Deaths Related to 2009 Pandemic Influenza A (H1N1) Among American Indian/Alaska Natives — 12 States, 2009
The AI/AN population is culturally diverse and spread among approximately 560 federally recognized tribal communities in 34 states and multiple urban areas (2). Health disparities between the AI/AN population and other racial/ethnic populations are well documented (3). Mortality rates and trends for respiratory diseases indicate that AI/ANs are at increased risk for death resulting from pneumonia and influenza (4,5). Although AI/AN death rates varied among the 12 participating states in this study, the aggregate AI/AN H1N1-related death rate from 12 states was four times higher than that of all other racial/ethnic groups combined.
The higher mortality rate among AI/ANs observed in this investigation is consistent with reports of increased influenza-related morbidity and mortality among indigenous populations in other parts of the world during the current H1N1 pandemic and also is consistent with observations from previous pandemics (1,2). After the influenza pandemic of 1918–19, U.S. government investigators reported that influenza-related mortality rates among AI/ANs were four times higher than the rates observed among persons in general urban populations (2).
The factors that produce a higher influenza mortality rate among AI/ANs are unknown but might include higher prevalence of underlying chronic illness such as diabetes. The age-specific prevalence of diabetes in AI/AN adults is two to three times higher than for all U.S. adults (6). In addition, AI/ANs are twice as likely to have unmet medical needs because of cost (7). AI/ANs also have the highest poverty rate (30%), which is twice the national rate and three times the rate for whites among households with children aged <18 years (8), suggesting that delayed access to medical care and living conditions associated with poverty might contribute to their higher influenza mortality rate.
Mortality from pandemic A/H1N1 2009 influenza in England: public health surveillance study — Donaldson et al. 339: b5213 — BMJ
Conclusions – Viewed statistically, mortality in this pandemic compares favourably with 20th century influenza pandemics. A lower population impact than previous pandemics, however, is not a justification for public health inaction.
Medical News: Autopsies Reveal Three Patterns of H1N1 Death – in Infectious Disease, Flu & URI from MedPage Today
Brazilian researchers have found three distinct patterns of lung damage in patients who died of the H1N1 pandemic flu.
Medical News: Kids Hit Hard by H1N1 in Argentina – in Infectious Disease, Flu & URI from MedPage Today
In the Argentine capital of Buenos Aires, the pandemic H1N1 flu was associated with a pediatric death rate that was 10 times as high as the usual winter flu season toll, researchers said.
Alltop – Top Swine Flu News
Alltop has developed a page devoted to H1N1 news. I’ve added links under Public Health and Alltop on the sidebar.
As you probably already know, the “official” death toll from H1N1 in Mexico is considerably lower than the original counts. Non-mainstream media outlets are reporting much higher numbers of fatalities than the “official” number from the WHO. The question now is troubling – if H1N1 was not the cause, what did all of these people die from?
Canada: Farmer possibly gave swine flu to pigs – CNN.com
I find it odd that the confirmed number of 2009 H1N1 cases being reported continues to trend downwards while the WHO continues to maintain its pandemic flu alert rating. Even from the normal reliable sources, it is becoming increasing difficult to determine the truth.
CNN and other news outlets are reporting what may be a human to pig transmission of the 2009 H1N1.
First Flu Death Provides Clues to Mexico Toll – NYTimes.com
After you read about the last panic in 1976, read this NYT article. You will learn a little about the cultural and health care infrastructure aspects related to H1 N1 mortality.