Influenza-associated mortality in 2009 in four sentinel sites in Bangladesh

OBJECTIVE: To estimate influenza-associated mortality in Bangladesh in 2009. METHODS: In four hospitals in Bangladesh, respiratory samples were collected twice a month throughout 2009 from inpatients aged

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Veröffentlicht in:Bulletin of the World Health Organization 2012-04, Vol.90 (4), p.272-278
Hauptverfasser: Homaira, Nusrat, Luby, Stephen P, Alamgir, ASM, Islam, Kariul, Paul, Repon, Abedin, Jaynal, Rahman, Mustafizur, Azim, Tasnim, Podder, Goutam, Sohel, Badrul Munir, Brooks, Abdullah, Fry, Alicia M, Widdowson, Marc-Alain, Bresee, Joseph, Rahman, Mahmudur, Azziz-Baumgartner, Eduardo
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container_issue 4
container_start_page 272
container_title Bulletin of the World Health Organization
container_volume 90
creator Homaira, Nusrat
Luby, Stephen P
Alamgir, ASM
Islam, Kariul
Paul, Repon
Abedin, Jaynal
Rahman, Mustafizur
Azim, Tasnim
Podder, Goutam
Sohel, Badrul Munir
Brooks, Abdullah
Fry, Alicia M
Widdowson, Marc-Alain
Bresee, Joseph
Rahman, Mahmudur
Azziz-Baumgartner, Eduardo
description OBJECTIVE: To estimate influenza-associated mortality in Bangladesh in 2009. METHODS: In four hospitals in Bangladesh, respiratory samples were collected twice a month throughout 2009 from inpatients aged
doi_str_mv 10.1590/S0042-96862012000400010
format Article
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METHODS: In four hospitals in Bangladesh, respiratory samples were collected twice a month throughout 2009 from inpatients aged &lt;5 years with severe pneumonia and from older inpatients with severe acute respiratory infection. The samples were tested for influenza virus ribonucleic acid (RNA) using polymerase chain reaction. The deaths in 2009 in five randomly selected unions (the smallest administrative units in Bangladesh) in each hospital's catchment area were then investigated using formal records and informal group discussions. The deaths of those who had reportedly died within 14 days of suddenly developing fever with cough and/or a sore throat were assumed to be influenza-associated. The rate of such deaths in 2009 in each of the catchment areas was then estimated from the number of apparently influenza-associated deaths in the sampled unions, the proportion of the sampled inpatients in the local hospital who tested positive for influenza virus RNA, and the estimated number of residents of the sampled unions. FINDINGS: Of the 2500 people known to have died in 2009 in all 20 study unions, 346 (14%) reportedly had fever with cough and/or sore throat within 14 days of their deaths. The estimated mean annual influenza-associated mortality in these unions was 11 per 100000 population: 1.5, 4.0 and 125 deaths per 100000 among those aged &lt;5, 5-59 and &gt;59 years, respectively. CONCLUSION: The highest burden of influenza-associated mortality in Bangladesh in 2009 was among the elderly.</description><identifier>ISSN: 0042-9686</identifier><identifier>DOI: 10.1590/S0042-96862012000400010</identifier><language>por</language><publisher>World Health Organization</publisher><subject>Health Policy &amp; Services</subject><ispartof>Bulletin of the World Health Organization, 2012-04, Vol.90 (4), p.272-278</ispartof><rights>This work is licensed under a Creative Commons Attribution 3.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Homaira, Nusrat</creatorcontrib><creatorcontrib>Luby, Stephen P</creatorcontrib><creatorcontrib>Alamgir, ASM</creatorcontrib><creatorcontrib>Islam, Kariul</creatorcontrib><creatorcontrib>Paul, Repon</creatorcontrib><creatorcontrib>Abedin, Jaynal</creatorcontrib><creatorcontrib>Rahman, Mustafizur</creatorcontrib><creatorcontrib>Azim, Tasnim</creatorcontrib><creatorcontrib>Podder, Goutam</creatorcontrib><creatorcontrib>Sohel, Badrul Munir</creatorcontrib><creatorcontrib>Brooks, Abdullah</creatorcontrib><creatorcontrib>Fry, Alicia M</creatorcontrib><creatorcontrib>Widdowson, Marc-Alain</creatorcontrib><creatorcontrib>Bresee, Joseph</creatorcontrib><creatorcontrib>Rahman, Mahmudur</creatorcontrib><creatorcontrib>Azziz-Baumgartner, Eduardo</creatorcontrib><title>Influenza-associated mortality in 2009 in four sentinel sites in Bangladesh</title><title>Bulletin of the World Health Organization</title><addtitle>Bull World Health Organ</addtitle><description>OBJECTIVE: To estimate influenza-associated mortality in Bangladesh in 2009. METHODS: In four hospitals in Bangladesh, respiratory samples were collected twice a month throughout 2009 from inpatients aged &lt;5 years with severe pneumonia and from older inpatients with severe acute respiratory infection. The samples were tested for influenza virus ribonucleic acid (RNA) using polymerase chain reaction. The deaths in 2009 in five randomly selected unions (the smallest administrative units in Bangladesh) in each hospital's catchment area were then investigated using formal records and informal group discussions. The deaths of those who had reportedly died within 14 days of suddenly developing fever with cough and/or a sore throat were assumed to be influenza-associated. The rate of such deaths in 2009 in each of the catchment areas was then estimated from the number of apparently influenza-associated deaths in the sampled unions, the proportion of the sampled inpatients in the local hospital who tested positive for influenza virus RNA, and the estimated number of residents of the sampled unions. FINDINGS: Of the 2500 people known to have died in 2009 in all 20 study unions, 346 (14%) reportedly had fever with cough and/or sore throat within 14 days of their deaths. The estimated mean annual influenza-associated mortality in these unions was 11 per 100000 population: 1.5, 4.0 and 125 deaths per 100000 among those aged &lt;5, 5-59 and &gt;59 years, respectively. 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METHODS: In four hospitals in Bangladesh, respiratory samples were collected twice a month throughout 2009 from inpatients aged &lt;5 years with severe pneumonia and from older inpatients with severe acute respiratory infection. The samples were tested for influenza virus ribonucleic acid (RNA) using polymerase chain reaction. The deaths in 2009 in five randomly selected unions (the smallest administrative units in Bangladesh) in each hospital's catchment area were then investigated using formal records and informal group discussions. The deaths of those who had reportedly died within 14 days of suddenly developing fever with cough and/or a sore throat were assumed to be influenza-associated. The rate of such deaths in 2009 in each of the catchment areas was then estimated from the number of apparently influenza-associated deaths in the sampled unions, the proportion of the sampled inpatients in the local hospital who tested positive for influenza virus RNA, and the estimated number of residents of the sampled unions. FINDINGS: Of the 2500 people known to have died in 2009 in all 20 study unions, 346 (14%) reportedly had fever with cough and/or sore throat within 14 days of their deaths. The estimated mean annual influenza-associated mortality in these unions was 11 per 100000 population: 1.5, 4.0 and 125 deaths per 100000 among those aged &lt;5, 5-59 and &gt;59 years, respectively. CONCLUSION: The highest burden of influenza-associated mortality in Bangladesh in 2009 was among the elderly.</abstract><pub>World Health Organization</pub><doi>10.1590/S0042-96862012000400010</doi><oa>free_for_read</oa></addata></record>
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title Influenza-associated mortality in 2009 in four sentinel sites in Bangladesh
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