Send to

Choose Destination
Trop Doct. 2019 Nov 26:49475519879357. doi: 10.1177/0049475519879357. [Epub ahead of print]

Hotspots of H1N1 influenza in India: analysis of reported cases and deaths (2010-2017).

Author information

Public Health Specialist, Translational Global Health Policy Research Cell, Indian Council of Medical Research Scientist B, Indian Council of Medical Research, National Institute of Cholera and Enteric Diseases, Kolkata, India.
Fellow, Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
Pediatrics Consultant and Independent Researcher, Kolkata, India.


Influenza A (H1N1) caused significant mortality and morbidity globally. We identified the hotspots for H1N1 influenza in India using cases and deaths reported in the Integrated Disease Surveillance Program between 2010 and 2017. A total of 114,667 cases and 8543 deaths were reported from across India, at an overall case fatality rate of 7.5%. While Maharashtra accounted for 21% of cases and 31% of deaths, Delhi and Gujarat were ranked the highest based on the population-adjusted ranks for morbidity and mortality, respectively. The current analysis identified states and union territories in western India (Delhi, Punjab, Rajasthan, Gujarat and Maharashtra) to be especially vulnerable.


H1N1; India; influenza hotspots; pandemic


Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center