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New Zealand's experience of the 1918-19 influenza pandemic: a systematic review after 100 years.

Identifieur interne : 000258 ( PubMed/Checkpoint ); précédent : 000257; suivant : 000259

New Zealand's experience of the 1918-19 influenza pandemic: a systematic review after 100 years.

Auteurs : Jennifer A. Summers [Royaume-Uni] ; Michael Baker ; Nick Wilson

Source :

RBID : pubmed:30543612

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English descriptors

Abstract

The 1918-1919 influenza pandemic has been New Zealand's most severe disaster event (around 9,000 deaths). We aimed to review the literature related to this pandemic in New Zealand and among New Zealanders overseas, to identify any remaining research gaps (given ongoing risks of future influenza pandemics and from new pathogens, eg, synthetic bioweapons).

PubMed: 30543612


Affiliations:


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pubmed:30543612

Le document en format XML

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<title xml:lang="en">New Zealand's experience of the 1918-19 influenza pandemic: a systematic review after 100 years.</title>
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<name sortKey="Summers, Jennifer A" sort="Summers, Jennifer A" uniqKey="Summers J" first="Jennifer A" last="Summers">Jennifer A. Summers</name>
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<nlm:affiliation>Postdoctoral Research Fellow in Medical Statistics, School of Population Health and Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Postdoctoral Research Fellow in Medical Statistics, School of Population Health and Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London</wicri:regionArea>
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<settlement type="city">Londres</settlement>
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<name sortKey="Baker, Michael" sort="Baker, Michael" uniqKey="Baker M" first="Michael" last="Baker">Michael Baker</name>
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<nlm:affiliation>Professor of Public Health, Department of Public Health, University of Otago, Wellington.</nlm:affiliation>
<wicri:noCountry code="subField">Wellington</wicri:noCountry>
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<term>Influenza, Human (virology)</term>
<term>Military Personnel (statistics & numerical data)</term>
<term>New Zealand (epidemiology)</term>
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<term>Facteurs de risque</term>
<term>Grippe humaine (virologie)</term>
<term>Humains</term>
<term>Nouvelle-Zélande (épidémiologie)</term>
<term>Pandémie de grippe de 1918-1919 (mortalité)</term>
<term>Personnel militaire ()</term>
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<term>New Zealand</term>
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<term>Influenza Pandemic, 1918-1919</term>
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<term>Pandémie de grippe de 1918-1919</term>
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<term>Grippe humaine</term>
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<div type="abstract" xml:lang="en">The 1918-1919 influenza pandemic has been New Zealand's most severe disaster event (around 9,000 deaths). We aimed to review the literature related to this pandemic in New Zealand and among New Zealanders overseas, to identify any remaining research gaps (given ongoing risks of future influenza pandemics and from new pathogens, eg, synthetic bioweapons).</div>
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<DateCompleted>
<Year>2019</Year>
<Month>06</Month>
<Day>24</Day>
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<Year>2019</Year>
<Month>06</Month>
<Day>24</Day>
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<Issue>1487</Issue>
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<Year>2018</Year>
<Month>12</Month>
<Day>14</Day>
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<Title>The New Zealand medical journal</Title>
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<ArticleTitle>New Zealand's experience of the 1918-19 influenza pandemic: a systematic review after 100 years.</ArticleTitle>
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<AbstractText Label="BACKGROUND">The 1918-1919 influenza pandemic has been New Zealand's most severe disaster event (around 9,000 deaths). We aimed to review the literature related to this pandemic in New Zealand and among New Zealanders overseas, to identify any remaining research gaps (given ongoing risks of future influenza pandemics and from new pathogens, eg, synthetic bioweapons).</AbstractText>
<AbstractText Label="METHODS">Systematic literature searches and comparisons with international findings for this pandemic to facilitate identification of research gaps.</AbstractText>
<AbstractText Label="RESULTS">A total of 61 relevant publications were identified. The epidemiological patterns reported were largely consistent with the international literature for this pandemic. These features included the w-shaped age-distribution for mortality, and the much higher mortality rates for indigenous people (ie, seven-fold for Māori vs New Zealand European). But some novel risk factors were identified (eg, large chest size as a risk factor for death in military personnel), and there was an extremely high mortality troop ship outbreak (probably related to crowding). In contrast to some international work, there was an apparent lack of a socio-economic gradient in mortality rates in two studies using modern analytical methods. New Zealand work has clearly shown how the pandemic spread via the rail network and internal shipping routes and the rarity of successful measures to prevent spread in contrast to some other jurisdictions. It has also found a marked lack of memorials to the pandemic (in contrast to war memorials). Nevertheless, some research gaps remain, including on the apparent marked reduction in birth rates in 1918-1919 and the reasons for no socio-economic gradient despite other New Zealand evidence for occupational class variation in lifespan at this time.</AbstractText>
<AbstractText Label="CONCLUSIONS">This is a relatively well-studied disaster event but there remain important research questions relating to this pandemic in New Zealand. Filling these gaps may contribute to improved planning for managing future pandemics.</AbstractText>
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