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Excess mortality among the elderly in European countries, December 2014 to February 2015.
K Molbak1, L Espenhain, J Nielsen
1Statens Serum Institut, Copenhagen, Denmark.
Excess deaths in European adults aged 65+ were significantly higher in winter 2014-2015 compared to previous years. This surge in mortality correlated with widespread influenza A (H3N2) detection across Europe.
Area of Science:
- Epidemiology
- Virology
Background:
- Winter seasons typically see increased mortality, particularly among the elderly.
- Surveillance data tracks influenza activity and its potential public health impact.
Purpose of the Study:
- To analyze excess mortality trends in European elderly populations during the 2014-2015 winter season.
- To investigate the correlation between excess deaths and influenza A (H3N2) prevalence.
Main Methods:
- Analysis of weekly all-cause excess death data for individuals aged 65 and above in 14 European countries.
- Comparison of 2014-2015 winter mortality rates with the preceding four winter seasons.
- Correlation assessment with European influenza surveillance data, noting predominant virus strains.
Main Results:
- A significant increase in weekly excess deaths was observed among individuals aged 65+ from December 2014 to February 2015.
- This period of elevated mortality coincided with a heightened proportion of influenza detection across European surveillance schemes.
- Influenza A (H3N2) viruses were the predominant strain identified throughout Europe during this season.
Conclusions:
- The 2014-2015 winter season experienced a notable rise in excess mortality among older Europeans.
- Influenza A (H3N2) activity is strongly implicated as a contributing factor to the observed excess deaths.
- Other factors like cold snaps and co-circulating respiratory infections may have also played a role.
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