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Swine flu death rate similar to seasonal flu
By reuters.com
Published: 09/17/2009

WASHINGTON (Reuters) - The death rate from the pandemic H1N1 swine flu is likely lower than earlier estimates, an expert in infectious diseases said on Wednesday.

New estimates suggest that the death rate compares to a moderate year of seasonal influenza, said Dr Marc Lipsitch of Harvard University.

"It's mildest in kids. That's one of the really good pieces of news in this pandemic," Lipsitch told a meeting of flu experts being held by the U.S. Institute of Medicine.

"Barring any changes in the virus, I think we can say we are in a category 1 pandemic. This has not become clear until fairly recently."

The Pandemic Severity Index set by the U.S. government has five categories of pandemic, with a category 1 being comparable to a seasonal flu epidemic.

Seasonal flu has a death rate of less than 0.1 percent -- but still manages to kill 250,000 to 500,000 people globally every year.

A category 5 pandemic would compare to the 1918 flu pandemic, which had an estimated death rate of 2 percent or more, and would kill tens of million of people.

An estimate published in the journal Eurosurveillance last month by the French Institute for Public Health Surveillance put the mortality rate far higher, at 0.4 percent for all age groups.

HIGHER MORTALITY?

Lipsitch took information from around the world on how many people had reported they had influenza-like illness, which may or may not actually be influenza; government reports of actual hospitalizations and confirmed deaths.

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