Incidence Of Influenza Affected Mortality In Bangladesh

960 words - 4 pages

Incidence of influenza-associated mortality in Bangladesh, 2010-12 *Makhdum Ahmed1, Abdullah Al Mamun1, Jaynal Abedin1, Nusrat Homaira1, Repon C Paul1, Danielle Iuliano2, Marc-Alain Widdowson2, Emily S Gurley1, Eduardo Azziz-
Baumgartner2, Stephen P Luby1,2, Mahmudur Rahman3, Katharine Sturm-Ramirez1,2
1 icddr,b, Dhaka, Bangladesh; 2Centers for Disease Control and Prevention, Atlanta,
Georgia, United States; 3 Institute of Epidemiology, Disease Control and Research
(IEDCR), Bangladesh
Presented in the Options for Control of Influenza-VIII conference, Sep 5-10, 2013, Cape Town, South Africa
Background: Influenza-associated morality estimates can help assess the burden of disease, identify ...view middle of the document...

For people aged ≥5 years, we classified a death as being associated with ARI if caregivers reported that decedents developed sudden onset fever and cough or sore

throat within 14 days of death. As part of the ongoing national hospital based
surveillance in 11 hospitals, physicians routinely collected throat and nasopharyngeal
swabs from case-patients. We only considered swabs from children <5 years who
presented with fever and cough or difficulty breathing with one danger sign; and from
patients presented with fever and cough or sore throat if aged ≥5 years. We tested the samples for influenza and its subtypes. To calculate the incidence of influenza-
associated mortality, we multiplied the monthly proportion of samples from the hospitals
that were laboratory-confirmed for influenza in May 2010 to April 2012 by the number of
decedents in the community with a history of sudden onset of ARI 14 days prior to
death, and divided this numerator by the age-specific 2011census population of the
unions.
Results: We identified 10,043 deaths; 1,191 (12%) were associated with ARI. Of those who died
with ARI, 150 (13%) were children <5 years, 30 (2%) were aged 5-19 years, 211 (18%)
were aged 20-59 years and 800 (67%) were aged ≥60 years; 738 (62%) were males. Of the ARI- related deaths, 884 (67%) received treatment from certified physicians or
hospitals within seven days of illness onset and 399 (33%) were treated by uncertified
providers or drug...

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