La maladie de Parkinson au Canada (serveur d'exploration)

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Epidemiology of Haemophilus influenzae serotype a, North American Arctic, 2000-2005.

Identifieur interne : 002198 ( Main/Exploration ); précédent : 002197; suivant : 002199

Epidemiology of Haemophilus influenzae serotype a, North American Arctic, 2000-2005.

Auteurs : Michael G. Bruce [États-Unis] ; Shelley L. Deeks ; Tammy Zulz ; Christine Navarro ; Carolina Palacios ; Cheryl Case ; Colleen Hemsley ; Tom Hennessy ; Andre Corriveau ; Bryce Larke ; Isaac Sobel ; Marguerite Lovgren ; Carolynn Debyle ; Raymond Tsang ; Alan J. Parkinson

Source :

RBID : pubmed:18258076

Descripteurs français

English descriptors

Abstract

Before the introduction of Haemophilus influenzae type b (Hib) conjugate vaccines, rates of invasive H. influenzae disease among indigenous people of the North American Arctic were among the highest in the world. Routine vaccination reduced rates to low levels; however, serotype replacement with non-type b strains may result in a reemergence of invasive disease in children. We reviewed population-based data on invasive H. influenzae in Alaska and northern Canada from 2000-2005; 138 cases were reported. Among 88 typeable isolates, 42 (48%) were H. influenzae type a (Hia); 35 (83%) occurred in indigenous peoples. Among Hia patients, median age was 1.1 years; 62% were male; 1 adult died. Common clinical manifestations included meningitis, pneumonia, and septic arthritis. Overall annual incidence was 0.9 cases per 100,000 population. Incidence among indigenous children <2 years of age in Alaska and northern Canada was 21 and 102, respectively. Serotype a is now the most common H. influenzae serotype in the North American Arctic; the highest rates are among indigenous children.

DOI: 10.3201/eid1401.070822
PubMed: 18258076


Affiliations:


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Le document en format XML

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