Flu pandemic risk spikes in spring not winter

All six flu pandemics that have occurred since 1889 emerged after the peak of flu season during the spring and summer. Now scientists think they know why.

You might expect that the risk of a new flu pandemic—or worldwide disease outbreak—is greatest at the peak of the flu season in winter, when viruses are most abundant and most likely to spread.

Instead, all six flu pandemics that have occurred since 1889 emerged in spring and summer months. Now scientists may know why.

Supercomputer simulations that mimic viral spread during flu season showed strong evidence that the late timing of flu pandemics results from two opposing factors: Flu spreads best under winter environmental and social conditions—and people who get sick with one flu virus can develop temporary immune protection against others, slowing potential pandemics.

Together, this leaves a narrow window toward the end of the flu season for new pandemics to emerge, researchers say.

The model assumes that people infected with seasonal flu gain long-term immunity to seasonal flu and short-term immunity to emerging pandemic viruses. It incorporates data on flu transmission from the 2008-2009 flu season and correctly predicted the timing of the 2009 H1N1 pandemic.

“We don’t know when or where the next deadly flu pandemic will arise.”

Scientists used the model to run thousands of simulations in which new pandemic viruses emerged at different points throughout the flu season and found that the combination of winter conditions and cross-virus immunity indeed led to spring and summer pandemics.

“We don’t know when or where the next deadly flu pandemic will arise,” says Lauren Ancel Meyers, a professor of integrative biology at the University of Texas at Austin and principal investigator of the study in PLOS Computational Biology.

“However, the typical flu season leaves a wake of immunity that prevents new viruses from spreading. Our study shows that this creates a narrow, predictable window for pandemic emergence in the spring and early summer, which can help public health agencies to detect and respond to new viral threats.”

Future research may focus on more precisely characterizing the cross-strain immunity that impedes pandemic emergence during the normal flu season. Scientists may also explore how these pandemic risk patterns manifest in the Southern Hemisphere and tropical regions.

The National Institute of General Medical Sciences and the UT Austin Graduate School funded the work.

Source: University of Texas at Austin

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