- Research Article
- 10.1016/j.dialog.2025.100248
Impact of philanthropic investment on integrating social determinants of health into diabetes care at US federally qualified health centers
- Oct 08, 2025
- Dialogues in Health
- Sonak D Pastakia + 14 more +14
Publications from 2021 to 2026
Showing 6 of 6 papers
Impact of philanthropic investment on integrating social determinants of health into diabetes care at US federally qualified health centers
Medical oxygen: a necessity or a luxury in humanitarian settings?
WCN24-544 NEPHROLOGY CARE MANAGEMENT IN THE UKRAINIAN WAR: 2 YEARS EXPERIENCE
A standardised differential privacy framework for epidemiological modelling with mobile phone data
Abstract During the COVID-19 pandemic, the use of mobile phone data for monitoring human mobility patterns has become increasingly common, both to study the impact of travel restrictions on population movement and epidemiological modelling. Despite the importance of these data, the use of location information to guide public policy can raise issues of privacy and ethical use. Studies have shown that simple aggregation does not protect the privacy of an individual, and there are no universal standards for aggregation that guarantee anonymity. Newer methods, such as differential privacy, can provide statistically verifiable protection against identifiability but have been largely untested as inputs for compartment models used in infectious disease epidemiology. Our study examines the application of differential privacy as an anonymisation tool in epidemiological models, studying the impact of adding quantifiable statistical noise to mobile phone-based location data on the bias of ten common epidemiological metrics. We find that many epidemiological metrics are preserved and remain close to their non-private values when the true noise state is less than 20, in a count transition matrix, which corresponds to a privacy-less parameter∈ = 0.05per release. We show that differential privacy offers a robust approach to preserving individual privacy in mobility data while providing useful population-level insights for public health. Importantly, we have built a modular software pipeline to facilitate the replication and expansion of our framework.Author SummaryHuman mobility data has been used broadly in epidemiological population models to better understand the transmission dynamics of an epidemic, predict its future trajectory, and evaluate potential interventions. The availability and use of these data inherently raises the question of how we can balance individual privacy and the statistical utility of these data. Unfortunately, there are few existing frameworks that allow us to quantify this trade-off. Here, we have developed a framework to implement a differential privacy layer on top of human mobility data which can guarantee a minimum level of privacy protection and evaluate their effects on the statistical utility of model outputs. We show that this set of models and their outputs are resilient to high levels of privacy-preserving noise and suggest a standard privacy threshold with an epsilon of 0.05. Finally, we provide a reproducible framework for public health researchers and data providers to evaluate varying levels of privacy-preserving noise in human mobility data inputs, models, and epidemiological outputs.
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Anonymised and aggregated crowd level mobility data from mobile phones suggests that initial compliance with COVID-19 social distancing interventions was high and geographically consistent across the UK
Background: Since early March 2020, the COVID-19 epidemic across the United Kingdom has led to a range of social distancing policies, which have resulted in reduced mobility across different regions. Crowd level data on mobile phone usage can be used as a proxy for actual population mobility patterns and provide a way of quantifying the impact of social distancing measures on changes in mobility. Methods: Here, we use two mobile phone-based datasets (anonymised and aggregated crowd level data from O2 and from the Facebook app on mobile phones) to assess changes in average mobility, both overall and broken down into high and low population density areas, and changes in the distribution of journey lengths. Results: We show that there was a substantial overall reduction in mobility, with the most rapid decline on the 24th March 2020, the day after the Prime Minister’s announcement of an enforced lockdown. The reduction in mobility was highly synchronized across the UK. Although mobility has remained low since 26th March 2020, we detect a gradual increase since that time. We also show that the two different datasets produce similar trends, albeit with some location-specific differences. We see slightly larger reductions in average mobility in high-density areas than in low-density areas, with greater variation in mobility in the high-density areas: some high-density areas eliminated almost all mobility. Conclusions: These analyses form a baseline from which to observe changes in behaviour in the UK as social distancing is eased and inform policy towards the future control of SARS-CoV-2 in the UK.
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