Temporal Patterns of Influenza A and B in Tropical and Temperate Countries: What Are the Lessons for Influenza Vaccination?

Title: Temporal Patterns of Influenza A and B in Tropical and Temperate Countries: What Are the Lessons for Influenza Vaccination?
Author(s): Caini, S
Andrade, W
Badur, S
Balmaseda, A
Barakat, A
Bella, A
Bimohuen, A
Brammer, L
Bresee, J
Bruno, A
Castillo, L
Ciblak, MA
Clara, AW
Cohen, C
Cutter, J
Daouda, C
De Lozano, C
De Mora, D
Dorji, K
Emukule, GO
Fasce, RA
Feng, L
Ferreira de Almeida, WA
Guiomar, R
Heraud, J-M
Holubka, O
Huang, QS
Kadjo, HA
Kiyanbekova, L
Kosasih, H
Kusznierz, G
Lara, J
Li, M
Lopez, L
Phuong, VMH
Pessanha Henriques, CM
Matute, ML
Mironenko, A
Moreno, B
Mott, JA
Njouom, R
Nurhayati
Ospanova, A
Owen, R
Pebody, R
Pennington, K
Puzelli, S
Mai, TQL
Razanajatovo, NH
Rodrigues, A
Rudi, JM
Lin, RTP
Venter, M
Vernet, M-A
Wangchuk, S
Yang, J
Yu, H
Zambon, M
Schellevis, F
Paget, J
Item Type: Journal Article
Abstract: Introduction Determining the optimal time to vaccinate is important for influenza vaccination programmes. Here, we assessed the temporal characteristics of influenza epidemics in the Northern and Southern hemispheres and in the tropics, and discuss their implications for vaccination programmes. Methods This was a retrospective analysis of surveillance data between 2000 and 2014 from the Global Influenza B Study database. The seasonal peak of influenza was defined as the week with the most reported cases (overall, A, and B) in the season. The duration of seasonal activity was assessed using the maximum proportion of influenza cases during three consecutive months and the minimum number of months with 80% of cases in the season. We also assessed whether co-circulation of A and B virus types affected the duration of influenza epidemics. Results 212 influenza seasons and 571,907 cases were included from 30 countries. In tropical countries, the seasonal influenza activity lasted longer and the peaks of influenza A and B coincided less frequently than in temperate countries. Temporal characteristics of influenza epidemics were heterogeneous in the tropics, with distinct seasonal epidemics observed only in some countries. Seasons with co-circulation of influenza A and B were longer than influenza A seasons, especially in the tropics. Discussion Our findings show that influenza seasonality is less well defined in the tropics than in temperate regions. This has important implications for vaccination programmes in these countries. High-quality influenza surveillance systems are needed in the tropics to enable decisions about when to vaccinate.
Publication Date: 31-Mar-2016
Date of Acceptance: 11-Mar-2016
URI: http://hdl.handle.net/10044/1/56257
DOI: https://dx.doi.org/10.1371/journal.pone.0152310
ISSN: 1932-6203
Publisher: Public Library of Science (PLoS)
Journal / Book Title: PLoS ONE
Volume: 11
Issue: 3
Copyright Statement: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Keywords: Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SUB-SAHARAN AFRICA
SEASONAL INFLUENZA
SURVEILLANCE
MADAGASCAR
DRIVERS
Humans
Influenza A virus
Influenza B virus
Influenza, Human
Retrospective Studies
Seasons
Tropical Climate
Vaccination
Global Influenza B Study
Humans
Influenza A virus
Influenza B virus
Vaccination
Retrospective Studies
Tropical Climate
Seasons
Influenza, Human
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SUB-SAHARAN AFRICA
SEASONAL INFLUENZA
SURVEILLANCE
MADAGASCAR
DRIVERS
MD Multidisciplinary
General Science & Technology
Publication Status: Published
Article Number: e0152310
Appears in Collections:National Heart and Lung Institute
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