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Influenza viruses in Thailand: 7 years of sentinel surveillance data, 2004-2010

tetano

Editor, Senior Moderator
Influenza Other Respi Viruses. 2011 Nov 10. doi: 10.1111/j.1750-2659.2011.00302.x. [Epub ahead of print]
Influenza viruses in Thailand: 7 years of sentinel surveillance data, 2004-2010.
Chittaganpitch M, Supawat K, Olsen SJ, Waicharoen S, Patthamadilok S, Yingyong T, Brammer L, Epperson SP, Akrasewi P, Sawanpanyalert P.
Source

National Institute of Health, Ministry of Public Health, Nonthaburi, Thailand. Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. International Emerging Infections Program, Thailand MOPH - US CDC Collaboration, Nonthaburi, Thailand. Bureau of Epidemiology, Ministry of Public Health, Nonthaburi, Thailand.
Abstract

Please cite this paper as: Chittaganpitch et al. (2011) Influenza viruses in Thailand: 7 years of sentinel surveillance data, 2004-2010. Influenza and Other Respiratory Viruses DOI: 10.1111/j.1750-2659.2011.00302.x Background  The re-emergence of avian influenza A (H5N1) in 2004 and the pandemic of influenza A (H1N1) in 2009 highlight the need for routine surveillance systems to monitor influenza viruses, particularly in Southeast Asia where H5N1 is endemic in poultry. In 2004, the Thai National Institute of Health, in collaboration with the US Centers for Disease Control and Prevention, established influenza sentinel surveillance throughout Thailand. Objectives  To review routine epidemiologic and virologic surveillance for influenza viruses for public health action. Methods  Throat swabs from persons with influenza-like illness and severe acute respiratory illness were collected at 11 sentinel sites during 2004-2010. Influenza viruses were identified using the standard protocol for polymerase chain reaction. Viruses were cultured and identified by immunofluorescence assay; strains were identified by hemagglutination inhibition assay. Data were analyzed to describe frequency, seasonality, and distribution of circulating strains. Results  Of the 19 457 throat swabs, 3967 (20%) were positive for influenza viruses: 2663 (67%) were influenza A and able to be subtyped [21% H1N1, 25% H3N2, 21% pandemic (pdm) H1N1] and 1304 (33%) were influenza B. During 2009-2010, the surveillance system detected three waves of pdm H1N1. Influenza annually presents two peaks, a major peak during the rainy season (June-August) and a minor peak in winter (October-February). Conclusions  These data suggest that March-April may be the most appropriate months for seasonal influenza vaccination in Thailand. This system provides a robust profile of the epidemiology of influenza viruses in Thailand and has proven useful for public health planning.

? 2011 Blackwell Publishing Ltd.

PMID:
22074057
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/22074057
 
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