1998
DOI: 10.1098/rspb.1998.0593
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The geographical spread of influenza

Abstract: How infectious diseases spread in space within one cycle of an epidemic is an important question that has received considerable theoretical attention. There are, however, few empirical studies to support theoretical approaches, because data are scarce. Weekly reports obtained since 1984 from a network of general practitioners spanning the entire French territory allows the analysis of the spatio-temporal dynamics of in£uenza over a ¢ne spatial scale. This analysis indicates that di¡usion over long distances, p… Show more

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Cited by 71 publications
(58 citation statements)
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“…As temporal, spatial, and seasonal patterns have been observed with human influenza A virus infections,22, 23 explanatory variables of interest included number of days in the shelter before sampling, geographic region of the shelter, study year, and sampling month. Additional covariates included to evaluate the hypotheses of interest were sample type (intake/discharge), receipt of CIV vaccination upon admission, and allowance of comingling or cohousing.…”
Section: Methodsmentioning
confidence: 99%
“…As temporal, spatial, and seasonal patterns have been observed with human influenza A virus infections,22, 23 explanatory variables of interest included number of days in the shelter before sampling, geographic region of the shelter, study year, and sampling month. Additional covariates included to evaluate the hypotheses of interest were sample type (intake/discharge), receipt of CIV vaccination upon admission, and allowance of comingling or cohousing.…”
Section: Methodsmentioning
confidence: 99%
“…The spatial spread of influenza has been much studied, particularly with respect to pandemic invasion waves (5)(6)(7)(8)(9)(10)(11). Simulation models incorporating air and surface transportation have generated important insights into the spread of influenza (6,7,10,11); however, the key underlying relationship between human movement and disease spread has not been verified across wide spatial scales nor contrasted among multiple interpandemic seasons of varying severity and viral subtype dominance.…”
Section: 3mentioning
confidence: 99%
“…Adding antigenic dirft and cross-immunity into classical models greatly complicates the mathematics and although advances have been made, much work remains [27][28][29]. Advances in incorporating spatio-temporal information into epidemiological models has been successful in models of other pathogens including measles, whooping cough, and foot and mouth disease [30][31][32][33][34], and some progress has been made for influenza though much work remains [35,[46][47][48].…”
Section: Modeling Influenza Epidemiologymentioning
confidence: 99%