articleScienceMar 30, 2006Closed access

Synchrony, Waves, and Spatial Hierarchies in the Spread of Influenza

National Institutes of Health · Pennsylvania State University · +3 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Quantifying long-range dissemination of infectious diseases is a key issue in their dynamics and control. Here, we use influenza-related mortality data to analyze the between-state progression of interpandemic influenza in the United States over the past 30 years. Outbreaks show hierarchical spatial spread evidenced by higher pairwise synchrony between more populous states. Seasons with higher influenza mortality are associated with higher disease transmission and more rapid spread than are mild ones. The regional spread of infection correlates more closely with rates of movement of people to and from their workplaces (workflows) than with geographical distance. Workflows are described in turn by a gravity…

Citation impact

893
total citations
FWCI
23.84
Percentile
100%
References
27
Citations per year

Authors

6

Topics & keywords

Keywords
  • Outbreak
  • Transmissibility (structural dynamics)
  • Transmission (telecommunications)
  • Geography
  • Pairwise comparison
  • Gravity model of trade
  • Range (aeronautics)
  • Spatial ecology
UN Sustainable Development Goals
  • Good health and well-being
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