Abstract

BackgroundMuch effort has been expended on interpreting the mechanism of influenza epidemics, so as to better predict them. In addition to the obvious annual cycle of influenza epidemics, longer-term incidence patterns are present. These so-called interepidemic periods have long been a focus of epidemiology. However, there has been less investigation of the interepidemic period of influenza epidemics. In the present study, we used spectral analysis of influenza morbidity records to indentify the interepidemic period of influenza epidemics in Japan.MethodsWe used time series data of the monthly incidence of influenza in Japan from January 1948 through December 1998. To evaluate the incidence data, we conducted maximum entropy method (MEM) spectral analysis, which is useful in investigating the periodicities of shorter time series, such as that of the incidence data used in the present study. We also conducted a segment time series analysis and obtained a 3-dimensional spectral array.ResultsBased on the results of power spectral density (PSD) obtained from MEM spectral analysis, we identified 3 periodic modes as the interepidemic periods of the incidence data. Segment time series analysis revealed that the amount of amplitude of the interepidemic periods increased during the occurrence of influenza pandemics and decreased when vaccine programs were introduced.ConclusionsThe findings suggest that the temporal behavior of the interepidemic periods of influenza epidemics is correlated with the magnitude of cross-reactive immune responses.

Highlights

  • Influenza is an acute contagious disease caused by a virus

  • Using time series analysis of these long-term data, we investigated the interepidemic period in influenza morbidity records

  • A significant result of the present study of influenza epidemics in Japan is that maximum entropy method (MEM) spectral analysis enabled us to identify multiple periodicities in the interepidemic period of the disease epidemics (4.0, 3.1, and 2.4-year periods)

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Summary

Introduction

Influenza is an acute contagious disease caused by a virus. Three influenza pandemics have occurred during the 20th century (in 1918, 1957, and 1968),[1] each of which resulted in more than a million deaths over a short period of time. In addition to the obvious annual cycle of influenza epidemics, longer-term incidence patterns are present. These so-called interepidemic periods have long been a focus of epidemiology. We used spectral analysis of influenza morbidity records to indentify the interepidemic period of influenza epidemics in Japan. To evaluate the incidence data, we conducted maximum entropy method (MEM) spectral analysis, which is useful in investigating the periodicities of shorter time series, such as that of the incidence data used in the present study. Segment time series analysis revealed that the amount of amplitude of the interepidemic periods increased during the occurrence of influenza pandemics and decreased when vaccine programs were introduced. Conclusions: The findings suggest that the temporal behavior of the interepidemic periods of influenza epidemics is correlated with the magnitude of cross-reactive immune responses

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