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© 1978 Oxford University Press

research-article

Excess mortality and influenza surveillance in Taiwan

HENRY F RETAILLIAU1, JAMES L GALE2, R PALMER BEASLEY2 and MICHAEL A W HATTWICK1

1 National Influenza Immunization Programme, Center for Disease Control, Public Health Service, US Department of Health, Education, and Welfare Atlanta, Georgia 30333, USA
2 School of Public Health and Community Medicine, University of Washington Seattle, Washington 98195, USA

Excess mortality has proven to be a useful epidemiologic tool for influenza surveillance in the temperate zone. A retrospective analysis of the epidemiology of influenza in Taiwan was undertaken to explore the usefulness of this technique in the tropical-subtropical zone. Excess mortality similar to that observed during influenza epidemics in the temperate zone was noted during periods of previously recognized influenza epidemics in Taiwan. For the very young and the elderly excess mortality was observed to be even higher than in the temperate zone. Virus isolations, increased school absenteeism, and high clinical attack rates were also noted during influenza epidemics. Use of these epidemiologic techniques in Taiwan proved to be a useful approach to describe the impact of influenza.

Received 15 May 1973


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