墨西哥的甲型H1N1流感病毒感染和死亡:回顾性分析
Santiago Echevarría-Zuno1, Juan Manuel Mejía-Aranguré2, Alvaro J Mar-Obeso2
1Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
Lancet (London, England)
|November 17, 2009
概括
2009年墨西哥H1N1流感大流行不成比例地影响了年轻人,但在老年人中死亡率最高. 接种季节性流感疫苗可能会对H1N1感染提供一定程度的保护.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 2009年流感A H1N1大流行在墨西哥出现,死亡率很高.
- 了解流行病学和风险因素对于公共卫生反应至关重要.
研究的目的:
- 分析墨西哥H1N1流感A爆发的时间,传播和人口影响.
- 确定H1N1感染,严重疾病和死亡率的保护性和风险因素.
主要方法:
- 对2009年4月28日至7月31日流感监测数据的分析.
- 包括来自墨西哥社会保障研究所网络的流感类疾病患者.
- 计算几率比率来评估与人口统计,症状,疫苗接种状态和入院时间相关的风险.
主要成果:
- 在63,479份流感类疾病报告中,有6,945例确诊的H1N1病例.
- 10-39岁的年龄组受影响最大 (56%),而70岁以上的人 (10.3%) 的死亡风险最高.
- 季节性流感疫苗接种与感染风险降低有关 (OR 0.65),而延迟入院和慢性疾病增加了死亡风险.
结论:
- 有效的风险沟通和医院准备对于降低H1N1死亡率至关重要.
- 需要进一步研究季节性流感疫苗对H1N1疫苗的保护作用.
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