| Titre : | Trends in infectious disease mortality in the United States during the 20th century. (1999) |
| Auteurs : | G.L. ARMSTRONG ; L.A. CONN ; R.W. PINNER ; Centers for Disease Control and Prevention. National Center for Infectious Diseases. Atlanta. GA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 281, n° 1, 1999) |
| Pagination : | 61-66 |
| Langues: | Anglais |
| Mots-clés : | Infection ; Etats Unis ; Amérique ; Epidémiologie ; Mortalité ; Tendance séculaire ; 20 siècle ; Homme ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 0t2R0xrX. Diffusion soumise à autorisation]. Context Recent increases in infectious disease mortality and concern about emerging infections warrant an examination of longer-term trends. Objective To describe trends in infectious disease mortality in the United States during the 20th century. Design and Setting Descriptive study of infectious disease mortality in the United States. Deaths due to infectious diseases from 1900 to 1996 were tallied by using mortality tables. Trends in age-specific infectious disease mortality were examined by using age-specific death rates for 9 common infectious causes of death. Subjects Persons who died in the United States between 1900 and 1996. Main Outcome Measures Crude and age-adjusted mortality rates. Results Infectious disease mortality declined during the first 8 decades of the 20th century from 797 deaths per 100 000 in 1900 to 36 deaths per 100 000 in 1980. From 1981 to 1995, the mortality rate increased to a peak of 63 deaths per 100 000 in 1995 and declined to 59 deaths per 100 000 in 1996. The decline was interrupted by a sharp spike in mortality caused by the 1918 influenza epidemic. From 1938 to 1952, the decline was particularly rapid, with mortality decreasing 8.2% per year. Pneumonia and influenza were responsible for the largest number of infectious disease deaths throughout the century. Tuberculosis caused almost as many deaths as pneumonia and influenza early in the century, but tuberculosis mortality dropped off sharply after 1945. (...) |
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