It has been five months since the A(H1N1) influenza virus — aka the
swine flu — climbed to the top of the global media heap, and with the
start of the Northern Hemisphere's annual flu season just around the
corner, the topic is worth revisiting.
If you take only one fact away from this analysis, take this: The
U.S. Centers for Disease Control and Prevention (CDC) believes that
hospitalization rates and mortality rates for A(H1N1) are similar to or
lower than they are for more traditional influenza strains. And if you
take two facts away, consider this as well: Influenza data are
incomplete at best and rarely cross-comparable, so any assertions of
the likelihood of mass deaths are little more than scaremongering
bereft of any real analysis or, more important, any actual evidence.
Now to the details.
There are a few key characteristics that differentiate this year's
A(H1N1) strain from other influenza viruses. Most notable is the fact
that the demographic normally associated with influenza vulnerability —
the elderly — is considered at low risk from A(H1N1), and there has yet
to be a single outbreak at any nursing home. Instead, the virus seems
to have an affinity for the younger population, with higher infection
rates than normal for those 24 years of age and younger, particularly
those less than two years old and pregnant women. This higher incidence
among the younger population could have a higher than normal disruptive
impact on the labor force, when children and parents stay home from
school and work. As a result of this new virus, the U.S. government has
radically increased the pace of its vaccination program, and
A(H1N1)-specific vaccinations will begin in October. For more
information on the vaccination program, see STRATFOR's swine flu fact sheet.
These differences, however, are not game changers. So, while the flu
will pose a significant logistical and public relations challenge to
governments seeking to prevent outbreaks and control the virus' spread,
there is no indication that A(H1N1) will cause even a shadow of the
disruption that the hysteria of months past suggested.
Most of that hysteria was rooted in the memory of the 1918 Spanish
influenza. Although estimates vary widely — remember that the world was
in the fifth year of a grinding war when the epidemic hit, so
bean-counting was not exactly high on the priority list — most agree
that between 50 million and 100 million people perished from the 1918
flu globally, including roughly 500,000 Americans.
The Spanish influenza was particularly frightening because it
disproportionately struck down people in their prime — adults in the
25-35 age cohort — in addition to the very young and very old (the
prime sufferers of traditional influenza viruses).