Differential Mortality Rates by Ethnicity in 3 Influenza Pandemics Over a Century, New Zealand

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Wilson, Nick ; Barnard, Lucy Telfar ; Summers, Jennifer A. ; Shanks, G. Dennis ; Baker, Michael G.
• Description:
  Evidence suggests that indigenous populations have suffered disproportionately from past influenza pandemics. To examine any such patterns for Māori in New Zealand, we searched the literature and performed new analyses by using additional datasets. The Māori death rate in the 1918 pandemic (4,230/100,000 population) was 7.3× the European rate. In the 1957 pandemic, the Māori death rate (40/100,000) was 6.2× the European rate. In the 2009 pandemic, the Māori rate was higher than the European rate (rate ratio 2.6, 95% confidence interval 1.3-5.3). These findings suggest some decline in pandemic-related ethnic inequalities in death rates over the past century. Nevertheless, the persistent excess in adverse outcomes for Māori, and for Pacific persons residing in New Zealand, highlights the need for improved public health responses.
• Subjects:
  History, 20Th Century History, 21St Century Humans Influenza, Human Native Hawaiian Or Other Pacific Islander Pandemics
• Source:
  Emerg Infect Dis. 18(1):71-77.
• Document Type:
  Journal Article
• Genre:
  Historical Article
• Place as Subject:
  New Zealand ; Pacific Islands
• Location:
  Oceania
• Volume:
  18
• Issue:
  1
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:dab041116fde6966919241d122fc465dbe80fd9c981f4b7e9e02d607c83a17e0
• Download URL:
  https://stacks.cdc.gov/view/cdc/23611/cdc_23611_DS1.pdf
• File Type:
  [PDF - 260.45 KB ]