Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009

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 numbe...

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Main Authors: Cheryl Cohen, Sibongile Walaza, Cecile Viboud, Adam L. Cohen, Shabir A. Madhi, Marietjie Venter, Claire von Mollendorf, Jocelyn Moyes, Johanna M. McAnerney, Stefano Tempia
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2015-04-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/21/4/14-1033_article
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author Cheryl Cohen
Sibongile Walaza
Cecile Viboud
Adam L. Cohen
Shabir A. Madhi
Marietjie Venter
Claire von Mollendorf
Jocelyn Moyes
Johanna M. McAnerney
Stefano Tempia
author_facet Cheryl Cohen
Sibongile Walaza
Cecile Viboud
Adam L. Cohen
Shabir A. Madhi
Marietjie Venter
Claire von Mollendorf
Jocelyn Moyes
Johanna M. McAnerney
Stefano Tempia
author_sort Cheryl Cohen
collection DOAJ
description 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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spelling doaj.art-50453897137c477eb5a222a4f7d815542022-12-21T18:37:45ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592015-04-0121460060810.3201/eid2104.141033Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009Cheryl CohenSibongile WalazaCecile ViboudAdam L. CohenShabir A. MadhiMarietjie VenterClaire von MollendorfJocelyn MoyesJohanna M. McAnerneyStefano TempiaWe 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.https://wwwnc.cdc.gov/eid/article/21/4/14-1033_articleInfluenzaviruses, respiratory syncytial virus, RSV, HIV, human immunodeficiency virus, mortality rates, deaths, South Africavirusesrespiratory syncytial virusRSVHIV
spellingShingle Cheryl Cohen
Sibongile Walaza
Cecile Viboud
Adam L. Cohen
Shabir A. Madhi
Marietjie Venter
Claire von Mollendorf
Jocelyn Moyes
Johanna M. McAnerney
Stefano Tempia
Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
Emerging Infectious Diseases
Influenza
viruses, respiratory syncytial virus, RSV, HIV, human immunodeficiency virus, mortality rates, deaths, South Africa
viruses
respiratory syncytial virus
RSV
HIV
title Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
title_full Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
title_fullStr Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
title_full_unstemmed Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
title_short Deaths Associated with Respiratory Syncytial and Influenza Viruses among Persons ≥5 Years of Age in HIV-Prevalent Area, South Africa, 1998–2009
title_sort deaths associated with respiratory syncytial and influenza viruses among persons ≥5 years of age in hiv prevalent area south africa 1998 2009
topic Influenza
viruses, respiratory syncytial virus, RSV, HIV, human immunodeficiency virus, mortality rates, deaths, South Africa
viruses
respiratory syncytial virus
RSV
HIV
url https://wwwnc.cdc.gov/eid/article/21/4/14-1033_article
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