Title
Characterising seasonal influenza epidemiology using primary care surveillance data.
Abstract
Understanding the epidemiology of seasonal influenza is critical for healthcare resource allocation and early detection of anomalous seasons. It can be challenging to obtain high-quality data of influenza cases specifically, as clinical presentations with influenza-like symptoms may instead be cases of one of a number of alternate respiratory viruses. We use a new dataset of confirmed influenza virological data from 2011-2016, along with high-quality denominators informing a hierarchical observation process, to model seasonal influenza dynamics in New South Wales, Australia. We use approximate Bayesian computation to estimate parameters in a climate-driven stochastic epidemic model, including the basic reproduction number R-0, the proportion of the population susceptible to the circulating strain at the beginning of the season, and the probability an infected individual seeks treatment. We conclude that R-0 and initial population susceptibility were strongly related, emphasising the challenges of identifying these parameters. Relatively high R-0 values alongside low initial population susceptibility were among the results most consistent with these data. Our results reinforce the importance of distinguishing between R-0 and the effective reproduction number (R-e) in modelling studies.
Year
DOI
Venue
2018
10.1371/journal.pcbi.1006377
PLOS COMPUTATIONAL BIOLOGY
DocType
Volume
Issue
Journal
14
8
ISSN
Citations 
PageRank 
1553-7358
0
0.34
References 
Authors
0
5
Name
Order
Citations
PageRank
Robert Cope101.01
Joshua V. Ross221.79
Monique Chilver300.34
Nigel P Stocks400.34
Lewis Mitchell515517.70