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Trends in Recorded Influenza Mortality

United States, 1900–2004

Bibliographic Data

ID11035896
AuthorsPeter Doshi (0000-0002-7804-4113, Massachusetts Institute of Technology, corresponding author)
Year2008
Volume98
Issue5
Pages939-945
Publication date2008-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.119933
PMID18381993
PMCIDPMC2374803
OpenAlexW2115207992
LanguageEN
Citations received11
References cited16

Objectives. I sought to describe trends in historical influenza mortality data in the United States since 1900 and compare pandemic with nonpandemic influenza seasons. Methods. I compiled a database of monthly influenza-classed death rates from official US mortality tables for the years 1900 to 2004 (1905–1909 excluded), from which I calculated adjusted influenza season (July 1–June 30) mortality rates. Results. An overall and substantial decline in influenza-classed mortality was observed during the 20th century, from an average seasonal rate of 10.2 deaths per 100 000 population in the 1940s to 0.56 per 100 000 by the 1990s. The 1918–1919 pandemic stands out as an exceptional outlier. The 1957–1958 and 1968–1969 influenza pandemic seasons, by contrast, displayed substantial overlap in both degree of mortality and timing compared with nonpandemic seasons. Conclusions. The considerable similarity in mortality seen in pandemic and non-pandemic influenza seasons challenges common beliefs about the severity of pandemic influenza. The historical decline in influenza-classed mortality rates suggests that public health and ecological factors may play a role in influenza mortality risk. Nevertheless, the actual number of influenza-attributable deaths remains in doubt

Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Excess mortality · Geography · Human mortality from H5N1 · Infectious disease (medical specialty) · Influenza A virus · Influenza pandemic · Mortality rate · Pandemic · Population · Public health · Virus · COVID-19 epidemiological studies · Demography · Influenza Virus Research Studies · Medicine · Respiratory viral infections research · Virology

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Unique citing works11
Citations per year0,61
Citation span2008 - 2025 (18)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 11

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