Electronic Health Markets Used to Predict the Spread of Dengue IMED - - PowerPoint PPT Presentation

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Electronic Health Markets Used to Predict the Spread of Dengue IMED - - PowerPoint PPT Presentation

Electronic Health Markets Used to Predict the Spread of Dengue IMED February 6, 2011 Introduction: Dengue In the Americas Source: Data compiled from Pan American Health Organization (PAHO) Case Reports What are Prediction Markets? Used


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Electronic Health Markets Used to Predict the Spread of Dengue IMED February 6, 2011

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Introduction: Dengue In the Americas

Source: Data compiled from Pan American Health Organization (PAHO) Case Reports

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What are Prediction Markets?

  • Used to predict event outcomes (commodity prices, elections,

corporate earnings, movie box office returns, disease outbreaks)

  • Useful in quantifying professional opinion, knowledge, and

experience

  • Participants purchase or sell shares based on their degree of certainty
  • f a particular outcome
  • Prices reflect the strength of traders’ beliefs in an outcome-higher

prices mean greater probability of that outcome

  • Prior work with prediction markets has shown that they can provide

accurate predictions weeks before an event occurs

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Dengue Market Methods

  • Participants were given $100 of a valueless currency (Dengue Dollars)
  • Market questions addressed dengue-related events
  • How many dengue cases will be reported in the 50 United States in 2010?
  • How many states will report locally acquired cases in 2010?
  • By what percent will dengue cases reported to PAHO increase in 2010 (above

2009 reported cases)?

  • By what percent will severe dengue cases reported to PAHO increase in 2010

(above 2009 reported cases)?

  • Multiple choices for trading were provided for each question
  • Traders bought and sold shares based on their knowledge and certainty of

dengue-related outcomes

  • Contract (share) prices can be interpreted as the consensus probabilities of

event occurrence

  • Final contract values were determined using traditional surveillance data
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Market Participant Profile

Countries Represented

  • Austria: 1
  • Brazil: 1
  • Canada: 3
  • Germany: 3
  • Jamaica: 1
  • Netherlands: 1
  • Peru: 1
  • Spain: 1
  • United Kingdom: 1
  • USA: 69

Participant Occupations Number of Participants Epidemiologists: 13 Students 7 Public Health Officials 6 Physicians 6 Microbiologists 5 Economists 5 Nurses 2 Journalists 1 Other 37 Total 82 Active Participants

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U.S. Cumulative Numbers of Dengue Cases

Dengue Market Results: US Case Counts (Ed. 1)

142 165 213 232 270 286 294 315

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U.S. Cumulative Numbers of Dengue Cases

Dengue Market Results: US Case Counts (Ed. 2)

315 333 346 355 368 373 390 394 421 459 462 469 471

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Dengue Market Results: States with Dengue

89% Probable

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Dengue Market Results: PAHO Rise in Dengue Cases

68% Probable

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Dengue Market Results: PAHO Rise in Severe Dengue

43% Probable

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Dengue Market Limitations, Conclusions, and Policy Implications

Market Limitations

  • Number of participants
  • Expertise of participating traders
  • Frequency of trading
  • Reliance on traditional surveillance

Conclusions

  • The markets provided some predictions

that could be useful to policymakers.

  • While some predictions may seem logical

to experts in infectious diseases, synthesized opinion and prediction is a powerful tool to inform policymakers of likely outcomes.

  • Markets have the potential as a predictive

tool to help guide public health policies for infectious disease outbreaks.

Future Directions

  • New markets are open for Dengue and

Chikungunya

  • New markets will focus on more policy
  • riented questions
  • We will increase the number, geographic

diversity and range of expertise of traders

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THANK YOU!

Crystal Boddie, MPH Associate boddiecr@upmc.edu

Center for Biosecurity of UPMC Team

Tara Kirk Sell, MA Associate tksell@upmc.edu

University of Iowa Team

Philip Polgreen, MD, MPH Assistant Professor philip-polgreen@uiowa.edu Anson Ho PhD Graduate Student ansontaiyat-ho@uiowa.edu

To Participate for free in the Iowa Electronic Health Markets IEhM Please Visit the Web Site: http://iehm.uiowa.edu/