The 1918 influenza pandemic hastened the decline of tuberculosis in the United States: An age, period, cohort analysis

The 1918 influenza pandemic hastened the decline of tuberculosis in the United States: An age, period, cohort analysis
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DOI:
10.1016/j.vaccine.2011.02.053
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发表时间:
2011-07-22
期刊:
影响因子:
5.5
通讯作者:
Noymer, Andrew
Noymer, Andrew
中科院分区:
医学3区
文献类型:
--
作者:
Noymer, Andrew

文献摘要

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1918年流感大流行对其他疾病的影响是历史流行病学中一个被忽视的话题。本文采用了这样一种假设,即流感大流行通过选择性死亡影响了结核病的长期下降,例如许多结核病患者在1918年被杀,从而抑制了随后的结核病死亡率和传播。定期收集美国流感和结核病死亡率的重要统计数据,并进行人口统计学分析。现有的人口水平的数据不能与选择假说相矛盾。要充分了解多重发病在1918年流感大流行中的作用,还需要做更多的工作。(C) 2011 Elsevier Ltd.版权所有。
The effect of the 1918 influenza pandemic on other diseases is a neglected topic in historical epidemiology. This paper takes up the hypothesis that the influenza pandemic affected the long-term decline of tuberculosis through selective mortality, such that many people with tuberculosis were killed in 1918, depressing subsequent tuberculosis mortality and transmission. Regularly collected vital statistics data on mortality of influenza and tuberculosis in the US are presented and analyzed demographically. The available population-level data fail to contradict the selection hypothesis. More work is needed to understand fully the role of multiple morbidities in the 1918 influenza pandemic. (C) 2011 Elsevier Ltd. All rights reserved.