National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016

Introduction: The burden of influenza in Cambodia is not well known, but it would be useful for understanding the impact of seasonal epidemics and pandemics and to design appropriate policies for influenza prevention and control. The severe acute respiratory infection (SARI) surveillance system in C...

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Main Authors: Vanra Ieng, M Ximena Tolosa, Bunchhoeng Tek, Borann Sar, Kheng Sim, Heng Seng, Miliya Thyl, Chan Dara, Mey Moniborin, Rebekah J. Stewart, Leila C. Bell, Georgios Theocharopoulos, Savuth Chin, Darapheak Chau, A. Danielle Iuliano, Ann Moen, Reiko Tsuyuoka, Erica L. Dueger, Sheena G. Sullivan, Sovann Ly
Format: Article
Language:English
Published: World Health Organization Regional Office for the Western Pacific 2019-09-01
Series:Western Pacific Surveillance and Response
Subjects:
Online Access:https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/627/849
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author Vanra Ieng
M Ximena Tolosa
Bunchhoeng Tek
Borann Sar
Kheng Sim
Heng Seng
Miliya Thyl
Chan Dara
Mey Moniborin
Rebekah J. Stewart
Leila C. Bell
Georgios Theocharopoulos
Savuth Chin
Darapheak Chau
A. Danielle Iuliano
Ann Moen
Reiko Tsuyuoka
Erica L. Dueger
Sheena G. Sullivan
Sovann Ly
author_facet Vanra Ieng
M Ximena Tolosa
Bunchhoeng Tek
Borann Sar
Kheng Sim
Heng Seng
Miliya Thyl
Chan Dara
Mey Moniborin
Rebekah J. Stewart
Leila C. Bell
Georgios Theocharopoulos
Savuth Chin
Darapheak Chau
A. Danielle Iuliano
Ann Moen
Reiko Tsuyuoka
Erica L. Dueger
Sheena G. Sullivan
Sovann Ly
author_sort Vanra Ieng
collection DOAJ
description Introduction: The burden of influenza in Cambodia is not well known, but it would be useful for understanding the impact of seasonal epidemics and pandemics and to design appropriate policies for influenza prevention and control. The severe acute respiratory infection (SARI) surveillance system in Cambodia was used to estimate the national burden of SARI hospitalizations in Cambodia. Methods: We estimated age-specific influenza-associated SARI hospitalization rates in three sentinel sites in Svay Rieng, Siem Reap and Kampong Cham provinces. We used influenza-associated SARI surveillance data for one year to estimate the numerator and hospital admission surveys to estimate the population denominator for each site. A national influenza-associated SARI hospitalization rate was calculated using the pooled influenza-associated SARI hospitalizations for all sites as a numerator and the pooled catchment population of all sites as denominator. National influenza-associated SARI case counts were estimated by applying hospitalization rates to the national population. Results: The national annual rates of influenza-associated hospitalizations per 100 000 population was highest for the two youngest age groups at 323 for <1 year and 196 for 1–4 years. We estimated 7547 influenza-associated hospitalizations for Cambodia with almost half of these represented by children younger than 5 years. Discussion: We present national estimates of influenza-associated SARI hospitalization rates for Cambodia based on sentinel surveillance data from three sites. The results of this study indicate that the highest burden of severe influenza infection is borne by the younger age groups. These findings can be used to guide future strategies to reduce influenza morbidity.
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spelling doaj.art-90151c797ab149b0a4f7ec549a2209822022-12-22T04:17:21ZengWorld Health Organization Regional Office for the Western PacificWestern Pacific Surveillance and Response2094-73212094-73132019-09-0195445210.5365/wpsar.9.5.011National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016Vanra Ieng0M Ximena Tolosa1Bunchhoeng Tek2Borann Sar3Kheng Sim4Heng Seng5Miliya Thyl6Chan Dara7Mey Moniborin8Rebekah J. Stewart9Leila C. Bell10Georgios Theocharopoulos11Savuth Chin12Darapheak Chau13A. Danielle Iuliano14Ann Moen15Reiko Tsuyuoka16Erica L. Dueger17Sheena G. Sullivan18Sovann Ly19World Health Organization, Country Office, Phnom Penh, CambodiaNational Centre for Epidemiology and Population Health, The Australian National University, AustraliaCommunicable Disease Control Department, Ministry of Health, Phnom Penh, CambodiaCenters for Disease Control and Prevention, Country Office, Phnom Penh, CambodiaCommunicable Disease Control Department, Ministry of Health, Phnom Penh, CambodiaCommunicable Disease Control Department, Ministry of Health, Phnom Penh, CambodiaAngkor Hospital for Children, Siem Reap, CambodiaSvay Rieng Provincial Hospital, CambodiaKampong Cham Provincial Hospital, CambodiaCenters for Disease Control and Prevention, Atlanta, USAEmerging Disease Surveillance and Response, World Health Organization Regional Office for the Western Pacific, Manila, PhilippinesWorld Health Organization, Country Office, Phnom Penh, CambodiaNational Public Health Laboratory, National Institute of Public Health, Phnom Penh, CambodiaNational Public Health Laboratory, National Institute of Public Health, Phnom Penh, CambodiaCenters for Disease Control and Prevention, Atlanta, USACenters for Disease Control and Prevention, Atlanta, USAWorld Health Organization, Country Office, Phnom Penh, CambodiaCenters for Disease Control and Prevention, Atlanta, USAWHO Collaborating Centre for Reference and Research on Influenza, The Peter Doherty Institute for Infection and Immunity, AustraliaCommunicable Disease Control Department, Ministry of Health, Phnom Penh, CambodiaIntroduction: The burden of influenza in Cambodia is not well known, but it would be useful for understanding the impact of seasonal epidemics and pandemics and to design appropriate policies for influenza prevention and control. The severe acute respiratory infection (SARI) surveillance system in Cambodia was used to estimate the national burden of SARI hospitalizations in Cambodia. Methods: We estimated age-specific influenza-associated SARI hospitalization rates in three sentinel sites in Svay Rieng, Siem Reap and Kampong Cham provinces. We used influenza-associated SARI surveillance data for one year to estimate the numerator and hospital admission surveys to estimate the population denominator for each site. A national influenza-associated SARI hospitalization rate was calculated using the pooled influenza-associated SARI hospitalizations for all sites as a numerator and the pooled catchment population of all sites as denominator. National influenza-associated SARI case counts were estimated by applying hospitalization rates to the national population. Results: The national annual rates of influenza-associated hospitalizations per 100 000 population was highest for the two youngest age groups at 323 for <1 year and 196 for 1–4 years. We estimated 7547 influenza-associated hospitalizations for Cambodia with almost half of these represented by children younger than 5 years. Discussion: We present national estimates of influenza-associated SARI hospitalization rates for Cambodia based on sentinel surveillance data from three sites. The results of this study indicate that the highest burden of severe influenza infection is borne by the younger age groups. These findings can be used to guide future strategies to reduce influenza morbidity.https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/627/849burden of diseasecambodiainfluenzasevere acute respiratory infectionsurveillance
spellingShingle Vanra Ieng
M Ximena Tolosa
Bunchhoeng Tek
Borann Sar
Kheng Sim
Heng Seng
Miliya Thyl
Chan Dara
Mey Moniborin
Rebekah J. Stewart
Leila C. Bell
Georgios Theocharopoulos
Savuth Chin
Darapheak Chau
A. Danielle Iuliano
Ann Moen
Reiko Tsuyuoka
Erica L. Dueger
Sheena G. Sullivan
Sovann Ly
National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
Western Pacific Surveillance and Response
burden of disease
cambodia
influenza
severe acute respiratory infection
surveillance
title National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
title_full National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
title_fullStr National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
title_full_unstemmed National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
title_short National burden of influenza-associated hospitalizations in Cambodia, 2015 and 2016
title_sort national burden of influenza associated hospitalizations in cambodia 2015 and 2016
topic burden of disease
cambodia
influenza
severe acute respiratory infection
surveillance
url https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/627/849
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