Behind the Paper: Introducing Computational Prophylaxis and the COHRCIE Framework
Published in Computational Sciences, Public Health, and Philosophy & Religion
Behind the Paper: Introducing Computational Prophylaxis and the COHRCIE Framework
What if disease prevention had its own computational science?
When I began my PhD research, I knew I wanted to work at the intersection of computer science, epidemiology, and the One Health paradigm. The need to situate my research within a clear field of study revealed a gap in the way we think about disease prevention. As a computer scientist working in epidemiology through the One Health paradigm, I realized that most computational approaches were framed around response: detecting, tracking, or predicting outbreaks once they had already begun. Very little attention was given to the prophylactic paradigm, the idea that computation could be used proactively, not just reactively, to stop outbreaks before they start.
My goal is to move beyond theoretical models and create real-world tools that prevent disease across environmental, animal, and human systems. It was this drive that led me to coin the term Computational Prophylaxis, and to develop the COHRCIE Framework as a way of grounding preventive computational methods in ethical responsibility.
The Spark Behind the Work
The COVID-19 pandemic made clear a reality that has always existed in public health. We are often several steps behind outbreaks. Computational models tend to be descriptive or predictive. They explain what happened, or they forecast what might happen. These are important, but they leave open a critical question: how do we design computational approaches that actively strengthen prevention before crises unfold?
As I reflected on this during the course of my doctoral studies, I saw the beginnings of an answer in the One Health paradigm. By linking human, animal, and environmental health, One Health provides a holistic view of disease emergence. The challenge was to bring computation and ethics into this paradigm in a way that actively supports prophylaxis.
Naming Computational Prophylaxis
The term Computational Prophylaxis was born from this gap. I wanted to create a language that signals a shift from computational epidemiology that reacts, to one that prevents. Naming a concept matters because it frames how others perceive and engage with it. For me, Computational Prophylaxis is about harnessing algorithms, simulations, and AI in ways that support proactive interventions, whether in pandemic preparedness, agricultural health, or environmental monitoring.
The COHRCIE Framework (Computational One Health Research Compliance and Integrated Ethics) complements this vision. It sets out principles for embedding ethics and responsibility into preventive computational work, ensuring that the pursuit of efficiency does not undermine equity, transparency, or trust.
Challenges Along the Way
Developing this paper was not without challenges. One of the most difficult aspects was balancing theoretical depth with clarity. At times, I wrote as though my audience were only computer scientists or only epidemiologists. Yet the strength of One Health lies in its interdisciplinarity. To communicate this vision, I had to reshape the narrative for a broader audience without losing academic rigor.
Another challenge was internal. The work required me to confront the limits of my own disciplinary training. As a computer scientist, I am comfortable with algorithms, models, and technical systems. But placing these in the context of ethics and public health policy pushed me into less familiar territory. In hindsight, that stretch was essential. It shaped the interdisciplinary voice that this paper now carries.
Why Ethics and One Health Matter
Artificial intelligence is increasingly applied in health research and practice. From disease surveillance to drug discovery, algorithms are shaping decisions that affect millions of lives. Yet algorithms do not operate in a vacuum. They reflect the values, priorities, and limitations of those who design and deploy them.
This is why ethical grounding is not optional. In One Health, the consequences of neglecting ethics are magnified. A model that prioritizes human outcomes without considering animal or environmental spillovers may inadvertently worsen future risks. By embedding ethics directly into the framework of Computational Prophylaxis, the COHRCIE approach helps guard against such blind spots.
Looking Ahead
I see this paper as the beginning of a conversation, not the final word. Computational Prophylaxis is a starting point for a larger research agenda. In practical terms, it can influence pandemic preparedness by guiding where resources are allocated before outbreaks. It can support agriculture by modelling and preventing zoonotic diseases that originate in livestock. It can help environmental health by identifying conditions that increase disease emergence in ecosystems.
The COHRCIE Framework provides a roadmap for researchers, policymakers, and technologists who want to ensure that these efforts remain ethically sound and socially responsible.
Personal Reflections
For me, publishing this article represents a moment of crystallization in my PhD journey. The work reflects years of thinking, refining, and sometimes struggling to articulate what I felt was missing in the literature. Seeing the concept of Computational Prophylaxis formally enter scholarly discourse is deeply affirming.
At the same time, I recognize that this is only the first step. Ideas gain life when they are engaged with, critiqued, and built upon by others. I am hopeful that this article will invite collaboration and provoke dialogue across disciplines.
Closing Thoughts
My vision for Computational Prophylaxis is not just academic. It is about shaping tools and approaches that can prevent suffering in human, animal, and environmental populations. It is about strengthening the ethical spine of computational epidemiology so that future systems serve not just efficiency, but equity and responsibility.
I invite fellow researchers, practitioners, and students to explore this idea, challenge it, and expand it. If you are interested in shaping the future of Computational Prophylaxis and ethical AI in One Health, I welcome the opportunity to connect.
Follow the Topic
-
Discover Public Health
This is an open access journal publishing research from all fields relevant to public health.
Related Collections
With Collections, you can get published faster and increase your visibility.
Digital Frontiers in Public Health: Data-driven Solutions and Technologies for Efficiency, Effectiveness, and Equity
In recent years, the landscape of public health has been transformed by unprecedented access to high-quality data, advances in data storage and processing, and a growing willingness to share information across jurisdictions. The global response to the COVID-19 pandemic exemplified how coordinated data use and technological innovation can accelerate decision-making, enhance surveillance, and save lives. These developments mark a new era in which the application of modern data analytics in evidence-driven public health practices is not only possible but essential.
Building on this momentum, contemporary innovations are contributing to significant improvements in the three Es of public health: efficiency, effectiveness, and equity. Improved efficiency enables resources to be allocated and managed in a manner that generates the maximum attainable outputs; enhanced effectiveness ensures that public health policies, interventions, and practices achieve the expected health outcomes; and strengthened equity promotes fair access to healthcare and public health services across all populations. Together, these dimensions reflect the evolving priorities and capabilities of modern public health systems.
This Collection, “Digital Frontiers in Public Health: Data-driven Solutions and Technologies for Efficiency, Effectiveness, and Equity,” invites contributions that explore these themes through empirical studies, methodological advancements, case studies, and policy analyses. We seek manuscripts that highlight innovative data applications, cross-sector collaborations, digital health initiatives, and strategies that enhance equity through technology and data integration, as well as collaborative public health practices.
Topics of interest include, but are not limited to:
- Applications of novel data linkage and analytics methods in public health
- The role of participation and co-creation in addressing public health issues
- Digital and technological innovations in public health
- Complete or partial assessments of triple Es in public health
- Economic evaluations of public health interventions
By showcasing diverse approaches from around the world, this Collection aims to provide a comprehensive overview of how data-driven innovations are reshaping public health practice today, and in the future. Researchers, practitioners, and policymakers are encouraged to share their insights and experiences to contribute to this critical dialogue on the future of public health.
This Collection supports and amplifies research related to SDG 3.
Keywords: digital applications; data sharing; data infrastructure; economic evaluations; health equity; public health; policy analysis; health informatics
Publishing Model: Open Access
Deadline: Sep 30, 2026
Pediatric Noncommunicable Diseases: Policy, Practice, and Public Health
Non-Communicable Diseases (NCDs) such as diabetes, asthma, congenital heart conditions, and childhood cancers are increasingly recognized as significant contributors to morbidity and mortality among children and adolescents. Despite their growing impact, pediatric NCDs are often underrepresented in health policies and global health agendas, which traditionally focus on infectious diseases or adult populations.
According to the World Health Organization (WHO) and UNICEF, NCDs are responsible for approximately 20% of all deaths among adolescents aged 10–19 globally. Moreover, over 50% of disability-adjusted life years (DALYs) in this age group are attributed to NCDs, with mental health conditions such as depression, anxiety, and conduct disorders being the leading contributors. The burden is not only medical but also social and economic. Children with chronic conditions often face stigma, reduced educational opportunities, and long-term health complications. Additionally, 70% of premature adult deaths from NCDs are linked to behaviors that begin in childhood and adolescence, such as poor diet, physical inactivity, and exposure to tobacco and alcohol.
Despite this, pediatric NCDs remain under-prioritized in global health strategies. Addressing them requires a life-course approach that includes early prevention, integrated care, and supportive environments. Strengthening health systems to respond to pediatric NCDs is essential for achieving universal health coverage and sustainable development goals.
This Collection supports and amplifies research related to SDG 3.
Keywords: Pediatric Non-Communicable Diseases, Child and Adolescent Health, Chronic Illness in Children, Mental Health, Early-Life Risk Factors, Global Health and NCDs
Publishing Model: Open Access
Deadline: Jul 31, 2026
Please sign in or register for FREE
If you are a registered user on Research Communities by Springer Nature, please sign in