The seasonality of three childhood infections in a pre-industrial society without schools

AbstractBackgroundThe burden of many infectious diseases varies seasonally and a better understanding of the drivers of infectious disease seasonality would help to improve public health interventions. For directly transmitted highly-immunizing childhood infections, the leading hypothesis is that seasonality is strongly driven by social gatherings imposed by schools, with maxima and minima during school terms and holidays respectively. However, we currently have a poor understanding of the seasonality of childhood infections in societies without schools and whether these are driven by human social gatherings. Here, we used unique nationwide data consisting of >40 epidemics over 100 years…