Death patterns during the 1918 influenza pandemic in Chile

Gerardo Chowell, Lone Simonsen, J. Flores, M.A. Miller, Cecile Viboud

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Scarce information about the epidemiology of historical influenza pandemics in South America prevents complete understanding of pandemic patterns throughout the continent and across different climatic zones. To fill gaps with regard to spatiotemporal patterns of deaths associated with the 1918 influenza pandemic in Chile, we reviewed archival records. We found evidence that multiple pandemic waves at various times of the year and of varying intensities occurred during 1918–1921 and that influenza-related excess deaths peaked during July–August 1919. Pandemic-associated mortality rates were elevated for all age groups, including for adults >50 years of age; elevation from baseline was highest for young adults. Overall, the rate of excess deaths from the pandemic was estimated at 0.94% in Chile, similar to rates reported elsewhere in Latin America, but rates varied ≈10-fold across provinces. Patterns of death during the pandemic were affected by variation in host-specific susceptibility, population density, baseline death rate, and climate.
Original languageEnglish
JournalEmerging Infectious Diseases
Volume20
Issue number11
Pages (from-to)1803-1811
Number of pages9
DOIs
Publication statusPublished - 2014
Externally publishedYes

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