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Tracking Pandemic Severity Using Data on the Age Structure of Mortality: Lessons From the 1918 Influenza Pandemic in
Siddharth Chandra1, Julia Christensen1
1Siddharth Chandra is with the Asian Studies Center and James Madison College at Michigan State University, East Lansing, with a courtesy appointment in the Department of Epidemiology and Biostatistics. Julia Christensen is with James Madison College at Michigan State University, East Lansing.
Distortions in death age distribution during the 1918 influenza pandemic correlated with pandemic severity. This method may help track future pandemics like COVID-19 using age-at-death data.
Area of Science:
- Epidemiology
- Demography
Background:
- The 1918 influenza pandemic caused significant mortality, with notable age distribution shifts.
- Understanding pandemic severity tracking is crucial for public health preparedness.
Observation:
- Excess deaths in Michigan from 1918-1920 were calculated using all-cause mortality data.
- The Kuiper goodness-of-fit test measured deviations in monthly age-at-death distributions compared to a 1912-1917 baseline.
Findings:
- A strong positive correlation (r=0.83, P<.001) was found between monthly age distribution distortions and excess deaths.
- These findings indicate that changes in the age structure of mortality mirrored pandemic intensity.
Implications:
- Age distribution of deaths can serve as a proxy for tracking pandemic severity.
- This approach offers a potential method for monitoring pandemics, including COVID-19, especially when complete data is lacking.
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