PMID- 30044029 OWN - NLM STAT- MEDLINE DCOM- 20190506 LR - 20240402 IS - 1750-2659 (Electronic) IS - 1750-2640 (Print) IS - 1750-2640 (Linking) VI - 12 IP - 6 DP - 2018 Nov TI - Nonannual seasonality of influenza-like illness in a tropical urban setting. PG - 742-754 LID - 10.1111/irv.12595 [doi] AB - BACKGROUND: In temperate and subtropical climates, respiratory diseases exhibit seasonal peaks in winter. In the tropics, with no winter, peak timings are irregular. METHODS: To obtain a detailed picture of influenza-like illness (ILI) patterns in the tropics, we established an mHealth study in community clinics in Ho Chi Minh City (HCMC). During 2009-2015, clinics reported daily case numbers via SMS, with a subset performing molecular diagnostics for influenza virus. This real-time epidemiology network absorbs 6000 ILI reports annually, one or two orders of magnitude more than typical surveillance systems. A real-time online ILI indicator was developed to inform clinicians of the daily ILI activity in HCMC. RESULTS: From August 2009 to December 2015, 63 clinics were enrolled and 36 920 SMS reports were received, covering approximately 1.7M outpatient visits. Approximately 10.6% of outpatients met the ILI case definition. ILI activity in HCMC exhibited strong nonannual dynamics with a dominant periodicity of 206 days. This was confirmed by time series decomposition, stepwise regression, and a forecasting exercise showing that median forecasting errors are 30%-40% lower when using a 206-day cycle. In ILI patients from whom nasopharyngeal swabs were taken, 31.2% were positive for influenza. There was no correlation between the ILI time series and the time series of influenza, influenza A, or influenza B (all P > 0.15). CONCLUSION: This suggests, for the first time, that a nonannual cycle may be an essential driver of respiratory disease dynamics in the tropics. An immunological interference hypothesis is discussed as a potential underlying mechanism. CI - (c) 2018 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd. FAU - Lam, Ha Minh AU - Lam HM AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Wesolowski, Amy AU - Wesolowski A AD - Center for Communicable Disease Dynamics, Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. AD - Department of Ecology and Evolutionary Biology, Princeton University, Princeton, New Jersey. FAU - Hung, Nguyen Thanh AU - Hung NT AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Nguyen, Tran Dang AU - Nguyen TD AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Nhat, Nguyen Thi Duy AU - Nhat NTD AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Todd, Stacy AU - Todd S AUID- ORCID: 0000-0003-3215-9625 AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Liverpool School of Tropical Medicine, Liverpool, UK. FAU - Vinh, Dao Nguyen AU - Vinh DN AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Vy, Nguyen Ha Thao AU - Vy NHT AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Thao, Tran Thi Nhu AU - Thao TTN AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Thanh, Nguyen Thi Le AU - Thanh NTL AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Tin, Phan Tri AU - Tin PT AD - Viet My Clinics, Ho Chi Minh City, Vietnam. FAU - Minh, Ngo Ngoc Quang AU - Minh NNQ AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Children's Hospital No. 1, Ho Chi Minh City, Vietnam. FAU - Bryant, Juliet E AU - Bryant JE AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. FAU - Buckee, Caroline O AU - Buckee CO AD - Center for Communicable Disease Dynamics, Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. FAU - Ngoc, Tran Van AU - Ngoc TV AD - Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam. FAU - Chau, Nguyen Van Vinh AU - Chau NVV AD - Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam. FAU - Thwaites, Guy E AU - Thwaites GE AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. FAU - Farrar, Jeremy AU - Farrar J AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Wellcome Trust, London, UK. FAU - Tam, Dong Thi Hoai AU - Tam DTH AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. FAU - Vinh, Ha AU - Vinh H AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam. AD - Department of Infectious Diseases, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam. FAU - Boni, Maciej F AU - Boni MF AUID- ORCID: 0000-0002-0830-9630 AD - Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. AD - Center for Infectious Disease Dynamics, Department of Biology, Pennsylvania State University, University Park, Pennsylvania. LA - eng GR - 106866/Z/15/Z/Wellcome Trust/United Kingdom GR - 097465/B/11/Z/Wellcome Trust/United Kingdom GR - 098511/Z/12/Z/Wellcome Trust/United Kingdom GR - 089276/B/09/7/Wellcome Trust/United Kingdom GR - U54 GM088558/GM/NIGMS NIH HHS/United States GR - Wellcome Trust/United Kingdom GR - 1U54GM088558/NH/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180821 PL - England TA - Influenza Other Respir Viruses JT - Influenza and other respiratory viruses JID - 101304007 SB - IM MH - Epidemiological Monitoring MH - Humans MH - Influenza, Human/*epidemiology MH - Orthomyxoviridae/*isolation & purification MH - Tropical Climate MH - Urban Population MH - Vietnam/epidemiology PMC - PMC6185894 EDAT- 2018/07/26 06:00 MHDA- 2019/05/07 06:00 PMCR- 2018/11/01 CRDT- 2018/07/26 06:00 PHST- 2017/12/11 00:00 [received] PHST- 2018/07/04 00:00 [revised] PHST- 2018/07/06 00:00 [accepted] PHST- 2018/07/26 06:00 [pubmed] PHST- 2019/05/07 06:00 [medline] PHST- 2018/07/26 06:00 [entrez] PHST- 2018/11/01 00:00 [pmc-release] AID - IRV12595 [pii] AID - 10.1111/irv.12595 [doi] PST - ppublish SO - Influenza Other Respir Viruses. 2018 Nov;12(6):742-754. doi: 10.1111/irv.12595. Epub 2018 Aug 21.