ArticleAmerican journal of epidemiology2018
Loose Ends in the Epidemiology of the 1918 Pandemic: Explaining the Extreme Mortality Risk in Young Adults.
Article in American journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Pandemic Patterns: The Long-Term Health Outcomes of 1918 Influenza Survivors in the St. John's General Hospital of Newfoundland and Labrador.American journal of human biology : the official journal of the Human Biology Council · 2026Article
- Identifying signature features of epidemic diseases from 19th century all-cause mortality data.American journal of epidemiology · 2025Article
- The 1919-21 influenza pandemic in Greenland.International journal of circumpolar health · 2024Article
- The health and demographic impacts of the "Russian flu" pandemic in Switzerland in 1889/1890 and in the years thereafter.Epidemiology and infection · 2024Article
- Knowledge, socio-cognitive perceptions and the practice of hand hygiene and social distancing during the COVID-19 pandemic: a cross-sectional study of UK university students.BMC public health · 2021Article
- Defusing COVID-19: Lessons Learned from a Century of Pandemics.Tropical medicine and infectious disease · 2020Review
- When Pigs Fly: Pandemic influenza enters the 21st century.PLoS pathogens · 2020Review
- The 1918 Influenza Pandemic: Looking Back, Looking Forward.American journal of epidemiology · 2018Article
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Authors and funding
4 authors.
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Abstract
In the century since the 1918 influenza pandemic, insights have been sought to explain the pandemic's signature pattern of high death rates in young adults and low death rates in the elderly and infants. Our understanding of the origin and evolution of the pandemic has shifted considerably. We review evidence of the characteristic age-related pattern of death during the 1918 pandemic relative to the "original antigenic sin" hypothesis. We analyze age-stratified mortality data from Copenhagen around 1918 to identify break points associated with unusual death risk. Whereas infants had no meaningful risk elevation, death risk gradually increased, peaking for young adults 20-34 years of age before dropping sharply for adults ages 35-44 years, suggesting break points for birth cohorts around 1908 and 1878. Taken together with data from previous studies, there is strong evidence that those born before 1878 or after 1908 were not at increased risk of dying of 1918 pandemic influenza. Although the peak death risk coincided with the 1889-1892 pandemic, the 1908 and 1878 break points do not correspond with known pandemics. An increasing number of interdisciplinary studies covering fields such as virology, phylogenetics, death, and serology offer exciting insights into patterns and reasons for the unusual extreme 1918 pandemic mortality risk in young adults.
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