Seasonality in risk of pandemic influenza emergence

PLoS Comput Biol 13(10): e1005749.

Courtesy - Dr Ashwini Tayade

Influenza pandemics emerge via genomic reassortment between circulating human and animal strains. The risk of pandemic emergence should therefore be high during the flu season, when viruses are abundant and conditions favor transmission. However, the six pandemics on record since 1889 all emerged in the Northern Hemisphere following the flu season, suggesting that other forces may predictably constrain pandemic risk. The authors find that seasonal influenza epidemics leave a wake of immunity that impedes pandemic emergence. This transient refractory period is consistent with the spring-summer emergence, multiple wave dynamics of recent pandemics, and may cause initial underestimation of the viral transmission rate. These findings may improve pre-pandemic risk assessments and real-time situational awareness, particularly as we gain greater insight into the extent of immunity.