How (Not) to Hybridize Neural and Mechanistic Models for Epidemiological Forecasting

Epidemiological forecasting from surveillance data is a hard problem and hybridizing mechanistic compartmental models with neural models is a natural direction. The mechanistic structure helps keep trajectories epidemiologically plausible, while neural components can capture non-stationary, data-adaptive effects. In practice, however, many seemingly straightforward couplings fail under partial observability and continually shifting transmission dynamics driven by behavior, waning immunity, seasonality, and interventions. We catalog these failure modes and show that robust performance requires making non-stationarity explicit: we extract multi-scale structure from the observed infection series and use it as an interpretable control signal for a controlled neural ODE coupled to an epidemiological model. Concretely, we decompose infections into trend, seasonal, and residual components and use these signals to drive continuous-time latent dynamics while jointly forecasting and inferring time-varying transmission, recovery, and immunity-loss rates. Across early outbreak and multi-wave regimes, our approach attains the lowest RMSE on five datasets (21-63% reduction over the strongest default-configured baseline), achieves the best peak detection accuracy, and infers time-varying epidemiological rates within ground-truth ranges, without relying on auxiliary covariates.