Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution
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 pand...
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| Veröffentlicht in: | The Journal of infectious diseases 1998-07, Vol.178 (1), p.53-60 |
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| container_title | The Journal of infectious diseases |
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| creator | Simonsen, Lone Clarke, Matthew J. Schonberger, Lawrence B. Arden, Nancy H. Cox, Nancy J. Fukuda, Keiji |
| description | 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_str_mv | 10.1086/515616 |
| format | Article |
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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.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/515616</identifier><identifier>PMID: 9652423</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; Age Distribution ; Age groups ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Computer Simulation ; Death ; Disease Outbreaks ; Epidemics ; Epidemiology ; Fundamental and applied biological sciences. Psychology ; H1N1 subtype influenza A virus ; H3N2 subtype influenza A virus ; Human viral diseases ; Humans ; Infant ; Infectious diseases ; Influenza A virus ; Influenza, Human - epidemiology ; Influenza, Human - mortality ; Major Articles ; Medical sciences ; Microbiology ; Middle Aged ; Models, Biological ; Mortality ; Pandemics ; Seasons ; United States - epidemiology ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases ; Virology ; Viruses</subject><ispartof>The Journal of infectious diseases, 1998-07, Vol.178 (1), p.53-60</ispartof><rights>Copyright 1998 Infectious Diseases Society of America</rights><rights>1998 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Jul 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-499b35e3e70387e7fac30a663c08d3ba7d8e9028ced3fbac296ebedec6a5903</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30114117$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30114117$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2351808$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9652423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simonsen, Lone</creatorcontrib><creatorcontrib>Clarke, Matthew J.</creatorcontrib><creatorcontrib>Schonberger, Lawrence B.</creatorcontrib><creatorcontrib>Arden, Nancy H.</creatorcontrib><creatorcontrib>Cox, Nancy J.</creatorcontrib><creatorcontrib>Fukuda, Keiji</creatorcontrib><title>Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Age groups</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Computer Simulation</subject><subject>Death</subject><subject>Disease Outbreaks</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>H1N1 subtype influenza A virus</subject><subject>H3N2 subtype influenza A virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Influenza A virus</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - mortality</subject><subject>Major Articles</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Mortality</subject><subject>Pandemics</subject><subject>Seasons</subject><subject>United States - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><subject>Virology</subject><subject>Viruses</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV2L1DAUhoMo67jqPxCKiHfVJKf58m6oq7u4i4suIt6END0dM3bSMWnF9ddbmaGCN16EQ3geXk7yEvKY0ReMavlSMCGZvENWTIAqpWRwl6wo5bxk2pj75EHOW0ppBVKdkBMjBa84rMjNtYst7oIvfmDKUy7O9uFwv4hdP2H85YqrIY2uD-Ptq2JdXLtxxBSLoSvqry5uQtwU6w0Wr0MeU2imMQzxIbnXuT7jo-M8JR_fnN3U5-Xl-7cX9fqy9BVnY1kZ04BAQEVBK1Sd80CdlOCpbqFxqtVoKNceW-ga57mR2GCLXjphKJyS54fUfRq-T5hHuwvZY9-7iMOUrTJGM2H0f0UmBWXMmFl8-o-4HaYU5ydYzsEwMPNZ0nwack7Y2X0KO5duLaP2TxX2UMUsPjmmTc0O20U7_v3Mnx25y971XXLRh7xoHATTVP-N2eZxSAuGeeWKMTXz8sDnAvDnwl36ZqUCJez55y_23Qd5BXVV20_wG2LFp1A</recordid><startdate>19980701</startdate><enddate>19980701</enddate><creator>Simonsen, Lone</creator><creator>Clarke, Matthew J.</creator><creator>Schonberger, Lawrence B.</creator><creator>Arden, Nancy H.</creator><creator>Cox, Nancy J.</creator><creator>Fukuda, Keiji</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19980701</creationdate><title>Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution</title><author>Simonsen, Lone ; Clarke, Matthew J. ; Schonberger, Lawrence B. ; Arden, Nancy H. ; Cox, Nancy J. ; Fukuda, Keiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-499b35e3e70387e7fac30a663c08d3ba7d8e9028ced3fbac296ebedec6a5903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Age groups</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Computer Simulation</topic><topic>Death</topic><topic>Disease Outbreaks</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>H1N1 subtype influenza A virus</topic><topic>H3N2 subtype influenza A virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Influenza A virus</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - mortality</topic><topic>Major Articles</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>Mortality</topic><topic>Pandemics</topic><topic>Seasons</topic><topic>United States - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><topic>Virology</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simonsen, Lone</creatorcontrib><creatorcontrib>Clarke, Matthew J.</creatorcontrib><creatorcontrib>Schonberger, Lawrence B.</creatorcontrib><creatorcontrib>Arden, Nancy H.</creatorcontrib><creatorcontrib>Cox, Nancy J.</creatorcontrib><creatorcontrib>Fukuda, Keiji</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simonsen, Lone</au><au>Clarke, Matthew J.</au><au>Schonberger, Lawrence B.</au><au>Arden, Nancy H.</au><au>Cox, Nancy J.</au><au>Fukuda, Keiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>178</volume><issue>1</issue><spage>53</spage><epage>60</epage><pages>53-60</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><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.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>9652423</pmid><doi>10.1086/515616</doi><tpages>8</tpages></addata></record> |
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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE |
| subjects | Adolescent Adult Age Distribution Age groups Aged Biological and medical sciences Child Child, Preschool Computer Simulation Death Disease Outbreaks Epidemics Epidemiology Fundamental and applied biological sciences. Psychology H1N1 subtype influenza A virus H3N2 subtype influenza A virus Human viral diseases Humans Infant Infectious diseases Influenza A virus Influenza, Human - epidemiology Influenza, Human - mortality Major Articles Medical sciences Microbiology Middle Aged Models, Biological Mortality Pandemics Seasons United States - epidemiology Viral diseases Viral diseases of the respiratory system and ent viral diseases Virology Viruses |
| title | Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution |
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