AI Takes the Lead in Pandemic Preparedness

Author: Denis Avetisyan


A new agent-based AI system streamlines the complex process of epidemic response planning, offering a proactive approach to public health crises.

An automated framework processes unstructured reports of potential epidemics, identifying the disease type and triggering conditions to formulate response plans-initially drafted from a knowledge base, then iteratively refined through feedback-resulting in actionable tasks assigned to responsible parties with defined deadlines, as demonstrated through a pertussis case study.
An automated framework processes unstructured reports of potential epidemics, identifying the disease type and triggering conditions to formulate response plans-initially drafted from a knowledge base, then iteratively refined through feedback-resulting in actionable tasks assigned to responsible parties with defined deadlines, as demonstrated through a pertussis case study.

EpiPlanAgent leverages large language models and structured knowledge to automate contingency planning and generate actionable epidemic response workflows.

Traditional epidemic response planning remains a labor-intensive process, often hindered by the need for rapid, comprehensive action. This paper introduces EpiPlanAgent: Agentic Automated Epidemic Response Planning, a novel agent-based system leveraging large language models to automate the generation and validation of digital emergency response plans. Results demonstrate that EpiPlanAgent significantly improves plan completeness and guideline adherence while drastically reducing development time compared to manual workflows. Could this represent a scalable solution for transforming public health preparedness and enabling more proactive responses to emerging threats?


The Inevitable Cascade: Responding to Epidemic Outbreaks

Historically, formulating effective responses to epidemics has been a considerable undertaking, frequently hampered by protracted timelines and substantial resource demands. Conventional planning relies heavily on manual data analysis, expert consultations, and the development of detailed protocols – a process that can take weeks or even months to complete. This slow pace often renders initial plans obsolete by the time an outbreak fully unfolds, as viral evolution and shifting transmission dynamics necessitate constant revisions. Furthermore, inconsistencies arise from variations in local expertise, differing interpretations of data, and the subjective nature of risk assessment, leading to fragmented and uncoordinated efforts across regions. The result is a system vulnerable to delays, inefficiencies, and ultimately, a diminished capacity to protect public health effectively during rapidly escalating crises.

The accelerating pace of modern life and global interconnectedness necessitates a paradigm shift in epidemic response, moving beyond traditional, manual planning processes. Contemporary outbreaks, characterized by rapid mutation and unpredictable spread, overwhelm conventional systems designed for slower timelines. Consequently, automated systems are crucial for generating effective mitigation plans in real-time. These systems leverage computational modeling and data analysis to forecast outbreak trajectories, assess resource needs, and recommend interventions – such as targeted vaccination campaigns or localized lockdowns – with a speed and precision unattainable through human effort alone. The ability to dynamically adapt plans as new data emerges is paramount, ensuring that responses remain relevant and impactful even as the outbreak evolves, ultimately minimizing morbidity and mortality.

Current epidemic preparedness tools frequently struggle with the unpredictable nature of outbreaks, exhibiting limited adaptability to novel pathogens or rapidly changing transmission dynamics. Many systems rely on pre-defined protocols and static datasets, hindering their ability to model the complex interplay of factors influencing disease spread – such as population density, mobility patterns, and intervention strategies. This inflexibility often necessitates extensive manual adjustments and delays response times, while the lack of scalability prevents efficient planning for large-scale, geographically diverse outbreaks. Consequently, these limitations underscore the urgent need for automated systems capable of generating customized, data-driven plans that can dynamically adjust to the unique characteristics of each emerging threat and ensure effective resource allocation across varied scenarios.

EpiPlanAgent (R2) significantly outperforms manual planning in both completeness and generation time (p < 0.001 for both metrics), as demonstrated by a comparison of mean scores and standard deviations.
EpiPlanAgent (R2) significantly outperforms manual planning in both completeness and generation time (p < 0.001 for both metrics), as demonstrated by a comparison of mean scores and standard deviations.

Orchestrating Response: The Architecture of EpiPlanAgent

EpiPlanAgent leverages a multi-agent workflow orchestrated by the SigmaFlow Framework to achieve efficient task handling. This framework facilitates the decomposition of complex requests into smaller, manageable sub-tasks, which are then distributed amongst specialized agents for parallel processing. SigmaFlow manages agent communication, data flow, and task synchronization, thereby reducing overall processing time and improving scalability. The architecture supports dynamic task assignment, allowing agents to be added or removed as needed to optimize performance based on workload demands. This parallelization strategy is key to handling complex epidemiological planning scenarios and delivering timely results.

The EpiPlanAgent’s central processing unit is the DeepSeek-V3 Large Language Model (LLM). This model was selected due to its demonstrated proficiency in complex reasoning tasks and its ability to accurately follow multi-step instructions. Evaluations indicate DeepSeek-V3 outperforms many similarly sized LLMs in benchmarks assessing logical inference and adherence to specified formatting requirements. Its architecture facilitates the processing of complex queries and the generation of structured outputs, crucial for the EpiPlanAgent’s planning and execution functions. The model’s parameters are fixed during operation, ensuring consistent performance and predictability in response generation.

The EpiPlanAgent incorporates a Retrieval-Augmented Generation (RAG) mechanism to enhance the factual accuracy and reliability of its responses. This process involves retrieving relevant information from a dedicated Domain Knowledge Base prior to generating a textual output. Specifically, user queries are used to identify pertinent passages within the knowledge base, which are then provided as context to the underlying Large Language Model (DeepSeek-V3). By grounding the LLM in this authoritative information, the RAG system minimizes the risk of hallucination and ensures that generated responses are aligned with established guidelines and factual data contained within the Domain Knowledge Base.

EpiPlanAgent leverages Tool Nodes and Model Nodes within the SigmaFlow framework to orchestrate its core functionalities. Tool Nodes are responsible for external interactions, including data retrieval from the Domain Knowledge Base for RAG, and execution of code necessary for task completion. Model Nodes encapsulate the DeepSeek-V3 Large Language Model, handling tasks such as prompt construction, reasoning, and response generation. These nodes are interconnected via SigmaFlow, enabling a dynamic workflow where Tool Nodes provide data to Model Nodes, and Model Nodes utilize that data to produce outputs or trigger further actions via other Tool Nodes, thereby facilitating the complete RAG process, code execution, and final response assembly.

EpiPlanAgent scores exhibit a strong correlation with expert judgment, indicating the agent's ability to align with human evaluation.
EpiPlanAgent scores exhibit a strong correlation with expert judgment, indicating the agent’s ability to align with human evaluation.

Validating the Efficacy: Measuring Plan Quality and Completeness

EpiPlanAgent outputs epidemic response plans utilizing the JSON (JavaScript Object Notation) data format. This structured output facilitates seamless integration with a range of existing public health information systems and analytical tools. The use of JSON allows for programmatic access to plan components – including recommended interventions, resource allocation details, and timelines – enabling automated processing, data exchange, and the incorporation of EpiPlanAgent’s outputs into broader epidemiological modeling and decision-support workflows. The standardized format also supports interoperability across different software platforms and facilitates the automated validation of plan components against pre-defined criteria and best practices.

Expert Assessment of EpiPlanAgent-generated epidemic response plans involves evaluation by qualified public health professionals. These experts review plans for feasibility, appropriateness of interventions, and alignment with established public health protocols. The assessment process utilizes a standardized rubric to ensure consistent evaluation criteria, focusing on key areas such as surveillance, contact tracing, isolation/quarantine, vaccination strategies, risk communication, and resource allocation. Evaluators provide detailed feedback on plan strengths and weaknesses, identifying areas for improvement and potential gaps in coverage. This feedback is crucial for iteratively refining the system and enhancing the quality and effectiveness of generated plans.

The Plan Completeness Score serves as a primary evaluation metric for assessing the thoroughness of generated epidemic response plans, quantifying the inclusion of all designated essential actions. Empirical results indicate an average Plan Completeness Score of 82.4%, with a standard deviation of 6.3%, when utilizing plans generated by EpiPlanAgent. This represents a statistically significant improvement compared to manually created plans, which achieved an average score of 68.7% with a standard deviation of 7.9%. This difference demonstrates the system’s capability to consistently produce more comprehensive plans relative to current manual workflows.

The EpiPlanAgent incorporates an iterative refinement process that enables continuous improvement of generated epidemic response plans. Following initial plan generation, public health experts review the output and provide specific feedback regarding identified gaps or areas for optimization. This feedback is then integrated into the system, triggering a new iteration of plan generation that incorporates the expert insights. Multiple rounds of this feedback and adjustment cycle are supported, allowing for progressive enhancement of plan quality and completeness. This process ensures that the final plans are not only comprehensive but also aligned with current best practices and expert judgment.

The Future of Preparedness: Impact and Ongoing Development

EpiPlanAgent presents a significant advancement in epidemic preparedness through the automation of response planning. The system demonstrably improves both the speed and quality of generated plans, reducing average creation time by an impressive 93.9%, from over twenty-four minutes to just one and a half. This efficiency is achieved through a sophisticated architecture designed to handle the complexities of outbreak scenarios while remaining adaptable to diverse data inputs. By automating a traditionally manual and time-consuming process, EpiPlanAgent allows public health officials to react more swiftly and effectively, potentially mitigating the impact of epidemics and improving resource allocation. The scalability of the system suggests it can be readily deployed in various settings, offering a robust solution for proactive epidemic management and bolstering global health security.

EpiPlanAgent’s design prioritizes flexibility through a modular architecture, enabling seamless adaptation to a wide spectrum of outbreak scenarios – from localized influenza strains to rapidly spreading novel viruses. This approach decouples core functionalities, such as data ingestion, risk assessment, and resource allocation, allowing individual components to be updated or replaced without disrupting the entire system. Crucially, the system is engineered for interoperability, readily integrating data from diverse sources including public health surveillance systems, social media feeds, and environmental monitoring networks. This capacity to synthesize information from varied and often unstructured data streams significantly enhances the accuracy and timeliness of response plans, ensuring that interventions are tailored to the specific characteristics of each emerging threat and the unique context in which it unfolds.

Continued development of EpiPlanAgent prioritizes the incorporation of machine learning algorithms designed to analyze historical outbreak data. This enhancement aims to move beyond reactive planning, enabling the system to proactively identify emerging risks and anticipate potential epidemic trajectories. By discerning patterns from past events – including viral spread, population vulnerability, and intervention effectiveness – the system can refine its predictive capabilities and generate more robust, pre-emptive response plans. Such a shift towards predictive modeling will not only accelerate response times but also optimize resource allocation, potentially mitigating the impact of future outbreaks before they escalate into widespread crises. The goal is to create a continuously learning system capable of adapting to novel threats and improving its performance with each successive event.

The architecture underlying EpiPlanAgent demonstrates a versatility extending far beyond public health emergencies; its capacity for rapid, data-driven plan generation proves applicable to a wide range of complex crises demanding swift and informed responses. The system’s demonstrated reduction in planning time – a remarkable 93.9% decrease from an average of 24.5±5.1 minutes to just 1.5±0.4 minutes – highlights its potential in scenarios like natural disaster relief, infrastructure failures, or even large-scale logistical challenges. This efficiency isn’t simply about speed, but also about enabling decision-makers to explore a greater number of potential strategies within critical timeframes, ultimately leading to more robust and effective outcomes. The core technology, therefore, represents a significant advancement in crisis management, offering a scalable solution for any situation requiring rapid analysis and optimized planning.

EpiPlanAgent, as detailed in the study, embodies a proactive stance against the inevitable entropy of public health systems. The system’s capacity for iterative refinement-constantly updating plans based on new information-directly addresses the principle that any improvement ages faster than expected. This isn’t merely about speed, but about acknowledging the temporal nature of preparedness. As Donald Davies observed, “The real bottleneck is human decision-making, not computing power.” EpiPlanAgent attempts to alleviate that bottleneck, not by eliminating human input, but by augmenting it with a dynamically adjusting framework for contingency planning, acknowledging that even the most robust systems require constant recalibration against the relentless march of time and evolving circumstances.

The Long Run

EpiPlanAgent, as presented, addresses a critical juncture: the automation of preparedness. Yet, every bug is a moment of truth in the timeline of such a system. The efficacy demonstrated represents not a solution, but a momentary reprieve from the inevitable decay of any predictive model facing the chaotic reality of emergent disease. The true measure will not be in simulated successes, but in how gracefully the system ages when confronted with a novel pathogen – or, more likely, a familiar one behaving in unexpected ways.

Future iterations must grapple with the inherent limitations of knowledge integration. Structured knowledge, while valuable, is a snapshot of the past. Large language models, for all their fluency, are echo chambers of existing data. The crucial challenge lies in building systems that not only respond to novel information, but actively seek out, validate, and learn from the unpredictable signals emerging from the epidemiological landscape.

Ultimately, EpiPlanAgent’s legacy will hinge on its ability to shift the paradigm from reactive crisis management to proactive resilience. Technical debt is the past’s mortgage paid by the present; the system’s architecture must anticipate – and accommodate – the accruing costs of adaptation. The aim should not be to prevent disruption, but to create a framework capable of absorbing it, evolving, and persisting beyond the immediate crisis.


Original article: https://arxiv.org/pdf/2512.10313.pdf

Contact the author: https://www.linkedin.com/in/avetisyan/

See also:

2025-12-12 22:34