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Trends of influenza-related mortality in the elderly in Brazil and evidence of the plausibility of the impact of vaccination, 1992-2005

OBJECTIVE:

to describe trends in mortality from influenza-related respiratory diseases in the elderly comparing the periods before and after the annual influenza vaccination campaigns.

METHODS:

a time-series ecological study using data from the Mortality Information System on deaths among the elderly between 1992 and 2005 where the underlying cause was: pneumonia, influenza, bronchitis and chronic airway obstruction. Analysis performed by linear regression adjusting the historical trend and seasonality.

RESULTS:

we identified a statistically significant reduction of specific mortality rates in the period after vaccination campaign implementation among the elderly in Brazil as a whole and in the country's Southern, Southeastern and Midwestern regions, and in all age subgroups studied in Brazil and its Southeastern region.

CONCLUSION:

the results show evidence of the plausibility of a possible protective effect of influenza vaccination campaigns in reducing elderly mortality from respiratory diseases.

Respiratory Tract Diseases; Influenza Vaccines; Immunization; Time Series Studies


Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
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