Estimating the Disease Burden of 2009 Pandemic Influenza A(H1N1) from Surveillance and Household Surveys in Greece 英文参考文献.docVIP
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Estimating the Disease Burden of 2009 Pandemic Influenza A(H1N1) from Surveillance and Household Surveys in Greece 英文参考文献
EstimatingtheDiseaseBurdenof2009Pandemic
InfluenzaA(H1N1)fromSurveillanceandHousehold
SurveysinGreece
VanaSypsa1*,StefanosBonovas2,SotiriosTsiodras2,AgoritsaBaka3,PanosEfstathiou3,MeniMalliori1,
TakisPanagiotopoulos2,IliasNikolakopoulos1,AngelosHatzakis1
1NationalandKapodistrianUniversityofAthens,Athens,Greece,2HellenicCentreforDiseasesControlandPrevention,Athens,Greece,3NationalHealthOperations
Centre,MinistryofHealthandSocialSolidarity,Athens,Greece
Abstract
Background:Theaimofthisstudywastoassessthediseaseburdenofthe2009pandemicinfluenzaA(H1N1)inGreece.
Methodology/PrincipalFindings:Dataoninfluenza-likeillness(ILI),collectedthroughcross-sectionalnationwidetelephone
surveysof1,000householdsinGreecerepeatedfor25consecutiveweeks,werecombinedwithdatafromH1N1virologic
surveillancetoestimatetheincidenceandtheclinicalattackrate(CAR)ofinfluenzaA(H1N1).AlternativedefinitionsofILI
(coughorsorethroatandfever.38uC[ILI-38]orfever37.1–38uC[ILI-37])wereusedtoestimatethenumberofsymptomatic
infections.Theinfectionattackrate(IAR)wasapproximatedusingestimatesfrompublishedstudiesonthefrequencyoffever
ininfectedindividuals.DataonH1N1morbidityandmortalitywereusedtoestimateICUadmissionandcasefatality(CFR)
rates. The epidemic peaked on week 48/2009 with approximately 750–1,500 new cases/100,000 population per week,
depending on ILI-38 or ILI-37 case definition, respectively. By week 6/2010, 7.1%–15.6% of the population in Greecewas
estimatedtobesymptomaticallyinfectedwithH1N1.Children5–19yearsrepresentedthemostaffectedpopulationgroup
(CAR:27%–54%),whereasindividualsolderthan64yearsweretheleastaffected(CAR:0.6%–2.2%).TheIAR(95%CI)ofinfluenza
A(H1N1)wasestimatedtobe19.7%(13.3%,26.1%).Per1,000symptomaticcases,basedonILI-38casedefinition,416attended
healthservices,108visitedhospitalemergencydepartmentsand15wereadmittedtohospitals.ICUadmissionrateandCFR
were37and17.5per100,000symptomaticcasesor13.4and6.3per100,000infections,respectively.
Conclusions/Significance:InfluenzaA(H1N1)infectedone
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