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Seasonal characteristics of influenza vary regionally across US
Journal article   Open access   Peer reviewed

Seasonal characteristics of influenza vary regionally across US

James Tamerius, Christopher Uejio and Jeffrey Koss
PloS one, Vol.14(3), pp.e0212511-e0212511
2019
DOI: 10.1371/journal.pone.0212511
PMCID: PMC6402651
PMID: 30840644
url
https://doi.org/10.1371/journal.pone.0212511View
Published (Version of record) Open Access

Abstract

Given substantial regional differences in absolute humidity across the US and our understanding of the relationship between absolute humidity and influenza, we may expect important differences in regional seasonal influenza activity. Here, we assessed cross-seasonal influenza activity by comparing counts of positive influenza A and B rapid test results during the influenza season versus summer baseline periods for the 2016/2017 and 2017/2018 influenza years. Our analysis indicates significant regional patterns in cross-seasonal influenza activity, with relatively fewer influenza cases during the influenza season compared to summertime baseline periods in humid areas of the US, particularly in Florida and Hawaii. The cross-seasonal ratios vary from year-to-year and influenza type, but the geographic patterning of the ratios is relatively consistent. Mixed-effects regression models indicated absolute humidity during the influenza season was the strongest predictor of cross-seasonal influenza activity, suggesting a relationship between absolute humidity and cross-seasonal influenza activity. There was also evidence that absolute humidity during the summer plays a role, as well. This analysis suggests that spatial variation in seasonal absolute humidity levels may generate important regional differences in seasonal influenza activity and dynamics in the US.
Female Florida - epidemiology Hawaii - epidemiology Humans Humidity Influenza A virus Influenza B virus Influenza, Human - epidemiology Male Seasons

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