Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.

Influenza has been associated with heavy burden of mortality and morbidity in subtropical regions. However, timely forecast of influenza epidemic in these regions has been hindered by unclear seasonality of influenza viruses. In this study, we developed a forecasting model by integrating multiple se...

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Main Authors: Pei-Hua Cao, Xin Wang, Shi-Song Fang, Xiao-Wen Cheng, King-Pan Chan, Xi-Ling Wang, Xing Lu, Chun-Li Wu, Xiu-Juan Tang, Ren-Li Zhang, Han-Wu Ma, Jin-Quan Cheng, Chit-Ming Wong, Lin Yang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3968046?pdf=render
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author Pei-Hua Cao
Xin Wang
Shi-Song Fang
Xiao-Wen Cheng
King-Pan Chan
Xi-Ling Wang
Xing Lu
Chun-Li Wu
Xiu-Juan Tang
Ren-Li Zhang
Han-Wu Ma
Jin-Quan Cheng
Chit-Ming Wong
Lin Yang
author_facet Pei-Hua Cao
Xin Wang
Shi-Song Fang
Xiao-Wen Cheng
King-Pan Chan
Xi-Ling Wang
Xing Lu
Chun-Li Wu
Xiu-Juan Tang
Ren-Li Zhang
Han-Wu Ma
Jin-Quan Cheng
Chit-Ming Wong
Lin Yang
author_sort Pei-Hua Cao
collection DOAJ
description Influenza has been associated with heavy burden of mortality and morbidity in subtropical regions. However, timely forecast of influenza epidemic in these regions has been hindered by unclear seasonality of influenza viruses. In this study, we developed a forecasting model by integrating multiple sentinel surveillance data to predict influenza epidemics in a subtropical city Shenzhen, China.Dynamic linear models with the predictors of single or multiple surveillance data for influenza-like illness (ILI) were adopted to forecast influenza epidemics from 2006 to 2012 in Shenzhen. Temporal coherence of these surveillance data with laboratory-confirmed influenza cases was evaluated by wavelet analysis and only the coherent data streams were entered into the model. Timeliness, sensitivity and specificity of these models were also evaluated to compare their performance.Both influenza virology data and ILI consultation rates in Shenzhen demonstrated a significant annual seasonal cycle (p<0.05) during the entire study period, with occasional deviations observed in some data streams. The forecasting models that combined multi-stream ILI surveillance data generally outperformed the models with single-stream ILI data, by providing more timely, sensitive and specific alerts.Forecasting models that combine multiple sentinel surveillance data can be considered to generate timely alerts for influenza epidemics in subtropical regions like Shenzhen.
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spelling doaj.art-10b05ec8651b40a5af8b5663aba864652022-12-21T23:40:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0193e9294510.1371/journal.pone.0092945Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.Pei-Hua CaoXin WangShi-Song FangXiao-Wen ChengKing-Pan ChanXi-Ling WangXing LuChun-Li WuXiu-Juan TangRen-Li ZhangHan-Wu MaJin-Quan ChengChit-Ming WongLin YangInfluenza has been associated with heavy burden of mortality and morbidity in subtropical regions. However, timely forecast of influenza epidemic in these regions has been hindered by unclear seasonality of influenza viruses. In this study, we developed a forecasting model by integrating multiple sentinel surveillance data to predict influenza epidemics in a subtropical city Shenzhen, China.Dynamic linear models with the predictors of single or multiple surveillance data for influenza-like illness (ILI) were adopted to forecast influenza epidemics from 2006 to 2012 in Shenzhen. Temporal coherence of these surveillance data with laboratory-confirmed influenza cases was evaluated by wavelet analysis and only the coherent data streams were entered into the model. Timeliness, sensitivity and specificity of these models were also evaluated to compare their performance.Both influenza virology data and ILI consultation rates in Shenzhen demonstrated a significant annual seasonal cycle (p<0.05) during the entire study period, with occasional deviations observed in some data streams. The forecasting models that combined multi-stream ILI surveillance data generally outperformed the models with single-stream ILI data, by providing more timely, sensitive and specific alerts.Forecasting models that combine multiple sentinel surveillance data can be considered to generate timely alerts for influenza epidemics in subtropical regions like Shenzhen.http://europepmc.org/articles/PMC3968046?pdf=render
spellingShingle Pei-Hua Cao
Xin Wang
Shi-Song Fang
Xiao-Wen Cheng
King-Pan Chan
Xi-Ling Wang
Xing Lu
Chun-Li Wu
Xiu-Juan Tang
Ren-Li Zhang
Han-Wu Ma
Jin-Quan Cheng
Chit-Ming Wong
Lin Yang
Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
PLoS ONE
title Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
title_full Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
title_fullStr Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
title_full_unstemmed Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
title_short Forecasting influenza epidemics from multi-stream surveillance data in a subtropical city of China.
title_sort forecasting influenza epidemics from multi stream surveillance data in a subtropical city of china
url http://europepmc.org/articles/PMC3968046?pdf=render
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