J Public Health (Oxf). 2019 May 15. pii: fdz053. doi: 10.1093/pubmed/fdz053. [Epub ahead of print]
Epidemiology of Severe Acute Respiratory Infection (SARI) Cases at a sentinel site in Egypt, 2013-15.

Elhakim MM1, Kandil SK1, Abd Elaziz KM1, Anwar WA1.
Author information

Abstract

BACKGROUND:

Sentinel surveillance for severe acute respiratory infection (SARI) in Egypt began in 2006 and occurs at eight sites. Avian influenza is endemic, and human cases of influenza A (H5N1) have been reported annually since 2006. This study aimed to describe the epidemiology of SARI at a major sentinel site in the country.
METHODS:

Data included in the study were collected from a major SARI sentinel site in Egypt during three consecutive years (2013-15).
RESULTS:

A total of 1254 SARI patients conforming to the WHO case definition were admitted to the sentinel site, representing 5.6% of admitted patients for all causes and 36.6% of acute respiratory infection patients. A total of 99.7% of the patients were tested, and 21.04% tested positive; 48.7% of cases involved influenza A viruses, while 25% involved influenza B. The predominant age group was under 5 years of age, accounting for 443 cases. The seasonality of the influenza data conformed to the Northern Hemisphere pattern.
CONCLUSIONS:

The present study's results show that SARI leads to substantial morbidity in Egypt. There is a great need for high-quality data from the SARI surveillance system in Egypt, especially with endemic respiratory threats such as influenza A (H5N1) in Egypt.
The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.


KEYWORDS:

Egypt; influenza; sentinel surveillance; severe acute respiratory infection

PMID: 31090911 DOI: 10.1093/pubmed/fdz053