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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>" ACM
Journal</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Tree-Based Regressor Ensemble for Viral Infectious Diseases Spread Prediction</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Henry Mutisya Ngie</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Lawrence Nderu</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Dorcas Gicuku Mwigereri</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>College of Pure and Applied Science, (COPAS), Jomo Kenyatta University, of Agriculture and Technology P.</institution>
          <addr-line>O, Box 42603 - 00100, Nairobi -</addr-line>
          <country country="KE">Kenya</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>1999</year>
      </pub-date>
      <volume>42</volume>
      <issue>4</issue>
      <abstract>
        <p>Tree based regression models provide statistical bases for prediction of continuous response variable scores. They are non-linear models founded on simplicity and efficiency when deployed on multi variable data domains. Their fast prediction speed, ability to identify strong variables in prediction and reliance on statistical means to deal with missing values in datasets during prediction make these models common in modern machine learning. Some of these models such as CART, RETIS and M5 have been utilized in the past yielding reliable prediction outcomes which are yet to be achieved through the use of single classifier models due the growing dataset complexities as a result of recent trends in data science including big data and internet of things. Combination of several classifiers through ensemble approach can boost feature selection and enhance classifier prediction capabilities. This research paper demonstrates ensemble of Decision Tree (DT) and Logistic Regression (LR) models to develop a tree-based regressor model christened Simultaneous Tree-based Regressor Interactive Model (STRIM), with improved interaction effect especially on continuous response variable predictions. The model involves particle swarm optimization (PSO) for parameter tuning in an effort to ensure a balanced and reliable prediction achievement in the spread of infectious diseases, incorporating time series modeling. The model aimed at providing a solution to the prediction of infectious diseases spread using publicly available Covid-19 global data for evaluation through prediction of Covid-19 spread patterns. Existing models used in the domain are largely black-box and therefore the need for a glass-box model capable of disclosing the impact of prediction features to the final prediction results. STRIM proved to be a robust interpretable classifier model compared to single classifiers considered for the ensemble providing 0.99 accuracy levels of prediction.</p>
      </abstract>
      <kwd-group>
        <kwd>Covid-19</kwd>
        <kwd>Ensemble learning</kwd>
        <kwd>Tree-based regressor</kwd>
        <kwd>feature selection</kwd>
        <kwd>parameter tuning</kwd>
        <kwd>Particle swarm optimization</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. INTRODUCTION</title>
      <p>Towards the end of 2019, hospital in Wuhan China
experienced patients with severe pneumonia like
symptoms yet responsive to no drugs or vaccines [1].
Human to human transmission of the problem was
noted among patients portraying the disease as highly
infectious with continuous human to human
transmissions reported. Health experts later linked the
disease with the symptoms of Severe Acute
Respiratory Syndrome (SARS) disclosing that Corona
virus was behind its spread and cause. What started as
a local epidemic in China later spread to the entire
world with alarming high infection rates and deaths
recorded especially in Europe and America leading to
the World Health Organization (WHO) naming the
disease as novel Corona Virus Disease 2019 (nCov-19)
or (COVID-19) in addition to declaring it a global
pandemic. WHO directions on containing the
pandemic was to engage three important steps:
(identify, isolate and contact-trace) however for this to
be successful, governments across the world prefer to
model their infection patterns so as to have an
overview of expectations including infection rates,
spread, high risk regions, peak and curve flattening
point.</p>
      <p>Several machine learning approaches have since been
involved in modeling these patterns globally with
significant results so far achieved. This paper proposes
a tree based regressor model - Simultaneous
Treebased Regressor Interactive Model (STRIM) for
application in the same space. Tree based regressor
algorithms were initially proposed in a publication by
Morgan and Sonquist done in 1963 [1]. They have
since become an interesting research area for data
scientists. This paper borrows sentiments by Braiman
(1984) demonstrating regressors and regression as a
simple common analytical technique for identification
and modelling of relationships between explanatory
input and output variables. Tree based ensemble
models just like typical ensembles share common
strengths which include high accuracies, robustness
and interpretability in prediction than the ensembled
classifiers [2]. They are known to have empirically
demonstrated positive results as demonstrated in [3]
where one such an algorithm (Intelligent Mining for
TB infection prediction) used in predicting regional
tuberculosis infection patterns reported an R2 value of
94% [2]. This research seeks to improve these
outcomes through incorporation of optimization based
feature selection using the particle swarm optimization
(PSO). The approach has been previously applied in
single classifier models such as neural networks where
it has enhanced reliability and accuracy of prediction
of cancer diagnosis among patients as demonstrated in
the related work section.</p>
    </sec>
    <sec id="sec-2">
      <title>2. RELATED WORK</title>
      <p>There has been little research on infectious diseases
(especially Covid-19) modelling published as at the
time of this paper, with much information about the
virus still not established including its treatment
vaccine. This section demonstrates previous work by
several researchers on infectious diseases spread
prediction especially Covid-19, using several
epidemiological machine learning algorithms.</p>
      <sec id="sec-2-1">
        <title>2.1 ARIMA Model</title>
        <p>
          In [
          <xref ref-type="bibr" rid="ref1">4</xref>
          ] Autoregressive Integrated Moving Average
(ARIMA) model developed in R was described. The
model is founded on three sequential parameters
namely; p, d, q which can be written in linear form.
The model was further enhanced with AUTOARIMA
packages in R to facilitate simple time series analysis
so as to express the pandemic spread [
          <xref ref-type="bibr" rid="ref1">4</xref>
          ]. The model
was successfully applied on a 45-day (15th Feb to 31st
Mar 2020) COVID-19 patients dataset in Italy
gathered from the country’s health ministry. It
accurately predicted outcomes, at 93.75% level
calculated using the Mean Absolute Prediction Error
(MAPE) [
          <xref ref-type="bibr" rid="ref1">4</xref>
          ] showing an upward trend in the virus
spread across Italy with the disease peak point
predicted to be the last two weeks of March 2020.
Although the country later imposed a nationwide
lockdown to combat the disease, the prediction was
true with the peak orchestrated by an increase in
travelers into the country. The model was further used
to predict the next 60 days registered and recovered
cases in the country predicting an increase in both to
between 106,000 - 183,000 and 17,000 – 82,000
respectively [
          <xref ref-type="bibr" rid="ref1">4</xref>
          ].
        </p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2 SIR Models</title>
        <p>
          Empirical research has also demonstrated the use of
SIR epidemiological models which classify cases in
three categories of susceptible, infected and recovered
[
          <xref ref-type="bibr" rid="ref2">5</xref>
          ] [
          <xref ref-type="bibr" rid="ref3">6</xref>
          ]. The three classes are simply referred to as
vulnerable to the infection (Class S), infected
population (Class I) and (Class R) removed
representing recovered, developed immune, isolated or
even dead population (Class R). When developing
epidemiological models, one domicile challenge is
allocating the value of R since class R members may
get re-infected. Common SIR Models include SEIR,
SEIS, MSEIR and MSEIRS among others. Several
countries have so far used SEIR for COVID-19
predictions which has a consideration of an incubation
period for patients. The model has so far expressed
accuracies in prediction despite the model’s instability
in dynamic contact networks [
          <xref ref-type="bibr" rid="ref2">5</xref>
          ] [
          <xref ref-type="bibr" rid="ref4">7</xref>
          ]. Despite the little
success of the models, there have been associate
drawbacks such as short lead time as the model
accuracies decrease with time for instance in Italy it
decreased from 100% in day one to 85% in day six [
          <xref ref-type="bibr" rid="ref3">6</xref>
          ].
In addition there is a possibility of significant data loss
due to the disease patterns leading to possible
prediction errors. Research demonstrates the need for
advancing SIR to achieve scalable models with reliable
performance and accuracy.
        </p>
      </sec>
      <sec id="sec-2-3">
        <title>2.3 Machine Learning Models</title>
        <p>
          Machine learning (ML) models have also been utilized
in this space outweighing the SIR models due to the
reliable performance levels observed in ML models
for long lead times [
          <xref ref-type="bibr" rid="ref2">5</xref>
          ] [
          <xref ref-type="bibr" rid="ref3">6</xref>
          ] [
          <xref ref-type="bibr" rid="ref5">8</xref>
          ]. The use of Machine
learning for infectious diseases modelling and
prediction has been practiced for some time. For
instance, Random forest was used for Swine fever
prediction, artificial neural networks (H1N1 flu, and
Oyster norovirus), CART in dengue fever which was
also modelled using neural networks and Bayesian
network among others [
          <xref ref-type="bibr" rid="ref6 ref7 ref8">9-11</xref>
          ].
        </p>
        <p>
          There however exists a gap in peer reviewed literature
on use of machine learning algorithms application in
infectious diseases spread prediction especially
COVID-19 modelling despite their use in several
pandemics. Nevertheless many researchers have
expressed hope in the use of the models for
COVID19 due to their promising results in previous infectious
diseases modelling. Ideally, despite the high
performance levels observed previously in the use of
machine learning algorithms potential areas of
weakness have been identified in research. [
          <xref ref-type="bibr" rid="ref3">6</xref>
          ],
Proposes improvement of both ML and SIR models
due to their underlying weaknesses and improvement
of time series advancements in machine learning. This
paper aims at advancing time series modelling in
machine learning through ensemble approach
borrowing concepts of machine learning application in
time series modeling projects such as weather
forecasting and natural disaster modeling. With
ensemble machine learning it was possible to model
daily spread patterns in terms of cases and peak times
by borrowing experiences of countries that have gone
through an almost full cycle of infectious diseases.
However notable concerns still remain on the
dynamics surrounding the mitigation measures taken
by different governments on combating spread of
infectious diseases. It is obvious that they impact
prediction but it is also notable that some of the
combating strategies are a tall order for some states and
governments. Much about data used in developing the
model, architecture and performance is discussed in
next parts of this paper, organized into; methodology
which describes the model development approach,
results section elaborating the model performance and
evaluation of its performance, the model’s prediction
outcomes from its application on data from valid
sources, discussion section which describes the model
performance, contribution to the world of research and
finally the conclusions section.
        </p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. METHODOLOGY</title>
      <p>
        This paper is founded on Cross Industry Standard
Process for Data Mining (CRISP-DM) [
        <xref ref-type="bibr" rid="ref6">9</xref>
        ] scientific
methodology. Proposed and developed in 1990s by a
consortium of European companies [
        <xref ref-type="bibr" rid="ref7">10</xref>
        ], the
methodology follows a six step process beginning with
industrial understanding. At this point an
understanding of infectious diseases spread predictor
modelling was carried out so as to inform formulation
of study goals as well as the need for data mining. This
was followed by identification and understanding of
model follows the correct path at all times. It is for this
reason that this research paper considered its use.
To ensure objective assessment of the model’s
predictive powers and robustness, cross-validation was
used [
        <xref ref-type="bibr" rid="ref7">10</xref>
        ] with 10 folds. It gives comparative
accuracies of several models all together and therefore
it was found prudent for both the resultant regressor
model and involved single classifier evaluation.
Crossvalidation typically splits data into mutually exclusive
subsets for use as training and testing data. In extra
ordinary circumstances such as neural network
data sources relevant to the study, in which the
researcher identified public data sources relevant to the
study including data.humdata.org and Kaggle as
potential for the research. The third step was data
preprocessing during which the sourced data for use in the
model development was pre-processed and cleaned to
eliminate any potential imbalances. Transformation of
the data to match the later demonstrated variables for
use in training and testing the model was also carried
out at this stage. The end result was a relevant dataset
for use in the research. The fourth step in CRISP-DM
is the actual model formation using identified machine
learning algorithms. At this point STRIM classifier
was developed through ensemble of decision tree and
regression trees. The model was developed via the use
of tools such as python with various scientific
analytical operations carried to enhance its
performance as per its proposal. In the fifth step, the
classifier was evaluated and assessed for validity and
success against the single classifiers used in the model
with or without PSO in line with the objectives of the
study. The sixth step in the process was deployment of
the developed model for use in machine learning based
prediction of infectious diseases spread. According to
[
        <xref ref-type="bibr" rid="ref7">10</xref>
        ] CRISP-DM allows backtracking since its driven
by experience and experimentation of the research
problem therefore offering an iterative model
development process which is key in ensuring that a
application an additional third subset called validation
set is created [
        <xref ref-type="bibr" rid="ref7 ref8">10 – 12</xref>
        ]. Figure 1 demonstrates
application of CRISP-DM in this paper.
      </p>
      <sec id="sec-3-1">
        <title>3.1 Research Data</title>
        <p>The sample data for use in this model was collected
from public data sources such as The World Health
Organization (WHO) website accessed from
data.humdata.org and Kaggle accessed through
kaggle.com/c/covid19-global-forecasting. The dataset
contained global data regarding the virus regional
spread in over a hundred countries indicating the daily
infected cases and fatalities sampled between January
and June 2020 relative to when respective
countries/states reported the pandemic. The dataset has
20,000 entries as of this research date on which data
mining heuristics were instrumental in ensuring that
valid and relevant data was considered for the model
formation. Therefore variables were deeply identified
as identification variables (country short name,
country/state), input variable in the dataset included
(population, weight, date, cumulative cases and
cumulative deaths). Finally the two output variables in
the dataset were identified as (new cases and new
deaths).
In the dataset framing, the rows represented sampled
daily cases of the virus identification and reporting
based on WHO records. Each of the columns in the
dataset is a representation of either an identifier
variable, input typically representing the attributes of
the two output variables in the study.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2 Feature selection and Model Optimization with PSO</title>
        <p>Particle Swarm Optimization (PSO) is an evolutionary
computation technique for intelligence gathering
(pattern recognition) in datasets proposed and
developed by Dr. Kennedy and Dr. Eberhart in 1995
[16]. The idea of PSO can be traced in intelligent
swarming behavior of bird flocks, bees and the human
being’s social behavior [17]. It offers a meta-heuristic
approach to the problem under optimization. This
means no assumptions are made on the problem hence
wide solution search for optimized performance. PSO
can be further enhanced through combinatorial
approaches as several researchers have previously
done [18]. The equations below are respectively used
in switching the particle positions repetitively until an
optimal criterion is met. Step two is essentially
repeated until this criterion is achieved.</p>
        <p>Vid = W * Vid + c1 * rand1 * (Pbestid – Xid) + c2 *
rand2 * (Gbestid – Xid) (1)
Xid = Xid + Vid
(2)
Where Vid and Xid represent the velocity and position
of the ith particle with d dimensions, rand1 and rand2
are the uniform random functions.</p>
      </sec>
      <sec id="sec-3-3">
        <title>3.3 Applied Classifiers</title>
      </sec>
      <sec id="sec-3-4">
        <title>3.3.1 Decision Trees</title>
        <p>
          These are classification models composed of a handful
of input variables (attributes) contributing to their
prediction capabilities [
          <xref ref-type="bibr" rid="ref7">10</xref>
          ]. They are majorly build on
tree like formations of branches and nodes. A branch
in the tree represents the output conditions leading to
classification of a prediction to its respective node
which denotes the outcome in a transparent manner.
Spanning of a decision trees through the many
branches and nodes can be viewed as a complex
formation of multiple if-else statements. The idea
behind decision tree algorithms is built on recursive
division of training data until classification of elements
belonging to similar classes together is achieved,
making the decision tree algorithms pure.
Generalization can be achieved in the algorithms
through pruning of the trees leading to accuracy
improvement on predictions by decision tree
algorithms. Decision trees use statistical algorithms
including Gini index, information gain (entropy) and
Chi-square statistics to reduce bias in their predictions.
        </p>
      </sec>
      <sec id="sec-3-5">
        <title>3.3.2 Regression Classifiers</title>
        <p>Regression models (RM) are statistical tools used for
outcome prediction through identification of variable
relationships and useful patterns in datasets. They are
data oriented in nature and thus considered as data
fitting models [13]. This is because gathered data
elements are compared with each other in these models
without any close consideration of processes behind
the data elements. Linear regression is a specific form
of regression in which linear predictor functions are
used to predict unknown parameters in subjected data
[3] [14]. Where multiple predictor variables exist
another form of regression christened multiple
regression is considered, with the general formula:
Y = a0 + ∑
 =1  
(3)
Where Y is the model’s output, xj = various input
In the equation k is the number of folds, CV is the cross
variables, a = partial regression coefficients
validation accuracy and A is the fold-wise accuracy
each of the regression models there is a random
training set of N instances (N = size of original training
set). A significant number of the original instances
may be repeated or completely ommited in the test.
Upon construction
of several regression
models
iteratively, average prediction values are used to give
the final prediction. The approach has for long been
associated with a proper response to handling of
missing values in datasets due for use in prediction.
[16], suggests splitting corresponding instances into
pieces as one of the approaches deployed by bagging
regression trees in handling missing values besides
other approaches.</p>
      </sec>
      <sec id="sec-3-6">
        <title>3.4 Model Evaluation</title>
        <p>The fifth step in</p>
        <p>CRISP-DM involves ensuring
effective
performance
of
the
model
through
evaluation. K-fold cross-validation, provided a good
approach to the developed
model evaluation by
eliminating sampling biasness in the segments with a
k-value of 10. The approach split the dataset randomly
into k equal estimated subsets. The common form of
the approach is the 10 fold approach where the value
of k is 10 and the classification model is trained and
tested these k number of times ensuring training on all
but one of the folds each time. The remaining fold is
used for testing and a confusion matrix formed out of
all the test outcomes. In the approach overall accuracy
cross-validation is calculated using equation 4:
CV=1 ∑

 =1 
(4)</p>
      </sec>
      <sec id="sec-3-7">
        <title>Additional evaluation</title>
        <p>Root mean square error (RMSE) and mean absolute
percentage
approaches
error
to
not
(MAPE)
only
offered</p>
        <p>additional
evaluation
but
also
establishment of model accuracy levels associated with
respective models. They are based on the sum of
square errors in terms of how far the data is from mean
and model predicted values. The equations used in the
two approaches were:
MAPE = |
1  − |  100</p>
        <p>RMSE = √

1 ∑ (A-P)2
Accuracy =</p>
        <p>+
 +</p>
        <p>+ + ′
Sensitivity =
Specificity =


 + ′
 + ′
4</p>
      </sec>
      <sec id="sec-3-8">
        <title>RESULTS</title>
      </sec>
      <sec id="sec-3-9">
        <title>4.1 Discussion of Outcomes</title>
        <p>A comparison of the single classifiers and the proposed
ensemble
10-fold
cross
validation
results
are
demonstrated in Table 2. The single classifiers
evaluated included decision trees, regression trees as
well as STRIM and STRIM
classifier with PSO.</p>
        <p>
          Various aspects of comparison
were factored in
comparing the individual classifier outcomes including
training time, training and testing accuracies as well as
the prediction accuracies for each of the classifiers. In
(5)
(6)
(7)
(8)
(9)
addition to the above results based on the evaluation
techniques provided. Accuracy levels for the
individual classifiers were as summarized in Table 3.
The model accuracy levels were further compared to
each other leading to the outcomes demonstrated in
Table 2. . The results demonstrate low accuracies in
decision trees as well as low training time for decision
trees. However their input once involved in ensemble
modelling is very significant as demonstrated in the
evaluation of STRIM model. Involvement of PSO in
the model yielded better results boosting model
accuracy as well as reducing training and testing time.
Based on the findings and evaluations in Table 2, it can
be concluded that ensemble approaches to classifier
development lead to accuracy enhancement. It also has
been described in the table that parameter tuning
approaches such as particle swarm optimization can
assist in improving model performance as well as
significantly and positively impacting time series
modeling. These evaluations match those of [
          <xref ref-type="bibr" rid="ref3">6</xref>
          ] in
modelling for prediction of infectious diseases spread
where regression trees were demonstrated as highly
effective and transparent in predicting outcomes.
        </p>
      </sec>
      <sec id="sec-3-10">
        <title>4.2 Paper Contributions</title>
        <p>This paper’s contributes to enhancement of existing
models in the research domain by using hybrid tree
based regressor ensemble for infectious diseases
spread modelling whose prediction capability was
compared to previous models (SIR models and
ANFIS). The research paper further explores the
possibility of enhancing prediction accuracy through
time series modelling and ensuring model transparency
in prediction thus making the resultant model both a
classifier and knowledge source for its users and
potential domain experts.</p>
      </sec>
      <sec id="sec-3-11">
        <title>5 CONCLUSION</title>
        <p>Ensemble machine learning can be useful in prediction
of Covid-19 and other viral infectious diseases’ spread
patterns within human populations. This paper
proposed a tree based regressor ensemble model for
prediction of COVID-19 spread patterns. The
ensemble is based on common classifier models
ensembled together through the bagging approach with
particle swarm optimization added in effort to optimize
prediction accuracy and robustness in the proposed
ensemble. Compared to the individual select
classifiers, the ensemble classifier was confirmed as
more robust, interpretable and enhanced for predicting
the spread patterns.</p>
        <p>There were several limitations to this research paper
including Covid-19 prediction data dynamism which
has seen drastic changes in patterns on related data in
a short time span. It is important to note that countries
keep changing tactics associated with managing the
pandemic in a non-uniform way with several countries
such as European countries imposing complete
lockdowns of between 14 and 21 days, others imposing
partial lock downs, cessation of movement, social
distancing, and improved hygiene procedures. All
these factors may alter infectious diseases’ spread
patterns greatly and therefore future research within
these lines is highly proposed with semi supervised
learning techniques proposed. However the developed
ensemble model was found effective in predicting the
disease spread trends through regional accurate
prediction of periodic infections and fatalities. This
demonstrated the underlying potential in tree based
regressors and ensemble machine learning in classifier
modelling.
[1] Dupan, From Man to Machine; Neural Control
of Fine Hand Movement, Nijmegen: Donders
Graduate School for Cognitive Neuroscience,
2018.
[2] M. H. M. Armaghani, "Application of Several
Non-linear Prediction Tools for Estimating
Uniaxial Compressive Strength of Granitic
Rocks and Comparison of their Performances,"
Eng. Computing Journal, 2016.
[3] X. M. Luan, "Ensemble Learning Regression
for Estimating Unconfined Compressive
Strength of Cemented Paste Backfill," IEEE
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[20] S. Anno, T. Hara, H. Kai, M. Lee, Y. Chang, K.</p>
        <p>Oyoshi, Y. Mizukami and Tadono,
"Spatiotemperal dengue fever hotspots
associated with climatic factors in taiwan
including outbreak predictions based on
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