Pandemic versus epidemic influenza mortality: a pattern of changing age distribution.
Identifieur interne : 000382 ( PubMed/Corpus ); précédent : 000381; suivant : 000383Pandemic versus epidemic influenza mortality: a pattern of changing age distribution.
Auteurs : L. Simonsen ; M J Clarke ; L B Schonberger ; N H Arden ; N J Cox ; K. FukudaSource :
- The Journal of infectious diseases [ 0022-1899 ] ; 1998.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : United States.
- epidemiology : Influenza, Human.
- mortality : Influenza, Human.
- Adolescent, Adult, Age Distribution, Aged, Child, Child, Preschool, Computer Simulation, Disease Outbreaks, Humans, Infant, Influenza A virus, Middle Aged, Models, Biological, Seasons.
Abstract
Almost all deaths related to current influenza epidemics occur among the elderly. However, mortality was greatest among the young during the 1918-1919 pandemic. This study compared the age distribution of influenza-related deaths in the United States during this century's three influenza A pandemics with that of the following epidemics. Half of influenza-related deaths during the 1968-1969 influenza A (H3N2) pandemic and large proportions of influenza-related deaths during the 1957-1958 influenza A (H2N2) and the 1918-1919 influenza A (H1N1) pandemics occurred among persons <65 years old. However, this group accounted for decrementally smaller proportions of deaths during the first decade following each pandemic. A model suggested that this mortality pattern may be explained by selective acquisition of protection against fatal illness among younger persons. The large proportion of influenza-related deaths during each pandemic and the following decade among persons <65 years old should be considered in planning for pandemics.
DOI: 10.1086/515616
PubMed: 9652423
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pubmed:9652423Le document en format XML
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<affiliation><nlm:affiliation>Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, US Department of Health & Human Services, Atlanta, Georgia 30333, USA. Lonesimon@msn.com</nlm:affiliation>
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<author><name sortKey="Clarke, M J" sort="Clarke, M J" uniqKey="Clarke M" first="M J" last="Clarke">M J Clarke</name>
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<author><name sortKey="Schonberger, L B" sort="Schonberger, L B" uniqKey="Schonberger L" first="L B" last="Schonberger">L B Schonberger</name>
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<author><name sortKey="Arden, N H" sort="Arden, N H" uniqKey="Arden N" first="N H" last="Arden">N H Arden</name>
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<author><name sortKey="Cox, N J" sort="Cox, N J" uniqKey="Cox N" first="N J" last="Cox">N J Cox</name>
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<author><name sortKey="Fukuda, K" sort="Fukuda, K" uniqKey="Fukuda K" first="K" last="Fukuda">K. Fukuda</name>
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<series><title level="j">The Journal of infectious diseases</title>
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<term>Child, Preschool</term>
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<term>Disease Outbreaks</term>
<term>Humans</term>
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<term>Influenza A virus</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (mortality)</term>
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<term>Models, Biological</term>
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<front><div type="abstract" xml:lang="en">Almost all deaths related to current influenza epidemics occur among the elderly. However, mortality was greatest among the young during the 1918-1919 pandemic. This study compared the age distribution of influenza-related deaths in the United States during this century's three influenza A pandemics with that of the following epidemics. Half of influenza-related deaths during the 1968-1969 influenza A (H3N2) pandemic and large proportions of influenza-related deaths during the 1957-1958 influenza A (H2N2) and the 1918-1919 influenza A (H1N1) pandemics occurred among persons <65 years old. However, this group accounted for decrementally smaller proportions of deaths during the first decade following each pandemic. A model suggested that this mortality pattern may be explained by selective acquisition of protection against fatal illness among younger persons. The large proportion of influenza-related deaths during each pandemic and the following decade among persons <65 years old should be considered in planning for pandemics.</div>
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<Title>The Journal of infectious diseases</Title>
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<ArticleTitle>Pandemic versus epidemic influenza mortality: a pattern of changing age distribution.</ArticleTitle>
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<Abstract><AbstractText>Almost all deaths related to current influenza epidemics occur among the elderly. However, mortality was greatest among the young during the 1918-1919 pandemic. This study compared the age distribution of influenza-related deaths in the United States during this century's three influenza A pandemics with that of the following epidemics. Half of influenza-related deaths during the 1968-1969 influenza A (H3N2) pandemic and large proportions of influenza-related deaths during the 1957-1958 influenza A (H2N2) and the 1918-1919 influenza A (H1N1) pandemics occurred among persons <65 years old. However, this group accounted for decrementally smaller proportions of deaths during the first decade following each pandemic. A model suggested that this mortality pattern may be explained by selective acquisition of protection against fatal illness among younger persons. The large proportion of influenza-related deaths during each pandemic and the following decade among persons <65 years old should be considered in planning for pandemics.</AbstractText>
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