Excess mortality monitoring in England and Wales during the influenza A(H1N1) 2009 pandemic.

Abstract:

:We present the results from a novel surveillance system for detecting excess all-cause mortality by age group in England and Wales developed during the pandemic influenza A(H1N1) 2009 period from April 2009 to March 2010. A Poisson regression model was fitted to age-specific mortality data from 1999 to 2008 and used to predict the expected number of weekly deaths in the absence of extreme health events. The system included adjustment for reporting delays. During the pandemic, excess all-cause mortality was seen in the 5-14 years age group, where mortality was flagged as being in excess for 1 week after the second peak in pandemic influenza activity; and in age groups >45 years during a period of very cold weather. This new system has utility for rapidly estimating excess mortality for other acute public health events such as extreme heat or cold weather.

journal_name

Epidemiol Infect

authors

Hardelid P,Andrews N,Pebody R

doi

10.1017/S0950268811000410

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

1431-9

issue

9

eissn

0950-2688

issn

1469-4409

pii

S0950268811000410

journal_volume

139

pub_type

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