Impact of Epidemic Influenza A-Like Acute Respiratory Illness in a Remote Jungle Highland Population in Irian Jaya, Indonesia
Identifieur interne : 001A61 ( Main/Exploration ); précédent : 001A60; suivant : 001A62Impact of Epidemic Influenza A-Like Acute Respiratory Illness in a Remote Jungle Highland Population in Irian Jaya, Indonesia
Auteurs : A. L. Corwin [États-Unis] ; C. H. Simanjuntak [États-Unis] ; G. Ingkokusumo [États-Unis] ; N. Sukri [États-Unis] ; R. P. Larasati [États-Unis] ; B. Subianto [États-Unis] ; H. Z. Muslim [États-Unis] ; E. Burni [États-Unis] ; K. Laras [États-Unis] ; M. P. Putri [États-Unis] ; C. Hayes [États-Unis] ; N. Cox [États-Unis]Source :
- Clinical Infectious Diseases [ 1058-4838 ] ; 1998.
Abstract
A suspected epidemic of unknown etiology was investigated in April/May 1996 in the remote jungle highlands of easternmost Indonesia. Trend analysis demonstrates the area-wide occurrence of a major respiratory infection outbreak in November 1995 through February 1996. The monthly mean rate of respiratory infection episodes for the peak outbreak months (2,477 episodes/100,000 persons) was significantly higher (P < .0001) than for the 34 months leading up to the outbreak (109 episodes/100,000 persons). Notable were the high attack rates, particularly among adults: 202 episodes/1,000 persons aged 20–50 years in one community. Excess morbidity attributed to the outbreak was an estimated 4,338 episodes. The overall case-fatality rate was 15.1% of outbreak cases. Laboratory evidence confirmed the circulation of influenza A/Taiwan/1/86—like viruses in the study population, and high hemagglutination inhibition titer responses were indicative of recent infections. Historical documents from neighboring Papua New Guinea highlight the role of influenza A virus in repeated area outbreaks.
Url:
DOI: 10.1086/513917
Affiliations:
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<front><div type="abstract">A suspected epidemic of unknown etiology was investigated in April/May 1996 in the remote jungle highlands of easternmost Indonesia. Trend analysis demonstrates the area-wide occurrence of a major respiratory infection outbreak in November 1995 through February 1996. The monthly mean rate of respiratory infection episodes for the peak outbreak months (2,477 episodes/100,000 persons) was significantly higher (P < .0001) than for the 34 months leading up to the outbreak (109 episodes/100,000 persons). Notable were the high attack rates, particularly among adults: 202 episodes/1,000 persons aged 20–50 years in one community. Excess morbidity attributed to the outbreak was an estimated 4,338 episodes. The overall case-fatality rate was 15.1% of outbreak cases. Laboratory evidence confirmed the circulation of influenza A/Taiwan/1/86—like viruses in the study population, and high hemagglutination inhibition titer responses were indicative of recent infections. Historical documents from neighboring Papua New Guinea highlight the role of influenza A virus in repeated area outbreaks.</div>
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