Home > Review Articles > Ethnic disparities > Modelled seasonal influenza mortality shows marked differences in risk by age, sex, ethnicity and socioeconomic position in New Zealand

Modelled seasonal influenza mortality shows marked differences in risk by age, sex, ethnicity and socioeconomic position in New Zealand

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Summary:

These researchers applied modelling techniques to assess the distribution of seasonal influenza-attributable mortality in New Zealand by ethnicity and socioeconomic status (SES). Quasi Poisson regression models were populated with weekly counts of deaths and isolates of influenza A, B and respiratory syncytial virus covering the period 1994 through 2008. SES was derived from the New Zealand Deprivation Index (NZDep). The estimated average mortality rate was 13.5 per 100,000 people, totalling 1.8% of all deaths in New Zealand. Influenza mortality differed markedly by age, sex, ethnicity and SES. Relatively vulnerable groups were males aged 65–79 years (rate ratio [RR] 1.9; 95% CI, 1.9 to 1.9, reference females), Māori (RR 3.6; 95% CI, 3.6 to 3.7, reference European/Others aged 65–79 years), Pacific (RR 2.4; 95% CI, 2.4 to 2.4, reference European/Others aged 65–79 years) and those living in the most deprived areas (RR 1.8; 95% CI, 1.3 to 2.4) for NZDep 9&10 (the most deprived) compared with NZDep 1&2 (the least deprived).

Comment:
Highlighting the importance of immunisations, particularly for those people with comorbidities. Although I wonder if those dying from flu-related CVD knew that they had underlying CVD. Perhaps free immunisations should be offered on the basis of ethnicity and neighbourhood deprivation?
Reference: J Infect. 2017;75(3):225-33
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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