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Transmissibility of 1918 pandemic influenza

Identifieur interne : 000116 ( Ncbi/Curation ); précédent : 000115; suivant : 000117

Transmissibility of 1918 pandemic influenza

Auteurs : Christina E. Mills [États-Unis] ; James M. Robins [États-Unis] ; Marc Lipsitch [États-Unis]

Source :

RBID : PMC:7095078

Abstract

The 1918 influenza pandemic killed 20–40 million people worldwide1, and is seen as a worst-case scenario for pandemic planning. Like other pandemic influenza strains, the 1918 A/H1N1 strain spread extremely rapidly. A measure of transmissibility and of the stringency of control measures required to stop an epidemic is the reproductive number, which is the number of secondary cases produced by each primary case2. Here we obtained an estimate of the reproductive number for 1918 influenza by fitting a deterministic SEIR (susceptible-exposed-infectious-recovered) model to pneumonia and influenza death epidemic curves from 45 US cities: the median value is less than three. The estimated proportion of the population with A/H1N1 immunity before September 1918 implies a median basic reproductive number of less than four. These results strongly suggest that the reproductive number for 1918 pandemic influenza is not large relative to many other infectious diseases2. In theory, a similar novel influenza subtype could be controlled. But because influenza is frequently transmitted before a specific diagnosis is possible and there is a dearth of global antiviral and vaccine stores, aggressive transmission reducing measures will probably be required.

Supplementary information

The online version of this article (doi:10.1038/nature03063) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1038/nature03063
PubMed: 15602562
PubMed Central: 7095078

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PMC:7095078

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, and is seen as a worst-case scenario for pandemic planning. Like other pandemic influenza strains, the 1918 A/H1N1 strain spread extremely rapidly. A measure of transmissibility and of the stringency of control measures required to stop an epidemic is the reproductive number, which is the number of secondary cases produced by each primary case
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<xref ref-type="bibr" rid="CR2">2</xref>
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. Here we obtained an estimate of the reproductive number for 1918 influenza by fitting a deterministic SEIR (susceptible-exposed-infectious-recovered) model to pneumonia and influenza death epidemic curves from 45 US cities: the median value is less than three. The estimated proportion of the population with A/H1N1 immunity before September 1918 implies a median basic reproductive number of less than four. These results strongly suggest that the reproductive number for 1918 pandemic influenza is not large relative to many other infectious diseases
<sup>
<xref ref-type="bibr" rid="CR2">2</xref>
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