Announcement

Collapse
No announcement yet.

Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

    -------------------edit---------------------
    text-only version to avoid the scroll-delay-problem:


    ------------------edit , links from below----------------

    総務省統計局、統計研究研修所の共同運営によるサイトです。国勢の基本に関する統計の企画・作成・提供、国及び地方公共団体の統計職員に専門的な研修を行っています。


    ----------------------------------------------------------


    Japan was closed from contact with other country between 1639 and 1853.

    There were only very few ships that could enter mainly Dutch ships
    in an artificial island. There was no immigration, almost no visiting,
    foreigners were arrested or killed.
    So Japan escaped those pandemics until the Russian flu reached Japan
    in Feb.1890.

    It seems reasonable to assume that even in the decades after the formal opening
    in 1853, contacts with foreigners were very limited, there were no established
    trading routes and organisations, people didn't speak English, some old laws
    were still in place.
    The railway system, which already existed in Europe,USA,India, Russia
    and which mainly contributed to the fast spread of the 1889 pandemic
    was still in its infancy in Japan.

    Timeline[edit]
    1872 - Opening of Japan's first railway between Shimbashi (Tokyo) and Yokohama
    1881 - Foundation of Nippon Railway, Japan's first private railway company
    1882 - Opening of Horonai Railway, first railway in Hokkaido
    1888 - Opening of Iyo Railway, first railway in Shikoku
    1889 - Opening of Kyushu Railway, first railway in Kyushu

    In the 1918 pandemic and to a lesser degree also in 1957 and 1968 and 2009 pandemics
    it was observed that the elderly were partly protected, they died in lower numbers than expected
    and it was speculated that this was due to acquired immunity from previous exposures
    to similar flu-strains. For 1957,1968,2009 -but not for 1918- this was supported by
    serological findings that showed antibodies in those elderly before the pandemic
    reached their location.
    The effect was not very big, although significant, except in 1918, where people above ~40
    were very well protected and died much rarer than the younger folks.
    The most heard reason for this is still an immunity from similar strains
    that circulated before ~1892 and then waned. Recent findings showed fewer such
    protection of the elderly in more remote countries and communities consistent with
    the theory that they had fewer exposure to flu before 1892. One problem with that theory
    is, that there was almost no reported flu in the decades before 1889 in some countries.
    E.g. for England we (uni melbourne link) have detailed reports for its absence.
    Still England showed the same sparing of elderly deaths in 1918 and 1957.
    The age distribution links
    1918 to flu before 1892
    1957 to flu before 1874, 1880-1884 (the dating is not very clear here)
    1968 to flu in 1890-1897, mainly 1892-1894

    mortality data from 1889,1918,1957,1968,2009 to be posted here later
    I came to this when I examined 1957 data, showing the protection of the
    elderly in Germany,Italy,France,UK,USA - but not Japan



    ----------------------------------------------------------------------------------------------------------------------------------------------
    Asian Futures, Asian Traditions
    book by Edwina Palmer from 2005, ~60 Euros
    > Her work together with husband Geoffrey Rice on the history of the 1918 influenza
    > pandemic in Japan is appraised as the most thorough in the subject to date

    http://www.jstor.org/discover/10.230...21102675277871
    from 1993
    ~280000 Japanese deaths from flu in 1918
    relatively low death rates in Japan

    they speculate due to traditional herbal medicines

    In collaboration with Dr Edwina Palmer, Geoffrey Rice published three articles about
    the 1918 pandemic in Japan: one in Journal of Japanese Studies, v.19 (1992) is currently
    the most substantial account available in English.

    http://igitur-archive.library.uu.nl/...ling_final.pdf
    thesis,2010, Netherlands
    The aim of our study is to develop a formal hypothesis that
    tuberculosis (TB) was responsible for the W-shaped mortality in the Spanish flu
    pandemic.
    [that looks pretty silly, after all that we'd read about it]

    age-curve of deaths for Japan for 1918 on page 24.
    So, yes, they also had the W-shape in 1918, suggesting the elderly
    had acquired immunity from a similar virus that circulated in Japan
    before 1892



    .--------------------------------------------

    Asian Futures, Asian Traditions
    book by Edwina Palmer from 2005, ~60 Euros
    > Her work together with husband Geoffrey Rice on the history of the 1918 influenza
    > pandemic in Japan is appraised as the most thorough in the subject to date

    http://www.jstor.org/discover/10.230...21102675277871
    from 1993
    ~280000 Japanese deaths from flu in 1918
    relatively low death rates in Japan

    they speculate due to traditional herbal medicines

    http://www.flutrackers.com/forum/sho...d.php?t=200998
    http://wwwnc.cdc.gov/eid/article/19/...03_article.htm


    In collaboration with Dr Edwina Palmer, Geoffrey Rice published three articles about
    the 1918 pandemic in Japan: one in Journal of Japanese Studies, v.19 (1992) is currently
    the most substantial account available in English.

    http://igitur-archive.library.uu.nl/...ling_final.pdf
    thesis,2010, Netherlands
    The aim of our study is to develop a formal hypothesis that
    tuberculosis (TB) was responsible for the W-shaped mortality in the Spanish flu
    pandemic.

    -------------------------------------------------------------------------------------------------------
    Japan, yearly exports of silk in Myen, 1868-1889:
    6,6,4,8,5,7,5,5,13,10,8,10,9,11,16,16,11,13,17,19, 26

    Japan, length of railway in km, 1872-1888 :
    29,29,62,62,105,105,105,118,158,197,275,393,412,57 7,693,956,1468

    Japan, yearly railway passengers in thousand, 1872-1889
    495,1415,2094,4238,2933,3097,3478,4337,5332,5759,6 004,5161,4100,
    3761,5919,8405,11366,

    Japan, merchant ships registered 1870-1888:
    35,71,96,110,118,149,159,183,195,199,210,298,344,3 90,412,461,460,486,524
    Japan,mail traffic in millions, 1870-1888:
    ?,?,?,17,?,30,37,45,54,67,79,94,112,107,113,115,12 1,137,159
    Japan, currency in banknotes in circulation, in MYen 1868-1888:
    24,50,56,60,68,90,104,100,107,119,166,164,159,153, 144,132,124,123,136,138,137
    Japan gov.expenditure in MYen,1868-1888:
    31,21,20,19,58,63,82,69,59,48,61,60,63,71,73,83,77 ,61,83,79,82
    Japan, number of children in school in thousand,1873-1888:
    1326,1715,1926,2068,2163,2273,2315,2349,2607,3004, 3238,3233,3097,2893,2714,2928
    -------------------------------
    http://www.san.beck.org/21-7-JapanMo...on1800-94.html
    The Conscription Act in January 1873 required all twenty-year-old males to register for military service
    in 1872 the Education Ordinance mandated modern elementary education
    The number of western educators and advisors in Japan reached a peak of 574 in 1874.


    Code:
    int(-10000+40000*deathrate(1957)/
    (deathrate(1958)+deathrate(1955)+deathrate(1956)+deathrate(1959)))
    
       55-59 60-64 65-69 70-74 75-79 80-84 85-89
    ---------------------------------------------
    de, 475 , 464 , 563 , 479 , 289 ,  75 , 171
    us, 202 , 333 , 328 , 205 ,  78 ,  96 , 193
    uk, 139 , 158 ,  24 ,-117 ,-408 ,-474 ,-601
    fr, 391 , 368 , 425 , 396 , 134 ,- 11 ,  49
    it, 626 , 586 , 774 , 565 , 361 , 113 , 260
    jp, 745 , 778 , 897 ,1154 ,1227 ,1210 ,1551
    
    
    AUS   46  -48  128 - 71 - 79 -280 -262
    tha  114  369  323  813  490 1002 1199
    mex  365  309  458  109  157  177   43
    usa  160  377  324  213   39  140  222
    CDN  361  391  393 -  8   22   36 - 55
    PHI  441  963 1349 1253 1571 1388 ....
    chi  313  172  645  350 1267  437  513
    COL  320  288  289   39   97 -147  280
    egy 1486 1602 1615 2348 2336 2340 2845
    FRG  547  424  576  462  286  219 - 26
    ita  644  559  800  542  265  181  107
    jpn  803  798  935  980 1226 1333 1107
    hk_  833 -409  489   70-1013  310 -132
    SGP  516  837  657   94  756 -164  218
    saw -682  831  259 - 77   69 -373 -471
    FRA  314  161  427  427  370  263 -  8
    Human Mortality Database. University of California, Berkeley (USA), and Max Planck
    Institute for Demographic Research (Germany). Available at www.mortality.org or
    www.humanmortality.de (data downloaded on [date]).


    ---------------------------------------

    The Statistics Bureau and the Director-General for Policy Planning of Japan play the central role in the official statistical system in producing and disseminating basic official statistics,and coordinating statistical work under the Statistics Act and other legislation.

    総務省統計局、統計研究研修所の共同運営によるサイトです。国勢の基本に関する統計の企画・作成・提供、国及び地方公共団体の統計職員に専門的な研修を行っています。

    (why didn't I find that earlier) from:
    A comparative study of the 1918?1920 influenza pandemic
    in Japan, USA and UK: mortality impact and implications
    for pandemic planning , 2009

    > Regarding our copyright, please refer to the link below for details.
    > http://www.stat.go.jp/english/info/riyou.htm


    --------------------------------------------
    Tokyo:
    http://www.toukei.metro.tokyo.jp/tne...index.htm#1961
    ------------------------------------------
    In Japan, the system of influenza reporting detailed in the
    Communicable Disease Prevention Law was used during
    1948?1998. The law required physicians to report all cases
    of clinically diagnosed influenza to a nearby health center
    within 24 hours. The health centers transferred these reports
    to the local governments and to the Ministry of Health
    and Welfare. Influenza morbidity data were regularly reported
    to the Secretariat of the Ministry of Health and Welfare and
    published in an annual periodical, Statistics on Communicable
    Diseases, during 1948?1998.28

    Statistics on Communicable Diseases, during 1948?1998

    .28
    28. Statistics and Information Department, Minister?s Secretariat,
    Ministry of Health and Welfare in Japan. Statistics of
    communicable diseases. 1968?1999 (in Japanese).
    Densenby? t?kei

    (I can't find this online)

    nihon tokai nenkan = Japan statistical yearbook
    -----------------------------------------------------------------
    Attached Files
    Last edited by gsgs; March 26, 2015, 10:56 AM.
    I'm interested in expert panflu damage estimates
    my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

  • #2
    Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

    I found the statistics Japan webpage , downloaded and convereted
    their Excel files.
    Most of the previous post should be rewritten ...
    I added some pics above.

    The elderly were somehow protected from death in wave2 in 1920
    but to a lesser degree in wave1 in 1918.

    In Japan until ~1950 the main peak of deaths was in August
    Reports about the prevalence of infectious diseases, i.e. influenza,
    before 1875 or 1889 are hard to find
    They had bad cholera outbreaks in 1879 and 1886 (+1890,+1895)

    Tuberculosis was bad in Japan until ~1950

    --------------------------------------------------------------------
    fevers were less common in Japanese cities
    than in European, and in rural famine epidemic disease itself wreaked a
    lesser toll than in Europe).31

    31Infectious diseases were, however, a significant factor in 1837. See A. Hayami,
    ‘Population changes’, in Jansen and Rozman, Japan in transition, p.295. Cholera epi-
    demics – which occurred outside a famine context – were a major health hazard of the
    1860s. Cholera first made its appearance in Nagasaki in 1832.

    Diseases known to
    have afflicted the Japanese include leprosy, smallpox,
    syphilis, malaria, tuberculosis, influenza, and
    measles.

    Due to its relative geographical isolation and pro-
    hibitions on travel into and out of the country,
    Japan escaped comparatively unscathed from
    many of the major epidemics that decimated the
    populations of Europe. However, diseases such as
    influenza, smallpox, measles, and leprosy contin-
    ued to afflict the inhabitants of Japan, particularly
    the poorer segments of society.

    -----------------------------------------------------------------------
    (the Tokugawa Bakufu’s
    strict regulation of the trade and human movement between Japan and other
    countries) protected its population from foreign infectious diseases to a consid-
    erable extent.23
    [article about measles in Japan]

    23Jannetta, Epidemics and mortality, p. 144.

    --------------------------------------------------------------------------------------
    Cholera was disseminated to Nagasaki, Japan in the mid September of 1822. It is
    controversial how cholera was brought in to Japan. Some argues that it came directly to
    Nagasaki via the Strait of Java.18 Others claim that it was though Joseon to Tsushima
    Island and to Shimonoseki in Japan.19 Still others insist that how cholera was spread to
    Japan is unclear.20
    Fujikawa Yu, Nihonshipeishi (The History of Diseases in Japan) (Tokyo: Heibonsha, 1969):
    213-234.
    ---------------------------------------------------------------------------------------
    Sorry, but the page cannot be found. The page may have been moved or deleted.

    about the spread of Cholera to Japan and how diseases followed
    trade-routes. However, it is hard to imagine that influenza,
    which dies in summer, could persist in seasonal waves
    in sakoku-Japan.
    ------------------------------------------------
    measles failed to settle itself as an endemic disease in Edo,Kyoto,Osaka
    measles in Japan had remained a disease that was imported
    from abroad, engulfed the nation with intervals of 10 to 20 years between epi-
    demics, and died out without becoming endemic in any of these cities
    ----------------------------------------------------
    “Japanese sources, which include excellent accounts of influenza in
    the Edo Period, make no mention of influenza in 1836–1837” (Jannetta, 1992, p.
    Jannetta finds no evidence of typhus before the 1890s
    Early European contacts brought a panoply of new viral diseases: influenza to Tahiti in
    disease,medicine and western imperialism

    "Disease Dissemination in the Early Modern World"
    ------------------------------------------------------------------
    (diseases in the Edo-period)
    but according to the medical historian Fujikawa Yu, there were 507 episodes ...
    13.2 per cent was smallpox, 8.3 per cent was influenza, and 7.5 per cent was
    The History of Public Health and the Modern State

    ------------------------------------------------------------------------
    Fujikawa Yu , Nihon shippei shi , Tokyo Heibonsha,1969, pp62-63, 110-11
    influenza = ryuakosei- kambo
    Byoka sutchi, by Kakukei or Shigesata HIRANO,
    published in eight volumes from 1832 to 1834.
    Kolobukigusa
    ---------------------------------------------------
    I'm interested in expert panflu damage estimates
    my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

    Comment


    • #3
      Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?


      Estimation of the excess death associated with influenza pandemics
      and epidemics in Japan after world war II: relation with pandemics
      and the vaccination system, 2011



      At the beginning of pandemics, 1957-58, 1968-69, 1969-70, the proportion of those
      aged <65 years in excess deaths rose compared with 'non-pandemic' years

      Since 1963 mass vaccination against influenza has
      been carried out in Japan by the imunization, first,
      of all children in kindergartens and primary and
      secondary schools (vaccinations conducted through
      the government public health administration) and,
      secondly, of workers in factories, offices and certain
      other places where people are subject to crowded con-
      ditions of work

      The epidemic did break out at the beginning of
      October, but its progress was slow and the real
      climax can be said to have taken place early in 1969.
      Mass vaccination, although delayed somewhat be-
      yond what had been expected, had been almost com-
      pleted by theend of1968. Theeffectiveness ofthatvac-
      cination is discussed in the paper by Dr Sonoguchi.b
      bSee the paper on page 517 of this issue.


      Vaccination against Hong Kong influenza in Japan




      Haemagglutination-inhibiting antibody response to and efficacy of inactivated
      Hong Kong influenza vaccine,1969



      In one vaccinated camp an epidemic of Hong Kong influenza broke out in
      January—March 1969. In a unit in which 80&#37; of the men had been vaccinated,
      there was an infection rate of 16% among the vaccinated, of 26% among the
      unvaccinated living in the same barracks and of 63% among the unvaccinated
      living in separate barracks; these figures suggest that vaccination of at least 80%
      of a population group will afford some protection to the unvaccinated remainder of
      the group against an epidemic of influenza provided the vaccinated and the
      unvaccinated are living in close association.

      Interpretation of influenza antibody patterns in man,1969


      In sera drawnfrompersons over 72 years ofage living in an oldpeople's home in.Japan
      there wasfound to be a certain degree ofantibody to Hong Kong virus before the outbreak
      of the Hong Kong influenza epidemic


      Interpretations of influenza antibody patterns of man



      Summary report on Hong Kong influenza in Japan,1969


      a true epidemic of Hong Kong influenza did not start in Japan until October 1968
      influenza B epidemic affected Japan in September-October 1968 to March 1969

      A number of laboratory infections, confirmed by virus isolation, were reported
      from almost all the manufacturers.

      Even after the Hong Kong influenza epidemic had
      started, its spread was not as rapid as might be
      expected when a new antigenic variant appears and
      it can hardly be said to have developed typically
      epidemic features until January 1969.




      ============================================

      so it seems that there was some protection in the elderly in Japan in
      1968, but not in 1957 (as in USA,Europe)
      And the protection in 1968-1970 is hardly seen in the age-shift
      in deathrates. This could be due to the vaccination, or the cocirculating
      flu-B in late 1968, or the mild early H3N2, which only became more
      aggressive after new reassortments, i.e. in Italy,France,Yugoslavia
      in Dec.1969.
      On the other hand, the H2N2 in 1957 was very contagious and
      aggressive in the first wave, even in summer 1957 or early fall.


      ----------------other countries in 1968-1970 --------------------

      East Africa,1969

      A2-Hong Kong influenza in Dakar in 1969].

      Sera were collected from 320 shearwaters (Puffinus pacificus chlororhynchus)
      nesting on two islands off the east coast of northern Australia in December 1969.

      Hong Kong virus reached Australia
      in September 1968, we had no evidence of its pres-
      ence in Melbourne until February 1969,

      perhaps there was
      quite a lot of very mild and subclinical Hong Kong
      influenza in Melbourne during the winter of 1969

      epidemics occurred in many countries in the northern hemisphere in
      the winter of 1968-69. In all these countries except the United States
      of America the disease was mild and not associated with a large increase
      of deaths. In the United States of America, however, the number of "excess
      deaths" was similar to the number in 1957-58.In the southern hemisphere
      epidemics began in May-June 1969; they have been clinically mild and the
      reported incidence of disease has been only moderately high.In many
      countries the infection has spread slowly and smouldered instead of
      bursting into the usual sharp epidemics.The smouldering spread and
      the contrast in the behaviour of the disease in the USA compared with
      the rest of the world are the outstanding features of the Hong Kong
      strain of virus
      I'm interested in expert panflu damage estimates
      my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

      Comment


      • #4
        Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?


        Summary report on the Asian influenza epidemic in Japan, 1957


        figure 5 has deaths per age5groups in May-June,July,Oct.,Nov. 1957
        presumably (preliminary) deaths from influenza in Japan.
        The total number of deaths from influenza in Japan in 1957 was 7735
        with 983105 cases.
        Trying to extract the numbers from that chart, I get

        Code:
        M+J,105, 47,22,17,12,20,19,19,18,20,23, 33, 42, 58, 80,106, 59,34   = 734
        Jul,180, 47,14,22,14,17,14,07,11,09,18, 35, 35, 47, 59, 50, 27,15   = 621
        Oct, 50, 25,13,06,07,06,03,06,05,02,08, 09, 22, 24, 33, 41, 13,14   = 290
        Nov,300, 99,43,41,40,40,40,43,33,36,41, 76,122,180,170,190,120,65   =1679
        --------------------------------------------------------------------------------
            635,218,92,86,73,83,76,75,67,67,90,153,221,309,342,387,219,128  =3321
        the population of Japan in these age5groups in Japan in 1957 was: (times 1000)
        8361,11160,9389,9012,8608,7920,6797,5305,4978,4634 ,3882,3430,2674,2046,1409,906,426,151

        so, this gives death-rates of:

        deathrates from influenza in Japan in these 5 months of 1957
        per million population for these 18 age5groups:
        76,19,10,10,08,10,11,14,13,14,23,45,83,151,243,423 ,514,845



        figure 6 had the deathrates, but doesn't separate the agegroups above 60y.



        --these 7735 are influenza deaths only
        you'd also want pneumonia,cardio,diabetes deaths by agegroup
        (and month) and compare with other years and other countries

        total 1957 deaths in Japan seem to show no protection of the elderly
        as in other countries

        this must/should have been examined in 1957 ?!?

        ------------------------------

        Code:
        yearly deathrates per 1000 in Japan(excluding Okinawa) from all causes by 17 age5groups
        
        year,00-04,05-09,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75-79,80+
        ----------------------------------------------------------------------------------------------------------
        1955, 10.7,  1.3,  0.7,  1.3,  2.3,  2.5,  2.7,  3.2,  4.2,  6.2,  9.4, 14.0, 22.3, 35.6, 57.6, 88.3,153.5
        1956, 10.8,  1.2,  0.6,  1.2,  2.2,  2.4,  2.6,  3.1,  4.1,  6.1,  9.6, 14.5, 22.7, 36.9, 61.4, 95.8,168.4
        1957, 10.4,  1.1,  0.6,  1.2,  2.1,  2.3,  2.6,  3.1,  4.1,  6.1,  9.5, 15.0, 23.5, 38.2, 64.4,102.1,180.2
        1958,  9.4,  1.0,  0.6,  1.1,  2.0,  2.1,  2.3,  2.8,  3.7,  5.7,  8.8, 13.7, 21.1, 34.1, 56.4, 89.2,154.0
        1959,  9.1,  1.0,  0.6,  1.0,  1.8,  2.0,  2.2,  2.7,  3.6,  5.4,  8.4, 13.6, 20.7, 33.8, 55.4, 89.4,157.9
        
        deaths
        1955,99399,14240, 6548,10992,19383,19362,16659,16452,20742,26955,36042,44993,55659,69952,80172,77338, 78609
        1956,94865,13610, 5704,10437,18638,18422,16655,16165,20393,27538,36610,48190,59151,73998,85030,85913, 93110
        1957,87064,12736, 5995,10823,18322,18403,17474,16376,20416,28419,36953,51285,62730,78180,90730,92522,103990
        1958,76404,10530, 5618, 9902,16874,17268,16248,15295,18387,26653,34637,48050,58549,70854,81606,82418, 94858
        1959,72702, 9812, 5937, 9931,15253,16527,16520,15496,17823,25729,34531,48650,58996,71162,83717,83985,103128
        
        population/1000
        1955, 9248,11043, 9508, 8626, 8403, 7604, 6117, 5115, 4945, 4367, 3850, 3206, 2497, 1967, 1393,  876,   512  
        1956, 8781,11575, 9058, 8793, 8530, 7757, 6474, 5174, 4989, 4544, 3817, 3319, 2604, 2007, 1385,  897,   553 
        1957, 8361,11160, 9389, 9012, 8608, 7920, 6797, 5305, 4978, 4634, 3882, 3430, 2674, 2046, 1409,  906,   578  
        1958, 8107,10494, 9912, 9240, 8598, 8072, 7100, 5503, 4962, 4712, 3948, 3518, 2780, 2077, 1448,  924,   616 
        1959, 8008, 9702,10398, 9634, 8497, 8171, 7350, 5813, 4884, 4786, 4087, 3589, 2845, 2106, 1510,  939,   654
        so that drop in deaths from influenza at age ~75-80 that you see in figure 5
        is not seen in deaths from all causes, where we have a steady increase
        in 1957 in all agegroups as compared to neighboring years in Japan

        Code:
        USA,deathrate from all causes for 11 age groups
        1955,93,285,11,5,12,15,31,76,173,381,879,1898
        1956,94,282,11,5,12,15,30,75,174,381,879,1923
        1957,96,280,11,5,12,15,31,76,178,390,881,1979
        1958,95,281,11,5,11,15,30,75,174,384,879,1980
        1959,94,275,11,5,11,15,29,74,171,376,858,1942
        
        USA, deathrate from P+I for 11 age groups
        1955,271,2216,149,25,27,31, 68,142,295, 764,2498,7911
        1956,282,2253,153,23,24,30, 70,140,304, 806,2580,8536
        1957,358,2399,183,38,55,56,102,206,443,1069,2986,9798
        1958,331,2453,160,23,29,43, 78,173,389, 960,2928,9881
        1959,312,2392,153,25,27,38, 77,155,335, 865,2816,9243
        
        USA,deathrate from heart-disease for 11 age groups
        1955,5060,149,31,34,108,278,1057,3555,9583,24033,62192,142224
        1956,5105,150,31,32,101,275,1030,3517,9647,24076,62002,144248
        1957,5235,145,32,31,105,278,1035,3575,9831,24542,62198,148599
        1958,5235,137,29,26, 90,275,1024,3542,9630,24205,62437,149944
        1959,5159,131,29,26, 86,268, 997,3461,9390,23587,60861,147369
        
        agegroups:<1,1-4,5-14,15-24,25-34,35-44,45-54,55-64,65-74,75-84,>84

        ------------------------------------------------------------------------

        WHO : ANNUAL EPIDEMIOLOGICAL AND VITAL STATISTICS, 1959

        PUBLICATIONS OF THE WORLD HEALTH ORGANIZATION
        ANNUAL EPIDEMIOLOGICAL AND VITAL STATISTICS, 1959
        This Annual, published by the Wodd Health
        Organization, is the twelfth of the series. It will
        appear in the middle of 1962 and will contain
        about 700 pages of statistical data relating to the
        year 1959, in three Parts, as follows:
        I.
        General demography and causes of death.
        Brief information on population
        (censuses
        and estimates), natality, general mortality and
        infant mortality in the various countries. A
        series of tables, by country, gives absolute fig-
        ures for deaths, by sex and age groups accord-
        ing to the abridged international list of causes.
        More detailed tables are, in addition, devoted
        to important causes of death such as tubercu-
        losis, cancer, cardiovascular diseases, and acci-
        dents, and to maternal and infant mortality.
        II.
        Communicable diseases. Revised statistics
        of cases and deaths notified during the year,
        including their seasonal fluctuations. With re-
        spect to some diseases, the notified cases are
        given by sex and age group.
        III.
        Medical personnel and hospital establish.
        ments. This part gives information concerning
        number of physicians, dentists, nurses, etc.,
        number, type and capacity of hospitals.
        Data on hospital in-patients will be pub-
        lished for the second time, covering the year
        1959, because of the increasing demand for
        information on morbidity.
        This volume contains a mass of valuable in-
        formation on the health of the populations of
        many countries and territories in so far as it is
        available and sufficiently reliable to justify pub-
        lication.
        Prepared by the Divisionof Health Statistics
        OF THE WORLD HEALTH ORGANIZATION, GENEVA


        --------------------------------------------------------------------------------------------------------
        STATISTICAL OFFICE OF THE UNITED NATIONS
        SELECTED LIST OF PUBLICATIONS JULY 1962
        STATISTICAL YEARBOOK 1961
        (ElF) 678 pages. Paperbound $8.00; clothbound $10.00, Sales No.
        62.XVII.1.
        DEMOGRAPHIC YEARBOOK 1960
        (ElF) 621 pages. Paperbound $8.00; clothbound $10.00, Sales No.
        61.XIII.I
        YEARBOOK OF NATIONAL ACCOUNTS STATISTICS 1960
        (ElF) 284 pages, $3.50, Sales No. 61.XVII.4.
        YEARBOOK OF INTERNATIONAL TRADE STATISTICS 1960
        (E) Sales No. 61.XVII.9, 604 pages, $7.00.
        MONTHLY BULLETIN OF STATISTICS
        (ElF) Annual Subscription: $10.00, $1.00 per copy. Subscribers receive
        the 1959 Supplement (E).
        CURRENT ECONOMIC INDICATORS
        (ElF) Annual Subscription: $4.00, $1.00 per copy. Issued quarterly.
        UN: (1959)
        Series A:
        POPULATION AND VITAL STATISTICS REPORTS
        (quarterly) (E) $0.30 per copy. Annual subscription $1.00
        Series B:&#183;
        STATISTICAL NOTES (current events in international statistics) (peri.
        odicallyl, (E)
        Series M, No. 19:
        PRINCIPLES FOR A VITAL STATISTICS SYSTEM
        (E, F, 5) 28 pages, $0.30, Sales No. 53.XVII.8.
        Series M, No. 20:
        ---------------------------------------------------------------------------------------
        The following periodicals appeared regularly:
        Monthly Bulletin of Statistics;
        Population and Vital Statistics Reports (quarterly) ;
        -----------------------------------------------------------------------
        Annual Epidemiological and Vital Statistics
        World Health Organization
        1957
        University of California
        Digitalized 17. Sept. 2011

        (this should have deaths by (cause and agegroup) for 1957
        from Japan and other countries)


        un1961,509,table 18

        1959,jpn,all,m,367562,30646,9881,9143,15109,35807, 100911,166041,24
        1959,jpn,all,f,322370,24122,6053,6606,10075,30559, 66995,175951,9
        1959,jpn,b30,m,533,100,29,13,14,37,83,257,0
        1959,jpn,b30,f,468,86,23,14,16,25,47,257,0
        1959,jpn,b31,m,15647,5086,1269,439,298,554,1740,62 61,0
        1959,jpm,b31,f,13864,4260,1222,451,357,772,1242,55 60,0
        1959,jpn,b32,m,4076,605,148,46,23,58,362,2834,0
        1959,jpn,b32,f,3713,485,108,41,21,93,267,2698,0



        all,0-0,1-4,5-14,15-24,25-44,45-64,65+,?


        1959,turkey,
        1959,nz


        un1957,472,table 16

        1955,jpn,b30,m,265,58,32,20,8,17,30,100,0
        1955,jpn,b30,f,274,51,24,15,2,24,35,123,0
        1955,jpn,b31,m,15499,5336,2046,598,317,492,1653,50 57,0
        1955,jpn,b31,f,14218,4578,2159,636,340,787,1202,45 16,0
        1955,jpn,b32,m,4632,980,195,56,27,80,466,2828,0
        1955,jpn,b32,f,4213,839,207,46,38,113,334,2636,0

        ----------------------------------------------------------------------------------
        Attached Files
        I'm interested in expert panflu damage estimates
        my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

        Comment


        • #5
          Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

          I finally found it here: (Japan deaths from respir.diseases
          by age in 1957)



          it confirms that there was no or very little protection
          from death of the elderly Japanese by immunity in 1957

          other than in Europe,North America,
          (South America, South Africa, Australia

          small protection was also maybe in other parts of Asia :
          Hongkong,Singapore,Thailand,Taiwan,Ceylon,India?,P hilippines
          but the available data don't yet show this clearly enough

          no data at all is available from (Mao-)China

          -------------------------------------------------------------------------
          SOURCE: Health and Welfare Statistics Division, Ministry of Health and Welfare,
          Japan, National Health Survey, Report, published annually, 1953-62
          for a listing of all such subcategories, see Vital Statistics 1964,
          Japan, Vol. 2, Health and Welfare Statistics division,
          Ministry of Health and Welfare, ,Japan, pp. 39-43 ]
          ---------------------------------
          (USA):
          Series 13
          Data from the Hospital Discharge Survey. - Statistics relating to discharged
          patients in short-stay hospitals, based on a sample of patient records
          in a national sample of hospitals.
          Series 20:
          Data on mortality. -Various statistics on mortality other than as included in annual or
          monthly reports - special analyses by cause of death, age, and other demographic variables,
          also geographic and time series analyses.

          ---------------------------------------------
          The population and mortality data for Hong Kong and Singapore were obtained from the
          World Health Organization, whereas the Taiwanese death data came from death certificate tapes
          provided by the Statistics Department, Ministry of Health, Republic of China and the Taiwanese
          population data were obtained from the Taiwan-Fukien Demographic Factbook



          Health and Welfare Statistics Division:
          Vital Statistics, Japan,
          published annually.
          Ministry of Health and Welfare. Japan.


          -----------------------------------------------------------------------------
          Philippines: http://pubmedcentralcanada.ca/pmcc/a...00142-0005.pdf
          60-70 vs. 75- would be useful
          ----------------------------------------------------------------------------------
          Attached Files
          I'm interested in expert panflu damage estimates
          my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

          Comment


          • #6
            Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

            wikipedia:
            In pre-Meiji Japan, horses were only considered in a context of warfare and transportation
            of cargo. As a general rule non-samurai and Japanese women did not ride in a saddle as
            this was reserved for samurai warriors, however, Tomoe Gozen was an exception to the
            general rule[29] The appearance of women and non-samurai on horseback in Meiji period
            [since 1868] prints represented an innovative development.
            -------------------------------------------------------------------------------------------

            1872 western hemispheric equine panzootic By some accounts, the panzootic stopped at
            Panama, where there were no horses.62
            although enzootic and epizootic equine influenza prevailed in Europe that year,
            principally in England and Germany, there is no good evidence of importation from
            America.
            there were numerous
            outbreaks and single cases of mild influenza in humans as well, often linked to equine
            exposures.63 National epidemics of influenza in 1873 and 1874 that seemed to spare old
            people were linked by some physicians to the equine epizootic,64 but as mild seasonal
            influenza had already been prevailing in some locales in late 1872, a causal association is
            speculative.
            Equine epizootics were
            common across the United States for the next 30 years, but with the exception of major
            epizootics in 1880–1881 and 1900–1901, they tended to be local, to affect mostly young
            horses, and to feature much lower attack rates.68,69 One of the last widespread equine
            influenza epizootics in the United States occurred in the winter of 1915–1916, concurrent
            with a major epidemic season.70
            Similar canine and
            feline illnesses and deaths were reported frequently in the 1872 equine panzootic
            we have been unable to identify any
            epizootics that appear highly consistent with swine influenza until the fall wave of the 1918
            between 15 November and 15 December 1872, an explosive, fatal, and
            still mysterious epizootic in poultry, prairie chickens, turkeys, ducks, and geese occurred
            over much of the populated United States in temporal–geographic association with the
            panzootic of equine influenza that had just begun.43,60
            fatality at or near 100&#37;
            --------------------------------------------------------------------------------------------------------
            Hirsch gives these flu outbreaks in that time:
            1873 Jan.—March Universally in North America
            : Pennsylvania, Ohio, Virginia, Illinois, Iowa, Michigan,
            Wisconsin, Minnesota, Missouri, Alabama, Louisiana, Texas, and other States (1).
            1874—75 Winter
            Widely spread over the Western and Eastern Hemispheres.
            North America : Texas, New York, South Carolina, Ohio, Iowa, and other
            States (1).
            Germany: Austria (2). France: Paris, Bordeaux, Toulouse, Havre, &c.(3),
            Dpt. des Ardennes(4),Lyons (5). Sweden (6).
            ------------------------------------------------------------------------------------------------------------------
            George Newman in 1920:
            Statistics give no reason to suppose that influenza was truly epidemic
            in England in any year later than 1858 [and before 1889], so that the
            interval free from explosions must be put as
            at least 30 years, although, during this period influenza was
            pandemic in Europe and North America in 1874-5 and in
            North America in the previous year.
            Judging from the earlier
            experience we ought to have had pandemic influenza in 1875 ;
            actually the only even minor outbreaks before 1890 and after
            1874 were in Norfolk (1878) and the Northallerton incident
            mentioned above.
            --------------------------------------------------------------------------------------------------------

            still England and Japan had that same mortality peak in 1918 at ~30 years or 28 years
            respectively when "protection" seems to set in at those born before ~1890 and the
            protection is linearly increasing until the birthdate of ~1870, when it flattens.
            By the most prevalent explanation theory this is due to immunity from repeated exposure to
            an H1N1-like virus that circulated permanently between 1870 and 1890, then killed
            by H3 in the 1889-1892 pandemic.
            However there are several problems with this.
            First, there are no signs for such a H1-circulation in 1870-1890, see the report from
            England above and other reports.
            Then serology in ~1950 found no increasing antibodies to swine-H1 from 1930
            during that period.
            Then, the protection increases continuously over 1870-1890, with no big jumps
            during 1874 or other times of possible H1-epidemics.
            Then, there is clear evidence of another protection , in 1957, from a H2-like virus
            in those born before ~1885 in USA and Europe, but not Japan.
            And protection in 1968-70 from a H3-like virus in those born before ~1895,
            supposedly from H3 coming in the 1889 pandemic and lasting until 1895 or 1897
            or even 1900.
            Permanent exposure from animal viruses could be one explanation.

            Previously I speculated that immunity in 1918 came from the 1889 pandemic itself,
            providing less immunity in growing children before puberty and increasing with age at exposure.
            I found no evidence for this in other flu-outbreaks and step back from this.

            Another speculation was original antigenical sin with a virulent reaction in 1918 to those
            exposed to H3 in infancy. That doesn't make sense to me either.

            --------------------------------------------------------------------------
            another problem is, how that immunity protection can prevail over centuries,
            when vaccination has to be repeated each year and doesn't protect well
            from elderly deaths.
            And when flu immunity evades by mutation even after a few years
            of circulation.
            And that H3 in 1968 and H2 from 1957 even came from birds,
            with a probably distant,unknown connection to the strains
            from 1894 and 1884 and evolution in HA in birds for > 70 years,
            maybe > 100 years.
            -------------------------------------------------------
            For a fashionable woman in Victorian England a pet miniature dog was as indispensable
            horseflesh as the food of choice for bourgeois pets in Victorian England
            when these Saint Bernard dogs became popular as pets in Victorian England
            Ferrets were so popular as pets in Victorian England that Queen Victoria gave them
            Mice were particularly popular as pets in Victorian England
            Fancy rat first became popular pets in Victorian England,
            Guinea Pigs were so called because that's how much they had cost when they first
            became popular pets in Victorian England
            when canaries were first brought to popularity as pets (in Victorian England,
            ------------------------------------------------------------
            the headline of this thread is not from me
            -------------------------------------------------------
            Attached Files
            I'm interested in expert panflu damage estimates
            my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

            Comment


            • #7
              Re: Analysis: Did an isolated Japan prevent elderly from acquiring naturally protective immunity from circulating flu strains and result in higher than normal mortality in 1918 pandemic?

              Hawaii
              ----------


              From 1885 through 1894, over 28000 Japanese migrated to Hawaii,
              the vast majority
              single men, working in sugar plants.
              Initially, ~75&#37; returned to Japan, this declined to 25%
              In 1900 USA took over
              >26000 contract laborers came from Japan in 1899

              population of Hawaii on 1920/01/01:
              all:255912
              Hawaiian:23723
              part-Hawaiian:18027
              Caucasian:54742
              Chinese:23507
              Japanese:109274
              Korean:4950
              Filipino:21031
              Others:658

              in 1918 the first waves in 1918 and 1919 were relatively mild.
              Much worse was 1920.
              Indicating that the decrease in virulence during 1919,1920
              in other parts of the world was due to acquired immunity
              and not virus-change. While serology did show a sharp change
              in the years after 1918, presumably a new H1-HA was reassorted.








              circulatory deaths:


              (in mainland Japan there were so few deaths from heart disease as compared to USA,Europe)
              Attached Files
              I'm interested in expert panflu damage estimates
              my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

              Comment


              • #8
                https://www.nippon.com/en/japan-topics/b09903/ (Originally published in Japanese) Ishi Hiroyuki In the Edo period (1603–1868), influenza epidemics swept through the country several times. The sickness that spread in Edo (Tokyo) in 1716, presumed to have been influenza, killed over 80,000 people in one month. An account of the time noted that “Crematoriums cannot handle all the dead; the bodies of the poor are wrapped in straw matting and given a water burial in Edo Bay off Shinagawa.” -------------------------------------------------- influenza epidemic raging in Edo in 1795 ------------------------------------------------------- A detailed account of epidemics in the Edo period can be found in Nansō Satomi hakkenden (The Eight Dog Chronicles) by the popular novelist Takizawa (Kyokutei) Bakin (1767–1848). { a massive novel consisting of 106 volumes written in 1712-1842 } https://satomi-hakkenden.com/welcome...dog-cronicles/ According to Bakin’s collection of essays, starting around September 1825, a coldlike illness swept through the country, spreading from Edo to Kyoto, Osaka, and Nagasaki. This epidemic was so contagious that “in a family of 10 people, not one was unaffected,” and it was followed by a second wave the following year. ------------------------------------------------------------------- The influenza epidemic of 1854 came to be called the “American flu,” perhaps because the public believed the affliction had arrived in Japan together with Matthew Perry’s fleet of “black ships” the previous year. --------------------------------------------------------------- sumō wrestler Tanikaze Kajinosuke, who had an unbeaten record in the late 1700s, died of influenza on Jan09 despite being in his prime. --------------------------------------------------------------------------------------- In Japan, there is documentation showing that influenza epidemics have occurred since at least the Muromachi period (1333–1568). One of Japan’s oldest extant history texts, the Sandai jitsuroku (The True History of Three Reigns of Japan, completed in 901), covering the period 858–887, states that influenza was rampant in Heiankyō (now Kyoto) and its adjacent provinces, and elsewhere in the country. In 872, the Sandai jitsuroku notes that gaigyaku had been widespread since the previous winter in and outside the five Kinai provinces of Kyoto, Yamashiro, Yamato, Kawachi, and Settsu, causing numerous deaths. What does gaigyaku refer to? According to Ishinpō—Japan’s surviving oldest medical text, dating from 984—gaigyaku, an influenza-like illness accompanied by coughing, was also referred to as shiwabuki, a different reading of the same kanji (咳逆). Tsunoda Takafumi, an infectious disease specialist and medical historian, notes a passage in the Tale of Genji describing Yūgao suffering from a headache and shiwabuki, symptoms consistent with influenza. The historical tale Ōkagami (The Great Mirror), completed in the late eleventh or early twelfth century, mentions the Emperor Ichijō dying at age 32 in 1011, after coming down with shiwabuki, an illness like influenza. Masukagami (Clear Mirror), another historical tale written in the early fourteenth century, relates that an epidemic of shiwabuki had caused many deaths. In the Edo period (1603–1868), influenza epidemics swept through the country several times. The sickness that spread in Edo (Tokyo) in 1716, presumed to have been influenza, killed over 80,000 people in one month. An account of the time noted that “Crematoriums cannot handle all the dead; the bodies of the poor are wrapped in straw matting and given a water burial in Edo Bay off Shinagawa.” One interesting aspect to observe is that influenza epidemics were given names like Oshichi kaze (the Oshichi flu), Okoma kaze (the Okoma flu) or Tanikaze, reflecting popular preoccupations at the time. Oshichi was a greengrocer’s daughter, disappointed in love, who committed arson in the hope of reuniting with her lover; she was burned at the stake for her crime. Okoma refers to the unlucky Okoma of Shirokiya, a character in a popular bunraku puppet play. Tanikaze, meanwhile, was the name of a famous sumō wrestler who joked, “If you want to see me lose a bout, come to a tournament when you have a cold.” Ironically, Tanikaze succumbed to the influenza epidemic raging in Edo in 1795 at the age of 44, in the midst of an unbroken 35-win streak. A detailed account of epidemics in the Edo period can be found in Nansō Satomi hakkenden (The Eight Dog Chronicles) by the popular novelist Takizawa (Kyokutei) Bakin (1767–1848). According to Bakin’s collection of essays, starting around September 1825, a coldlike illness swept through the country, spreading from Edo to Kyoto, Osaka, and Nagasaki. This epidemic was so contagious that “in a family of 10 people, not one was unaffected,” and it was followed by a second wave the following year. In those days, many people were concerned with the source of the affliction. A satirical verse of the day had it that “Couriers employed by Jūshichiya will surely bring colds with them,” a reference to the hikyaku couriers traveling on the Tōkaidō road between Edo and Kyoto and spreading colds. Following the end of Japan’s long period of seclusion in the mid-nineteenth century, travel between Japan and the West brought infectious diseases back to the country. There were epidemics of cholera, smallpox, measles and other illnesses during this period. Although no accurate records exist, it is estimated that up to 100,000 Japanese a year died from imported infectious diseases. The influenza epidemic of 1854 came to be called the “American flu,” perhaps because the public believed the affliction had arrived in Japan together with Matthew Perry’s fleet of “black ships” the previous year. The Industrial Revolution in the eighteenth century greatly stimulated mobility. As people began to travel more to all corners of the world, the influenza virus spread along with them. There were repeated waves of influenza everywhere, eventually leading to the Spanish Flu in 1918, the most explosive spread of infection that the world had seen up to then. (Originally published in Japanese. Banner photo: An 1892 advertisement for “carbolic smoke balls,” rubber balls containing medicine to prevent colds meant to be inhaled through the nose. Courtesy Hulton Archive/Getty Images.)
                I'm interested in expert panflu damage estimates
                my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

                Comment

                Working...
                X