ArticlePloS one2015
Associations between Meteorological Parameters and Influenza Activity in Berlin (Germany), Ljubljana (Slovenia), Castile and León (Spain) and Israeli Districts.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Associations between sunshine and influenza or influenza-like illness, a systematic review and meta-analysis.International journal of biometeorology · 2026Pooled it
- Effects of ambient temperature on influenza-like illness: A multicity analysis in Shandong Province, China, 2014-2017.Frontiers in public health · 2022Pooled it
- Modeling the dynamics of seasonal influenza in response to meteorological conditions and antigenic variation: a simulation study.BMC public health · 2026Article
- Fusing meteorological factors and baidu search index with an adapted deformtime model to predict influenza-like illness in Beijing.Frontiers in public health · 2026Article
- How virus migration and meteorological elements shape the seasonality of influenza a/H3N2: A case study in China.One health (Amsterdam, Netherlands) · 2025Article
- Study on the impact of meteorological factors on influenza in different periods and prediction based on artificial intelligence RF-Bi-LSTM algorithm: to compare the COVID-19 period with the non-COVID-19 period.BMC infectious diseases · 2024Article
- Association between Temperature and Influenza Activity across Different Regions of China during 2010-2017.Viruses · 2023Article
- The role of meteorological factors on influenza incidence among children in Guangzhou China, 2019-2022.Frontiers in public health · 2023Article
- Study on the influence of meteorological factors on influenza in different regions and predictions based on an LSTM algorithm.BMC public health · 2022Article
- Stochastic analysis of the relationship between atmospheric variables and coronavirus disease (COVID-19) in a hot, arid climate.Integrated environmental assessment and management · 2022Article
- Exploration of influenza incidence prediction model based on meteorological factors in Lanzhou, China, 2014-2017.PloS one · 2022Article
- Influenza A and B outbreaks differed in their associations with climate conditions in Shenzhen, China.International journal of biometeorology · 2022Article
- Associations between Temperature and Influenza Activity: A National Time Series Study in China.International journal of environmental research and public health · 2021Article
- Risk-adjusted zero-inflated Poisson CUSUM charts for monitoring influenza surveillance data.BMC medical informatics and decision making · 2021Article
- Non-linear effect of different humidity types on scrub typhus occurrence in endemic provinces, Thailand.Heliyon · 2021Article
- The relationship between cyclonic weather regimes and seasonal influenza over the Eastern Mediterranean.The Science of the total environment · 2021Article
- A Comprehensive Molecular and Epidemiological Characterization of Influenza Viruses Circulating 2016-2020 in North Macedonia.Frontiers in microbiology · 2021Article
- Effect of meteorological factors on the activity of influenza in Chongqing, China, 2012-2019.PloS one · 2021Article
- Transmissibility of influenza during the 21st-century epidemics, Spain, influenza seasons 2001/02 to 2017/18.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020Article
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Authors and funding
11 authors at 6 institutions in 5 countries.
Funding
Abstract
backgroundStudies in the literature have indicated that the timing of seasonal influenza epidemic varies across latitude, suggesting the involvement of meteorological and environmental conditions in the transmission of influenza. In this study, we investigated the link between meteorological parameters and influenza activity in 9 sub-national areas with temperate and subtropical climates: Berlin (Germany), Ljubljana (Slovenia), Castile and León (Spain) and all 6 districts in Israel.
methodsWe estimated weekly influenza-associated influenza-like-illness (ILI) or Acute Respiratory Infection (ARI) incidence to represent influenza activity using data from each country's sentinel surveillance during 2000-2011 (Spain) and 2006-2011 (all others). Meteorological data was obtained from ground stations, satellite and assimilated data. Two generalized additive models (GAM) were developed, with one using specific humidity as a covariate and another using minimum temperature. Precipitation and solar radiation were included as additional covariates in both models. The models were adjusted for previous weeks' influenza activity, and were trained separately for each study location.
resultsInfluenza activity was inversely associated (p<0.05) with specific humidity in all locations. Minimum temperature was inversely associated with influenza in all 3 temperate locations, but not in all subtropical locations. Inverse associations between influenza and solar radiation were found in most locations. Associations with precipitation were location-dependent and inconclusive. We used the models to estimate influenza activity a week ahead for the 2010/2011 period which was not used in training the models. With exception of Ljubljana and Israel's Haifa District, the models could closely follow the observed data especially during the start and the end of epidemic period. In these locations, correlation coefficients between the observed and estimated ranged between 0.55 to 0.91and the model-estimated influenza peaks were within 3 weeks from the observations.
conclusionOur study demonstrated the significant link between specific humidity and influenza activity across temperate and subtropical climates, and that inclusion of meteorological parameters in the surveillance system may further our understanding of influenza transmission patterns.
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