Evidence map›Paper›PMID 42226297›Full record

ArticleInternational journal of health geographics2026

Spatio-temporal epidemic forecasting with graph-based transformer.

Mahmoud Ezzat, Youssef Mohamed Malek, Tamer AbdelKader, Nagwa Badr

Abstract readComparative Study
In one paragraph

Article in International journal of health geographics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mahmoud EzzatDepartment of Information Systems, Computer and Information Sciences, Ain Shams University, Abbasya, Cairo, 11566, Egypt. mahmoud.abdelmobdy@cis.asu.edu.eg.
Youssef Mohamed MalekDepartment of Media Engineering and Technology, Faculty of Engineering, German University in Cairo, New Cairo, 11835, Egypt.
Tamer AbdelKaderDepartment of Information Systems, Computer and Information Sciences, Ain Shams University, Abbasya, Cairo, 11566, Egypt.
Nagwa BadrDepartment of Information Systems, Computer and Information Sciences, Ain Shams University, Abbasya, Cairo, 11566, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemic forecasting plays a vital role in modern public health. The COVID-19 outbreak underscored the critical need for accurate and responsive models. Recent spatio-temporal Graph Neural Network (GNN) models that integrate human mobility networks face challenges in fully capturing complex, non-linear temporal dynamics and long-range spatial dependencies. To bridge this gap, we introduce two novel spatio-temporal architectures that combine GNNs with Transformer-based temporal modeling: a local-attention-model, which restricts self-attention to temporally adjacent windows of the same node, and a global-attention-model, which leverages full sequence-wide attention across all nodes to capture long-range dependencies. We benchmark our approaches against Persistence, Graph Convolutional Recurrent Network (GCRN) and Graph WaveNet baselines using two real-world datasets from Spain and Brazil. Our models show competitive and superior performance across most metrics compared to recurrent and temporal convolution baselines. The Linear Temporal Graph Convolutional Network (LinearTGCN) variant achieves the best Symmetric Mean Absolute Percentage Error (SMAPE) 24.74% and Mean Directional Accuracy (MDA) 72.52% on Spain dataset, outperforming the full attention-models. While, in Top-40 cities subset of Brazil dataset, local-attention-model slightly matches or outperforms the compared baselines with RMSE (3873.63) and SMAPE (83.47%). Our experiments demonstrate that simple linear models can match or exceed Transformers on structured time series, while Transformers show a great performance on noise or unstructured datasets like Brazil dataset. We found that SMAPE values varies across models by only a few percentage points, while the models are significantly better at directional prediction than the Persistence baseline.

Indexed as

EpidemicsGraph Neural NetworksSpatio-Temporal AnalysisBrazilCOVID-19ForecastingHumansRecurrent Neural NetworksSpainAttention mechanismCOVID-19Graph convolutional networkSpatio-temporalTransformer

Identifiers

PMID42226297
PMCPMC13255379

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.