AI Article Synopsis

  • The study estimated influenza and RSV-related deaths in South Africa from 1998-2009, finding an average of 9,093 influenza deaths per year, with high rates among those over 65 and HIV-positive individuals.
  • About 4,113 deaths in 2009 were attributed to the H1N1 influenza strain.
  • The findings emphasize the need for influenza vaccinations for vulnerable groups and improved surveillance of RSV to better understand its impact on public health.

Article Abstract

We estimated deaths attributable to influenza and respiratory syncytial virus (RSV) among persons >5 years of age in South Africa during 1998-2009 by applying regression models to monthly deaths and laboratory surveillance data. Rates were expressed per 100,000 person-years. The mean annual number of seasonal influenza-associated deaths was 9,093 (rate 21.6). Persons >65 years of age and HIV-positive persons accounted for 50% (n = 4,552) and 28% (n = 2,564) of overall seasonal influenza-associated deaths, respectively. In 2009, we estimated 4,113 (rate 9.2) influenza A(H1N1)pdm09-associated deaths. The mean of annual RSV-associated deaths during the study period was 511 (rate 1.2); no RSV-associated deaths were estimated in persons >45 years of age. Our findings support the recommendation for influenza vaccination of older persons and HIV-positive persons. Surveillance for RSV should be strengthened to clarify the public health implications and severity of illness associated with RSV infection in South Africa.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378466PMC
http://dx.doi.org/10.3201/eid2104.141033DOI Listing

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