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Multinational impact of the 1968 Hong Kong influenza pandemic : Evidence for a smoldering pandemic

Identifieur interne : 000023 ( PascalFrancis/Curation ); précédent : 000022; suivant : 000024

Multinational impact of the 1968 Hong Kong influenza pandemic : Evidence for a smoldering pandemic

Auteurs : Cécile Viboud [États-Unis] ; Rebecca F. Grais [États-Unis] ; Bernard A. P. Lafont [États-Unis] ; Mark A. Miller [États-Unis] ; Lone Simonsen [États-Unis]

Source :

RBID : Pascal:05-0376425

Descripteurs français

English descriptors

Abstract

Background. The first pandemic season of A/H3N2 influenza virus (1968/1969) resulted in significant mortality in the United States, but it was the second pandemic season of A/H3N2 influenza virus (1969/1970) that caused the majority of deaths in England. We further explored the global pattern of mortality caused by the pandemic during this period. Methods. We estimated the influenza-related excess mortality in 6 countries (United States, Canada, England and Wales, France, Japan, and Australia) using national vital statistics by age for 1967-1978. Geographical and temporal pandemic patterns in mortality were compared with the genetic drift of the influenza viruses by analyzing hemagglutinin and neuraminidase sequences from GenBank. Results. In North America, the majority of influenza-related deaths in 1968/1969 and 1969/1970 occurred during the first pandemic season (United States, 70%; Canada, 54%). Conversely, in Europe and Asia, the pattern was reversed: 70% of deaths occurred during the second pandemic season. The second pandemic season coincided with a drift in the neuraminidase antigen. Conclusion. We found a consistent pattern of mortality being delayed until the second pandemic season of A/H3N2 circulation in Europe and Asia. We hypothesize that this phenomenon may be explained by higher preexisting neuraminidase immunity (from the A/H2N2 era) in Europe and Asia than in North America, combined with a subsequent drift in the neuraminidase antigen during 1969/1970.
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A11 01  1    @1 VIBOUD (Cécile)
A11 02  1    @1 GRAIS (Rebecca F.)
A11 03  1    @1 LAFONT (Bernard A. P.)
A11 04  1    @1 MILLER (Mark A.)
A11 05  1    @1 SIMONSEN (Lone)
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C01 01    ENG  @0 Background. The first pandemic season of A/H3N2 influenza virus (1968/1969) resulted in significant mortality in the United States, but it was the second pandemic season of A/H3N2 influenza virus (1969/1970) that caused the majority of deaths in England. We further explored the global pattern of mortality caused by the pandemic during this period. Methods. We estimated the influenza-related excess mortality in 6 countries (United States, Canada, England and Wales, France, Japan, and Australia) using national vital statistics by age for 1967-1978. Geographical and temporal pandemic patterns in mortality were compared with the genetic drift of the influenza viruses by analyzing hemagglutinin and neuraminidase sequences from GenBank. Results. In North America, the majority of influenza-related deaths in 1968/1969 and 1969/1970 occurred during the first pandemic season (United States, 70%; Canada, 54%). Conversely, in Europe and Asia, the pattern was reversed: 70% of deaths occurred during the second pandemic season. The second pandemic season coincided with a drift in the neuraminidase antigen. Conclusion. We found a consistent pattern of mortality being delayed until the second pandemic season of A/H3N2 circulation in Europe and Asia. We hypothesize that this phenomenon may be explained by higher preexisting neuraminidase immunity (from the A/H2N2 era) in Europe and Asia than in North America, combined with a subsequent drift in the neuraminidase antigen during 1969/1970.
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C03 04  X  SPA  @0 Gripe A @5 14
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C07 01  X  ENG  @0 China @2 NG
C07 01  X  SPA  @0 China @2 NG
C07 02  X  FRE  @0 Asie @2 NG
C07 02  X  ENG  @0 Asia @2 NG
C07 02  X  SPA  @0 Asia @2 NG
C07 03  X  FRE  @0 Virose
C07 03  X  ENG  @0 Viral disease
C07 03  X  SPA  @0 Virosis
N21       @1 262
N44 01      @1 OTO
N82       @1 OTO

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<div type="abstract" xml:lang="en">Background. The first pandemic season of A/H3N2 influenza virus (1968/1969) resulted in significant mortality in the United States, but it was the second pandemic season of A/H3N2 influenza virus (1969/1970) that caused the majority of deaths in England. We further explored the global pattern of mortality caused by the pandemic during this period. Methods. We estimated the influenza-related excess mortality in 6 countries (United States, Canada, England and Wales, France, Japan, and Australia) using national vital statistics by age for 1967-1978. Geographical and temporal pandemic patterns in mortality were compared with the genetic drift of the influenza viruses by analyzing hemagglutinin and neuraminidase sequences from GenBank. Results. In North America, the majority of influenza-related deaths in 1968/1969 and 1969/1970 occurred during the first pandemic season (United States, 70%; Canada, 54%). Conversely, in Europe and Asia, the pattern was reversed: 70% of deaths occurred during the second pandemic season. The second pandemic season coincided with a drift in the neuraminidase antigen. Conclusion. We found a consistent pattern of mortality being delayed until the second pandemic season of A/H3N2 circulation in Europe and Asia. We hypothesize that this phenomenon may be explained by higher preexisting neuraminidase immunity (from the A/H2N2 era) in Europe and Asia than in North America, combined with a subsequent drift in the neuraminidase antigen during 1969/1970.</div>
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