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Influenza Mortality in French Regions after the Hong Kong Flu Pandemic

Florian Bonnet (), Hippolyte d'Albis and Josselin Thuilliez
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Florian Bonnet: INED - Institut national d'études démographiques

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Abstract: Influenza mortality has dramatically decreased in France since the 1950s. Annual death rates peaked during two pandemics: the Asian flu (1956-57) and the Hong-Kong flu (1969-1970). This study's objective is to evaluate whether the second pandemic created a structural change in the dynamics of influenza mortality in France. We employ a new database on influenza mortality since 1950 at the subnational level (90 geographic areas) to estimate statistical models to find whether a structural change happened and to explain the differences in mortality rates across geographic areas. Influenza mortality increased between 1950 and 1969, and decreased from 1970 onward. The Hong-Kong flu is identified as the event of a structural break. After the break, geographical differences are less explained by regional characteristics such as income, density or aging ratio. Hong Kong flu was found to be associated with a major change in influenza mortality in France. Change in health practices and policies induced a decline in mortality that started in 1970, just after the pandemics. The health benefits are notably important for senior citizens and for the poorest regions.

Date: 2022-08
New Economics Papers: this item is included in nep-dem, nep-hea, nep-his, nep-sea and nep-ure
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-03763371v1
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Journal Article: Influenza mortality in French regions after the Hong Kong flu pandemic (2022) Downloads
Working Paper: Influenza Mortality in French Regions after the Hong Kong Flu Pandemic (2022) Downloads
Working Paper: Influenza Mortality in French Regions after the Hong Kong Flu Pandemic (2022) Downloads
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