Influenza, commonly known as the seasonal flu, is a contagious respiratory illness caused by influenza viruses. It infects the nose, throat, and sometimes the lungs, and can lead to mild to severe illness. In some cases, it results in hospitalization or death. Not all infections are symptomatic, and some individuals, especially those with prior immunity, may be infected without showing any signs of illness.
Each year in the United States, seasonal influenza causes 9.3 million to 41 million illnesses, 120,000 to 710,000 hospitalizations, and 6,300 to 52,000 deaths, depending on the severity of the flu season (https://www.cdc.gov/flu-burden/php/about/index.html). Asymptomatic infections, which are generally undetectable, are also common and may contribute to the spread of the virus.
Influenza A viruses are zoonotic, meaning they can infect both humans and animals, such as birds and pigs. These viruses are responsible for most seasonal flu epidemics and all known influenza pandemics. Influenza A is highly variable due to its ability to undergo frequent genetic changes, particularly antigenic drift and shift, which can lead to the emergence of new strains. In addition, its presence in both humans and a range of other animals greatly increases the chances of genetic drift.
Influenza B viruses primarily infect humans and are generally associated with less severe epidemics compared to Influenza A. Unlike Influenza A, they do not have animal reservoirs and do not cause pandemics. However, they still contribute significantly to the seasonal flu burden, particularly in children and adolescents.
*While cats are not typically major players in seasonal flu outbreaks, they can occasionally be affected, mainly through close contact with infected people, because even the fluffiest nurse can't always dodge a sneeze.
Influenza has caused seasonal epidemics for centuries and, on rare occasions, devastating pandemics. Tracking its historical impact helps researchers understand transmission patterns, intervention strategies, vaccine effectiveness, and the potential severity of future outbreaks. Several organizations, including the CDC and WHO, maintain detailed records of influenza occurrence and impact.
The U.S. Centers for Disease Control and Prevention (CDC) has tracked influenza activity since the early 20th century. The CDC FluView surveillance system compiles weekly data on influenza-like illness (ILI), lab-confirmed cases, hospitalizations, and deaths across the United States. CDC's publicly available databases enable longitudinal studies of flu burden, vaccine coverage, and viral strain prevalence.
The World Health Organization (WHO) coordinates the Global Influenza Surveillance and Response System (GISRS), established in 1952. GISRS collects flu data from over 100 countries through National Influenza Centers and collaborating labs. WHO uses this data to: (1) monitor influenza strains worldwide; (2) make biannual vaccine composition recommendations; and (3) track the global impact of pandemics like the 1918 Spanish Flu, 1957 Asian Flu, 1968 Hong Kong Flu, and 2009 H1N1.
Additional influenza data come from academic research groups, nonprofit organizations, and collaborations:
Mathematical and statistical models are essential tools for understanding the spread, evolution, and control of influenza. These models help researchers and policymakers estimate key parameters such as transmission rates, predict epidemic curves, evaluate vaccine effectiveness, and simulate intervention strategies. Modeling approaches range from mechanistic systems of differential equations to data-driven machine learning and hybrid frameworks.
Ordinary Differential Equation (ODE) models are a cornerstone of influenza modeling. They describe how individuals move between disease states (e.g., Susceptible–Infected–Recovered, or SIR models) over time. These models can incorporate age distribution in the population, vaccination, immunity waning, seasonality, and multiple influenza strains.
Statistical models focus on inferring parameters and making predictions from data. Time series models (e.g., ARIMA), regression-based approaches, and hierarchical Bayesian models are commonly used to estimate influenza incidence, detect season onset, or evaluate the impact of vaccination or other intervention programs.
Agent-based models (ABMs) simulate interactions among individual agents (e.g., people, households, schools). These models are similar to SIR models except they represent individuals as defined entities, wheras SIR models represent populations.
Network models model transmission over contact networks. This type of model is ideal for studying targeted interventions, like school closures or vaccination of specific subgroups.
Machine learning models are data-driven approaches (e.g., random forests, neural networks) that are increasingly used for influenza forecasting and outbreak detection. These models attempt to extract information from the data without needing a rational basis in the underlying biology.
Hybrid models (e.g., those that integrate ODE-based structure with statistical or machine learning components) attempt to incorporate flexible, data-informed analysis with mechanistic grounding.