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<titleStmt>
<title xml:lang="en">Post-pandemic influenza-associated mortality in Mexico</title>
<author>
<name sortKey="Salto Quintana, Jack N" sort="Salto Quintana, Jack N" uniqKey="Salto Quintana J" first="Jack N." last="Salto-Quintana">Jack N. Salto-Quintana</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="AFF0002">
<institution>Internal Medicine Division, Hospital Central “Dr. Ignacio Morones Prieto”</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rivera Alfaro, Gerardo" sort="Rivera Alfaro, Gerardo" uniqKey="Rivera Alfaro G" first="Gerardo" last="Rivera-Alfaro">Gerardo Rivera-Alfaro</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sanchez Ramos, Evelyn L" sort="Sanchez Ramos, Evelyn L" uniqKey="Sanchez Ramos E" first="Evelyn L." last="Sánchez-Ramos">Evelyn L. Sánchez-Ramos</name>
<affiliation>
<nlm:aff id="AFF0003">
<institution>Childhood and Adolescence Health Care Department, Servicios de Salud de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="G Mez G Mez, Alejandro" sort="G Mez G Mez, Alejandro" uniqKey="G Mez G Mez A" first="Alejandro" last="G Mez-G Mez">Alejandro G Mez-G Mez</name>
<affiliation>
<nlm:aff id="AFF0002">
<institution>Internal Medicine Division, Hospital Central “Dr. Ignacio Morones Prieto”</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Noyola, Daniel E" sort="Noyola, Daniel E" uniqKey="Noyola D" first="Daniel E." last="Noyola">Daniel E. Noyola</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
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<idno type="doi">10.1080/20477724.2019.1589211</idno>
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<title xml:lang="en" level="a" type="main">Post-pandemic influenza-associated mortality in Mexico</title>
<author>
<name sortKey="Salto Quintana, Jack N" sort="Salto Quintana, Jack N" uniqKey="Salto Quintana J" first="Jack N." last="Salto-Quintana">Jack N. Salto-Quintana</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="AFF0002">
<institution>Internal Medicine Division, Hospital Central “Dr. Ignacio Morones Prieto”</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rivera Alfaro, Gerardo" sort="Rivera Alfaro, Gerardo" uniqKey="Rivera Alfaro G" first="Gerardo" last="Rivera-Alfaro">Gerardo Rivera-Alfaro</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sanchez Ramos, Evelyn L" sort="Sanchez Ramos, Evelyn L" uniqKey="Sanchez Ramos E" first="Evelyn L." last="Sánchez-Ramos">Evelyn L. Sánchez-Ramos</name>
<affiliation>
<nlm:aff id="AFF0003">
<institution>Childhood and Adolescence Health Care Department, Servicios de Salud de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="G Mez G Mez, Alejandro" sort="G Mez G Mez, Alejandro" uniqKey="G Mez G Mez A" first="Alejandro" last="G Mez-G Mez">Alejandro G Mez-G Mez</name>
<affiliation>
<nlm:aff id="AFF0002">
<institution>Internal Medicine Division, Hospital Central “Dr. Ignacio Morones Prieto”</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Noyola, Daniel E" sort="Noyola, Daniel E" uniqKey="Noyola D" first="Daniel E." last="Noyola">Daniel E. Noyola</name>
<affiliation>
<nlm:aff id="AFF0001">
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</nlm:aff>
</affiliation>
</author>
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<series>
<title level="j">Pathogens and Global Health</title>
<idno type="ISSN">2047-7724</idno>
<idno type="eISSN">2047-7732</idno>
<imprint>
<date when="2019">2019</date>
</imprint>
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<div type="abstract" xml:lang="en">
<title>ABSTRACT</title>
<p>Influenza is a leading cause of respiratory tract infections worldwide and there is limited information on the impact of the influenza A(H1N1)pdm virus on mortality after the 2009 pandemic. Using national mortality register data through 1998–2015 in Mexico, influenza-associated mortality was estimated for respiratory, cardiovascular, and all-cause events. The proportion of influenza-associated respiratory and cardiovascular deaths among different age groups were compared. There were 8,853,986 death registries included for the 1998–2015 winter seasons, average influenza-associated respiratory, cardiovascular, and all-cause mortality rates were 5.2, 6.3, and 19.6 deaths/100,000 population, respectively. The largest number of respiratory influenza-associated deaths occurred in adults 60 years of age and older, followed by children <5 years of age; during the 2009 pandemic, 2011–2012, and 2013–2014 winter seasons there was a larger number of deaths in the 20–59 years old group. Influenza-associated mortality rates showed a continuous reduction in children <5 years of age. After the 2009 pandemic, influenza A(H1N1)pdm09 virus-associated mortality in Mexico showed a persistent change in the demographic pattern of the most severely affected population, particularly during the 2013–2014 season. Influenza associated-mortality has decreased in children <5 years of age and continue to be elevated in adults >60 years of age.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Pathog Glob Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Pathog Glob Health</journal-id>
<journal-id journal-id-type="publisher-id">YPGH</journal-id>
<journal-id journal-id-type="publisher-id">ypgh20</journal-id>
<journal-title-group>
<journal-title>Pathogens and Global Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">2047-7724</issn>
<issn pub-type="epub">2047-7732</issn>
<publisher>
<publisher-name>Taylor & Francis</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">30895882</article-id>
<article-id pub-id-type="pmc">6493299</article-id>
<article-id pub-id-type="publisher-id">1589211</article-id>
<article-id pub-id-type="doi">10.1080/20477724.2019.1589211</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Post-pandemic influenza-associated mortality in Mexico</article-title>
<alt-title alt-title-type="running-authors">J. N. SALTO-QUINTANA ET AL.</alt-title>
<alt-title alt-title-type="running-title">PATHOGENS AND GLOBAL HEALTH</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Salto-Quintana</surname>
<given-names>Jack N.</given-names>
</name>
<xref ref-type="aff" rid="AFF0001">
<sup>a</sup>
</xref>
<xref ref-type="aff" rid="AFF0002">
<sup>b</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rivera-Alfaro</surname>
<given-names>Gerardo</given-names>
</name>
<xref ref-type="aff" rid="AFF0001">
<sup>a</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sánchez-Ramos</surname>
<given-names>Evelyn L.</given-names>
</name>
<xref ref-type="aff" rid="AFF0003">
<sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gómez-Gómez</surname>
<given-names>Alejandro</given-names>
</name>
<xref ref-type="aff" rid="AFF0002">
<sup>b</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-4840-6742</contrib-id>
<name>
<surname>Noyola</surname>
<given-names>Daniel E.</given-names>
</name>
<xref ref-type="corresp" rid="AN0001"></xref>
<xref ref-type="aff" rid="AFF0001">
<sup>a</sup>
</xref>
</contrib>
<aff id="AFF0001">
<label>a</label>
<institution>Microbiology Department, Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</aff>
<aff id="AFF0002">
<label>b</label>
<institution>Internal Medicine Division, Hospital Central “Dr. Ignacio Morones Prieto”</institution>
, San Luis Potosí,
<country>México</country>
</aff>
<aff id="AFF0003">
<label>c</label>
<institution>Childhood and Adolescence Health Care Department, Servicios de Salud de San Luis Potosí</institution>
, San Luis Potosí,
<country>México</country>
</aff>
</contrib-group>
<author-notes>
<corresp id="AN0001">CONTACT Daniel E. Noyola
<email xlink:href="dnoyola@uaslp.mx">dnoyola@uaslp.mx</email>
<institution>Microbiology Department. Facultad de Medicina, Universidad Autónoma de San Luis Potosí</institution>
,
<addr-line>Avenida Venustiano Carranza 2405. Col. Los Filtros</addr-line>
, San Luis Potosí, S.L.P.78210,
<country>México</country>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>3</month>
<year>2019</year>
</pub-date>
<volume>113</volume>
<issue>2</issue>
<fpage seq="3">67</fpage>
<lpage>74</lpage>
<permissions>
<copyright-statement>© 2019 Informa UK Limited, trading as Taylor & Francis Group</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Informa UK Limited, trading as Taylor & Francis Group</copyright-holder>
</permissions>
<self-uri content-type="pdf" xlink:href="ypgh-113-1589211.pdf"></self-uri>
<abstract>
<title>ABSTRACT</title>
<p>Influenza is a leading cause of respiratory tract infections worldwide and there is limited information on the impact of the influenza A(H1N1)pdm virus on mortality after the 2009 pandemic. Using national mortality register data through 1998–2015 in Mexico, influenza-associated mortality was estimated for respiratory, cardiovascular, and all-cause events. The proportion of influenza-associated respiratory and cardiovascular deaths among different age groups were compared. There were 8,853,986 death registries included for the 1998–2015 winter seasons, average influenza-associated respiratory, cardiovascular, and all-cause mortality rates were 5.2, 6.3, and 19.6 deaths/100,000 population, respectively. The largest number of respiratory influenza-associated deaths occurred in adults 60 years of age and older, followed by children <5 years of age; during the 2009 pandemic, 2011–2012, and 2013–2014 winter seasons there was a larger number of deaths in the 20–59 years old group. Influenza-associated mortality rates showed a continuous reduction in children <5 years of age. After the 2009 pandemic, influenza A(H1N1)pdm09 virus-associated mortality in Mexico showed a persistent change in the demographic pattern of the most severely affected population, particularly during the 2013–2014 season. Influenza associated-mortality has decreased in children <5 years of age and continue to be elevated in adults >60 years of age.</p>
</abstract>
<kwd-group kwd-group-type="author">
<title>KEYWORDS</title>
<kwd>Influenza</kwd>
<kwd>mortality</kwd>
<kwd>pandemic</kwd>
<kwd>influenza A(H1N1)pdm09</kwd>
<kwd>respiratory infections</kwd>
<kwd>pneumonia</kwd>
</kwd-group>
<counts>
<fig-count count="2"></fig-count>
<table-count count="4"></table-count>
<ref-count count="29"></ref-count>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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