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Incidence and viral aetiologies of acute respiratory illnesses (ARIs) in the United States: a population-based study

tetano

Editor, Senior Moderator
Epidemiol Infect. 2016 Mar 2:1-10. [Epub ahead of print]
[h=1]Incidence and viral aetiologies of acute respiratory illnesses (ARIs) in the United States: a population-based study.[/h] Szilagyi PG[SUP]1[/SUP], Blumkin A[SUP]2[/SUP], Treanor JJ[SUP]3[/SUP], Gallivan S[SUP]4[/SUP], Albertin C[SUP]2[/SUP], Lofthus GK[SUP]2[/SUP], Schnabel KC[SUP]2[/SUP], Donahue JG[SUP]5[/SUP], Thompson MG[SUP]6[/SUP], Shay DK[SUP]6[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] We conducted prospective, community-wide surveillance for acute respiratory illnesses (ARIs) in Rochester, NY and Marshfield, WI during a 3-month period in winter 2011. We estimated the incidence of ARIs in each community, tested for viruses, and determined the proportion of ARIs associated with healthcare visits. We used a rolling cross-sectional design to sample participants, conducted telephone interviews to assess ARI symptoms (defined as a current illness with feverishness or cough within the past 7 days), collected nasal/throat swabs to identify viruses, and extracted healthcare utilization from outpatient/inpatient records. Of 6492 individuals, 321 reported an ARI within 7 days (4?9% total, 5?7% in Rochester, 4?4% in Marshfield); swabs were collected from 208 subjects. The cumulative ARI incidence for the entire 3-month period was 52% in Rochester [95% confidence interval (CI) 42-63] and 35% in Marshfield (95% CI 28-42). A specific virus was identified in 39% of specimens: human coronavirus (13% of samples), rhinovirus (12%), RSV (7%), influenza virus (4%), human metapneumovirus (4%), and adenovirus (1%). Only 39/200 (20%) had a healthcare visit (2/9 individuals with influenza). ARI incidence was ~5% per week during winter.


[h=4]KEYWORDS:[/h] Acute respiratory illnesses (ARIs); influenza; respiratory syncytial virus (RSV)

PMID: 26931351 [PubMed - as supplied by publisher]
 
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