A(H1N1) virus;
Madagascar;
mortality;
pandemic;
A H1N1;
MORBIDITY;
PNEUMONIA;
D O I:
10.1017/S0950268812001215
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
It is difficult to assess the mortality burden of influenza epidemics in tropical countries. Until recently, the burden of influenza was believed to be negligible in Africa. We assessed the impact of the 2009 influenza epidemic on mortality in Madagascar by conducting Poisson regression analysis on mortality data from the deaths registry, after the first wave of the 2009 A(H1N1) virus pandemic. There were 20% more human deaths than expected in Antananarivo, Madagascar in November 2009, with excess mortality in the >= 50 years age group (relative risk 1.41). Furthermore, the number of deaths from pulmonary disease was significantly higher than the number of deaths from other causes during this pandemic period. These results suggest that the A(H1N1) 2009 virus pandemic may have been accompanied by an increase in mortality.
机构:
Department of Medicine, Emory University School of Medicine, Atlanta, GA
Atlanta, GA 30303Department of Medicine, Emory University School of Medicine, Atlanta, GA
Sheth A.N.
Patel P.
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h-index: 0
机构:
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GADepartment of Medicine, Emory University School of Medicine, Atlanta, GA
Patel P.
Peters P.J.
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h-index: 0
机构:
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GADepartment of Medicine, Emory University School of Medicine, Atlanta, GA
机构:
Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Beijing Res Ctr Prevent Med, Beijing, Peoples R ChinaBeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Wu, Shuangsheng
Wei, Zaihua
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机构:
Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Beijing Res Ctr Prevent Med, Beijing, Peoples R ChinaBeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Wei, Zaihua
Greene, Carolyn M.
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h-index: 0
机构:
US Ctr Dis Control & Prevent, Atlanta, GA USABeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Greene, Carolyn M.
Yang, Peng
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h-index: 0
机构:
Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Beijing Res Ctr Prevent Med, Beijing, Peoples R ChinaBeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Yang, Peng
Su, Jianting
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h-index: 0
机构:
Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Beijing Res Ctr Prevent Med, Beijing, Peoples R ChinaBeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Su, Jianting
Song, Ying
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h-index: 0
机构:
US Ctr Dis Control & Prevent, Atlanta, GA USABeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Song, Ying
Iuliano, Angela D.
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h-index: 0
机构:
US Ctr Dis Control & Prevent, Atlanta, GA USABeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Iuliano, Angela D.
Wang, Quanyi
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h-index: 0
机构:
Beijing Ctr Dis Prevent & Control, Beijing, Peoples R China
Beijing Res Ctr Prevent Med, Beijing, Peoples R ChinaBeijing Ctr Dis Prevent & Control, Beijing, Peoples R China
机构:
INSERM, CIC 1417, Paris, France
Univ Paris 05, Sorbonne Paris Cite, Paris, France
Hop Cochin, AP HP, CIC Cochin Pasteur, F-75674 Paris, FranceINSERM, CIC 1417, Paris, France
Launay, O.
Boelle, P. Y.
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h-index: 0
机构:
INSERM, U707, Paris, FranceINSERM, CIC 1417, Paris, France
Boelle, P. Y.
Krivine, A.
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h-index: 0
机构:
Hop Cochin, AP HP, Serv Virol, F-75674 Paris, FranceINSERM, CIC 1417, Paris, France
Krivine, A.
Grenet, D.
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h-index: 0
机构:
Hop Foch, Serv Pneumol, Suresnes, FranceINSERM, CIC 1417, Paris, France
Grenet, D.
Boussaud, V.
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h-index: 0
机构:
Hop Europeen Georges Pompidou, AP HP, Serv Chirurg Thorac, Paris, FranceINSERM, CIC 1417, Paris, France
机构:
Hop Trousseau, AP HP, Ctr Ressources & Competences Mucoviscidose, F-75571 Paris, FranceINSERM, CIC 1417, Paris, France
Corvol, H.
Chedevergne, F.
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h-index: 0
机构:
Hop Necker Enfants Malad, AP HP, Serv Pneumol Allergol Pediat, Paris, France
Ctr Ressources & Competences Mucoviscidose, Paris, FranceINSERM, CIC 1417, Paris, France
Chedevergne, F.
Hubert, D.
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h-index: 0
机构:
Hop Cochin, AP HP, Serv Pneumol, Ctr Ressources & Competences Mucoviscidose, F-75674 Paris, FranceINSERM, CIC 1417, Paris, France
Hubert, D.
Sermet-Gaudelus, I.
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h-index: 0
机构:
Univ Paris 05, Sorbonne Paris Cite, Paris, France
Hop Necker Enfants Malad, AP HP, Serv Pneumol Allergol Pediat, Paris, France
Ctr Ressources & Competences Mucoviscidose, Paris, France
INSERM U 1151, Paris, FranceINSERM, CIC 1417, Paris, France