Sanford’s H1N1 study was factually wrong. The 1917 epidemic grew more virulent in 1918, before attenuating in following years. The following references are from my previous post on another thread, but are pertinent here:
In the 1918–1919 pandemic, a first or spring wave began in March 1918 and spread unevenly through the United States, Europe, and possibly Asia over the next 6 months …Illness rates were high, but death rates in most locales were not appreciably above normal . A second or fall wave spread globally from September to November 1918 and was highly fatal .
Journal of Emerging Infectious Diseases - 1918 Influenza
The 1918 pandemic began with outbreaks of low mortality in the spring and summer, followed by a more lethal wave in the winter .
Vincent Racaniello - Riding the influenza pandemic wave
So much for losing virulence as the pandemic rolls on, due to accumulated mutations. Oh, and this:
Recently the Norwegian Institute of Public Health reported that the mutation , which causes a change from the amino acid aspartic acid to glycine at position 225 of the viral HA protein (D225G), has been identified in 11 of 61 cases (18%) of severe or fatal influenza, but not in any of 205 mild cases .
Vincent Racaniello - The D225G change in 2009 H1N1 influenza virus
I would say that the Sanford paper is a classic correlation failing the demonstration of causation or mechanism, but it’s premise is not even correlated. And that is just getting started with the problems with Sanford’s genetic entropy as applied to epidemiology.