H1N1

Tracking the Evolution and Spread of the 2009 Influenza H1N1 'Swine Flu' Outbreak

The current swine flu outbreak is being tracked in many different ways. News reports are being aggregated into an overall geographic story about the spread of the virus: see for example the Rhiza Labs page and this Google Maps mashup.

In addition to the tracking of news reports, sequence data are being released at NCBI and GISAID. These data are being tracked and subjected to cutting-edge molecular analysis at the Human/Swine A/H1N1 Influenza Origins and Evolution site.

On this page, we show how GenGIS can be used to examine the geographic spread and evolutionary relationships of the strains and isolates that have been collected to date. We have written scripts to parse the Rhiza Labs data and show geographical distributions during different phases (defined by us, and based solely on data availability) of the outbreak. Beyond this, we are using automated methods to retrieve sequence data from NCBI, build multiple sequence alignments, construct phylogenetic trees and then map them using GenGIS.

Caveats

There are some important limitations to keep in mind when interpreting these data sets:

• Date and location assignments are approximate; in some cases complete geographic and time information is not available about a particular isolate. In addition to this, the time lag between initial infection, onset of symptoms, collection of sequence data and reporting of the case in the media will vary.

• The reported cases are an incomplete and non-random subset of all cases, given that many mild cases may not be reported at all or may be misdiagnosed. Furthermore, the sequenced isolates are a non-random sample of reported cases. The impact of this non-random subsampling will be particularly strong in Mexico, where most of the genetic diversity of this strain is likely to be found. This means that, for example, two disparate non-Mexico sites that group together in a tree could very well do so because of a common Mexican origin, rather than a direct spread from one location to the other.

• Online data are being parsed semi-automatically; obvious mistakes are corrected (typically removed) prior to analysis, but more-subtle errors will creep through.

Confirmed Cases

Late March: confirmed cases in Southern California