Deaths from Norovirus among the Elderly, England and Wales
2008

Deaths from Norovirus among the Elderly

Sample size: 1136 publication 10 minutes Evidence: moderate

Author Information

Author(s): Harris John P., Edmunds W. John, Pebody Richard, Brown David W., Lopman Ben A.

Primary Institution: Health Protection Agency, London, UK

Hypothesis

Was the 2002–03 norovirus season associated with more pathogenicity than other seasons?

Conclusion

The study estimates that approximately 80 deaths each year in the elderly may be associated with norovirus infection.

Supporting Evidence

  • Norovirus was the only gastrointestinal pathogen significantly associated with monthly counts of infectious ID deaths.
  • An estimated 80 deaths each year in the elderly may be associated with norovirus infection.
  • During 2001–2006, a total of 1,136 deaths were recorded with any code for infectious ID.
  • Deaths from infectious ID and noninfectious ID were correlated and exhibited a wintertime seasonal pattern.

Takeaway

Norovirus can make older people very sick, and it might cause about 80 deaths each year in people over 65 in England and Wales.

Methodology

Regression analysis was used to model monthly counts of gastrointestinal pathogens against monthly counts of deaths from infectious and noninfectious intestinal diseases.

Potential Biases

Testing and reporting behavior may have changed over time, potentially affecting results.

Limitations

Deaths from infectious diseases tend to be underreported, and laboratory reports may not capture long-term outcomes.

Participant Demographics

Persons over 65 years of age in England and Wales.

Statistical Information

P-Value

<0.001

Confidence Interval

13.3%–26.8%

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3201/eid1410.080188

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