population-based pneumonia surveillance and health-seeking behavior in two provinces in rural Thaila.pdf

A comparison of population-based pneumonia surveillance and health-seeking behavior in two provinces in rural Thailand Hannah T. Jordan a,b, Prabda Prapasiri c, Peera Areerat d, Shuchi Anand e, Birgit Clague f, Saithip Sutthirattana f, Shadi Chamany g, Brendan Flannery b, Sonja J. Olsen h,* a Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA bRespiratory Diseases Branch, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA c International Emerging Infections Program, US Centers for Disease Control and Prevention—Thailand Ministry of Public Health Collaboration, Nakhon Phanom, Thailand dNakhon Phanom Provincial Health Office, Ministry of Public Health, Nakhon Phanom, Thailand e Brigham and Women’s Hospital, Boston, MA, USA f International Emerging Infections Program, US Centers for Disease Control and Prevention—Thailand Ministry of Public Health Collaboration, Nonthaburi, Thailand gNew York City Department of Health and Mental Hygiene, NY, USA hGlobal Activities Team, Division of Emerging Infections and Surveillance Services, National Center for Preparedness, Detection, and Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Atlanta, GA, USA Received 9 March 2008; accepted 12 July 2008 Corresponding Editor: William Cameron, Ottawa, Canada International Journal of Infectious Diseases (2009) 13, 355—361 /journals/ijid KEYWORDS Pneumonia; Surveillance; Population-based; Health seeking; Thailand Summary Objectives: Pneumonia is a leading cause of death worldwide, but there are limited population- based data on the burden of disease. We sought to determine the incidence of pneumonia in rural Thailand. Methods: Active, population-based surveillance for hospitalized, radiologically-confirmed pneu- monia was conducted in two rural Thai provinces. Incidence rates were calculated using census data. Residents of each