<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Nielsen,J.K.</style></author><author><style face="normal" font="default" size="100%">Vestergaard, Lasse S</style></author><author><style face="normal" font="default" size="100%">Lukas Richter</style></author><author><style face="normal" font="default" size="100%">Schmid, Daniela</style></author><author><style face="normal" font="default" size="100%">Natalia Bustos Sierra</style></author><author><style face="normal" font="default" size="100%">Tommi Asikainen</style></author><author><style face="normal" font="default" size="100%">Ramona Trebbien</style></author><author><style face="normal" font="default" size="100%">Denissov, Gleb</style></author><author><style face="normal" font="default" size="100%">Innos, Kaire</style></author><author><style face="normal" font="default" size="100%">Virtanen, Mikko J</style></author><author><style face="normal" font="default" size="100%">Fouillet, Anne</style></author><author><style face="normal" font="default" size="100%">Lytras, Theodore</style></author><author><style face="normal" font="default" size="100%">Kassiani Gkolfinopoulou</style></author><author><style face="normal" font="default" size="100%">Matthias Van der Heiden</style></author><author><style face="normal" font="default" size="100%">Linus Grabenhenrich</style></author><author><style face="normal" font="default" size="100%">Helmut Uphoff</style></author><author><style face="normal" font="default" size="100%">Paldy, Anna</style></author><author><style face="normal" font="default" size="100%">Bobvos, Janos</style></author><author><style face="normal" font="default" size="100%">Domegan, Lisa</style></author><author><style face="normal" font="default" size="100%">O'Donnell, Joan</style></author><author><style face="normal" font="default" size="100%">Scortichini, Matteo</style></author><author><style face="normal" font="default" size="100%">de Martino, Annamaria</style></author><author><style face="normal" font="default" size="100%">Mossong, Joel</style></author><author><style face="normal" font="default" size="100%">England, Kathleen</style></author><author><style face="normal" font="default" size="100%">Jackie Melillo</style></author><author><style face="normal" font="default" size="100%">van Asten, Liselotte</style></author><author><style face="normal" font="default" size="100%">Marit de Lange</style></author><author><style face="normal" font="default" size="100%">Ragnhild Tonnessen</style></author><author><style face="normal" font="default" size="100%">White, Richard A</style></author><author><style face="normal" font="default" size="100%">Susana P. da Silva</style></author><author><style face="normal" font="default" size="100%">Rodrigues, Ana P</style></author><author><style face="normal" font="default" size="100%">Larrauri, Amparo</style></author><author><style face="normal" font="default" size="100%">Clara Mazagatos</style></author><author><style face="normal" font="default" size="100%">Farah Ahmed</style></author><author><style face="normal" font="default" size="100%">AnnaSara D. Carnahan</style></author><author><style face="normal" font="default" size="100%">Junker, Christoph</style></author><author><style face="normal" font="default" size="100%">Sinnathamby, Mary</style></author><author><style face="normal" font="default" size="100%">Pebody, Richard G</style></author><author><style face="normal" font="default" size="100%">Nick Andrews</style></author><author><style face="normal" font="default" size="100%">Reynolds, Arlene</style></author><author><style face="normal" font="default" size="100%">Jim McMenamin</style></author><author><style face="normal" font="default" size="100%">Caroline S Brown</style></author><author><style face="normal" font="default" size="100%">Adlhoch, Cornelia</style></author><author><style face="normal" font="default" size="100%">Penttinen, Pasi</style></author><author><style face="normal" font="default" size="100%">Mølbak, Kåre</style></author><author><style face="normal" font="default" size="100%">Krause, Tyra G</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">European all-cause excess and influenza-attributable mortality in the 2017/18 season: should the burden of influenza B be reconsidered?</style></title><secondary-title><style face="normal" font="default" size="100%">Clinical Microbiology and Infection</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Excess mortality</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveillance</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">18/02/2019</style></date></pub-dates></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Objectives&lt;/p&gt;

&lt;p&gt;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.&lt;/p&gt;

&lt;p&gt;Methods&lt;/p&gt;

&lt;p&gt;Based on weekly reporting of mortality from 24 European countries or sub-national regions, representing 60% of the European population excl. Russia and the Turkey part of European, 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.&lt;/p&gt;

&lt;p&gt;Results&lt;/p&gt;

&lt;p&gt;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.&lt;/p&gt;

&lt;p&gt;Conclusions&lt;/p&gt;

&lt;p&gt;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.&lt;/p&gt;
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