Apr 26, 2026

Oral Sentinel: Clinical Weak Signals as a Pre-Diagnostic Layer for Pandemic Early Warning

Filipa Martins

Early warning systems for biological threats typically rely on laboratory, environmental, or digital surveillance, often detecting signals only after transmission is underway. This project explores whether routine clinical observation, specifically in public oral health services, can function as an earlier, underutilized detection layer. We propose Oral Sentinel, a minimal weak-signal reporting concept that captures atypical oral and mucosal findings as potential early indicators of emerging biological events. The contribution is conceptual and design-oriented: mapping how neglected clinical infrastructures could augment current surveillance architectures.

Reviewer's Comments

Reviewer's Comments

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Real-world implementation of early warning is a significant challenge in biosurveillance, so I appreciate this paper's approach of considering existing infrastructure. However, I believe that this submission could be improved along two main axes: reconsidering the limitations of passive anomaly reporting and including real-world case studies. As acknowledged in the submission to some extent, passive anomaly reporting will not be highly sensitive as a signal, particularly because many oral hygiene issues may be caused by noncommunicable diseases, which further dilutes the value of such reporting. Additionally, this submission would have benefited from choosing one specific case study (e.g., a national health system such as the NIH in the UK) and from making a concrete proposal for integrating oral hygiene reporting into day-to-day practice.

I think it's great to think more about datasources in early outbreak detection, as I agree it is not obvious we have found all the best ones yet. Getting easy wins from already existing infrastructure could be a good strategy for the near-term, while we build out other infrastructure. The limitations sections is very thorough and the observation that durable surveillance systems must improve care rather than just extract data is a genuinely important design insight that most surveillance proposals miss.

The paper isn't really a research paper though, and there is not a system to evaluate. What are the actual checkbox categories? What does the data schema look like? What existing oral health information systems would this plug into, and what would the integration require technically? The paper stays at the level of "this should be pilotable" without producing a pilot-ready artefact. For a hackathon that asks for built things, this is a significant gap.

The paper acknowledges that there isn't much of an AI element, but I think this still makes it a weaker submission for this specific hackathon.

An unstated benefit if this worked - more advanced tools are optimized with better the baseline data, which often needs to be established per each geographical area of focus. I wonder if this could contribute to stronger baselines even if not signals.

Agree that there is insufficient focus today on improving gathering & structuring data upstream of analysis.

Great that this aims for easy & integrated as the technical approach.

Authors should note that for anyone old enough, the oral care angle related to infectious diseases that aren't yet manifesting in illness will recall how badly the field was struck by HIV/AIDS when that epidemic first emerged. That may actually make it more intriguing but also raises the bar on the sensitivity with which it would need to be treated.

Cite this work

@misc {

title={

(HckPrj) Oral Sentinel: Clinical Weak Signals as a Pre-Diagnostic Layer for Pandemic Early Warning

},

author={

Filipa Martins

},

date={

4/26/26

},

organization={Apart Research},

note={Research submission to the research sprint hosted by Apart.},

howpublished={https://apartresearch.com}

}

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This work was done during one weekend by research workshop participants and does not represent the work of Apart Research.
This work was done during one weekend by research workshop participants and does not represent the work of Apart Research.