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Mortality attributable to influenza in pre-vaccination and post-vaccination periods in Argentina: an ecological study (2002-2016)Mortalidade atribu?ve

tetano

Editor, Senior Moderator
Rev Panam Salud Publica. 2019 Feb 13;43:e15. doi: 10.26633/RPSP.2019.15. eCollection 2019.
[h=1][Mortality attributable to influenza in pre-vaccination and post-vaccination periods in Argentina: an ecological study (2002-2016)Mortalidade atribu?vel ? gripe no per?odo pr?-vacinal e p?s-vacinal na Argentina: estudo ecol?gico (2002-2016)].[/h] [Article in Spanish]
Sarrouf EB[SUP]1[/SUP], Souza-Santos R[SUP]2[/SUP], Cruz OG[SUP]3[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] in English, Portuguese
[h=4]Objectives:[/h] Compare mortality from severe acute respiratory infection (SARI) attributable to influenza between pre-vaccination (pre-V) and post-vaccination (post-V) periods, to determine the historical evolution and seasonality of time series between 2002 and 2016, and to estimate the risk of death in children between 6 and 23 months of age, using a statistical model.
[h=4]Methods:[/h] Time-series study using official mortality data from the official statistical database on deaths. ICD-10 codes between J09-18.9 and J22X were considered to represent SARI. Crude rates and age-adjusted rates (AAR) were calculated, and pre-V (2002-2009) and post-V (2010-2016) periods were compared using the chi-squared (χ2) test. The best statistical model was the one that compared deaths from SARI in children during 2002 with other years. The data were analyzed with R programming (p <0.05).
[h=4]Results:[/h] 4.6% of deaths (301,747) were from SARI, with a median age of 82 years. The percentage of deaths under age 2 declined in the post-V period (from 2.34% to 0.99%, p < 0.05). Marked seasonality was observed in winter. The AAR in persons over age 64 rose from 259.8 per 100,000 population (pre-V) to 328.6 (post-V) (p < 0.05). In children, the crude rate dropped significantly. Compared with the year 2002, there was a significantly lower estimated risk of dying from SARI during the three years post-V.
[h=4]Conclusions:[/h] The reduction in mortality from influenza in Argentina was more pronounced in children, with an estimated 3.5 fewer child deaths from SARI per month.


[h=4]KEYWORDS:[/h] Argentina; Mortality; influenza vaccines; influenza, human; respiratory tract diseases; time series studies

PMID: 31093239 PMCID: PMC6398302 DOI: 10.26633/RPSP.2019.15
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