Comparative age distribution of influenza morbidity and mortality during seasonal influenza epidemics and the 2009 H1N1 pandemic
Identifieur interne : 000205 ( France/Analysis ); précédent : 000204; suivant : 000206Comparative age distribution of influenza morbidity and mortality during seasonal influenza epidemics and the 2009 H1N1 pandemic
Auteurs : Magali Lemaitre [France] ; Fabrice Carrat [France]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2010.
Abstract
Several studies have shown a relatively high mortality rate among young people infected by the 2009 pandemic influenza A (H1N1) virus. Here we compared the age distributions of morbidity and mortality during two seasonal influenza epidemics (H1N1 and H3N2) in France and the United States with those of the 2009 H1N1 pandemic waves in the same countries.
Age-standardized ratios were used to compare the age distribution of morbidity and mortality due to influenza between the two countries and across the different years. Non parametric analysis of variance was used to compare these ratios between epidemic and pandemic influenza.
Age distribution of morbidity was similar between the 2009 pandemic and seasonal epidemics due to H1N1 (p = 0.72) and H3N2 viruses (p = 0.68). In contrast, the proportion of under-60s among influenza deaths was markedly higher during the 2009 pandemic (peak <20 years) than during the seasonal epidemics (respectively p = 0.007 and p = 0.0008).
Young age was a principal mortality risk factor due to the 2009 H1N1 pandemic.
Url:
DOI: 10.1186/1471-2334-10-162
PubMed: 20534113
PubMed Central: 2896934
Affiliations:
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PMC:2896934Le document en format XML
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Univ Paris 6, UMR-S 707, Paris, F-75012, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UPMC - Univ Paris 6, UMR-S 707, Paris, F-75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Inserm, UMR-S 707, Paris, F-75012, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR-S 707, Paris, F-75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name><affiliation wicri:level="3"><nlm:aff id="I1">UPMC - Univ Paris 6, UMR-S 707, Paris, F-75012, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UPMC - Univ Paris 6, UMR-S 707, Paris, F-75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Inserm, UMR-S 707, Paris, F-75012, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR-S 707, Paris, F-75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Public Health Unit, Saint-Antoine Hospital, AP-HP, Paris, F-75012, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Public Health Unit, Saint-Antoine Hospital, AP-HP, Paris, F-75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Several studies have shown a relatively high mortality rate among young people infected by the 2009 pandemic influenza A (H1N1) virus. Here we compared the age distributions of morbidity and mortality during two seasonal influenza epidemics (H1N1 and H3N2) in France and the United States with those of the 2009 H1N1 pandemic waves in the same countries.</p></sec><sec><title>Methods</title><p>Age-standardized ratios were used to compare the age distribution of morbidity and mortality due to influenza between the two countries and across the different years. Non parametric analysis of variance was used to compare these ratios between epidemic and pandemic influenza.</p></sec><sec><title>Results</title><p>Age distribution of morbidity was similar between the 2009 pandemic and seasonal epidemics due to H1N1 (p = 0.72) and H3N2 viruses (p = 0.68). In contrast, the proportion of under-60s among influenza deaths was markedly higher during the 2009 pandemic (peak <20 years) than during the seasonal epidemics (respectively p = 0.007 and p = 0.0008).</p></sec><sec><title>Conclusions</title><p>Young age was a principal mortality risk factor due to the 2009 H1N1 pandemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Perez Padilla, R" uniqKey="Perez Padilla R">R Perez-Padilla</name></author><author><name sortKey="De La Rosa Zamboni, D" uniqKey="De La Rosa Zamboni D">D de la Rosa-Zamboni</name></author><author><name sortKey="Ponce De Leon, S" uniqKey="Ponce De Leon S">S Ponce de Leon</name></author><author><name sortKey="Hernandez, M" uniqKey="Hernandez M">M Hernandez</name></author><author><name sortKey="Quinones Falconi, F" uniqKey="Quinones Falconi F">F Quinones-Falconi</name></author><author><name sortKey="Bautista, E" uniqKey="Bautista E">E 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sortKey="Cavalieri, Ml" uniqKey="Cavalieri M">ML Cavalieri</name></author><author><name sortKey="Guglielmo, Mc" uniqKey="Guglielmo M">MC Guglielmo</name></author><author><name sortKey="Areso, Ms" uniqKey="Areso M">MS Areso</name></author><author><name sortKey="Gilligan, T" uniqKey="Gilligan T">T Gilligan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Francis, T" uniqKey="Francis T">T Francis</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Lemaitre, Magali" sort="Lemaitre, Magali" uniqKey="Lemaitre M" first="Magali" last="Lemaitre">Magali Lemaitre</name></region><name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name><name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name><name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name><name sortKey="Lemaitre, Magali" sort="Lemaitre, Magali" uniqKey="Lemaitre M" first="Magali" last="Lemaitre">Magali Lemaitre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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