Aug 2026· Natural Resources for Human Health· Vol 6, pp. 82-91· 0 citations· 15 references
TL;DR
A federated learning system based on the blockchain for pandemic surveillance in 10 healthcare institutions while preserving user privacy is introduced.
Abstract
Public health monitoring demands the quick enable of multi-institutional intelligence – but not patient-sensitive data. The following paper introduces a federated learning system based on the blockchain for pandemic surveillance in 10 healthcare institutions while preserving user privacy. The framework is comprised of two-layer LSTMs based on 35 demographic, clinical, physiological, exposure, vaccination, and community-level variables with an observation window of 14 days and a prediction horizon of 7 days. Over 100 communication rounds, there are 5 local epochs in which institutions do not transfer patient level records. Model updates are protected by a trust threshold of 0.60 and differential privacy budgets ranging between ε=0.5 and ε=8, secure aggregation, hashing with SHA-256, and ECDSA-256 signatures. ROC-AUC of ≥ 0.85, sensitivity of ≥ 85%, poisoning-detection of ≥ 90%, invalid-update rejection of ≥ 95%, subgroup performance differences of ≤ 10 percentage points, and blockchain latency of ≤ 2 seconds are all among the evaluation targets. The framework generates individual risk probabilities, 7-day forecasts of outbreaks, alerts for outbreaks and clusters, explanations using SHAP and estimates of healthcare resources, setting measurable needs for future validation.
The proposed framework effectively integrates encryption, federated intrusion detection, explainable artificial intelligence, and blockchain security to enhance privacy, transparency, and reliability in IoMT healthcare networks.
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