Seasonal dynamics of influenza in Brazil: the latitude effect

Abstract Background Influenza is a global transmissible disease. Its dynamics is far better understood in temperate climates than in the tropics. We aim to close this knowledge gap between tropical and temperate regions by showing how the influenza seasonality evolves in Brazil, a tropical country t...

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Main Authors: Alexandra Almeida, Cláudia Codeço, Paula M. Luz
Format: Article
Language:English
Published: BMC 2018-12-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-018-3484-z
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author Alexandra Almeida
Cláudia Codeço
Paula M. Luz
author_facet Alexandra Almeida
Cláudia Codeço
Paula M. Luz
author_sort Alexandra Almeida
collection DOAJ
description Abstract Background Influenza is a global transmissible disease. Its dynamics is far better understood in temperate climates than in the tropics. We aim to close this knowledge gap between tropical and temperate regions by showing how the influenza seasonality evolves in Brazil, a tropical country that encompasses a wide range of latitudes and six climatic sub-types. Methods We analyzed a state-level, weekly Syndrome of Acute Respiratory Disease (SARI) incidence data ranging from 2010 to 2016. We combined two techniques hierarchically: first the wavelet decomposition technique to detect annual periodicity and then circular statistics to describe seasonal measures of the periodic states. Results We found significant annual periodicity in 44% of the states. For these, we calculated several seasonal measures such as the center of gravity or mean timing of activity. The relationship between the seasonal signatures and latitude was clear and statistically significant. States with seasonal signature are clustered along the coast. Most Amazonian and Central West states exhibit no seasonal behavior. Among the seasonal states, influenza starts in Northeast region, spreading southbound. Conclusions Our study advances the comprehension of influenza seasonality in tropical areas and could be used to design more effective prevention and control strategies.
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spelling doaj.art-124d1175880e491881935b7c51592a322022-12-21T23:59:04ZengBMCBMC Infectious Diseases1471-23342018-12-011811910.1186/s12879-018-3484-zSeasonal dynamics of influenza in Brazil: the latitude effectAlexandra Almeida0Cláudia Codeço1Paula M. Luz2Escola Nacional de Saúde Pública, FIOCRUZPrograma de Computação Científica, FIOCRUZInstituto Nacional de Infectologia Evandro Chagas, FIOCRUZAbstract Background Influenza is a global transmissible disease. Its dynamics is far better understood in temperate climates than in the tropics. We aim to close this knowledge gap between tropical and temperate regions by showing how the influenza seasonality evolves in Brazil, a tropical country that encompasses a wide range of latitudes and six climatic sub-types. Methods We analyzed a state-level, weekly Syndrome of Acute Respiratory Disease (SARI) incidence data ranging from 2010 to 2016. We combined two techniques hierarchically: first the wavelet decomposition technique to detect annual periodicity and then circular statistics to describe seasonal measures of the periodic states. Results We found significant annual periodicity in 44% of the states. For these, we calculated several seasonal measures such as the center of gravity or mean timing of activity. The relationship between the seasonal signatures and latitude was clear and statistically significant. States with seasonal signature are clustered along the coast. Most Amazonian and Central West states exhibit no seasonal behavior. Among the seasonal states, influenza starts in Northeast region, spreading southbound. Conclusions Our study advances the comprehension of influenza seasonality in tropical areas and could be used to design more effective prevention and control strategies.http://link.springer.com/article/10.1186/s12879-018-3484-zInfluenzaSeasonalityWavelet decompositionCircular
spellingShingle Alexandra Almeida
Cláudia Codeço
Paula M. Luz
Seasonal dynamics of influenza in Brazil: the latitude effect
BMC Infectious Diseases
Influenza
Seasonality
Wavelet decomposition
Circular
title Seasonal dynamics of influenza in Brazil: the latitude effect
title_full Seasonal dynamics of influenza in Brazil: the latitude effect
title_fullStr Seasonal dynamics of influenza in Brazil: the latitude effect
title_full_unstemmed Seasonal dynamics of influenza in Brazil: the latitude effect
title_short Seasonal dynamics of influenza in Brazil: the latitude effect
title_sort seasonal dynamics of influenza in brazil the latitude effect
topic Influenza
Seasonality
Wavelet decomposition
Circular
url http://link.springer.com/article/10.1186/s12879-018-3484-z
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