<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="reviewer-report"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id><journal-id journal-id-type="publisher-id">xmed</journal-id><journal-id journal-id-type="index">34</journal-id><journal-title>JMIRx Med</journal-title><abbrev-journal-title>JMIRx Med</abbrev-journal-title><issn pub-type="epub">2563-6316</issn><publisher><publisher-name>JMIR Publications</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">v7i1e101468</article-id><article-id pub-id-type="doi">10.2196/101468</article-id><article-categories><subj-group subj-group-type="heading"><subject>Peer-Review Report</subject></subj-group></article-categories><title-group><article-title>Peer Review of &#x201C;Chaotic and Stochastic Components in an Influenza Surveillance Series: Nonlinear Dynamics and Predictive Modeling Study&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Bobrova</surname><given-names>Yulia</given-names></name><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff id="aff1"><institution>Saint Petersburg State Electrotechnical University</institution><addr-line>St. Petersburg</addr-line><country>Russian Federation</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Schwartz</surname><given-names>Amy</given-names></name></contrib></contrib-group><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>5</day><month>6</month><year>2026</year></pub-date><volume>7</volume><elocation-id>e101468</elocation-id><history><date date-type="received"><day>15</day><month>05</month><year>2026</year></date><date date-type="accepted"><day>15</day><month>05</month><year>2026</year></date></history><copyright-statement>&#x00A9; Yulia Bobrova. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 5.6.2026. </copyright-statement><copyright-year>2026</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org/">https://med.jmirx.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://xmed.jmir.org/2026/1/e101468"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2025.07.09.25331183" xlink:title="Preprint (medRxiv Preprints)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2025.07.09.25331183v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/101688" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2026/1/e101688</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/81547" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2026/1/e81547</related-article><kwd-group><kwd>epidemiology</kwd><kwd>epidemiologic methods</kwd><kwd>epidemiological monitoring</kwd><kwd>chaos theory</kwd><kwd>topological data analysis</kwd><kwd>autoregressive conditional heteroskedasticity</kwd></kwd-group></article-meta></front><body><p><italic>This is a peer-review report for &#x201C;Chaotic and Stochastic Components in an Influenza Surveillance Series: Nonlinear Dynamics and Predictive Modeling Study.&#x201D;</italic></p><sec id="s2"><title>Round 1 Review</title><p>The manuscript [<xref ref-type="bibr" rid="ref1">1</xref>] under review presents an empirical methodology for studying stochastic chaos in epidemiological data by combining topological data analysis, topological machine learning, and nonlinear time series analysis to decompose influenza dynamics into deterministic chaotic and stochastic components down to the noise of independent and identically distributed random variables.</p><p>I recommend that the authors address the following shortcomings to improve the manuscript before publication.</p><list list-type="order"><list-item><p>The estimated largest Lyapunov exponent is approximately 0.001, which the authors characterize as &#x201C;weak chaos.&#x201D; However, such low values may be statistically indistinguishable from colored noise or stochastic processes with long-range dependencies. The authors should conduct additional tests using surrogate data to reliably confirm the deterministic chaotic nature of the reconstructed attractor.</p></list-item><list-item><p>The authors should elaborate on how identifying stochastic chaos improves decision-relevant forecasting compared to established time series models in disease outbreak scenarios, including a discussion of lead times, calibration, and uncertainty quantification.</p></list-item><list-item><p>The study reports high explanatory power for the full model but does not compare its performance to benchmark forecasting methods. Including a comparative analysis with traditional epidemiological or statistical models would better contextualize the added value of the topological machine learning approach and strengthen claims of methodological superiority.</p></list-item></list><sec id="s1-1"><title>Minor Comments</title><p>Ensure consistent hyphen usage in compound terms (&#x201C;time-series&#x201D; vs &#x201C;time series&#x201D;).</p></sec></sec></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><ref-list><title>References</title><ref id="ref1"><label>1</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>dos Santos Goncalves</surname><given-names>CP</given-names> </name><name name-style="western"><surname>Rouco</surname><given-names>C</given-names> </name></person-group><article-title>Chaotic and Stochastic Components in an Influenza Surveillance Series: Nonlinear Dynamics and Predictive Modeling Study</article-title><source>JMIRx Med</source><year>2026</year><volume>7</volume><fpage>e81547</fpage><pub-id pub-id-type="doi">10.2196/81547</pub-id></nlm-citation></ref></ref-list></back></article>