caa a22 4500 606222448 CHVBK 20210128101133.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00038-015-0704-9 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0704-9 After the epidemiologic transition: a reassessment of mortality from infectious diseases among over-65s in France and Italy [Elektronische Daten] [Aline Désesquelles, Elena Demuru, Marilena Pappagallo, Luisa Frova, France Meslé, Viviana Egidi] Objectives: To assess more accurately the contribution of infectious diseases (IDs) to mortality at age 65+. Methods: We use cause-of-death data for France and Italy in 2009. In addition to chapter I of the 10th International Classification of Diseases (ICD-10), our list of IDs includes numerous diseases classified in other chapters. We compute mortality rates considering all death certificate entries (underlying and contributing causes). Results: Mortality rates at age 65+ based on our extended list are more than three times higher than rates based solely on ICD-10 chapter I. IDs are frequently contributing causes of death. In France, the share of deaths at age 65+ involving an ID as underlying cause increases from 2.1 to 7.3% with the extended list, and to 20.8% when contributing causes are also considered. For Italy, these percentages are 1.4, 4.2 and 18.7%, respectively. Conclusions: Publicly available statistics underestimate the contribution of IDs to the over-65s' mortality. Old age is a risk factor for IDs, and these diseases are more difficult to treat at advanced ages. Health policies should develop targeted actions for that population. Swiss School of Public Health, 2015 Infectious diseases nationallicence Mortality nationallicence Multiple causes of death nationallicence Aging nationallicence Public health nationallicence Désesquelles Aline Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut Demuru Elena Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut Pappagallo Marilena Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut Frova Luisa Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut Meslé France Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut Egidi Viviana Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut International Journal of Public Health Springer International Publishing 60/8(2015-12-01), 961-967 1661-8556 60:8<961 2015 60 38 https://doi.org/10.1007/s00038-015-0704-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0704-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Désesquelles Aline Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 700 1- Demuru Elena Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 700 1- Pappagallo Marilena Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 700 1- Frova Luisa Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 700 1- Meslé France Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 700 1- Egidi Viviana Institut National d'Études Démographiques (INED), 133 Bd Davout, 75980, Paris Cedex 20, France aut NATIONALLICENCE 773 0- International Journal of Public Health Springer International Publishing 60/8(2015-12-01), 961-967 1661-8556 60:8<961 2015 60 38