Outbreak Surveillance · Nigeria

Lassa Fever Outbreak Intelligence

A research-use national early-warning study for Nigeria built on NCDC weekly surveillance data. Retrospective results are shown as development context; the binding 2026–27 test is prospective and must beat the strongest pre-specified persistence-or-seasonal comparator.

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📋 Loading the 2026–27 prospective study status… · Frozen study details · Validation status
What the 2026–27 study can deliver
Stated by the study team before the season

We expect the 2026–27 prospective study to end as inconclusive–underpowered, and we are saying so before the season starts.

Whether a week can be forecast depends on when NCDC publishes it. Under the frozen v1.1 protocol, the four-week forecast window for a week starts the day after that week ends, and a forecast counts only if it is logged before its window starts. So a week is eligible only if NCDC publishes its report by the Sunday that week ends. No evidence we hold shows NCDC publishing that fast: our own collector timed the fastest release at 6–8 days after the week ended, and an upload-time measure across 36 weeks of 2026 ranged from 9 to 44 days (median 17).

Expected eligible forecast windows in the primary window (2026-W45 to 2027-W17, 26 ISO weeks): 0 of 26 at the lag we measured, 0 of 26 in the best case and 0 of 26 in the worst case. The protocol needs at least 10 scoreable weeks.

An underpowered readout is a pre-specified outcome of the protocol (§11). It is not evidence that the model failed: it means the v1.1 design cannot be scored at NCDC's publication speed. We will publish it as that, and we will not change v1.1 to rescue it. A different forecast lead would be a new, separately versioned study.

Computed from the frozen v1.1 window rule, our first-observation ledger and the upload-time measure: data/lassa/v1-1-eligibility-yield.json. The window has 25 weeks if NCDC numbers 2026 with 52 weeks; the answer is the same.

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2024 retrospective AUROC · context only
37
states shown · per-state illustrative
313
Retrospective model weeks (2020–25)
2020
Real data from
2026 NCDC Surveillance Checkpoint
Verified from official NCDC report · Epi Week 40

Latest directly verified 2026 national checkpoint, cumulative through Epi Week 40 (28 September – 4 October 2026): 8,414 suspected · 1,138 confirmed · 6 probable · 268 confirmed-case deaths (case fatality rate 23.6%; 24 states, 119 LGAs).

Source: Nigeria Centre for Disease Control and Prevention (NCDC), official Week 40 situation report ↗, Table 1, read directly from the PDF. These figures are a display checkpoint. The committed weekly series used by the prospective study currently runs through Epi Week 38; later weeks enter it only through the gated prospective cycle. None of this is part of the frozen 2020–2025 retrospective model-development dataset shown below. Newer weeks are published here only after direct primary-document verification.

2026–27 Prospective Study
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Per-State Outbreak Forecast — Illustrative Prototype
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⚠ Not validated at state level. Only the national model has been retrospectively evaluated (2024 retrospective hold-out; see Model card below). Real per-state weekly counts are not yet available (NCDC publishes them as image tables), so the per-state probabilities shown here are an illustrative prototype, not a validated forecast. Do not use for operational decisions. Real per-state modelling is future work.
▸ Show the illustrative per-state prototype (all 37 states) — not validated; for demonstration only
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Lassa Virus Target Proteins
Viral Pathogen Mode
GPC
Glycoprotein Complex
Viral entry — primary vaccine and antibody target. Mediates fusion with host cell membrane.
NP
Nucleoprotein
RNA synthesis and immune evasion. Suppresses host innate immune response via IFN antagonism.
L
RNA-dependent RNA Polymerase
Viral replication. Primary target for antivirals: favipiravir, ribavirin, and molnupiravir all inhibit L activity.
Z
Matrix Protein (RING)
Viral budding. RING-domain zinc-finger protein; drives virion assembly and release from host cells.
Antiviral Drug Pipeline
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Weekly PubMed Surveillance
Automated · Weekly
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Prediction Model
XGBoost · Temporal CV

National model: will the next 4 weeks carry an above-median confirmed-case burden (an "elevated-transmission week")? Trained on real NCDC weekly data with a strict out-of-time hold-out (train ≤2023, test 2024). The prospective v1.1 study adds explicit seasonal and seasonal+persistence comparators.

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Model AUROC (2024)
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Naive baseline AUROC
0.85
F1
9
Features
2020–2025
Real NCDC data
±1%
vs published totals

Open-access preprint. The full method, results, and honest limitations are published open access: Forecasting Elevated Lassa Fever Transmission Weeks in Nigeria from National Surveillance Data: A Baseline-Benchmarked Proof of Concept (Zenodo, CC-BY, DOI 10.5281/zenodo.21122486). Code & data: github.com/oluwafemidiakhoa/lassaai.

Data: NCDC Weekly Epidemiological Reports (2020–2025), cross-validated against an independent extraction and NCDC published annual totals (agreement ±~1%), plus SORMAS individual-level data (2018–2021) for a per-state/clinical cross-check.

Limitations: Validated result is national; the per-state map below is illustrative pending real per-state weekly data (NCDC reports it in image tables). Confirmed counts under-report true incidence. The model beats a naive baseline only modestly in the original 2024 comparison, and the later audit did not establish stable superiority over explicit seasonality. Research use only — not a validated diagnostic, clinical decision tool, or replacement for NCDC field surveillance.

Run a Lassa Virus Analysis

Enter LASV protein targets into GaiaLab's AI analysis pipeline. The viral pathogen mode routes GPC, NP, L, and Z through a Lassa-specific drug repurposing engine with known antiviral candidates pre-loaded.

GPC NP L Z
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