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. 2015 Dec;143(16):3375-83.
doi: 10.1017/S0950268815000576. Epub 2015 Apr 8.

Ethnicity, deprivation and mortality due to 2009 pandemic influenza A(H1N1) in England during the 2009/2010 pandemic and the first post-pandemic season

H Zhao  1 , R J Harris  2 , J Ellis  3 , R G Pebody  1
Affiliations

Ethnicity, deprivation and mortality due to 2009 pandemic influenza A(H1N1) in England during the 2009/2010 pandemic and the first post-pandemic season

H Zhao et al. Epidemiol Infect. 2015 Dec.

Abstract

The relationship between risk of death following influenza A(H1N1)pdm09 infection and ethnicity and deprivation during the 2009/2010 pandemic period and the first post-pandemic season of 2010/2011 in England was examined. Poisson regression models were used to estimate the mortality risk, adjusted for age, gender, and place of residence. Those of non-White ethnicity experienced an increased mortality risk compared to White populations during the 2009/2010 pandemic [10·5/1000 vs. 6·0/1000 general population; adjusted risk ratio (RR) 1·84, 95% confidence interval (CI) 1·39-2·54] with the highest risk in those of Pakistani ethnicity. However, no significant difference between ethnicities was observed during the following 2010/2011 season. Persons living in areas with the highest level of deprivation had a significantly higher risk of death (RR 2·08, 95% CI 1·49-2·91) compared to the lowest level for both periods. These results highlight the importance of rapid identification of groups at higher risk of severe disease in the early stages of future pandemics to enable the implementation of optimal prevention and control measures for vulnerable populations.

Keywords: England; ethnicity; influenza A(H1N1)pdm09; mortality; pandemic.

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References

    1. CDC. UPDATED CDC estimates of 2009 H1N1 influenza cases, hospitalizations and deaths in the United States, April 2009–April 10, 2010. May 2010 (http://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm).
    1. Sachedina N, Donaldson LJ. Paediatric mortality related to pandemic influenza A H1N1 infection in England: an observational population-based study. Lancet 2010; 376: 1846–1852. - PubMed
    1. Groom AV, et al. Pandemic influenza preparedness and vulnerable populations in tribal communities. American Journal of Public Health 2009; 99 (Suppl. 2): S271–S278. - PMC - PubMed
    1. Hutchins SS, et al. Protection of racial/ethnic minority populations during an influenza pandemic. American Journal of Public Health 2009; 99 (Suppl. 2): S261–S270. - PMC - PubMed
    1. La Ruche G, et al. The 2009 pandemic H1N1 influenza and indigenous populations of the Americas and the Pacific. Eurosurveillance 2009; 14. - PubMed

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