Patterns of Influenza Vaccination Coverage in the United States from 2009 to 2015

Background: Globally, influenza is a major cause of morbidity, hospitalization and mortality. Influenza vaccination has shown substantial protective effectiveness in the United States. We investigated state-level patterns of coverage rates of seasonal and pandemic influenza vaccination, among the overall population in the U.S. and specifically among children and the elderly, from 2009/10 to 2014/15, and associations with ecological factors. Methods and Findings: We obtained state-level influenza vaccination coverage rates from national surveys, and state-level socio-demographic and health data from a variety of sources. We employed a retrospective ecological study design, and used mixed-model regression to determine the levels of ecological association of the state-level vaccinations rates with these factors, both with and without region as a factor for the three populations. We found that health-care access is positively and significantly associated with mean influenza vaccination coverage rates across all populations and models. We also found that prevalence of asthma in adults are negatively and significantly associated with mean influenza vaccination coverage rates in the elderly populations. Conclusions: Health-care access has a robust, positive association with state-level vaccination rates across different populations. This highlights a potential population-level advantage of expanding health-care access.Comment: 10 pages, 2 figure

Strategic Decision-making about Travel during Disease Outbreaks: a Game Theoretical Approach

This is an accepted manuscript that has been accepted for publication by the Royal Society in the Journal of the Royal Society Interface and is made available under the following terms: https://royalsociety.org/journals/ethics-policies/media-embargo/Visitors can play an important role in the spread of infections. Here, we incorporate an epidemic model into a game theoretical framework to investigate the effects of travel strategies on infection control. Potential visitors must decide whether to travel to a destination that is at risk of infectious disease outbreaks. We compare the individually optimal (Nash equilibrium) strategy to the group optimal strategy that maximizes the overall population utility. Economic epidemiological models often find that individual and group optimal strategies are very different. In contrast, we find perfect agreement between individual and group optimal strategies across a wide parameter regime. For more limited regimes where disagreement does occur, the disagreement is (1) generally very extreme; (2) highly sensitive to small changes in infection transmissibility and visitor costs/benefits; and (3) can manifest either in a higher travel volume for individual optimal than group optimal strategies, or vice versa. The simulations show qualitative agreement with the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak in Beijing, China. We conclude that a conflict between individual and group optimal visitor travel strategies during outbreaks may not generally be a problem, although extreme differences could emerge suddenly under certain changes in economic and epidemiological conditions.Early Career Scheme grant from the Hong Kong Research 343 Grant Council || PolyU 251001/14

Global Spatio-temporal Patterns of Influenza in the Post-pandemic Era

We study the global spatio-temporal patterns of influenza dynamics. This is achieved by analysing and modelling weekly laboratory confirmed cases of influenza A and B from 138 countries between January 2006 and May 2014. The data were obtained from FluNet, the surveillance network compiled by the the World Health Organization. We report a pattern of {\it skip-and-resurgence} behavior between the years 2011 and 2013 for influenza H1N1/09, the strain responsible for the 2009 pandemic, in Europe and Eastern Asia. In particular, the expected H1N1/09 epidemic outbreak in 2011 failed to occur (or"skipped") in many countries across the globe, although an outbreak occurred in the following year. We also report a pattern of {\it well-synchronized} 2010 winter wave of H1N1/09 in the Northern Hemisphere countries, and a pattern of replacement of strain H1N1/77 by H1N1/09 between the 2009 and 2012 influenza seasons. Using both a statistical and a mechanistic mathematical model, and through fitting the data of 108 countries (108 countries in a statistical model and 10 large populations with a mechanistic model), we discuss the mechanisms that are likely to generate these events taking into account the role of multi-strain dynamics. A basic understanding of these patterns has important public health implications and scientific significance

Transmission dynamics of monkeypox virus in Nigeria during the current COVID-19 pandemic and estimation of effective reproduction number

Monkeypox virus (MPXV) continues to pose severe threats to global public health, especially in non-endemic areas. Like all other regions, Africa faces potential public health crises due to the ongoing COVID-19 pandemic and other infectious disease outbreaks (such as Lassa fever and malaria) that have devastated the region and overwhelmed the healthcare systems. Owing to the recent surge in the MPXV and other infections, the COVID-19-control efforts could deteriorate and further worsen. This study discusses the potential emergencies of MPXV transmission during the current COVID-19 pandemic. We hypothesize some of the underlying drivers that possibly resulted in an increase in rodent-to-human interaction, such as the COVID-19 pandemic’s impact and other human behavioral or environmental factors. Furthermore, we estimate the MPXV time-varying effective reproduction number ([Formula: see text]) based on case notification in Nigeria. We find that [Formula: see text] reached a peak in 2022 with a mean of 1.924 (95% CrI: 1.455, 2.485) and a median of 1.921 (95% CrI: 1.450, 2.482). We argue that the real-time monitoring of [Formula: see text] is practical and can give public health authorities crucial data for circumstantial awareness and strategy recalibration. We also emphasize the need to improve awareness programs and the provision of adequate health care resources to suppress the outbreaks. These could also help to increase the reporting rate and, in turn, prevent large community transmission of the MPXV in Nigeria and beyond

Dynamical Variations of the Global COVID-19 Pandemic Based on a SEICR Disease Model: A New Approach of Yi Hua Jie Mu

The ongoing coronavirus disease 2019 (COVID-19) pandemic has caused more than 150 million cases of infection to date and poses a serious threat to global public health. In this study, global COVID-19 data were used to examine the dynamical variations from the perspectives of immunity and contact of 84 countries across the five climate regions: tropical, arid, temperate, and cold. A new approach named Yi Hua Jie Mu is proposed to obtain the transmission rates based on the COVID-19 data between the countries with the same climate region over the Northern Hemisphere and Southern Hemisphere. Our results suggest that the COVID-19 pandemic will persist over a long period of time or enter into regular circulation in multiple periods of 1–2 years. Moreover, based on the simulated results by the COVID-19 data, it is found that the temperate and cold climate regions have higher infection rates than the tropical and arid climate regions, which indicates that climate may modulate the transmission of COVID-19. The role of the climate on the COVID-19 variations should be concluded with more data and more cautions. The non-pharmaceutical interventions still play the key role in controlling and prevention this global pandemic