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Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons
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논문 기본 정보

Type
Academic journal
Author
Journal
대한예방의학회 예방의학회지 예방의학회지 제52권 제5호 KCI Accredited Journals
Published
2019.1
Pages
308 - 315 (8page)

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Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons
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Abstract· Keywords

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Objectives: Estimating influenza-associated mortality is important since seasonal influenza affects persons of all ages, causing severe illness or death. This study aimed to estimate influenza-associated mortality, considering both periodic changes and age-specific mortality by influenza subtypes. Methods: Using the Microdata Integrated Service from Statistics Korea, we collected weekly mortality data including cause of death. Laboratory surveillance data of respiratory viruses from 2009 to 2016 were obtained from the Korea Centers for Disease Control and Prevention. After adjusting for the annual age-specific population size, we used a negative binomial regression model by age group and influenza subtype. Results: Overall, 1 859 890 deaths were observed and the average rate of influenza virus positivity was 14.7% (standard deviation [SD], 5.8), with the following subtype distribution: A(H1N1), 5.0% (SD, 5.8); A(H3N2), 4.4% (SD, 3.4); and B, 5.3% (SD, 3.7). As a result, among individuals under 65 years old, 6774 (0.51%) all-cause deaths, 2521 (3.05%) respiratory or circulatory deaths, and 1048 (18.23%) influenza or pneumonia deaths were estimated. Among those 65 years of age or older, 30 414 (2.27%) all-cause deaths, 16 411 (3.42%) respiratory or circulatory deaths, and 4906 (6.87%) influenza or pneumonia deaths were estimated. Influenza A(H3N2) virus was the major contributor to influenza-associated all-cause and respiratory or circulatory deaths in both age groups. However, influenza A(H1N1) virus–associated influenza or pneumonia deaths were more common in those under 65 years old. Conclusions: Influenza-associated mortality was substantial during this period, especially in the elderly. By subtype, influenza A(H3N2) virus made the largest contribution to influenza-associated mortality.

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References (38)

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World Health Organization / Influenza (seasonal) google schola Nair H / 2011 / Global burden of respiratory infections due to seasonal influenza in young children : a systematic review and meta-analysis / Lancet 378(9807):1917~1930 google schola van Asten L / 2012 / Mortality attributable to 9 common infections : significant effect of influenza A, respiratory syncytial virus, influenza B, norovirus, and parainfluenza in elderly persons / J Infect Dis 206(5):628~639 google schola Molinari NA / 2007 / The annual impact of seasonal influenza in the US : measuring disease burden and costs / Vaccine 25(27):5086~5096 google schola J. Nielsen / 2019 / European all-cause excess and influenza-attributable mortality in the 2017/18 season: should the burden of influenza B be reconsidered? / Clinical Microbiology and Infection 25(10):1266~1276 Crossref

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