{
  "abstract": "The lone star tick, Amblyomma americanum, is closely associated with alpha-gal syndrome (AGS), an emerging tick-associated allergic condition. However, heterogeneous tick surveillance and limited clinical AGS data complicate the assessment of geographic exposure. We investigated whether ecological modeling and epidemiological surveillance could identify areas of potentially elevated AGS exposure across Illinois. Using data from 102 Illinois counties, eight statistical and machine-learning models were evaluated through geographic cross-validation to predict the relative abundance of lone star ticks. Random forest and XGBoost predictions were separately combined with reported ehrlichiosis rates to construct county-level AGS exposure-risk indices. Wildland-urban interface (WUI) population was examined in sensitivity analyses. Random forest achieved near-minimum prediction error while XGBoost demonstrated the strongest rank correlation. Both indices showed substantial concordance with CDC suspected-AGS categories across 97 counties (Spearman {rho} = 0.710 and 0.721). At the highest category threshold, odds ratios per 0.10-unit index increase were 5.02 and 3.63, respectively. By integrating ecological predictions with epidemiological surveillance, we establish a reproducible, spatially explicit framework for prioritizing AGS surveillance, targeting interventions, and guiding future epidemiological investigations across Illinois counties.",
  "abstract_shown": true,
  "affiliations": [
    "University of Illinois Urbana Champaign"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "A. Hussain"
    },
    {
      "name": "M.-P. Nohra"
    },
    {
      "name": "R. L. Smith"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2hth74mmgnzye.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.07.24.26358812",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.07.24.26358812v2.full",
  "id": "2hth74mmgnzye",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.07.24.26358812v2",
  "language": null,
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "epidemiology"
    ],
    [
      "openalex",
      "2405|Vector-borne infectious diseases"
    ]
  ],
  "openalex": "W7171450826",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.07.24.26358812v2.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-24",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2hth74mmgnzye.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T00:20:25Z",
      "native_id": "10.64898/2026.07.24.26358812",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.07.24.26358812v2"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:epidemiology",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "A Spatially Validated Machine-Learning Framework for Mapping Alpha-Gal Syndrome Exposure Potential in Illinois",
  "title_text": "A Spatially Validated Machine-Learning Framework for Mapping Alpha-Gal Syndrome Exposure Potential in Illinois",
  "type": "preprint",
  "updated_at": "2026-11-04T00:21:00Z",
  "url": "https://research.draconitic.com/paper/2hth74mmgnzye",
  "venue": "medRxiv",
  "versions": []
}