AI Can Be a Powerful Social Innovation for Public Health if Community Engagement Is at the Core.

There is a critical need for community engagement in the process of adopting artificial intelligence (AI) technologies in public health. Public health practitioners and researchers have historically innovated in areas like vaccination and sanitation but have been slower in adopting emerging technologies such as generative AI. However, with increasingly complex funding, programming, and research requirements, the field now faces a pivotal moment to enhance its agility and responsiveness to evolving health challenges. Participatory methods and community engagement are key components of many current public health programs and research. The field of public health is well positioned to ensure community engagement is part of AI technologies applied to population health issues. Without such engagement, the adoption of these technologies in public health may exclude significant portions of the population, particularly those with the fewest resources, with the potential to exacerbate health inequities. Risks to privacy and perpetuation of bias are more likely to be avoided if AI technologies in public health are designed with knowledge of community engagement, existing health disparities, and strategies for improving equity. This viewpoint proposes a multifaceted approach to ensure safer and more effective integration of AI in public health with the following call to action: (1) include the basics of AI technology in public health training and professional development; (2) use a community engagement approach to co-design AI technologies in public health; and (3) introduce governance and best practice mechanisms that can guide the use of AI in public health to prevent or mitigate potential harms. These actions will support the application of AI to varied public health domains through a framework for more transparent, responsive, and equitable use of this evolving technology, augmenting the work of public health practitioners and researchers to improve health outcomes while minimizing risks and unintended consequences.