ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2017
The spatiotemporal characteristics of influenza A and B in the WHO European Region: can one define influenza transmission zones in Europe?
Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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28 citing papers in PubMed.
- Links between influenza epidemics, weather characteristics and all-cause mortality in the Czech Republic, 1982-2020.BMC public health · 2025Article
- [Recommendations on prevention and treatment of respiratory infections in institutionalised older people].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025Review
- The optimal strategy for seasonal influenza vaccination to prevent high-intensity level of influenza epidemics in Zhejiang, China: an integrated transmission-dynamic and health-economic modeling analysis.BMC public health · 2025Article
- Integrating dynamical modeling and phylogeographic inference to characterize global influenza circulation.PNAS nexus · 2025Article
- Respiratory Diagnoses Year-Round: Unraveling the Multifaceted Pediatric Infection Cycles.Influenza and other respiratory viruses · 2024Article
- Integrating dynamical modeling and phylogeographic inference to characterize global influenza circulation.medRxiv : the preprint server for health sciences · 2024Article
- Exploring the paradoxical nature of cold temperature mortality in Europe.Scientific reports · 2024Article
- From respiratory diseases to nervous system disorders: Unraveling the certified causes of influenza-associated deaths in Poland from 2000 to 2019.Influenza and other respiratory viruses · 2023Article
- The impact of the SARS-CoV-2 pandemic on global influenza surveillance: Insights from 18 National Influenza Centers based on a survey conducted between November 2021 and March 2022.Influenza and other respiratory viruses · 2023Article
- Global seasonal and pandemic patterns in influenza: An application of longitudinal study designs.International statistical review = Revue internationale de statistique · 2022Article
- Characterization of influenza seasonality in China, 2010-2018: Implications for seasonal influenza vaccination timing.Influenza and other respiratory viruses · 2022Article
- Seasonality of respiratory syncytial virus and its association with meteorological factors in 13 European countries, week 40 2010 to week 39 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022Article
- Epidemiological and Clinical Characteristics of Influenza Outbreaks Among Children in Chongqing, China.Frontiers in public health · 2022Article
- Diversity in the Circulation of Influenza A(H3N2) Viruses in the Northern Hemisphere in the 2018-19 Season.Vaccines · 2021Article
- Where has all the influenza gone? The impact of COVID-19 on the circulation of influenza and other respiratory viruses, Australia, March to September 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020Article
- Article
- Applying the moving epidemic method to determine influenza epidemic and intensity thresholds using influenza-like illness surveillance data 2009-2018 in Tunisia.Influenza and other respiratory viruses · 2020Article
- Forecasting seasonal influenza-like illness in South Korea after 2 and 30 weeks using Google Trends and influenza data from Argentina.PloS one · 2020Article
- From trivalent to quadrivalent influenza vaccines: Public health and economic burden for different immunization strategies in Spain.PloS one · 2020Article
- Early detection of influenza outbreak using time derivative of incidence.EPJ data science · 2020Article
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Abstract
We aimed to assess the epidemiology and spatiotemporal patterns of influenza in the World Health Organization (WHO) European Region and evaluate the validity of partitioning the Region into five influenza transmission zones (ITZs) as proposed by the WHO. We used the FluNet database and included over 650,000 influenza cases from 2000 to 2015. We analysed the data by country and season (from July to the following June). We calculated the median proportion of cases caused by each virus type in a season, compared the timing of the primary peak between countries and used a range of cluster analysis methods to assess the degree of overlap between the WHO-defined and data-driven ITZs. Influenza A and B caused, respectively, a median of 83% and 17% cases in a season. There was a significant west-to-east and non-significant (p = 0.10) south-to-north gradient in the timing of influenza activity. Typically, influenza peaked in February and March; influenza A earlier than influenza B. Most countries in the WHO European Region would fit into two ITZs: 'Western Europe' and 'Eastern Europe'; countries bordering Asia may be better placed into extra-European ITZs. Our findings have implications for the presentation of surveillance data and prevention and control measures in this large WHO Region.
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