Epidemic Location Intelligence System as Response to the COVID-19 Outbreak in Bosnia and Herzegovina

Abstract

The outbreak of COVID-19 is a public health emergency that caused disastrous results in many countries. The global aim is to stop transmission and prevent the spread of the disease. To achieve it, every country needs to scale up emergency response mechanisms, educate and actively communicate with the public, intensify infected case finding, contact tracing, monitoring, quarantine of contacts, and isolation of cases. Responding to an emergency requires efficient collaboration and a multi-skilled approach (medical, information, statistical, political, social, and other expertise), which makes it hard to define one interface for all. As actors from different perspectives and domain backgrounds need to address diverse functions, the possibility to exchange available information quickly would be desirable. In Bosnia and Herzegovina, a joint state-level public health institution has not been established, but is covered by entity competencies. In this sense, a geoportal has been developed as an epidemiological location-intelligence system (ELIS) that supports the exchange of such information between the entities and the cantons. For its development, open source software components in the cloud were used as a working platform with all the necessary functionalities. The geoportal provides an entry point for access to geospatial, epidemiological, environmental and statistical data used for analysis, geocoding of confirmed COVID-19 cases, identification of disease dynamics, identification of vulnerable groups, mapping of health capacities, and general modeling of infection spread with application support for communication and collaboration between all institutions and the public. The paper describes the challenges and ways to overcome them in the development and use of ELIS.