H1N1インフルエンザは若い人の感染が多く、中高年は比較的少なく、しかも重症化が少なそうです。それはなぜなんでしょうか?CDCの20日のプレス・ブリーフィングでは1957年以前生れでは、スペイン風邪の免疫記憶があるんじゃないか?と示唆している。私は大丈夫そうだ??まあ、これは仮説ですから、今後の研究で確認をとる必要があるでしょうが。 ところで、いつも思うのは、このようなプレス・ブリーフィングをCDCではウェッブ上で公開しているのですが、これが素晴らしい。日本ではいつも怒ったような舛添大臣が怖い顔して答弁しているし、厚労省の官僚も仏頂面で(失礼、真面目なんでしょうが)淡々と文書を読み上げています。さっき、麻生総理が新型インフルエンザについてアナウンスしていましたが、舛添さんよりいいですね(個人的なインプレッションですが)。前に、Outbreak communication guidelines
のことを述べましたが、こういう時こそ、国民に信頼感と安心感を与えるコミュニケーターが必要ですね。私も注意しようっと、、、 When
a publicly held view is mistaken, it should still be acknowledged publicly and
corrected, not ignored,
patronized or
ridiculed.
ウォールストリートジャーナルの記者の質問:
Hi, thanks very much. I have one follow-up to the earlier comments about
exposure to H1N1 before 1957. Is, just quickly, what is the significance of
before 1957? Is that, you know, related to the pandemic, if you could explain
that a little more? Secondly, I wanted to ask about to what extent are
school-age children developing severe disease? And I think you gave some data
about number, percentage of hospitalizations, but I may have missed it, so what
I'm wondering is how many, you know, how many school-age children are developing
severe enough disease to end up in the hospital?
CDCインフルエンザ部門の副所長の回答:
With regard to your second question, when we look at the number of cases that
have been hospitalized, and for which we have enough data, there are 164 that
we've done some analysis on, the median age, that is the sort of middle age of
those folks that are being hospitalized, is 19 years. And so, about 18% are 10
to 18 years old. About 11% are 5 to 9 years old, so if you add those two
together, you get the amount of school-aged children that are being
hospitalized. The largest number in terms of the percent of people being
hospitalized is in the age range of 19 to 49 years old. That's 37%. But among
those that are greater than or equal to 50 years, there's about 13%, and so, if
we look at the overall numbers of cases, we're still seeing a significant number
in the school-aged population. The majority in the 19- to 49-year-old
population but an increasing amount of greater than or equal to 50-year-old age
group. With the H1N1 pandemic in the past, as many of you know, the H1N1
appeared in 1918 and through circulation around the globe each season, has
drifted away from the original virus that appeared and in 1957, that H1N1 was
replaced by H2N2, with that pandemic at that point in 1957, so when we talk
about the pre-'57 exposures, we're referring to those that had been exposed to
the past H1N1 that went away in 1957.