Chronic disease and hospitalisation for pandemic (H1N1) 2009 influenza in Indigenous and non-Indigenous Western Australians

Authors

  • Leigh S Goggin Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia
  • Dale Carcione Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia
  • Donna B Mak Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia
  • Gary K Dowse Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia
  • Carolien M Giele Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia
  • David W Smith PathWest Laboratory Medicine, Perth, Western Australia
  • Paul V Effler Communicable Disease Control Directorate, Department of Health Western Australia, Perth, Western Australia

DOI:

https://doi.org/10.33321/cdi.2011.35.14

Keywords:

pandemic (H1N1) 2009 influenza, chronic disease, hospitalisation, Indigenous, Western Australia

Abstract

Indigenous and non-Indigenous Western Australians with pandemic (H1N1) 2009 influenza (pH1N1) infection were compared for risk factors, influenza vaccination history, symptoms, use of antiviral medications, and hospitalisation. Data were collected systematically on 856 notified cases with laboratory confirmed pH1N1 infection during the first 10 weeks of pH1N1 virus transmission in Western Australia in 2009. Indigenous people with pH1N1 were approximately 3 times more likely to be hospitalised and were more likely to have a range of underlying medical conditions and be smokers, compared with non-Indigenous cases. Age (P < 0.001) and the presence of two or more co-morbidities (P < 0.001) were independent predictors of hospitalisation, while Indigenous status was not, indicating that higher pH1N1 hospitalisation rates in Indigenous Australians during the 2009 winter season were attributable to the higher prevalence of underlying chronic disease. These results underscore the need to ensure that influenza vaccination is delivered as widely as possible among those with chronic health conditions. Commun Dis Intell 2011;35(2):172–176.

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References

Cleland-Burton J. Disease among the Australian Aborigines. J Trop Med Hygiene 1928;6:65.

Rice GW. Black November: The 1918 influenza pandemic in New Zealand. Christchurch: University of Canterbury Press; 2005. p. 159.

La Ruche G, Tarantola A, Barboza P, Vaillant L, Gueguen J, Gastellu-Etchegorry M. The 2009 pandemic H1N1 influenza and indigenous populations of the Americas and the Pacific. Euro Surveil 2009;14(42):pii=19366.

Flint SM, Davis JS, Su JY, Oliver-Landry EP, Rogers BA, Goldstein A, et al. Disproportionate impact of pandemic (H1N1) 2009 influenza on Indigenous people in the Top End of Australia’s Northern Territory. Med J Aust 2010;192(10):617–622.

Australian Government Department of Health and Ageing. Australian Influenza Surveillance Summary Report, Number 22. Canberra: Australian Government Department of Health and Ageing; 2009. Available from: http://www1.health.gov.au/internet/main/publishing.nsf/Content/3D5385F0D3627727CA25774400034DCF/$File/ozflu-no22-2010.pdf

Department of Health, Western Australia. Disease WAtch 2009;13(2). Available from: http://www.public.health.wa.gov.au/cproot/2708/2/DW%20%2013%20no%202%20Dec%202009__web_FINAL.pdf

Carcione D, Giele CM, Dowse GK, Mak DB, Goggin LS, Kwan K, et al. Comparison of pandemic (H1N1) 2009 and seasonal influenza, Western Australia, 2009. Emerg Inf Dis 2010;16(9):1388–1395.

Li SQ, Gray NJ, Guthridge SL, Pircher SLM. Avoidable hospitalisation in Aboriginal and non-Aboriginal people in the Northern Territory. Med J Aust 2009;190(10):532–536.

Vos T, Barker B, Begg S, Lopez AD. Burden of disease and injury in Aboriginal and Torres Strait Islander peoples: The Indigenous health gap. Int J Epid 2009;38(2):470–477.

Durie MH. The health of Indigenous peoples: depends on genetics, politics, and socioeconomic factors. BMJ 2003;326:510–11.

Australian Government Department of Health and Ageing. Australian Health Management Plan for Pandemic Influenza. Canberra: Australian Government Department of Health and Ageing; 2008. Available from: http://www1.health.gov.au/internet/panflu/publishing.nsf/Content/ahmppi-2009

Australian Government Department of Health and Ageing. PROTECT PHASE Annex to the Australian Health Management Plan for Pandemic Influenza. Canberra: Australian Government Department of Health and Ageing; 2009. Available from: http://www1.health.gov.au/internet/panflu/publishing.nsf/Content/DA406AA47EFCC762CA25781E000F7FBC/$File/AHMPPI-PROTECTannex-toc.pdf

Dowse GK, Smith DW, Kelly H, Barr I, Laurie KL, Jones AR, et al. Incidence of pandemic (H1N1) 2009 influenza infection in children and pregnant women during the 2009 influenza season in Western Australia—a seroprevalence study. Med J Aust 2011;194(2):68–72.

National Health and Medical Research Council. The Australian Immunisation Handbook, 9th edn. Canberra: National Health and Medical Research Council; 2008. pp.190–192. Available from: http://www1.health.gov.au/internet/immunise/publishing.nsf/Content/Handbook-home

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Published

01/06/11

How to Cite

Goggin, Leigh S, Dale Carcione, Donna B Mak, Gary K Dowse, Carolien M Giele, David W Smith, and Paul V Effler. 2011. “Chronic Disease and Hospitalisation for Pandemic (H1N1) 2009 Influenza in Indigenous and Non-Indigenous Western Australians”. Communicable Diseases Intelligence 35 (June):172-76. https://doi.org/10.33321/cdi.2011.35.14.

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Vol. 35 (2011)

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Original article

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