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. Author manuscript; available in PMC: 2019 Mar 31.
Published in final edited form as: Lancet. 2017 Dec 14;391(10127):1285–1300. doi: 10.1016/S0140-6736(17)33293-2

Table 4.

Estimated annual influenza-associated respiratory deaths and mortality rate per 100 000 population by age group, WHO region, and World Bank income classification

Age <65 years Age 65–74 years Age ≥75 years All ages




Median annual
influenza-
associated
respiratory
mortality*
(95% CrI)
Annual
influenza-
associated
respiratory
mortality
95% CrI,
per 100 000
individuals*
Proportion
of total
influenza-
associated
respiratory
deaths
Median annual
influenza-
associated
respiratory
mortality*
(95% CrI)
Annual
influenza-
associated
respiratory
mortality
95% CrI,
per 100 000
individuals*
Proportion
of total
influenza-
associated
respiratory
deaths
Median annual
influenza-
associated
respiratory
mortality*
(95% CrI)
Annual
influenza-
associated
respiratory
mortality
95% CrI,
per 100 000
individuals*
Proportion
of total
influenza-
associated
respiratory
deaths
Median annual
influenza-
associated
respiratory
mortality*
(95% CrI)
Annual
influenza-
associated
respiratory
mortality
95% CrI,
per 100 000
individuals*
Proportion
of total
influenza-
associated
respiratory
deaths
Worldwide 175 303 1·0–5·1 42% 72 720 13·3–27·8 17% 172 420 51·3–99·4 41% 409 111 4·0–8·8 ..
(67 255–342 576) ( 48 810–102 187) (122 876–237 933) (291 243–645 832)
WHO Regions
 Sub-Saharan Africa 51 767 1·0–13·3 29% 8841 12·0–80·4 13% 11 874 36·3–286·9 7% 69 359 2·8–16·5 17%
(9607–127 569) (2648–17 744) (3477–27 502) (27 813–163 074)
 The Americas 12 778 0·8–2·3 8% 9160 10·5–21·5 13% 29 908 52·2–105·7 17% 51 674 4·2–7·3 12%
(7027–20 203) (6236–12 776) (21 624–43 777) (41 007–71 710)
 Europe 10 476 0·5–2·5 6% 6566 5·0–17·2 9% 27 509 23·4–70·7 16% 44 774 3·1–8·0 11%
(4179–19 518) (3732–12 753) (15 679–47 438) (28 457–72 627)
 Eastern Mediterranean 23 648 0·7–11·6 13% 4753 7·4–54·1 7% 5777 21·8–129·9 3% 33 528 2·1–13·4 8%
(4468–71 208) (1349–9905) (2035–12 114) (13 350–86 490)
 Southeast Asia 51 412 1·2–6·6 32% 21 782 14·2–47·5 30% 30 936 44·6–130·5 18% 105 167 3·5–9·2 25%
(21 044–119 561) (10 499–35 014) (16 602–48 618) (68 258–178 049)
Western Pacific 16 951 0·4–1·7 10% 20 425 7·4–27·7 28% 66 529 45·3–133·2 38% 103 728 3·6–7·5 25%
(7197–28 946) (8903–33 078) (33 858–99 617) (67 728–141 436)
World Bank income classifications
 High income 9531 0·5–1·5 6% 9639 6·1–12·0 13% 45 372 33·9–58·6 26% 64 680 3·9–6·4 16%
(5312–16 208) (7161–14 078) (34 309–59 355) (51 083–83 623)
 Upper middle income 30 848 0·8–2·2 18% 26 328 10·6–29·8 36% 78 997 56·8–143·7 45% 136 017 4·0–7·3 32%
(17 221–48 991) (14 242–39 974) (44 854–113 418) (97 776–181 157)
 Lower middle income 83 604 1·2–7·3 49% 28 442 16·7–47·3 39% 38 418 44·3–133·9 23% 148 105 3·4–10·2 36%
(30 191–184 009) (15 467–43 723) (21 438–64 775) (90 738–270 831)
 Low income 45 848 0·8–13·9 26% 7793 8·9–67·0 11% 10 099 27·5–209·4 6% 60 979 2·5–16·7 15%
(6731–119 752) (2047–15 378) (2980–22 685) (22 143–150 010)

CrI=credible interval.

*

After applying our extrapolation approach to all countries, excess mortality rate (EMR)-contributing country extrapolated estimates were replaced with mean annual influenza-associated respiratory EMRs and death estimates, with the exception of Brazil and Kenya.

Estimates do not add up across all age groups because age-specific models were run separately and were not additive. Estimated proportions were calculated for each of 5000 extrapolation simulations and the median proportion from the 5000 simulations is presented.