ArticleInfectious diseases of poverty2024
Epidemiological features of seasonal influenza transmission among 11 climate zones in Chinese Mainland.
Article in Infectious diseases of poverty, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis on the association between PMFrontiers in epidemiology · 2025Pooled it
- Epidemiological analysis of infectious disease in border port areas of Heilongjiang Province, 2014-2023.BMC public health · 2026Article
- Climate change and infectious diseases: translating evidence into action.Infectious diseases of poverty · 2026Article
- Spatiotemporal instability of influenza seasonality during viral co-circulation.NPJ systems biology and applications · 2026Article
- Spatio-temporal analysis of influenza in old-new economic transition areas of coastal mega-cities: evidence from China.Archives of public health = Archives belges de sante publique · 2026Article
- Resurgence and clinical evolution of influenza A in Chinese children: shifting epidemiology and serological dynamics across pre-, intra-, and post-pandemic eras (2019-2023).BMC infectious diseases · 2026Article
- Spatial distribution and risk assessment of dengue incidence at district level across major climatic zones in India.PloS one · 2026Article
- Disruption of winter influenza activity in Wuxi, China during and after the COVID-19 pandemic (2013-2025): a counterfactual time-series analysis.Frontiers in public health · 2026Article
- FaXNet: a frequency-adaptive, explainable, and uncertainty-aware network for influenza forecasting.Frontiers in public health · 2026Article
- Mapping China's sports tourism projects: regional imbalances, urban agglomerations, and driving forces.Frontiers in sports and active living · 2026Article
- Online monitoring and early detection of influenza outbreaks using exponentially weighted spatial lasso: a case study in China during 2014-2020.Journal of applied statistics · 2026Article
- Nonlinear and potential driving impacts of meteorological and air pollution factors on influenza-like illness in Jinan, China.BMC public health · 2025Article
- Long-term retrospective analysis of seasonal influenza epidemic patterns in Southeastern Province of China: based on case reports, syndromic, and pathogenic surveillance.BMC infectious diseases · 2025Article
- Epidemiological characteristics of influenza after COVID-19 pandemic in Zhejiang province, China.BMC infectious diseases · 2025Article
- Spatiotemporal Risk Assessment of H5 Avian Influenza in China: An Interpretable Machine Learning Approach to Uncover Multi-Scale Drivers.Animals : an open access journal from MDPI · 2025Article
- Temporal Shifts in Climate-Influenza Dynamics: A Multi-Subtype Analysis in Southern China Spanning the COVID-19 Era.Transboundary and emerging diseases · 2025Article
- Understanding influenza-like illness dynamics in Jiangsu, China: impacts of COVID-19 control measures and meteorological factors on the population health during 2018-2023.BMJ public health · 2025Article
- Quantitative assessment of Public Health and Social Measures implementation and relaxation on influenza transmission during COVID-19 in China: SEIABR and GBDT models.Journal of global health · 2024Article
- 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
- Forecasting and analyzing influenza activity in Hebei Province, China, using a CNN-LSTM hybrid model.BMC public health · 2024Article
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Abstract
backgroundPrevious studies provided some evidence of meteorological factors influence seasonal influenza transmission patterns varying across regions and latitudes. However, research on seasonal influenza activities based on climate zones are still in lack. This study aims to utilize the ecological-based Köppen Geiger climate zones classification system to compare the spatial and temporal epidemiological characteristics of seasonal influenza in Chinese Mainland and assess the feasibility of developing an early warning system.
methodsWeekly influenza cases number from 2014 to 2019 at the county and city level were sourced from China National Notifiable Infectious Disease Report Information System. Epidemic temporal indices, time series seasonality decomposition, spatial modelling theories including Moran's I and local indicators of spatial association were applied to identify the spatial and temporal patterns of influenza transmission.
resultsAll climate zones had peaks in Winter-Spring season. Arid, desert, cold (BWk) showed up the first peak. Only Tropical, savannah (Aw) and Temperate, dry winter with hot summer (Cwa) zones had unique summer peak. Temperate, no dry season and hot summer (Cfa) zone had highest average incidence rate (IR) at 1.047/100,000. The Global Moran's I showed that average IR had significant clustered trend (z = 53.69, P < 0.001), with local Moran's I identified high-high cluster in Cfa and Cwa. IR differed among three age groups between climate zones (0-14 years old: F = 26.80, P < 0.001; 15-64 years old: F = 25.04, P < 0.001; Above 65 years old: F = 5.27, P < 0.001). Age group 0-14 years had highest average IR in Cwa and Cfa (IR = 6.23 and 6.21) with unique dual peaks in winter and spring season showed by seasonality decomposition.
conclusionsSeasonal influenza exhibited distinct spatial and temporal patterns in different climate zones. Seasonal influenza primarily emerged in BWk, subsequently in Cfa and Cwa. Cfa, Cwa and BSk pose high risk for seasonal influenza epidemics. The research finds will provide scientific evidence for developing seasonal influenza early warning system based on climate zones.
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