ecas ing, o su eillance
• English language
Exclusion Cei e ia:
• Resea ch wi hou empi ical e alua ion
• Re iews ha a e no conce ned wi h epidemiology o public heal h
• Pee - e iewed p ep in s and abs ac s wi hou ull da a
• AI esea ch limi ed o he apeu ic (non-popula ion) applica ions
3.1. Da a Sou ces
The eliabili y o AI models in public heal h elies s ongly on he quali y and a ie y o inpu
da a. The sou ces conside ed o his s udy include:
• Elec onic Heal h Reco ds (EHRs): Pa ien demog aphic in o ma ion, es esul s,
medica ion his o y [20].
• Mobile and Wea able De ices: Real- ime physiological da a (hea a e, s eps, sleep).
• Social media & Web Da a: Twi e ending, Google T ends, web o ums synd omic
su eillance [21].
• Geog aphic and En i onmen al Da a: Sa elli e images and clima ic a iables o ec o -
bo ne disease modelling.
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• Public Da ase s: WHO, CDC, Johns Hopkins COVID-19 da ase , heal h minis y
websi es [22].
The da ase s we e anonymized and agg ega ed in o de o mee da a p o ec ion legisla ion such as
GDPR and HIPAA.
Da abases:
• COVID-19 case p edic ions using da a om WHO and Johns Hopkins
• P edic ing ch onic diseases using EHR da a (MIMIC-III, eICU, o simila accessible
da ase s)
• Da a om su eillance o public heal h (CDC in luenza da ase s)
3.2. AI Techniques Employed
Va ious AI models we e employed based on he na u e o he p oblem:
• Supe ised Lea ning: Logis ic Reg ession, Random Fo es , G adien Boos ing o disease
diagnosis and isk o ecas ing [23].
• Unsupe ised Lea ning: K-Means clus e ing o popula ion heal h segmen a ion.
• Deep Lea ning: Long Sho -Te m Memo y (LSTM) ne wo ks o ou b eak o ecas ing in
ime se ies [24].
• Na u al Language P ocessing (NLP): Applied o news, epo , and social media ex
analysis.
• Rein o cemen Lea ning: Applied in accine deli e y logis ics and esou ce op imiza ion
unde changing cons ain s.
3.3. Model T aining and Valida ion
Models we e ained o e his o ical heal h da a (80%) and es ed o e he emaining 20%. 5- old
c oss- alida ion was done o ge s able models [25]. Ea ly s opping and d opou laye s we e
u ilized o e deep lea ning models o p e en o e i ing.
3.4. Model Pe o mance Me ics
Model pe o mance was e alua ed using he ollowing me ics:
• Accu acy: P opo ion o co ec p edic ions ou o all p edic ions made.
Accu acy =
Whe e TPTP: ue posi i es, TNTN: ue nega i es, FPFP: alse posi i es, FNFN: alse nega i es
• P ecision (Posi i e P edic i e Value): P opo ion o posi i e iden i ica ions ha a e
co ec .
P ecision =
• Recall (Sensi i i y): P opo ion o ac ual posi i es de ec ed co ec ly.
Recall =

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• F1 Sco e: Ha monic mean o p ecision and ecall.
F1 Sco e = 2X
3.5. Visualiza ion and In e p e a ion
While ying o g aphically depic ela i e pe o mance and usage o AI me hods by a ious
applica ions, a ba diag am is displayed.
Ba Diag am Desc ip ion
Table 2: AI Techniques Used in Public Heal h Applica ions
This ba cha illus a es well supe ised lea ning echniques head public heal h applica ions due
o hei explainabili y and simplici y, ollowed by deep lea ning and NLP, speci ically in ou b eak
o ecas ing and analysis o public opinion
Figu e 1: AI Techniques Used in Public Heal h Applica ions
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4. KEY FINDINGS
AI applica ion in epidemiology and public heal h has been accompanied by some headline-
g abbing indings [26]. The ollowing key indings summa ize i s impac on co e unc ional
a eas:
4.1. Disease Su eillance and Ea ly De ec ion
A i icial in elligence sys ems ha e shown phenomenal pe o mance in eal- ime moni o ing o
diseases [27]. Blue Do and Heal hMap apply machine lea ning and na u al language p ocessing
o ead news a icles, social media, and wo ldwide heal h da abases o iden i y possible ou b eaks
soone han con en ional sys ems [28]. Blue Do iden i ied he ini ial ou b eak days p io o
WHO's o icial announcemen du ing he COVID-19 pandemic [29]. AI's capabili y o p ocess
uns uc u ed da a in geog aphies and languages gi es a p ophylac ic laye o global heal h
secu i y.
4.2. Ou b eak P edic ion and Modelling
LSTM and andom o es eg esso s a e machine lea ning algo i hms ha ha e been applied o
o ecas ing and p edic ing disease ansmission pa e ns [30]. They ha e been applied in using
his o ical case eco ds, mobili y, clima ic ac o s, and heal hca e capaci ies o p edic u u e
coun s o cases and hospi aliza ion. Fo example, SEIR models using AI we e u ilized o
modelling he ansmission o COVID-19 in such a manne ha policymake s could plan
lockdowns and es ic esou ces in ad ance. P edic i e powe ose signi ican ly wi h he use o
he e ogeneous da a inpu s [31].
4.3. Popula ion Heal h Su eillance
A i icial in elligence has signi ican ly con ibu ed o he esea ch on social de e minan s o
heal h and popula ion heal h isk de e mina ion [32]. Unsupe ised machine lea ning algo i hms
g oup indi iduals acco ding o li es yle in o ma ion, beha iou ai s, and en i onmen al
exposu e. The g oupings allow public heal h p o essionals o de elop cus omized in e en ions in
high- isk popula ions [33]. Mo eo e , wea able senso s linked o AI algo i hms allow emo e and
con inuous moni o ing o physiological indica o s and enable ea ly wa ning sys ems o disease
exace ba ions.
4.4. Resou ce Alloca ion and Decision Suppo
AI excels in op imizing he use o heal h esou ces, especially du ing an eme gency.
Rein o cemen lea ning models ha e been applied in he modelling o accine dis ibu ion unde
esou ce-cons ained condi ions o op imize o impac and ai ness [34]. AI assis s eme gency
depa men iaging sys ems h ough he p edic ion o pa ien de e io a ion om EHR and i al
signs o allow p ope p io i iza ion [35]. The models ha e been mos use ul in esou ce-
cons ained en i onmen s and in pandemic p epa edness.
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Figu e 2: AI A eas o Func ion in Public Heal h
This diag am illus a es he in e connec ion be ween AI-d i en unc ions in public heal h, om
ea ly wa ning sys ems o popula ion heal h isk s a i ica ion and logis ical planning.
5. APPLICATIONS AND CASE STUDIES
A i icial in elligence is ans o ming public heal h bo h heo e ically easible, bu in ac mo e
impo an ly h ough eal-wo ld applied applica ions [36]. This sec ion ocuses on he p ac ical
applica ions and esul s o speci ic applica ions in men al heal h, ch onic disease p e en ion, and
in ec ious disease managemen .
5.1. COVID-19 Pandemic Response
A u ning poin in he use o AI in public heal h was he COVID-19 pandemic. In ec ion,
hospi aliza ion, and in ensi e ca e uni a es a e p edic ed by machine lea ning echniques, which
ha e made ex ensi e use o AI models [37].
• AI-powe ed applica ions, like Aa ogya Se u in India, e alua e exposu e isk ia Blue oo h
and GPS.
• NLP cha bo s aided in symp om iage and sel - epo ing by use s.
• AI-suppo ed esou ce alloca ion o he logis ics o he supply chain o accina ions and
en ila o ins alla ion, using IBM Wa son-like echnology helping heal h depa men s
simula e supply chain beha io [38].
This quick eac ion showed how AI can speed up da a in e p e a ion and help guide eme gency
decision-making.
5.2. Mala ia and Vec o -Bo ne Diseases
AI is inc easingly being used o an icipa e and manage he sp ead o diseases such as dengue,
Zika, and mala ia using [39].
• Remo e Sensing In eg a ion: Machine lea ning algo i hms use en i onmen al da a
( empe a u e and p ecipi a ion) and sa elli e image y o iden i y mosqui o b eeding places
ha o e a signi ican isk.
• P edic i e Ou b eak Modeling: The use o a i icial in elligence (AI) o o ecas empo al-
spa ial disease pa e ns enabled p oac i e p e en a i e in e en ions such as awa eness
campaigns and la icide sp aying [40].
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Case s udies om B azil and Kenya show ha he use o AI imp o es ho spo iden i ica ion
accu acy and eac ion ime [41].
5.3. Ch onic Disease Managemen
The use o AI in he ea men o noncommunicable diseases (NCDs) is g owing in impo ance.
• Hype ension and Diabe es Risk P edic ion: AI echnologies, using EHRs and biome ic
alues, classi y people in o isk g oups, so in e en ions can be di ec ed app op ia ely
[42].
• Wea able Technology In eg a ion: Fi bi and Apple Wa ch use a i icial in elligence o
de ec anomalies in hea a e, exe cise, and sleep habi s, aiding in he diagnosis o
diso de s such as a hy hmias and hype ension [43].
When clinical s a a ailabili y necessi a es emo e moni o ing, hese me hods a e especially
use ul in low- esou ce se ings.
5.4. Men al Heal h Moni o ing
AI is also showing po en ial in men al heal h diagnosis and ea men :
• SENTIMENT ANALYSIS: Tex con en o social media is analysed by NLP models o
iden i y dep ession o signs o anxie y in g oups [44].
• FACIAL AND VOICE RECOGNITION: AI so wa e in e p e s one and acial
exp ession o ack emo ional s a e, in o ming psychological he apy.
Pilo in es iga ions a uni e si ies in he Uni ed Kingdom and he Uni ed S a es ha e shown ha
AI echnologies imp o e adi ional counselling and boos sc eening accu acy [45].
Line Diag am Desc ip ion
Table 3: T ends in AI Applica ion o Public Heal h (2018–2025)
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