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                  <mods:dateAccessioned encoding="iso8601">2023-02-07T10:28:18Z</mods:dateAccessioned>
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               <mods:identifier type="doi">10.1016/j.cmi.2019.02.011</mods:identifier>
               <mods:identifier type="e-issn">1469-0691</mods:identifier>
               <mods:identifier type="journal">Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases</mods:identifier>
               <mods:identifier type="pubmedID">30790685</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/15458</mods:identifier>
               <mods:abstract>Objectives: Weekly monitoring of European all-cause excess mortality, the EuroMOMO network, observed high excess mortality during the influenza B/Yamagata dominated 2017/18 winter season, especially among elderly. We describe all-cause excess and influenza-attributable mortality during the season 2017/18 in Europe. Methods: Based on weekly reporting of mortality from 24 European countries or sub-national regions, representing 60% of the European population excluding the Russian and Turkish parts of Europe, we estimated age stratified all-cause excess morality using the EuroMOMO model. In addition, age stratified all-cause influenza-attributable mortality was estimated using the FluMOMO algorithm, incorporating influenza activity based on clinical and virological surveillance data, and adjusting for extreme temperatures. Results: Excess mortality was mainly attributable to influenza activity from December 2017 to April 2018, but also due to exceptionally low temperatures in February-March 2018. The pattern and extent of mortality excess was similar to the previous A(H3N2) dominated seasons, 2014/15 and 2016/17. The 2017/18 overall all-cause influenza-attributable mortality was estimated to be 25.4 (95%CI 25.0-25.8) per 100,000 population; 118.2 (116.4-119.9) for persons aged 65. Extending to the European population this translates into over-all 152,000 deaths. Conclusions: The high mortality among elderly was unexpected in an influenza B dominated season, which commonly are considered to cause mild illness, mainly among children. Even though A(H3N2) also circulated in the 2017/18 season and may have contributed to the excess mortality among the elderly, the common perception of influenza B only having a modest impact on excess mortality in the older population may need to be reconsidered.</mods:abstract>
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                  <mods:topic>B/Yamagata</mods:topic>
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               <mods:subject>
                  <mods:topic>EuroMOMO</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>FluMOMO</mods:topic>
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                  <mods:topic>Influenza</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Mortality</mods:topic>
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                  <mods:title>European all-cause excess and influenza-attributable mortality in the 2017/18 season: should the burden of influenza B be reconsidered?</mods:title>
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