Award Abstract # 2200299
PIPP Phase I: Next Generation Surveillance Incorporating Public Health, One Health, and Data Science to Detect Emerging Pathogens of Pandemic Potential

NSF Org: CBET
Division of Chemical, Bioengineering, Environmental, and Transport Systems
Recipient: UNIVERSITY OF OKLAHOMA
Initial Amendment Date: July 21, 2022
Latest Amendment Date: January 8, 2025
Award Number: 2200299
Award Instrument: Standard Grant
Program Manager: Bruce Hamilton
CBET
 Division of Chemical, Bioengineering, Environmental, and Transport Systems
ENG
 Directorate for Engineering
Start Date: August 1, 2022
End Date: January 31, 2025 (Estimated)
Total Intended Award Amount: $999,977.00
Total Awarded Amount to Date: $999,977.00
Funds Obligated to Date: FY 2022 = $999,977.00
History of Investigator:
  • David Ebert (Principal Investigator)
    ebert@ou.edu
  • Thirumalai Venkatesan (Co-Principal Investigator)
  • Michael Wimberly (Co-Principal Investigator)
  • Jason Vogel (Co-Principal Investigator)
  • Aaron Wendelboe (Co-Principal Investigator)
Recipient Sponsored Research Office: University of Oklahoma Norman Campus
660 PARRINGTON OVAL RM 301
NORMAN
OK  US  73019-3003
(405)325-4757
Sponsor Congressional District: 04
Primary Place of Performance: University of Oklahoma Norman Campus
201 Stephenson Parkway
NORMAN
OK  US  73019-9705
Primary Place of Performance
Congressional District:
04
Unique Entity Identifier (UEI): EVTSTTLCEWS5
Parent UEI:
NSF Program(s): PIPP-Pandemic Prevention
Primary Program Source: 01002223DB NSF RESEARCH & RELATED ACTIVIT
Program Reference Code(s): 9150, 103Z
Program Element Code(s): 177Y00
Award Agency Code: 4900
Fund Agency Code: 4900
Assistance Listing Number(s): 47.041

ABSTRACT

Emerging pathogens such as SARS-CoV-2 cross over from animals to humans and can cause new and deadly diseases. They spread before they are identified, allowing significant infection before detection and response. The threat of new diseases presents a Grand Challenge: How can we routinely collect and analyze data to provide early detection that can help prevent the spread of new diseases and stop the next pandemic? Delayed response to COVID-19 underscores the need for new early detection methods, more effective data management and integration, monitoring of the human-animal interface to detect new and emerging pathogens, and more cooperation and information sharing between animal and public health officials. This Predictive Intelligence for Pandemic Prevention (PIPP) Phase I: Development Grants project will improve our ability to monitor and predict infectious disease threats using traditional and new data sources with novel computer algorithms to produce actionable information that will improve public-health responses to future pandemic threats. We will work with local and state public and animal health officials, practitioners, and community leaders to train them on the cutting-edge science while translating the results into solutions for metropolitan, rural and tribal nation communities. The outcome will be a comprehensive animal and public health surveillance, planning, and response roadmap that can be tailored to the unique needs of communities while enabling effective community response and management.

This project will leverage multiple streams of information to identify signals of emerging threats. Achieving this goal requires the development of new diagnostic tools that provide novel information sources and computational frameworks that automate the process of ingesting, harmonizing, and analyzing large, dynamic, and heterogeneous data streams. This work develops and evaluates the outcomes of a set of techniques to surveil and identify the presence of and behavioral responses to an illness and/or pathogen in animals, communities, and individuals prior to symptom onset. The project leverages science-based, human-guided Artificial Intelligence (AI)/Machine Learning (ML) methods to analyze and fuse data streams from surveillance and environmental data to track predictive indicators across scales. These novel methods build on successful applications: wastewater surveillance to detect pathogens, pharmaceuticals, and human-health biomarkers indicative of community presence of existing or emerging infectious diseases (EIDs), animal surveillance to detect many EIDs, environmental modeling for forecasting infectious diseases, and breathomics to identify patients with lung cancer, COVID-19, and tuberculosis. This approach is novel in that it harnesses and integrates multiple surveillance data streams in a layered and parallel approach ensuring accuracy and specificity and enabling effective integration of individual-to-community-wide sampling scales into surveillance systems. This project enables effective design and evaluation of response planning techniques.

This award is supported by the cross-directorate Predictive Intelligence for Pandemic Prevention Phase I (PIPP) program, which is jointly funded by the Directorates for Biological Sciences (BIO), Computer Information Science and Engineering (CISE), Engineering (ENG) and Social, Behavioral and Economic Sciences (SBE).

This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

PUBLICATIONS PRODUCED AS A RESULT OF THIS RESEARCH

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Kuhn, Katrin Gaardbo and Shukla, Rishabh and Mannell, Mike and Graves, Grant M and Miller, A Caitlin and Vogel, Jason and Malloy, Kimberly and Deshpande, Gargi and Florea, Gabriel and Shelton, Kristen and Jeffries, Erin and De_León, Kara B and Stevenson, "Using Wastewater Surveillance to Monitor Gastrointestinal Pathogen Infections in the State of Oklahoma" Microorganisms , v.11 , 2023 https://doi.org/10.3390/microorganisms11092193 Citation Details
Nekorchuk, Dawn M and Bharadwaja, Anita and Simonson, Sean and Ortega, Emma and França, Caio_M B and Dinh, Emily and Reik, Rebecca and Burkholder, Rachel and Wimberly, Michael C "The Arbovirus Mapping and Prediction (ArboMAP) system for West Nile virus forecasting" JAMIA Open , v.7 , 2024 https://doi.org/10.1093/jamiaopen/ooad110 Citation Details
Venkatesan, Thirumalai and Thavasi, Velmurugan and Metcalf, Justin and Tyungu, Donna and Wendelboe, Aaron and Ebert, David and Weiqiang, Ong and Fuchang, Zhang and Zhunan, Jia "Revolutionising disease detection: The emergence of non-invasive VOC breathomics" Open Access Government , v.41 , 2024 https://doi.org/10.56367/OAG-041-10923 Citation Details
Wimberly, Michael "Meteorological data for public health surveillance" Open Access Government , v.42 , 2024 https://doi.org/10.56367/OAG-042-10923 Citation Details
Jia, Zhunan and Thavasi, Velmurugan and Venkatesan, Thirumalai and Lee, Pyng "Breath Analysis for Lung Cancer Early DetectionA Clinical Study" Metabolites , v.13 , 2023 https://doi.org/10.3390/metabo13121197 Citation Details
Kwon, Taeyong and Trujillo, Jessie D and Carossino, Mariano and Lyoo, Eu Lim and McDowell, Chester D and Cool, Konner and Matias-Ferreyra, Franco S and Jeevan, Trushar and Morozov, Igor and Gaudreault, Natasha N and Balasuriya, Udeni BR and Webby, Richard "Pigs are highly susceptible to but do not transmit mink-derived highly pathogenic avian influenza virus H5N1 clade 2.3.4.4b" Emerging Microbes & Infections , v.13 , 2024 https://doi.org/10.1080/22221751.2024.2353292 Citation Details
Basheer, Aseel and Jentner, Wolfgang and Kuhn, Katrin and Wimberly, Michael and Vogel, Jason and Ebert, David "A comprehensive approach to integrated one health surveillance and response" Open Access Government , v.43 , 2024 https://doi.org/10.56367/OAG-043-10923 Citation Details
Ebert, David S "Applying data science advances in disease surveillance and control" Open Access Government , v.39 , 2023 https://doi.org/10.56367/OAG-039-10899 Citation Details
Gaardbo_Kuhn, Katrin "Wastewater surveillance for infectious disease preparedness" Open Access Government , v.40 , 2023 https://doi.org/10.56367/OAG-040-10923 Citation Details
Jia, Zhunan and Ong, Wei Qiang and Zhang, Fuchang and Du, Fang and Thavasi, Velmurugan and Thirumalai, Venkatesan "A study of 9 common breath VOCs in 504 healthy subjects using PTR-TOF-MS" Metabolomics , v.20 , 2024 https://doi.org/10.1007/s11306-024-02139-6 Citation Details

PROJECT OUTCOMES REPORT

Disclaimer

This Project Outcomes Report for the General Public is displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed in this Report are those of the PI and do not necessarily reflect the views of the National Science Foundation; NSF has not approved or endorsed its content.

NSF Project Outcomes Report 

Overview:  

This project designed and deployed a One Health-based integrated surveillance platform to monitor infectious disease spread using data from humans, animals, wastewater, and environmental systems. The initiative combined high-resolution biosensing, advanced analytical techniques, and multiscale modeling to forecast outbreaks and support data-driven public health responses. Emphasizing early detection, access, and interdisciplinary collaboration, the project addressed core challenges in pandemic preparedness and prevention. 

  

Key Intellectual Contributions: 

  • Developed and validated new breathomics-based screening tools capable of detecting respiratory infections (e.g., COVID-19, RSV, influenza) up to 10 days before laboratory confirmation. This involved integrating machine learning models with high-resolution breath data captured using Proton Transfer Reaction Mass Spectrometry (PTR-MS). 

  • Advanced wastewater-based epidemiology (WBE) for infectious diseases including gastrointestinal, respiratory, and vector-borne diseases. We also expanded the pathogen marker library with six novel targets: West Nile Virus, H5N1, hepatitis A, enterovirus D68, Mycoplasma pneumoniae, and measles. 

  • Improved environmental surveillance models using meteorological data (e.g., Net Effective Temperature anomalies) to predict infectious disease spread and behavioral shifts that impact transmission dynamics. 

  • Created a unified data platform combining human, animal, environmental, and climatic indicators to improve syndromic surveillance, infectious disease prediction and management. We also customized this platform to predict county-level COVID-19 outcomes with up to 90% accuracy. Techniques included linear mixed-effects modeling, spatiotemporal forecasting, and transformer-based deep learning architectures. 

  • Demonstrated the feasibility of using volatile organic compound (VOC) profiles from exhaled breath for rapid, non-invasive disease monitoring in clinical and public health contexts. 

 

Broader Impacts: 

  • Developed actionable public health surveillance tools that support early warning, threat detection, and proactive outbreak mitigation at the community level that can be deployed across the United States and beyond. These tools can be used to improve public health and wellbeing.  

  • Established scalable breath-based diagnostics with potential deployment in rural or under-resourced areas, helping address diagnostic access disparities. 

  • Provided hands-on training for over 15 undergraduate and graduate students in breathomics, environmental monitoring, data science, and epidemiological modeling, fostering a new generation of interdisciplinary researchers. 

  • Integrated project discoveries into formal education through a biomedical engineering course module, independent studies, and mentoring activities emphasizing experiential learning. 

  • Collaborated closely with the Oklahoma State Department of Health, the University of Oklahoma Health, and local municipal agencies to translate research into operational forecasting tools and decision-making frameworks. 

 

Societal Relevance: 
This project demonstrated how cross-disciplinary, One Health integrated data surveillance can provide a faster, more comprehensive understanding of emerging health threats. By bringing together human, animal, environmental, and behavioral data, the PIPP initiative created a model for holistic and responsive disease detection. Our breath-based tools, for example, offer a promising alternative for early detection in under-resourced communities, helping reduce diagnostic inequities. Moreover, our explainable machine learning models and commitment to data transparency fostered community trust and engagement, increasing the likelihood of long-term technology adoption. 

By aligning science, data, and community partnership, this work supports national strategies for pandemic preparedness, particularly those focused on reducing lag times between outbreak emergence and response. The integrated approach validated here could be replicated across other states and adapted for additional disease threats. 

Conclusion: 
By integrating data from humans, animals, and the environment (a One Health approahc), this project advanced our ability to detect and respond to outbreaks before they escalate. The tools developed—such as breath-based diagnostics and wastewater monitoring—offer scalable, non-invasive approaches for early detection. These innovations, grounded in cross-sector collaboration and public engagement, provide a model for strengthening pandemic preparedness and protecting public health across communities. 

 

 


Last Modified: 04/30/2025
Modified by: David S Ebert

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