I have said more than once that the influenza "pandemic"* is the Shark Attack or Missing White Woman story of public health. Yeah, it is actually happening, but it isn't nearly as important and the stuff we don't talk about because we're talking about flu all the time. One example is pneumonia -- the vast majority of the time, not associated with influenza -- which kills a little kid once every 15 seconds.
Really. Two gone while you have been reading this. The organisms most commonly responsible are not influenza virus, but Haemophilus influenzae type B (Hib) and pneumococcus, and there are others. Of course you didn't know that because you were busy reading about influenza.
A broad coalition wants to break through to your consciousness with World Pneumonia Day. It's a little hard from the web site to figure out that the date is November 2, but apart from that odd glitch, there's lots of information there, so check it out.
Of course, kids rarely die of these diseases in rich countries, because they are better fed and better housed, and so stronger and less susceptible; they are more likely to be vaccinated against many of the responsible organisms; and they get medical care if they need it. So this is very much about the social determinants of health, not just those nasty little microbes. In other words, this is about social justice and politics. Which is probably why we hear so little about it. Influenza is much safer to write about, because it is politics-free.
*By the definition they had to re-write in order to turn novel H1N1 into a pandemic, we have a global influenza pandemic every single year.
Discussion of public health and health care policy, from a public health perspective. The U.S. spends more on medical services than any other country, but we get less for it. Major reasons include lack of universal access, unequal treatment, and underinvestment in public health and social welfare. We will critically examine the economics, politics and sociology of health and illness in the U.S. and the world.
Pneumonia usually comes after influenza...and it is usually the cause of death...
ReplyDeleteWell no, pneumonia doesn't "usually" come after influenza. It does occasionally. The vast majority of pneumonia in the world is not a complication of influenza.
ReplyDeletebut is pneumonia usually a contributor/cause of death for people who die after flu?
ReplyDeleteflu doesn't generally kill. and not directly. pneumonia can follow all sorts of illnesses and disabilities.
Precisely...
ReplyDeleteYes, put that way it is correct. Deaths attributed to influenza generally result from pneumonia, not directly from the flu. One could go further of course, and point out that in most cases (not all, to be sure) there is a pre-existing immunocompromise or respiratory ailment, so that the cause of death is actually multifactorial and should not be thought of as exclusively due to flu.
ReplyDeleteThat is actually true of most death certificate causes of death -- they are misleading.