1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness

People with disabilities are often at increased risk during infectious disease pandemics, due to complex biological and social factors. Synergistic biological interactions can lead to severe complications or reduced vaccine efficacy, while people with disabilities also tend to have lower access to h...

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Main Authors: Jessica Dimka, Svenn-Erik Mamelund
Format: Article
Language:English
Published: Stockholm University Press 2020-07-01
Series:Scandinavian Journal of Disability Research
Subjects:
Online Access:https://account.sjdr.se/index.php/su-j-sjdr/article/view/725
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author Jessica Dimka
Svenn-Erik Mamelund
author_facet Jessica Dimka
Svenn-Erik Mamelund
author_sort Jessica Dimka
collection DOAJ
description People with disabilities are often at increased risk during infectious disease pandemics, due to complex biological and social factors. Synergistic biological interactions can lead to severe complications or reduced vaccine efficacy, while people with disabilities also tend to have lower access to health care, higher rates of poverty, might be institutionalized, and are frequently excluded from preparedness planning and crisis responses. Further, there are limited data from historical epidemics to inform public health efforts that address disability concerns. We provide novel evidence for disability-related disparities in influenza outcomes using data from Norwegian psychiatric hospitals and schools for children with disabilities during the 1918 influenza pandemic. Both students and patients suffered higher mortality compared to staff members. Recognition of differential risk factors for people with disabilities is essential for the development of equitable and effective pandemic preparedness policies.
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spelling doaj.art-cbf6760c43f148a18e084131359f0c7b2023-04-21T12:59:44ZengStockholm University PressScandinavian Journal of Disability Research1745-30112020-07-0122117518610.16993/sjdr.7251931918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic PreparednessJessica Dimka0https://orcid.org/0000-0003-3504-6538Svenn-Erik Mamelund1Oslo Metropolitan UniversityOslo Metropolitan UniversityPeople with disabilities are often at increased risk during infectious disease pandemics, due to complex biological and social factors. Synergistic biological interactions can lead to severe complications or reduced vaccine efficacy, while people with disabilities also tend to have lower access to health care, higher rates of poverty, might be institutionalized, and are frequently excluded from preparedness planning and crisis responses. Further, there are limited data from historical epidemics to inform public health efforts that address disability concerns. We provide novel evidence for disability-related disparities in influenza outcomes using data from Norwegian psychiatric hospitals and schools for children with disabilities during the 1918 influenza pandemic. Both students and patients suffered higher mortality compared to staff members. Recognition of differential risk factors for people with disabilities is essential for the development of equitable and effective pandemic preparedness policies.https://account.sjdr.se/index.php/su-j-sjdr/article/view/725disabilityinfluenza1918 influenza pandemicpandemic preparednessnorway
spellingShingle Jessica Dimka
Svenn-Erik Mamelund
1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
Scandinavian Journal of Disability Research
disability
influenza
1918 influenza pandemic
pandemic preparedness
norway
title 1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
title_full 1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
title_fullStr 1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
title_full_unstemmed 1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
title_short 1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness
title_sort 1918 influenza outcomes among institutionalized norwegian populations implications for disability inclusive pandemic preparedness
topic disability
influenza
1918 influenza pandemic
pandemic preparedness
norway
url https://account.sjdr.se/index.php/su-j-sjdr/article/view/725
work_keys_str_mv AT jessicadimka 1918influenzaoutcomesamonginstitutionalizednorwegianpopulationsimplicationsfordisabilityinclusivepandemicpreparedness
AT svennerikmamelund 1918influenzaoutcomesamonginstitutionalizednorwegianpopulationsimplicationsfordisabilityinclusivepandemicpreparedness