Mortality Burden of the 2009 A/H1N1 Influenza Pandemic in France: Comparison to Seasonal Influenza and the A/H3N2 Pandemic
Identifieur interne : 000590 ( France/Analysis ); précédent : 000589; suivant : 000591Mortality Burden of the 2009 A/H1N1 Influenza Pandemic in France: Comparison to Seasonal Influenza and the A/H3N2 Pandemic
Auteurs : Magali Lemaitre [États-Unis, France] ; Fabrice Carrat [France] ; Grégoire Rey [France] ; Mark Miller [États-Unis] ; Lone Simonsen [États-Unis] ; Cécile Viboud [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Coût de la maladie, Enfant, Enfant d'âge préscolaire, France (épidémiologie), Grippe humaine (mortalité), Grippe humaine (virologie), Humains, Jeune adulte, Modèles biologiques, Nourrisson, Nouveau-né, Pandémies, Respiration, Répartition par âge, Saisons, Sous-type H1N1 du virus de la grippe A (physiologie), Sous-type H3N2 du virus de la grippe A (physiologie), Sujet âgé.
- MESH :
- mortalité : Grippe humaine.
- physiologie : Sous-type H1N1 du virus de la grippe A, Sous-type H3N2 du virus de la grippe A.
- virologie : Grippe humaine.
- épidémiologie : France.
- Adolescent, Adulte, Adulte d'âge moyen, Coût de la maladie, Enfant, Enfant d'âge préscolaire, Humains, Jeune adulte, Modèles biologiques, Nourrisson, Nouveau-né, Pandémies, Respiration, Répartition par âge, Saisons, Sujet âgé.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Distribution, Aged, Child, Child, Preschool, Cost of Illness, France (epidemiology), Humans, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype (physiology), Influenza A Virus, H3N2 Subtype (physiology), Influenza, Human (mortality), Influenza, Human (virology), Middle Aged, Models, Biological, Pandemics, Respiration, Seasons, Young Adult.
- MESH :
- geographic , epidemiology : France.
- mortality : Influenza, Human.
- physiology : Influenza A Virus, H1N1 Subtype, Influenza A Virus, H3N2 Subtype.
- virology : Influenza, Human.
- Adolescent, Adult, Age Distribution, Aged, Child, Child, Preschool, Cost of Illness, Humans, Infant, Infant, Newborn, Middle Aged, Models, Biological, Pandemics, Respiration, Seasons, Young Adult.
Abstract
The mortality burden of the 2009 A/H1N1 pandemic remains unclear in many countries due to delays in reporting of death statistics. We estimate the age- and cause-specific excess mortality impact of the pandemic in France, relative to that of other countries and past epidemic and pandemic seasons.
We applied Serfling and Poisson excess mortality approaches to model weekly age- and cause-specific mortality rates from June 1969 through May 2010 in France. Indicators of influenza activity, time trends, and seasonal terms were included in the models. We also reviewed the literature for country-specific estimates of 2009 pandemic excess mortality rates to characterize geographical differences in the burden of this pandemic.
The 2009 A/H1N1 pandemic was associated with 1.0 (95% Confidence Intervals (CI) 0.2–1.9) excess respiratory deaths per 100,000 population in France, compared to rates per 100,000 of 44 (95% CI 43–45) for the A/H3N2 pandemic and 2.9 (95% CI 2.3–3.7) for average inter-pandemic seasons. The 2009 A/H1N1 pandemic had a 10.6-fold higher impact than inter-pandemic seasons in people aged 5–24 years and 3.8-fold lower impact among people over 65 years.
The 2009 pandemic in France had low mortality impact in most age groups, relative to past influenza seasons, except in school-age children and young adults. The historical A/H3N2 pandemic was associated with much larger mortality impact than the 2009 pandemic, across all age groups and outcomes. Our 2009 pandemic excess mortality estimates for France fall within the range of previous estimates for high-income regions. Based on the analysis of several mortality outcomes and comparison with laboratory-confirmed 2009/H1N1 deaths, we conclude that cardio-respiratory and all-cause mortality lack precision to accurately measure the impact of this pandemic in high-income settings and that use of more specific mortality outcomes is important to obtain reliable age-specific estimates.
Url:
DOI: 10.1371/journal.pone.0045051
PubMed: 23028756
PubMed Central: 3447811
Affiliations:
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PMC:3447811Le document en format XML
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A/H1N1 Influenza Pandemic in France: Comparison to Seasonal Influenza and the A/H3N2 Pandemic</title><author><name sortKey="Lemaitre, Magali" sort="Lemaitre, Magali" uniqKey="Lemaitre M" first="Magali" last="Lemaitre">Magali Lemaitre</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fogarty International Center, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>Inserm, UMR-S 707, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR-S 707, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></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="aff2"><addr-line>Inserm, UMR-S 707, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR-S 707, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>UPMC – Paris 6, UMR-S 707, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>UPMC – Paris 6, UMR-S 707, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>Public Health Unit, Saint-Antoine hospital, AP-HP, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Public Health Unit, Saint-Antoine hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Rey, Gregoire" sort="Rey, Gregoire" uniqKey="Rey G" first="Grégoire" last="Rey">Grégoire Rey</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Inserm, CépiDC, Le Vésinet, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, CépiDC, Le Vésinet</wicri:regionArea><wicri:noRegion>Le Vésinet</wicri:noRegion><wicri:noRegion>Le Vésinet</wicri:noRegion></affiliation></author><author><name sortKey="Miller, Mark" sort="Miller, Mark" uniqKey="Miller M" first="Mark" last="Miller">Mark Miller</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fogarty International Center, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Simonsen, Lone" sort="Simonsen, Lone" uniqKey="Simonsen L" first="Lone" last="Simonsen">Lone Simonsen</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fogarty International Center, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Department of Global Health, School of Public Health and Health Services, George Washington University, Washington, D.C., United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Global Health, School of Public Health and Health Services, George Washington University, Washington, D.C.</wicri:regionArea><wicri:noRegion>D.C.</wicri:noRegion></affiliation></author><author><name sortKey="Viboud, Cecile" sort="Viboud, Cecile" uniqKey="Viboud C" first="Cécile" last="Viboud">Cécile Viboud</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fogarty International Center, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Cost of Illness</term><term>France (epidemiology)</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Influenza A Virus, H1N1 Subtype (physiology)</term><term>Influenza A Virus, H3N2 Subtype (physiology)</term><term>Influenza, Human (mortality)</term><term>Influenza, Human (virology)</term><term>Middle Aged</term><term>Models, Biological</term><term>Pandemics</term><term>Respiration</term><term>Seasons</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coût de la maladie</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>France (épidémiologie)</term><term>Grippe humaine (mortalité)</term><term>Grippe humaine (virologie)</term><term>Humains</term><term>Jeune adulte</term><term>Modèles biologiques</term><term>Nourrisson</term><term>Nouveau-né</term><term>Pandémies</term><term>Respiration</term><term>Répartition par âge</term><term>Saisons</term><term>Sous-type H1N1 du virus de la grippe A (physiologie)</term><term>Sous-type H3N2 du virus de la grippe A (physiologie)</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term><term>Sous-type H3N2 du virus de la grippe A</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza A Virus, H3N2 Subtype</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Cost of Illness</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Middle Aged</term><term>Models, Biological</term><term>Pandemics</term><term>Respiration</term><term>Seasons</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coût de la maladie</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term><term>Jeune adulte</term><term>Modèles biologiques</term><term>Nourrisson</term><term>Nouveau-né</term><term>Pandémies</term><term>Respiration</term><term>Répartition par âge</term><term>Saisons</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The mortality burden of the 2009 A/H1N1 pandemic remains unclear in many countries due to delays in reporting of death statistics. We estimate the age- and cause-specific excess mortality impact of the pandemic in France, relative to that of other countries and past epidemic and pandemic seasons.</p></sec><sec><title>Methods</title><p>We applied Serfling and Poisson excess mortality approaches to model weekly age- and cause-specific mortality rates from June 1969 through May 2010 in France. Indicators of influenza activity, time trends, and seasonal terms were included in the models. We also reviewed the literature for country-specific estimates of 2009 pandemic excess mortality rates to characterize geographical differences in the burden of this pandemic.</p></sec><sec><title>Results</title><p>The 2009 A/H1N1 pandemic was associated with 1.0 (95% Confidence Intervals (CI) 0.2–1.9) excess respiratory deaths per 100,000 population in France, compared to rates per 100,000 of 44 (95% CI 43–45) for the A/H3N2 pandemic and 2.9 (95% CI 2.3–3.7) for average inter-pandemic seasons. The 2009 A/H1N1 pandemic had a 10.6-fold higher impact than inter-pandemic seasons in people aged 5–24 years and 3.8-fold lower impact among people over 65 years.</p></sec><sec><title>Conclusions</title><p>The 2009 pandemic in France had low mortality impact in most age groups, relative to past influenza seasons, except in school-age children and young adults. The historical A/H3N2 pandemic was associated with much larger mortality impact than the 2009 pandemic, across all age groups and outcomes. Our 2009 pandemic excess mortality estimates for France fall within the range of previous estimates for high-income regions. Based on the analysis of several mortality outcomes and comparison with laboratory-confirmed 2009/H1N1 deaths, we conclude that cardio-respiratory and all-cause mortality lack precision to accurately measure the impact of this pandemic in high-income settings and that use of more specific mortality outcomes is important to obtain reliable age-specific estimates.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Muscatello, Dj" uniqKey="Muscatello D">DJ Muscatello</name></author><author><name sortKey="Cretikos, Ma" uniqKey="Cretikos M">MA Cretikos</name></author><author><name sortKey="Macintyre, Cr" uniqKey="Macintyre C">CR Macintyre</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Charu, V" uniqKey="Charu V">V Charu</name></author><author><name sortKey="Chowell, G" uniqKey="Chowell G">G 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Lamballerie X">XN De Lamballerie</name></author><author><name sortKey="Salez, N" uniqKey="Salez N">N Salez</name></author><author><name sortKey="Garrone, P" uniqKey="Garrone P">P Garrone</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author><author><name sortKey="Lopez, Ad" uniqKey="Lopez A">AD Lopez</name></author><author><name sortKey="Chin, B" uniqKey="Chin B">B Chin</name></author><author><name sortKey="Feehan, D" uniqKey="Feehan D">D Feehan</name></author><author><name sortKey="Hill, Kh" uniqKey="Hill K">KH Hill</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rizzo, C" uniqKey="Rizzo C">C Rizzo</name></author><author><name sortKey="Bella, A" uniqKey="Bella A">A Bella</name></author><author><name sortKey="Viboud, C" uniqKey="Viboud C">C Viboud</name></author><author><name sortKey="Simonsen, L" uniqKey="Simonsen L">L Simonsen</name></author><author><name sortKey="Miller, Ma" uniqKey="Miller M">MA Miller</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Maryland</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Lemaitre, Magali" sort="Lemaitre, Magali" uniqKey="Lemaitre M" first="Magali" last="Lemaitre">Magali Lemaitre</name></region><name sortKey="Miller, Mark" sort="Miller, Mark" uniqKey="Miller M" first="Mark" last="Miller">Mark Miller</name><name sortKey="Simonsen, Lone" sort="Simonsen, Lone" uniqKey="Simonsen L" first="Lone" last="Simonsen">Lone Simonsen</name><name sortKey="Simonsen, Lone" sort="Simonsen, Lone" uniqKey="Simonsen L" first="Lone" last="Simonsen">Lone Simonsen</name><name sortKey="Viboud, Cecile" sort="Viboud, Cecile" uniqKey="Viboud C" first="Cécile" last="Viboud">Cécile Viboud</name></country><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="Rey, Gregoire" sort="Rey, Gregoire" uniqKey="Rey G" first="Grégoire" last="Rey">Grégoire Rey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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