%0 Journal Article
%T Comparing Deaths from Influenza H1N1 and Seasonal Influenza A: Main Sociodemographic and Clinical Differences between the Most Prevalent 2009 Viruses
%A German Fajardo-Dolci
%A Juan Pablo Gutierrez
%A Heberto Arboleya-Casanova
%A Sebastian Garcia-Saiso
%J Influenza Research and Treatment
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/501784
%X Background. During the 2009 spring epidemic outbreak in Mexico, an important research and policy question faced was related to the differences in clinical profile and population characteristics of those affected by the new H1N1 virus compared with the seasonal virus. Methods and Findings. Data from clinical files from all influenza A deaths in Mexico between April 10 and July 13, 2009 were analyzed to describe differences in clinical and socioeconomic profile between H1N1 and non-H1N1 cases. A total of 324 influenza A mortality cases were studied of which 239 presented rt-PCR confirmation for H1N1 virus and 85 for seasonal influenza A. From the differences of means and multivariate logistic regression, it was found that H1N1 deaths occurred in younger and less educated people, and among those who engage in activities where there is increased contact with other unknown persons (OR 4.52, 95% CI 1.56¨C13.14). Clinical symptoms were similar except for dyspnea, headache, and chest pain that were less frequently found among H1N1 cases. Conclusions. Findings suggest that age, education, and occupation are factors that may be useful to identify risk for H1N1 among influenza cases, and also that patients with early dyspnea, headache, and chest pain are more likely to be non-H1N1 cases. 1. Introduction Influenza virus is the cause of one of the most common infections worldwide. Its effect on the global population carries important economic, healthcare system, and human suffering consequences [1]. Influenza virus type A is highly contagious and is the most pathogenic of all human influenza viruses [1]. Human antibodies recognize two antigens (glycoprotein) expressed on the viral surface called hemagglutinin (HA) and neuraminidase (NA). Changes in these glycoprotein represent antigenic variation (antigen drift) that is responsible for the constant changes within the common strains of seasonal influenza. Influenza is classified into 16 HA subtypes and 9 NA subtypes [1], and as pointed out, influenza comprises ˇ°the oldest emerging virus that is still emergingˇ± [2]. Influenza pandemics occur when an influenza virus, that presents an hemagglutinin (HA) molecule for which there is limited or no existing immunity, emerges and efficiently transmits from human to human [3]. The emergence of a new virus subtype with a new HA is called antigen shift and will condition the lack of immune response to infection by the new virus. Despite of pandemics during the last century, this disease generally does not represent an actual concern for the overall population. Several
%U http://www.hindawi.com/journals/irt/2012/501784/