Abstract

The study of recurrent epidemic outbreaks has been attracting great attention for decades, but its underlying mechanism is still under debate. Based on a large number of real data from different cities, we find that besides the seasonal periodic outbreaks of influenza, there are also non-periodic outbreaks, i.e. non-seasonal or non-annual behaviors. To understand how the non-periodicity shows up, we present a network model of SIRS epidemic with both time-dependent infection rate and a small possibility of persistent epidemic seeds, representing the influences from the larger annual variation of environment and the infection generated spontaneously in nature, respectively. Our numerical simulations reveal that the model can reproduce the non-periodic outbreaks of recurrent epidemics with the main features of real influenza data. Further, we find that the recurrent outbreaks of epidemic depend not only on the infection rate but also on the density of susceptible agents, indicating that they are both the necessary conditions for the recurrent epidemic patterns with non-periodicity. A theoretical analysis based on Markov dynamics is presented to explain the numerical results. This finding may be of significance to the control of recurrent epidemics.

Highlights

  • The Table-I in SI shows the components of influenza viruses in the years from 2010 to 2013, where the tested specimen obtained from General Out-Patient Clinics (GOPC), General Practitioners (GP), public and private hospitals

  • The epidemic spreading on networks is a very hot topic in the field of complex network in recent years, which focuses mainly on the epidemic threshold and how the spreading is influenced by the network structure and other parameters, but to our knowledge, it does not deal with the topic of the recurrent outbreaks of epidemic in complex networks so far

  • The recurrence of influenza has been paid some attention in a parallel line, which mainly focuses on the mechanism of periodic outbreaks, but it does not deal with the influence of network structures

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Summary

Introduction

Ref. 39 studied the spatio-temporal patterns of influenza owing to the presence of nonstationarity and nonlinearity in incidence data. These progresses are significant, there is still controversy in identifying the seasonal drivers that generate annual influenza oscillations. To take a further step to identify the drivers of seasonal influenza and to study the influence of network topology on the recurrence of epidemic, we recently collect the influenza data from Hong Kong[44]. A theoretical analysis based on Markov dynamics is presented to explain the numerical results This finding may be of significance to the long-term prediction and control of recurrent epidemics

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