Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 influenza in First Nations communities in three provinces of Canada.
Identifieur interne : 000401 ( Main/Exploration ); précédent : 000400; suivant : 000402Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 influenza in First Nations communities in three provinces of Canada.
Auteurs : Michael E. Green [Canada] ; Sabrina T. Wong ; Josée G. Lavoie ; Jeff Kwong ; Leonard Macwilliam ; Sandra Peterson ; Guoyuan Liu ; Alan KatzSource :
- BMC public health [ 1471-2458 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Appréciation des risques (MeSH), Canada (épidémiologie), Enfant (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Grippe humaine (ethnologie), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Indiens d'Amérique Nord (statistiques et données numériques), Jeune adulte (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (ethnologie), Pneumopathie virale (thérapie), Population urbaine (statistiques et données numériques), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet âgé (MeSH).
- MESH :
- ethnologie : Grippe humaine, Pneumopathie virale.
- statistiques et données numériques : Hospitalisation, Indiens d'Amérique Nord, Population urbaine.
- thérapie : Grippe humaine, Pneumopathie virale.
- épidémiologie : Canada, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Appréciation des risques, Enfant, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Canada (epidemiology), Child (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Indians, North American (statistics & numerical data), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (epidemiology), Influenza, Human (ethnology), Influenza, Human (therapy), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (ethnology), Pneumonia, Viral (therapy), Risk Assessment (MeSH), Socioeconomic Factors (MeSH), Urban Population (statistics & numerical data), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Influenza, Human.
- ethnology : Influenza, Human, Pneumonia, Viral.
- statistics & numerical data : Hospitalization, Indians, North American, Urban Population.
- therapy : Influenza, Human, Pneumonia, Viral.
- Adolescent, Adult, Aged, Child, Female, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Pandemics, Risk Assessment, Socioeconomic Factors, Young Adult.
Abstract
BACKGROUND
Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.
METHODS
Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.
RESULTS
Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.
CONCLUSIONS
We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.
DOI: 10.1186/1471-2458-13-1029
PubMed: 24499143
PubMed Central: PMC3840629
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wong</name></author><author><name sortKey="Lavoie, Josee G" sort="Lavoie, Josee G" uniqKey="Lavoie J" first="Josée G" last="Lavoie">Josée G. Lavoie</name></author><author><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name></author><author><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name></author><author><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name></author><author><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name></author><author><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24499143</idno><idno type="pmid">24499143</idno><idno type="doi">10.1186/1471-2458-13-1029</idno><idno type="pmc">PMC3840629</idno><idno type="wicri:Area/Main/Corpus">000296</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000296</idno><idno type="wicri:Area/Main/Curation">000296</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000296</idno><idno type="wicri:Area/Main/Exploration">000296</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 influenza in First Nations communities in three provinces of Canada.</title><author><name sortKey="Green, Michael E" sort="Green, Michael E" uniqKey="Green M" first="Michael E" last="Green">Michael E. Green</name><affiliation wicri:level="1"><nlm:affiliation>Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario, Canada. michael.green@dfm.queensu.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Wong, Sabrina T" sort="Wong, Sabrina T" uniqKey="Wong S" first="Sabrina T" last="Wong">Sabrina T. Wong</name></author><author><name sortKey="Lavoie, Josee G" sort="Lavoie, Josee G" uniqKey="Lavoie J" first="Josée G" last="Lavoie">Josée G. Lavoie</name></author><author><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name></author><author><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name></author><author><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name></author><author><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name></author><author><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Canada (epidemiology)</term><term>Child (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Indians, North American (statistics & numerical data)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (ethnology)</term><term>Influenza, Human (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (ethnology)</term><term>Pneumonia, Viral (therapy)</term><term>Risk Assessment (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Urban Population (statistics & numerical data)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Appréciation des risques (MeSH)</term><term>Canada (épidémiologie)</term><term>Enfant (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (ethnologie)</term><term>Grippe humaine (thérapie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Indiens d'Amérique Nord (statistiques et données numériques)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (ethnologie)</term><term>Pneumopathie virale (thérapie)</term><term>Population urbaine (statistiques et données numériques)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Sujet âgé (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords 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humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Risk Assessment</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Appréciation des risques</term><term>Enfant</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Pandémies</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24499143</PMID><DateCompleted><Year>2014</Year><Month>03</Month><Day>27</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><PubDate><Year>2013</Year><Month>Oct</Month><Day>30</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 influenza in First Nations communities in three provinces of Canada.</ArticleTitle><Pagination><MedlinePgn>1029</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-13-1029</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Green</LastName><ForeName>Michael E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario, Canada. michael.green@dfm.queensu.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>Sabrina T</ForeName><Initials>ST</Initials></Author><Author ValidYN="Y"><LastName>Lavoie</LastName><ForeName>Josée G</ForeName><Initials>JG</Initials></Author><Author ValidYN="Y"><LastName>Kwong</LastName><ForeName>Jeff</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>MacWilliam</LastName><ForeName>Leonard</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Peterson</LastName><ForeName>Sandra</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Guoyuan</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Katz</LastName><ForeName>Alan</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>H1N-104058</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>10</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007198" MajorTopicYN="N">Indians, North American</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014505" MajorTopicYN="N">Urban Population</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>07</Month><Day>19</Day></PubMedPubDate><PubMedPubDate 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Lavoie</name><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name><name sortKey="Wong, Sabrina T" sort="Wong, Sabrina T" uniqKey="Wong S" first="Sabrina T" last="Wong">Sabrina T. Wong</name></noCountry><country name="Canada"><noRegion><name sortKey="Green, Michael E" sort="Green, Michael E" uniqKey="Green M" first="Michael E" last="Green">Michael E. Green</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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