SlideShare a Scribd company logo
Internet-based surveillance of illness: the
FluSurvey platform
Sebastian Funk
Centre for the Mathematical Modelling of Infectious Diseases
London School of Hygiene & Tropical Medicine
všŒ (}Œ šZ
u šZ u Ÿ o
u} oo]vP of
]v( Ÿ}µ• ]• • •
The flu pyramid
Infections
Cases
GP
The flu pyramid
≈70%
Infections
Cases
GP
The flu pyramid
?
≈70%
Infections
Cases
GP
Web-based community surveillance
FluSurvey
Beginning of the flu season
Weekly symptom survey
Other surveys
Results page
FluSurvey participants
0
2000
4000
6000
2010 2011 2012 2013 2014 2015
Numberofparticipants
Science: school holidays and the H1N1 pandemic
Term time School holidays
Participantage
Contact age Contact age
Science: school holidays and the H1N1 pandemic
Case estimates
Model fit
Science: risk factors
Variable OR P
Female 1.52 0.03
Unvaccinated 1.94 <0.001
18-24 0.95 0.80
25-34 1.12 0.50
35-44 1.42 0.03
45-64 1.51 0.007
65+ 0.95 0.79
Contact with children 1.47 <0.001
Live with children 1.10 0.305
Smoker 1.32 0.01
Take public transport 0.91 0.183
Underlying health condition 1.53 <0.001
Employment status 0.92 0.066
Science: QALY loss
0-17 18-44 45-64 65+
n = 106
n = 69
n = 64
n = 651
n = 525
n = 437
n = 411
n = 319
n = 311
n = 152
n = 88
n = 52
75
50
25
0
75
50
25
0
100
75
50
25
0
ARIILInofeverILIfever
0 5 10 15 0 5 10 15 0 5 10 15 0 5 10 15
days since symptom onset
dropinhealthscore
data confidence IQR 95%
Science: QALY loss
0.0
0.5
1.0
1.5
2.0
ARI ILIno fever ILIfever
symptom severity
medianQALDloss
Science: vaccine efficacy
0
.2.4.6
2011-12 2012-13 2013-14 2014-15
Season
Visit total Time in study
Time until March end
With 95% confidence interval
Science: severity
ARI ILI no fever ILI fever
n = 196 n = 1169 n = 730 n = 280 n = 112 n = 809 n = 473 n = 125 n = 85 n = 610 n = 391 n = 64
0
2
4
6
0
10
20
0
2
4
6
8
AEGPhosp
0-17 18-44 45-64 65+ 0-17 18-44 45-64 65+ 0-17 18-44 45-64 65+
age group
percentageofthencases
The future
▶ Virological confirmation
▶ Other diseases
▶ Mobile phone app
Other projects elsewhere
Thanks, and don’t forget to join FluSurvey!
http://flusurvey.org.uk/

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