Spatio-temporal synchronization of recurrent epidemics

Daihai He, Lewi Stone

Research output: Journal article publicationJournal articleAcademic researchpeer-review

57 Citations (Scopus)


Long-term spatio-temporal datasets of disease incidences have made it clear that many recurring epidemics, especially childhood infections, tend to synchronize in-phase across suburbs. In some special cases, epidemics between suburbs have been found to oscillate in an out-of-phase ('antiphase') relationship for lengthy periods. Here, we use modelling techniques to help explain the presence of in-phase and antiphase synchronization. The nonlinearity of the epidemic dynamics is often such that the intensity of the outbreak influences the phase of the oscillation thereby introducing 'shear', a factor that is found to be important for generating antiphase synchronization. By contrast, the coupling between suburbs via the immigration of infectives tends to enhance in-phase synchronization. The emerging synchronization depends delicately on these opposite factors. We use theoretical results from continuous time models to provide a framework for understanding the relationship between synchronization patterns for different model structures.
Original languageEnglish
Pages (from-to)1519-1526
Number of pages8
JournalProceedings of the Royal Society B: Biological Sciences
Issue number1523
Publication statusPublished - 22 Jul 2003
Externally publishedYes


  • Antiphase
  • Epidemic models
  • Epidemics
  • Shear
  • Synchronization
  • Vaccination strategies

ASJC Scopus subject areas

  • General Medicine
  • General Immunology and Microbiology
  • General Biochemistry,Genetics and Molecular Biology
  • General Environmental Science
  • General Agricultural and Biological Sciences


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