© 2008 American Public Health Association DOI: 10.2105/AJPH.2008.144659
The author is in the doctoral program in History, Anthropology, Science, Technology and Society, Massachusetts Institute of Technology, Cambridge. Correspondence: Requests for reprints should be sent to Peter Doshi, HASTS Program, E51-070, Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA 02139 (e-mail: pnd@mit.edu).
In studies of influenza mortality, many researchers employ the combined category of recorded influenza and pneumonia deaths as their unit of analysis. Noymer suggests that my study1 should have done the same. My objective was "to describe trends in historical influenza mortality data ... and compare pandemic with nonpandemic influenza seasons."1(p939) Therefore, I "primarily considered the relative (rather than absolute) value of recorded influenza death rate statistics, which allowed me to compare 1 influenza season (or 1 month) with another."1(p943) Some may wonder whether influenza-classified deaths alone are a reliable category of analysis for these purposes. The evidence suggests that
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