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Influenza Pandemics and Tuberculosis Mortality in 1889 and 1918: Analysis of Historical Data from Switzerland.

Identifieur interne : 000139 ( Main/Exploration ); précédent : 000138; suivant : 000140

Influenza Pandemics and Tuberculosis Mortality in 1889 and 1918: Analysis of Historical Data from Switzerland.

Auteurs : Kathrin Zürcher [Suisse] ; Marcel Zwahlen [Suisse] ; Marie Ballif [Suisse] ; Hans L. Rieder [Suisse] ; Matthias Egger [Suisse] ; Lukas Fenner [Suisse]

Source :

RBID : pubmed:27706149

Descripteurs français

English descriptors

Abstract

BACKGROUND

Tuberculosis (TB) mortality declined in the northern hemisphere over the last 200 years, but peaked during the Russian (1889) and the Spanish (1918) influenza pandemics. We studied the impact of these two pandemics on TB mortality.

METHODS

We retrieved historic data from mortality registers for the city of Bern and countrywide for Switzerland. We used Poisson regression models to quantify the excess pulmonary TB (PTB) mortality attributable to influenza.

RESULTS

Yearly PTB mortality rates increased during both influenza pandemics. Monthly influenza and PTB mortality rates peaked during winter and early spring. In Bern, for an increase of 100 influenza deaths (per 100,000 population) monthly PTB mortality rates increased by a factor of 1.5 (95%Cl 1.4-1.6, p<0.001) during the Russian, and 3.6 (95%Cl 0.7-18.0, p = 0.13) during the Spanish pandemic. Nationally, the factor was 2.0 (95%Cl 1.8-2.2, p<0.001) and 1.5 (95%Cl 1.1-1.9, p = 0.004), respectively. We did not observe any excess cancer or extrapulmonary TB mortality (as a negative control) during the influenza pandemics.

CONCLUSIONS

We demonstrate excess PTB mortality during historic influenza pandemics in Switzerland, which supports a role for influenza vaccination in PTB patients in high TB incidence countries.


DOI: 10.1371/journal.pone.0162575
PubMed: 27706149
PubMed Central: PMC5051959


Affiliations:


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Le document en format XML

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<term>Databases, Factual (MeSH)</term>
<term>History, 19th Century (MeSH)</term>
<term>History, 20th Century (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Pandemics (history)</term>
<term>Poisson Distribution (MeSH)</term>
<term>Russia (epidemiology)</term>
<term>Seasons (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Survival Analysis (MeSH)</term>
<term>Switzerland (MeSH)</term>
<term>Tuberculosis (etiology)</term>
<term>Tuberculosis (mortality)</term>
</keywords>
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<term>Analyse de survie (MeSH)</term>
<term>Bases de données factuelles (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Grippe humaine (complications)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Histoire du 19ème siècle (MeSH)</term>
<term>Histoire du 20ème siècle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Loi de Poisson (MeSH)</term>
<term>Pandémies (histoire)</term>
<term>Russie (épidémiologie)</term>
<term>Saisons (MeSH)</term>
<term>Suisse (MeSH)</term>
<term>Tuberculose (mortalité)</term>
<term>Tuberculose (étiologie)</term>
</keywords>
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</keywords>
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<term>Influenza, Human</term>
<term>Russia</term>
<term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Tuberculosis</term>
</keywords>
<keywords scheme="MESH" qualifier="histoire" xml:lang="fr">
<term>Pandémies</term>
</keywords>
<keywords scheme="MESH" qualifier="history" xml:lang="en">
<term>Pandemics</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Tuberculosis</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr">
<term>Tuberculose</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Espagne</term>
<term>Grippe humaine</term>
<term>Russie</term>
</keywords>
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<term>Tuberculose</term>
</keywords>
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<term>Databases, Factual</term>
<term>History, 19th Century</term>
<term>History, 20th Century</term>
<term>Humans</term>
<term>Poisson Distribution</term>
<term>Seasons</term>
<term>Survival Analysis</term>
<term>Switzerland</term>
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<term>Analyse de survie</term>
<term>Bases de données factuelles</term>
<term>Grippe humaine</term>
<term>Histoire du 19ème siècle</term>
<term>Histoire du 20ème siècle</term>
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<term>Loi de Poisson</term>
<term>Saisons</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Tuberculosis (TB) mortality declined in the northern hemisphere over the last 200 years, but peaked during the Russian (1889) and the Spanish (1918) influenza pandemics. We studied the impact of these two pandemics on TB mortality.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We retrieved historic data from mortality registers for the city of Bern and countrywide for Switzerland. We used Poisson regression models to quantify the excess pulmonary TB (PTB) mortality attributable to influenza.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Yearly PTB mortality rates increased during both influenza pandemics. Monthly influenza and PTB mortality rates peaked during winter and early spring. In Bern, for an increase of 100 influenza deaths (per 100,000 population) monthly PTB mortality rates increased by a factor of 1.5 (95%Cl 1.4-1.6, p<0.001) during the Russian, and 3.6 (95%Cl 0.7-18.0, p = 0.13) during the Spanish pandemic. Nationally, the factor was 2.0 (95%Cl 1.8-2.2, p<0.001) and 1.5 (95%Cl 1.1-1.9, p = 0.004), respectively. We did not observe any excess cancer or extrapulmonary TB mortality (as a negative control) during the influenza pandemics.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>We demonstrate excess PTB mortality during historic influenza pandemics in Switzerland, which supports a role for influenza vaccination in PTB patients in high TB incidence countries.</p>
</div>
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