Evidence map›Paper›PMID 40382369›Full record

ArticleScientific reports2025

Seasonal synchronization and unpredictability in epidemic models with waning immunity and healthcare thresholds.

Veronika Eclerová, Deeptajyoti Sen, Lenka Přibylová

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Noisy periodicity in tropical respiratory disease dynamics.medRxiv : the preprint server for health sciences · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Veronika EclerováDepartment of Mathematics and Statistics, Faculty of Science, Masaryk University, Kotlářska 2, 611 37, Brno, Czech Republic. eclerova@math.muni.cz.
Deeptajyoti SenDepartment of Mathematics and Statistics, Faculty of Science, Masaryk University, Kotlářska 2, 611 37, Brno, Czech Republic.
Lenka PřibylováDepartment of Mathematics and Statistics, Faculty of Science, Masaryk University, Kotlářska 2, 611 37, Brno, Czech Republic.

Funding

HORIZON EUROPE Marie Sklodowska-Curie Actions 101063853
6 · The paper itself

Abstract

This paper explores a model integrating healthcare capacity thresholds and seasonal effects to investigate the synchronization of epidemic cycles with seasonal transmission rates, using parameters reflective of the COVID-19 pandemic. Through bifurcation analysis in the epi-seasonal domain, we identify regions of significant seasonal synchronization related to transmission rate fluctuations, waning immunity, and healthcare capacity thresholds. The model highlights four sources of unpredictability: chaotic regimes, quasiperiodicity, proximity to SNIC or transcritical bifurcations, and bistability. Our findings reveal that chaotic regimes are more predictable than quasiperiodic regimes in epidemiological terms. Synchronizing outbreaks with seasonal cycles, even in chaotic regimes, predominantly results in significant winter outbreaks. Conversely, quasiperiodicity allows outbreaks to occur at any time of the year. Near eradication unpredictability aligns with historical pertussis data, underscoring the model's relevance to real-world epidemics and vaccine schedules. Additionally, we identify a bistability region with potential for abrupt shifts in disease prevalence, triggered by superspreading events or migration.

Indexed as

COVID-19Epidemiological ModelsSeasonsEpidemicsHumansPandemicsSARS-CoV-2BifurcationChaosQuasiperiodicitySeasonalitySIRS model

Identifiers

PMID40382369
PMCPMC12085651

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.