Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.

BACKGROUND:Most influenza surveillance is based on data from urban sentinel hospitals; little is known about influenza activity in rural communities. We conducted influenza surveillance in a rural region of China with the aim of detecting influenza activity in the 2009/2010 influenza season. METHODS...

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Main Authors: Ying Zhang, Lin Li, Xiaochun Dong, Mei Kong, Lu Gao, Xiaojing Dong, Wenti Xu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4277345?pdf=render
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author Ying Zhang
Lin Li
Xiaochun Dong
Mei Kong
Lu Gao
Xiaojing Dong
Wenti Xu
author_facet Ying Zhang
Lin Li
Xiaochun Dong
Mei Kong
Lu Gao
Xiaojing Dong
Wenti Xu
author_sort Ying Zhang
collection DOAJ
description BACKGROUND:Most influenza surveillance is based on data from urban sentinel hospitals; little is known about influenza activity in rural communities. We conducted influenza surveillance in a rural region of China with the aim of detecting influenza activity in the 2009/2010 influenza season. METHODS:The study was conducted from October 2009 to March 2010. Real-time polymerase chain reaction was used to confirm influenza cases. Over-the-counter (OTC) drug sales were daily collected in drugstores and hospitals/clinics. Space-time scan statistics were used to identify clusters of ILI in community. The incidence rate of ILI/influenza was estimated on the basis of the number of ILI/influenza cases detected by the hospitals/clinics. RESULTS:A total of 434 ILI cases (3.88% of all consultations) were reported; 64.71% of these cases were influenza A (H1N1) pdm09. The estimated incidence rate of ILI and influenza were 5.19/100 and 0.40/100, respectively. The numbers of ILI cases and OTC drug purchases in the previous 7 days were strongly correlated (Spearman rank correlation coefficient [r] = 0.620, P = 0.001). Four ILI outbreaks were detected by space-time permutation analysis. CONCLUSIONS:This rural community surveillance detected influenza A (H1N1) pdm09 activity and outbreaks in the 2009/2010 influenza season and enabled estimation of the incidence rate of influenza. It also provides a scientific data for public health measures.
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spelling doaj.art-bfc299dec06a48c188e9434ef5edd16a2022-12-21T18:38:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11534710.1371/journal.pone.0115347Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.Ying ZhangLin LiXiaochun DongMei KongLu GaoXiaojing DongWenti XuBACKGROUND:Most influenza surveillance is based on data from urban sentinel hospitals; little is known about influenza activity in rural communities. We conducted influenza surveillance in a rural region of China with the aim of detecting influenza activity in the 2009/2010 influenza season. METHODS:The study was conducted from October 2009 to March 2010. Real-time polymerase chain reaction was used to confirm influenza cases. Over-the-counter (OTC) drug sales were daily collected in drugstores and hospitals/clinics. Space-time scan statistics were used to identify clusters of ILI in community. The incidence rate of ILI/influenza was estimated on the basis of the number of ILI/influenza cases detected by the hospitals/clinics. RESULTS:A total of 434 ILI cases (3.88% of all consultations) were reported; 64.71% of these cases were influenza A (H1N1) pdm09. The estimated incidence rate of ILI and influenza were 5.19/100 and 0.40/100, respectively. The numbers of ILI cases and OTC drug purchases in the previous 7 days were strongly correlated (Spearman rank correlation coefficient [r] = 0.620, P = 0.001). Four ILI outbreaks were detected by space-time permutation analysis. CONCLUSIONS:This rural community surveillance detected influenza A (H1N1) pdm09 activity and outbreaks in the 2009/2010 influenza season and enabled estimation of the incidence rate of influenza. It also provides a scientific data for public health measures.http://europepmc.org/articles/PMC4277345?pdf=render
spellingShingle Ying Zhang
Lin Li
Xiaochun Dong
Mei Kong
Lu Gao
Xiaojing Dong
Wenti Xu
Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
PLoS ONE
title Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
title_full Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
title_fullStr Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
title_full_unstemmed Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
title_short Influenza surveillance and incidence in a rural area in China during the 2009/2010 influenza pandemic.
title_sort influenza surveillance and incidence in a rural area in china during the 2009 2010 influenza pandemic
url http://europepmc.org/articles/PMC4277345?pdf=render
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