Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

Disproportionate impact of pandemic (H1N1) 2009 influenza on Indigenous people in the Top End of Australia's Northern Territory

Flint, Shaun, Davis, Joshua S., Su, Jiunn-Yih, Oliver-Landry, Erin P., Rogers, Benjamin A., Goldstein, Aaron, Thomas, Jane H., Parameswaran, Uma, Bigham, Colin, Freeman, Kevin, Goldrick, Paul and Tong, Steven Y. C. (2010). Disproportionate impact of pandemic (H1N1) 2009 influenza on Indigenous people in the Top End of Australia's Northern Territory. Medical Journal of Australia,192(10):617-622.

Document type: Journal Article
Attached Files (Some files may be inaccessible until you login with your CDU eSpace credentials)
Name Description MIMEType Size Downloads
Download this reading Davis_37447.pdf Published version application/pdf 286.50KB 76
Reading the attached file works best in Firefox, Chrome and IE 9 or later.

IRMA ID 81704288xPUB40
Title Disproportionate impact of pandemic (H1N1) 2009 influenza on Indigenous people in the Top End of Australia's Northern Territory
Author Flint, Shaun
Davis, Joshua S.
Su, Jiunn-Yih
Oliver-Landry, Erin P.
Rogers, Benjamin A.
Goldstein, Aaron
Thomas, Jane H.
Parameswaran, Uma
Bigham, Colin
Freeman, Kevin
Goldrick, Paul
Tong, Steven Y. C.
Journal Name Medical Journal of Australia
Publication Date 2010
Volume Number 192
Issue Number 10
ISSN 0025-729X   (check CDU catalogue  open catalogue search in new window)
Start Page 617
End Page 622
Total Pages 6
Place of Publication Australia
Publisher Australasian Medical Publishing Company Pty. Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Objective: To describe the impact of pandemic (H1N1) 2009 influenza (nH1N1) on Indigenous people in the Top End of the Northern Territory at community, hospital and intensive care unit (ICU) levels.

Design, setting and participants:
We analysed influenza notifications for the Top End from 1 June to 31 August 2009, as well as data on patients admitted through Top End emergency departments with an influenza-like illness. In addition, data on patients with nH1N1 who were admitted to Royal Darwin Hospital (RDH) and the RDH ICU were prospectively collected
and analysed.

Main outcome measures:
Age-adjusted notification rates for nH1N1 cases, Top End hospital admission rates for patients with nH1N1 and RDH ICU admission rates for patients with nH1N1, stratified by Indigenous status.

Results:
There were 918 nH1N1 notifications during the study period. The age-adjusted hospital admission rate for nH1N1 was 82 per 100 000 (95% CI, 68–95) estimated resident population (ERP) overall, with a markedly higher rate in the Indigenous population compared with the non-Indigenous population (269 per 100 000 versus 29 per 100 000 ERP; adjusted incidence rate ratio, 12 [95% CI, 7.8–18]). Independent predictors of ICU admission compared with hospitalisation were hypoxia (adjusted odds ratio [aOR], 4.5; CI, 1.5–13.1) and chest x-ray infiltrates (aOR, 4.3; CI, 1.5–12.6) on hospital admission.

Conclusions:
Pandemic (H1N1) 2009 influenza had a disproportionate impact on Indigenous Australians in the Top End, with hospitalisation rates higher than those reported elsewhere in Australia and overseas. These findings have implications for planning hospital and ICU capacity during an influenza pandemic in regions with large Indigenous populations. They also confirm the need to improve health and living circumstances and to prioritise vaccination in this population.
Description for Link Link to published version
URL https://www.mja.com.au/journal/2010/192/10/disproportionate-impact-pandemic-h1n1-2009-influenza-indigenous-people-top-end


© copyright

Every reasonable effort has been made to ensure that permission has been obtained for items included in CDU eSpace. If you believe that your rights have been infringed by this repository, please contact digitisation@cdu.edu.au.

 
Versions
Version Filter Type
Access Statistics: 49 Abstract Views, 76 File Downloads  -  Detailed Statistics
Created: Fri, 17 Jan 2014, 00:35:29 CST