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Related Experiment Videos

Immunization roulette: influenza occurrence in five nursing homes.

R W Christie, L L Marquis

    American Journal of Infection Control
    |August 1, 1985
    PubMed
    Summary

    Influenza immunization protected nursing home residents in 1983. Low vaccination rates correlated with deaths, highlighting the importance of flu vaccines for elderly care and reducing healthcare costs.

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    Area of Science:

    • Gerontology
    • Infectious Diseases
    • Public Health

    Background:

    • Influenza outbreaks pose significant risks to vulnerable populations, particularly in congregate settings like nursing homes.
    • The effectiveness of influenza vaccination in preventing severe outcomes and deaths in elderly individuals requires ongoing evaluation.

    Purpose of the Study:

    • To assess the protective effect of A/Bangkok 1/79 (H3N2) influenza vaccination among nursing home residents.
    • To investigate the correlation between influenza immunization rates and mortality during an outbreak.
    • To highlight potential underreporting of influenza-like illness (I-ILI) as a cause of death in elderly populations.

    Main Methods:

    • Observational study during an influenza outbreak in 1983 involving nursing home residents.
    • Comparison of mortality rates between nursing homes with varying influenza immunization coverage.
    • Review of death certificates for cause of death, including influenza-like illness (I-ILI).

    Main Results:

    • A/Bangkok 1/79 (H3N2) vaccine appeared protective in immunized nursing home residents.
    • All thirteen deaths occurred in facilities with low or no influenza immunization.
    • Influenza-like illness (I-ILI) was underreported on death certificates for a significant proportion of decedents.

    Conclusions:

    • Influenza vaccination is a cost-effective measure for protecting nursing home residents.
    • Underreporting of I-ILI can skew the perceived impact of influenza in institutionalized elderly populations.
    • Vaccination strategies are crucial for mitigating influenza-related morbidity and mortality in long-term care facilities.

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