American Journal of Tropical Medicine and Hygiene
Volume 93, Issue 6, 2015, Pages 1371-1376

Etiology and incidence of viral Acute Respiratory infections among refugees aged 5 years and older in Hagadera Camp, Dadaab, Kenya (Article) (Open Access)

Mohamed G.A.* , Ahmed J.A. , Marano N. , Mohamed A. , Moturi E. , Burton W. , Otieno S. , Fields B. , Montgomery J. , Kabugi W. , Musa H. , Cookson S.T.
  • a Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Rollins School of Public Health, Emory University, 1518, Clifton Road, Atlanta, GA 30322, United States
  • b Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Refugee Health Program, United States Centers for Disease Control and Prevention, Nairobi, Kenya
  • c Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Refugee Health Program, United States Centers for Disease Control and Prevention, Nairobi, Kenya
  • d Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Refugee Health Program, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
  • e Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Public Health, United Nations High Commissioner of Refugees (UNHCR), Nairobi, Kenya
  • f Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Public Health, United Nations High Commissioner of Refugees (UNHCR), Nairobi, Kenya
  • g Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Health, International Rescue Committee, Kenya, Kenya
  • h Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Laboratory Systems Program, United States Centers for Disease Control and Prevention, Nairobi, Kenya
  • i Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Division of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya
  • j Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Health, International Rescue Committee, Kenya, Kenya
  • k Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Refugee Health Program, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
  • l Rollins School of Public Health, Emory University, Atlanta, Georgia; United States Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute, Nairobi, Kenya; United Nations High Commissioner of Refugees, Nairobi, Kenya; International Rescue Committee, Nairobi, Kenya; United States Centers for Disease Control and Prevention, Atlanta, Georgia, Emergency Response and Recovery Branch (ERRB), Centers for Disease Control and Prevention, Nairobi, Kenya

Abstract

We used the Centers for Disease Control and Prevention.Kenya Medical Research Institute Acute Respiratory Infection (ARI) Surveillance System data to estimate severe acute respiratory infection (SARI) hospitalization rates, viral etiology, and associated complaints of influenza-like illnesses (ILI) and SARI conditions among those aged 5 years and older in Hagadera, Dadaab refugee camp, Kenya, for 2010.2012. A total of 471 patients aged ≥ 5 years met the case definition for ILI or SARI. SARI hospitalization rates per 10,000 person-years were 14.7 (95% confidence interval [CI] = 9.1, 22.2) for those aged 5.14 years; 3.4 (95% CI = 1.6, 7.2) for those aged 15.24 year; and 3.8 (95% CI = 1.6, 7.2) for those aged ≥ 25 years. Persons between the ages of 5 and 14 years had 3.5 greater odds to have been hospitalized as a result of SARI than those aged ≥ 25 years (odds ratio [OR] = 3.5, P < 0.001). Among the 419 samples tested, 169 (40.3%) were positive for one or more virus. Of those samples having viruses, 36.9% had influenza A; 29.9% had adenovirus; 20.2% had influenza B; and 14.4% had parainfluenza 1, 2, or 3. Muscle/joint pain was associated with influenza A (P = 0.002), whereas headache was associated with influenza B (P = 0.019). ARIs were responsible for a substantial disease burden in Hagadera camp. © 2015 by The American Society of Tropical Medicine and Hygiene.

Author Keywords

[No Keywords available]

Index Keywords

hospitalization refugee respiratory tract infection Respiratory Tract Infections Influenza, Human human Refugees arthralgia statistics and numerical data medical research Adenoviridae acute disease influenza B influenza A Kenya flu like syndrome Human parainfluenza virus 2 Human parainfluenza virus 1 Influenza A virus virus etiology Human parainfluenza virus 3 Paramyxoviridae Infections disease surveillance Young Adult Humans Adenovirus Infections, Human virology Adolescent male headache myalgia female preschool child Child, Preschool refugee camp Incidence Article major clinical study adult age Age Factors disease severity health center disease association Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949676434&doi=10.4269%2fajtmh.15-0141&partnerID=40&md5=83a74d3a1519cdd818bc5e1bc2609060
DOI: 10.4269/ajtmh.15-0141
ISSN: 00029637
Cited by: 3
Original Language: English