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"Google flu trends" and emergency department triage data predicted the 2009 pandemic H1N1 waves in Manitoba.
Can J Public Health. 2011 Jul-Aug; 102(4):294-7.CJ

Abstract

OBJECTIVES

We assessed the performance of syndromic indicators based on Google Flu Trends (GFT) and emergency department (ED) data for the early detection and monitoring of the 2009 H1N1 pandemic waves in Manitoba.

METHODS

Time-series curves for the weekly counts of laboratory-confirmed H1N1 cases in Manitoba during the 2009 pandemic were plotted against the three syndromic indicators: 1) GFT data, based on flu-related Internet search queries, 2) weekly count of all ED visits triaged as influenza-like illness (ED ILI volume), and 3) percentage of all ED visits that were triaged as an ILI (ED ILI percent). A linear regression model was fitted separately for each indicator and correlations with weekly virologic data were calculated for different lag periods for each pandemic wave.

RESULTS

All three indicators peaked 1-2 weeks earlier than the epidemic curve of laboratory-confirmed cases. For GFT data, the best-fitting model had about a 2-week lag period in relation to the epidemic curve. Similarly, the best-fitting models for both ED indicators were observed for a time lag of 1-2 weeks. All three indicators performed better as predictors of the virologic time trends during the second wave as compared to the first. There was strong congruence between the time series of the GFT and both the ED ILI volume and the ED ILI percent indicators.

CONCLUSION

During an influenza season characterized by high levels of disease activity, GFT and ED indicators provided a good indication of weekly counts of laboratory-confirmed influenza cases in Manitoba 1-2 weeks in advance.

Authors+Show Affiliations

Department of Mathematics, University of Manitoba, Winnipeg, MB.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21913587

Citation

Malik, Mohammad Tufail, et al. ""Google Flu Trends" and Emergency Department Triage Data Predicted the 2009 Pandemic H1N1 Waves in Manitoba." Canadian Journal of Public Health = Revue Canadienne De Sante Publique, vol. 102, no. 4, 2011, pp. 294-7.
Malik MT, Gumel A, Thompson LH, et al. "Google flu trends" and emergency department triage data predicted the 2009 pandemic H1N1 waves in Manitoba. Can J Public Health. 2011;102(4):294-7.
Malik, M. T., Gumel, A., Thompson, L. H., Strome, T., & Mahmud, S. M. (2011). "Google flu trends" and emergency department triage data predicted the 2009 pandemic H1N1 waves in Manitoba. Canadian Journal of Public Health = Revue Canadienne De Sante Publique, 102(4), 294-7.
Malik MT, et al. "Google Flu Trends" and Emergency Department Triage Data Predicted the 2009 Pandemic H1N1 Waves in Manitoba. Can J Public Health. 2011 Jul-Aug;102(4):294-7. PubMed PMID: 21913587.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "Google flu trends" and emergency department triage data predicted the 2009 pandemic H1N1 waves in Manitoba. AU - Malik,Mohammad Tufail, AU - Gumel,Abba, AU - Thompson,Laura H, AU - Strome,Trevor, AU - Mahmud,Salaheddin M, PY - 2011/9/15/entrez PY - 2011/9/15/pubmed PY - 2011/11/4/medline SP - 294 EP - 7 JF - Canadian journal of public health = Revue canadienne de sante publique JO - Can J Public Health VL - 102 IS - 4 N2 - OBJECTIVES: We assessed the performance of syndromic indicators based on Google Flu Trends (GFT) and emergency department (ED) data for the early detection and monitoring of the 2009 H1N1 pandemic waves in Manitoba. METHODS: Time-series curves for the weekly counts of laboratory-confirmed H1N1 cases in Manitoba during the 2009 pandemic were plotted against the three syndromic indicators: 1) GFT data, based on flu-related Internet search queries, 2) weekly count of all ED visits triaged as influenza-like illness (ED ILI volume), and 3) percentage of all ED visits that were triaged as an ILI (ED ILI percent). A linear regression model was fitted separately for each indicator and correlations with weekly virologic data were calculated for different lag periods for each pandemic wave. RESULTS: All three indicators peaked 1-2 weeks earlier than the epidemic curve of laboratory-confirmed cases. For GFT data, the best-fitting model had about a 2-week lag period in relation to the epidemic curve. Similarly, the best-fitting models for both ED indicators were observed for a time lag of 1-2 weeks. All three indicators performed better as predictors of the virologic time trends during the second wave as compared to the first. There was strong congruence between the time series of the GFT and both the ED ILI volume and the ED ILI percent indicators. CONCLUSION: During an influenza season characterized by high levels of disease activity, GFT and ED indicators provided a good indication of weekly counts of laboratory-confirmed influenza cases in Manitoba 1-2 weeks in advance. SN - 0008-4263 UR - https://www.unboundmedicine.com/medline/citation/21913587/"Google_flu_trends"_and_emergency_department_triage_data_predicted_the_2009_pandemic_H1N1_waves_in_Manitoba_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21913587/ DB - PRIME DP - Unbound Medicine ER -