摘要：This paper aims to study the spatial structure of deaths due to the A(H1N1)pdm09 swine virus
in Greece in order to identify vulnerable and resilient regions. The study period refers to the
school year 2009-2010 when a swine flu pandemic took place affecting large numbers of the
population including students. The deaths due to the A(H1N1)pdm09 virus have been recorded
in Greece by the Hellenic Centre for Disease Control and Prevention (HCDCP). Based on these
deaths and the 2011 Census for Population statistics, we calculated the Standardized Mortality
Ratios (SMRs) as well as the A(H1N1)pdm09 age-specific death rates. The statistical
significance of SMRs was evaluated using a chi-square test, while Empirical Bayesian
procedures were employed to smooth the observed standardized mortality ratios. The
geography of the analysis refers to the 13 administrative regions in Greece (EU NUTS II). The
results are interesting, and the spatial patterns suggest significant inequalities in the SMRs
across these regions. At the same time, we discuss the possible failure of the vaccine coverage,
especially in regions where our study revealed most affected, in order to help policymakers to
be better prepares for a future epidemic.
