Estimating the Burden of 2009 Pandemic Influenza A (H1N1) in the United States (April 2009-April 2010)

被引:315
作者
Shrestha, Sundar S. [1 ]
Swerdlow, David L. [2 ]
Borse, Rebekah H. [3 ]
Prabhu, Vimalanand S. [4 ]
Finelli, Lyn [5 ]
Atkins, Charisma Y. [3 ]
Owusu-Edusei, Kwame [6 ]
Bell, Beth [2 ]
Mead, Paul S. [7 ]
Biggerstaff, Matthew [5 ]
Brammer, Lynnette [5 ]
Davidson, Heidi [5 ]
Jernigan, Daniel [5 ]
Jhung, Michael A. [5 ]
Kamimoto, Laurie A. [5 ]
Merlin, Toby L. [8 ]
Nowell, Mackenzie [5 ]
Redd, Stephen C. [8 ]
Reed, Carrie [5 ]
Schuchat, Anne [2 ]
Meltzer, Martin I. [3 ]
机构
[1] Ctr Dis Control & Prevent, Div Diabet Translat, Atlanta, GA USA
[2] Ctr Dis Control & Prevent, Natl Ctr Immunizat & Resp Dis, Off Director, Atlanta, GA USA
[3] Ctr Dis Control & Prevent, Div Preparedness & Emerging Infect, Atlanta, GA USA
[4] Ctr Dis Control & Prevent, Div Global HIV AIDs, Atlanta, GA USA
[5] Ctr Dis Control & Prevent, Influenza Div, Atlanta, GA USA
[6] Ctr Dis Control & Prevent, Div Sexually Transmitted Dis Prevent, Atlanta, GA USA
[7] Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Atlanta, GA USA
[8] Ctr Dis Control & Prevent, Off Infect Dis, Atlanta, GA USA
关键词
D O I
10.1093/cid/ciq012
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To calculate the burden of 2009 pandemic influenza A (pH1N1) in the United States, we extrapolated from the Centers for Disease Control and Prevention's Emerging Infections Program laboratory-confirmed hospitalizations across the entire United States, and then corrected for underreporting. From 12 April 2009 to 10 April 2010, we estimate that approximately 60.8 million cases (range: 43.3-89.3 million), 274 304 hospitalizations (195 086-402 719), and 12 469 deaths (8868-18 306) occurred in the United States due to pH1N1. Eighty-seven percent of deaths occurred in those under 65 years of age with children and working adults having risks of hospitalization and death 4 to 7 times and 8 to 12 times greater, respectively, than estimates of impact due to seasonal influenza covering the years 1976-2001. In our study, adults 65 years of age or older were found to have rates of hospitalization and death that were up to 75% and 81%, respectively, lower than seasonal influenza. These results confirm the necessity of a concerted public health response to pH1N1.
引用
收藏
页码:S75 / S82
页数:8
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