Pandemic influenza: implications for programs controlling for HIV infection, tuberculosis, and chronic viral hepatitis.
Among vulnerable populations during an influenza pandemic are persons with or at risk for HIV infection, tuberculosis, or chronic viral hepatitis. HIV-infected persons have higher rates of hospitalization, prolonged illness, and increased mortality from influenza compared with the general population. Persons with tuberculosis and chronic viral hepatitis may also be at increased risk of morbidity and mortality from influenza because of altered immunity and chronic illness. These populations also face social and structural barriers that will be exacerbated by a pandemic. Existing infrastructure should be expanded and pandemic planning should include preparations to reduce the risks for these populations.
Heffelfinger
James D
JD
Centers for Disease Control and Prevention, Mail Stop: E-46, Atlanta, GA 30333, USA. izh7@cdc.gov
Patel
Pragna
P
Brooks
John T
JT
Calvet
Helene
H
Daley
Charles L
CL
Dean
Hazel D
HD
Edlin
Brian R
BR
Gensheimer
Kathleen F
KF
Jereb
John
J
Kent
Charlotte K
CK
Lennox
Jeffrey L
JL
Louie
Janice K
JK
Lynfield
Ruth
R
Peters
Philip J
PJ
Pinckney
Lauretta
L
Spradling
Philip
P
Voetsch
Andrew C
AC
Fiore
Anthony
A
D003266:Continuity of Patient Care; D004196:Disease Outbreaks / Q000517:prevention & control*; D015658:HIV Infections / Q000150:complications*; D006521:Hepatitis, Chronic / Q000150:complications; D006525:Hepatitis, Viral, Human / Q000150:complications*; D006801:Humans; D007251:Influenza, Human / Q000150:complications* / Q000517:prevention & control*; D014376:Tuberculosis / Q000150:complications*; D014481:United States / Q000453:epidemiology; D035862:Vulnerable Populations