イギリスにおけるパンデミックインフルエンザA H1N1感染に関連する小児死亡率:観察型集団ベースの研究
Nabihah Sachedina1, Liam J Donaldson
1Department of Health, London, UK.
Lancet (London, England)
|October 30, 2010
まとめ
パンデミックインフルエンザA H1N1は,特に乳児および特定の少数民族集団において,著しい幼児死亡率を引き起こしました. ワクチン接種と早期治療は,重症児の予防に極めて重要です.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- 感染症 感染症は感染症です.
背景:
- パンデミックインフルエンザA H1N1は,若者に不釣り合いな影響を及ぼしました.
- 小児死亡率の分析は,将来のパンデミック対策に不可欠です.
研究 の 目的:
- パンデミックインフルエンザA H1N1.1に関連した小児死亡率を分析する.
- 将来のインフルエンザシーズンのための臨床および公衆衛生政策の情報提供.
主な方法:
- イギリスにおける小児死亡の遡及分析 (2009年6月~2010年3月).
- 日々の報告,記録のクロスチェック,検査室/死亡証明書の確認によって収集されたデータです.
- 人口と死亡率は,主要な結果指標でした.
主要な成果:
- 70人の小児死亡が報告され,小児死亡率は100万人に6人でした.
- 乳児 (1歳未満) とバングラデシュとパキスタンの民族の子どもは,より高い死亡率に直面しました.
- 重度の既往疾患,特に慢性神経疾患,死亡リスクの増加;死亡した子供の21%は以前健康でした.
結論:
- ワクチン接種の優先順位は,重度のインフルエンザ疾患または死亡のリスクが高い子どもを対象にすべきである.
- 高リスクグループには,特定の既にある疾患と特定の少数民族を含む.
- 早期の病院前サポートおよび治療ケアは,治療結果を改善するために不可欠です.
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