Ozone as an environmental driver of influenza

Fang Guo, Pei Zhang, Vivian Do, Jakob Runge, Kun Zhang, Zheshen Han, Shenxi Deng, Hongli Lin, Sheikh Taslim Ali, Ruchong Chen, Yuming Guo and Linwei Tian ()
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Fang Guo: The University of Hong Kong
Pei Zhang: The University of Hong Kong
Vivian Do: Columbia University
Jakob Runge: Institut für Datenwissenschaften
Kun Zhang: Carnegie Mellon University
Zheshen Han: The University of Hong Kong
Shenxi Deng: The University of Hong Kong
Hongli Lin: The University of Hong Kong
Sheikh Taslim Ali: The University of Hong Kong
Ruchong Chen: The First Affiliated Hospital of Guangzhou Medical University
Yuming Guo: School of Public Health and Preventive Medicine, Monash University
Linwei Tian: The University of Hong Kong

Nature Communications, 2024, vol. 15, issue 1, 1-12

Abstract: Abstract Under long-standing threat of seasonal influenza outbreaks, it remains imperative to understand the drivers of influenza dynamics which can guide mitigation measures. While the role of absolute humidity and temperature is extensively studied, the possibility of ambient ozone (O3) as an environmental driver of influenza has received scant attention. Here, using state-level data in the USA during 2010–2015, we examined such research hypothesis. For rigorous causal inference by evidence triangulation, we applied 3 distinct methods for data analysis: Convergent Cross Mapping from state-space reconstruction theory, Peter-Clark-momentary-conditional-independence plus as graphical modeling algorithms, and regression-based Generalised Linear Model. The negative impact of ambient O3 on influenza activity at 1-week lag is consistently demonstrated by those 3 methods. With O3 commonly known as air pollutant, the novel findings here on the inhibition effect of O3 on influenza activity warrant further investigations to inform environmental management and public health protection.

Date: 2024
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DOI: 10.1038/s41467-024-48199-z

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