PLoS ONE (Jan 2019)

Burden of influenza-associated respiratory hospitalizations in the Americas, 2010-2015.

  • Rakhee S Palekar,
  • Melissa A Rolfes,
  • C Sofia Arriola,
  • Belsy O Acosta,
  • Patricia Alberto Guidos,
  • Xiomara Badilla Vargas,
  • Christina Bancej,
  • Juliana Barbosa Ramirez,
  • Elsa Baumeister,
  • Alfredo Bruno,
  • Maria Agüeda Cabello,
  • Jufu Chen,
  • Paula Couto,
  • Francisco J De Paula Junior,
  • Rodrigo Fasce,
  • Walquiria Ferreira de Almeida,
  • Victor E Fiesta Solorzano,
  • Carlos Flores Ramírez,
  • Natalia Goñi,
  • Yadira Isaza de Moltó,
  • Jenny Lara,
  • Diana C Malo,
  • José L Medina Osis,
  • Homer Mejía,
  • Lourdes Moreno Castillo,
  • Desiree Mustaquim,
  • Andrea Nwosu,
  • Jenny Ojeda,
  • Antonio Paredes Samoya,
  • Paola A Pulido,
  • Hector M Ramos Hernandez,
  • Rudvelinda Rivera Lopez,
  • Angel Rodriguez,
  • Myriam Saboui,
  • Hilda Salazar Bolanos,
  • Adrián Santoro,
  • Jose Eduardo Silvera,
  • Paulina Sosa,
  • Viviana Sotomayor,
  • Lourdes Suarez,
  • Marta Von Horoch,
  • Eduardo Azziz-Baumgartner

DOI
https://doi.org/10.1371/journal.pone.0221479
Journal volume & issue
Vol. 14, no. 9
p. e0221479

Abstract

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BackgroundDespite having influenza vaccination policies and programs, countries in the Americas underutilize seasonal influenza vaccine, in part because of insufficient evidence about severe influenza burden. We aimed to estimate the annual burden of influenza-associated respiratory hospitalizations in the Americas.MethodsThirty-five countries in the Americas with national influenza surveillance were invited to provide monthly laboratory data and hospital discharges for respiratory illness (International Classification of Diseases 10th edition J codes 0-99) during 2010-2015. In three age-strata (ResultsSixteen of 35 countries (46%) contributed primary data to the analyses, representing 79% of the America's population. The average pooled rate of influenza-associated respiratory hospitalization was 90/100,000 population (95% confidence interval 61-132) among children aged ConclusionsInfluenza-associated respiratory hospitalizations impose a heavy burden on health systems in the Americas. Countries in the Americas should use this information to justify investments in seasonal influenza vaccination-especially among young children and the elderly.