This fall wave was bimodal with peaks in October and December 1918 and highly significant excess mortality of 12.69 deaths per 10,000 persons (95% CI 10.79, 14.59) in October and 12.34 per 10,000 persons (95% CI 10.44, 14.25) in December.
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Associations between rurality and regional differences in sociodemographic factors and the 1918-20 influenza and 2020-21 COVID-19 pandemics in Missouri counties: An ecological study.
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