2020
DOI: 10.1371/journal.pone.0234715
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Influenza-associated excess mortality in the Philippines, 2006-2015

Abstract: Influenza-associated mortality has not been quantified in the Philippines. Here, we constructed multiple negative binomial regression models to estimate the overall and age-specific excess mortality rates (EMRs) associated with influenza in the Philippines from 2006 to 2015. The regression analyses used all-cause mortality as the dependent variable and meteorological controls, time, influenza A and B positivity rates (lagged for up to two time periods), and annual and semiannual cyclical seasonality controls a… Show more

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“…Numerous confounders may influence the validity of studies comparing the COVID-19 pandemic outcome in different populations and countries, including different management and testing strategies, reporting of confirmed cases, COVID-19-related hospitalizations or death rates [27]. Instead, a more reliable measure for early phase pandemic outcomes could be the all-cause mortality relative to previous years, as, for example, the seasonal flu is reflected in the all-cause mortality during the winter months in many countries [28][29][30]. Also, limiting analyses to regions with comparable national public health policies, societal organization and life expectancy should be considered, and Europe provides a good example for that [16].…”
Section: Navigating Around Confounders To Explore a Possible Bcg-covimentioning
confidence: 99%
“…Numerous confounders may influence the validity of studies comparing the COVID-19 pandemic outcome in different populations and countries, including different management and testing strategies, reporting of confirmed cases, COVID-19-related hospitalizations or death rates [27]. Instead, a more reliable measure for early phase pandemic outcomes could be the all-cause mortality relative to previous years, as, for example, the seasonal flu is reflected in the all-cause mortality during the winter months in many countries [28][29][30]. Also, limiting analyses to regions with comparable national public health policies, societal organization and life expectancy should be considered, and Europe provides a good example for that [16].…”
Section: Navigating Around Confounders To Explore a Possible Bcg-covimentioning
confidence: 99%