Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China

Introduction: Differences in seasonal pattern and age-related infection risk have been reported between Influenza type A and B, but have not been elaborated at subtype/lineage level. Methodology: All laboratory-confirmed influenza cases reported in the influenza surveillance system of Jiangsu Pro...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiang Huo, Junjie Fu, Qigang Dai, Fengcai Zhu
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2022-12-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/14887
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850148282030882816
author Xiang Huo
Junjie Fu
Qigang Dai
Fengcai Zhu
author_facet Xiang Huo
Junjie Fu
Qigang Dai
Fengcai Zhu
author_sort Xiang Huo
collection DOAJ
description Introduction: Differences in seasonal pattern and age-related infection risk have been reported between Influenza type A and B, but have not been elaborated at subtype/lineage level. Methodology: All laboratory-confirmed influenza cases reported in the influenza surveillance system of Jiangsu Province, China from January 2011 to August 2019 were analyzed. Influenza seasonality was characterized using the Seasonal Decomposition method. Binary and multinomial logistic regressions were employed to calculate the odds ratios of influenza subtypes/lineages in relation to age. Results: A total of 28,772 confirmed influenza cases were included. Among them, a majority (64.1%) were influenza A infections. One annual peak was observed for A (H1N1) pdm and B-Yamagata in winter months, and for B-Victoria in spring months, while biannual peaks were observed for A (H3N2) in winter and summer months. Using all ages as the reference, children younger than 5 years and adults of 25-59 years were more likely to infect with A (H1N1) pdm. Older children aged 5-14 years had significantly higher odds of infection with influenza B of both lineages, while individuals aged 15-24 years had higher odds for A (H3N2) and B-Victoria. The elderly (60 years or older) were prone to be infected with A (H3N2) and B-Yamagata. For a specific age group, their likelihood of getting infected with an influenza subtype or lineage was related to the co-circulating influenza subtype or lineage. Conclusions: Influenza viruses have divergent seasonal peak times and age-related infection risk at subtype/lineage level.
format Article
id doaj-art-fd3a518cddda44c48bd954b5375d2aad
institution OA Journals
issn 1972-2680
language English
publishDate 2022-12-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-fd3a518cddda44c48bd954b5375d2aad2025-08-20T02:27:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802022-12-01161210.3855/jidc.14887Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern ChinaXiang Huo0Junjie Fu1Qigang Dai2Fengcai Zhu3Third Military Medical University, Shapingba District, Chongqing, ChinaNanjing Medical University, Jiangning District, Nanjing, ChinaJiangsu Provincial Center for Disease Control and Prevention, Gulou District, Nanjing, ChinaThird Military Medical University, Shapingba District, Chongqing, China Introduction: Differences in seasonal pattern and age-related infection risk have been reported between Influenza type A and B, but have not been elaborated at subtype/lineage level. Methodology: All laboratory-confirmed influenza cases reported in the influenza surveillance system of Jiangsu Province, China from January 2011 to August 2019 were analyzed. Influenza seasonality was characterized using the Seasonal Decomposition method. Binary and multinomial logistic regressions were employed to calculate the odds ratios of influenza subtypes/lineages in relation to age. Results: A total of 28,772 confirmed influenza cases were included. Among them, a majority (64.1%) were influenza A infections. One annual peak was observed for A (H1N1) pdm and B-Yamagata in winter months, and for B-Victoria in spring months, while biannual peaks were observed for A (H3N2) in winter and summer months. Using all ages as the reference, children younger than 5 years and adults of 25-59 years were more likely to infect with A (H1N1) pdm. Older children aged 5-14 years had significantly higher odds of infection with influenza B of both lineages, while individuals aged 15-24 years had higher odds for A (H3N2) and B-Victoria. The elderly (60 years or older) were prone to be infected with A (H3N2) and B-Yamagata. For a specific age group, their likelihood of getting infected with an influenza subtype or lineage was related to the co-circulating influenza subtype or lineage. Conclusions: Influenza viruses have divergent seasonal peak times and age-related infection risk at subtype/lineage level. https://jidc.org/index.php/journal/article/view/14887InfluenzasubtypelineageAgeriskseasonality
spellingShingle Xiang Huo
Junjie Fu
Qigang Dai
Fengcai Zhu
Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
Journal of Infection in Developing Countries
Influenza
subtype
lineage
Age
risk
seasonality
title Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
title_full Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
title_fullStr Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
title_full_unstemmed Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
title_short Influenza virus subtype/lineage-specific seasonal patterns and age-related infection risk, in Eastern China
title_sort influenza virus subtype lineage specific seasonal patterns and age related infection risk in eastern china
topic Influenza
subtype
lineage
Age
risk
seasonality
url https://jidc.org/index.php/journal/article/view/14887
work_keys_str_mv AT xianghuo influenzavirussubtypelineagespecificseasonalpatternsandagerelatedinfectionriskineasternchina
AT junjiefu influenzavirussubtypelineagespecificseasonalpatternsandagerelatedinfectionriskineasternchina
AT qigangdai influenzavirussubtypelineagespecificseasonalpatternsandagerelatedinfectionriskineasternchina
AT fengcaizhu influenzavirussubtypelineagespecificseasonalpatternsandagerelatedinfectionriskineasternchina