Incidence and Epidemiology of Hospitalized Influenza Cases in Rural Thailand during the Influenza A (H1N1)pdm09 Pandemic, 2009–2010
Identifieur interne : 001505 ( Ncbi/Checkpoint ); précédent : 001504; suivant : 001506Incidence and Epidemiology of Hospitalized Influenza Cases in Rural Thailand during the Influenza A (H1N1)pdm09 Pandemic, 2009–2010
Auteurs : Henry C. Baggett [Thaïlande, États-Unis] ; Malinee Chittaganpitch [Thaïlande] ; Somsak Thamthitiwat [Thaïlande] ; Prabda Prapasiri [Thaïlande] ; Sathapana Naorat [Thaïlande] ; Pongpun Sawatwong [Thaïlande] ; Darunee Ditsungnoen [Thaïlande] ; Sonja J. Olsen [Thaïlande, États-Unis] ; James M. Simmerman [Thaïlande] ; Prasong Srisaengchai [Thaïlande] ; Somrak Chantra [Thaïlande] ; Leonard F. Peruski [Thaïlande, États-Unis] ; Pathom Sawanpanyalert [Thaïlande] ; Susan A. Maloney [Thaïlande, États-Unis] ; Pasakorn Akarasewi [Thaïlande]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Collecte de données, Enfant, Enfant d'âge préscolaire, Grippe humaine (virologie), Grippe humaine (épidémiologie), Hospitalisation (), Humains, Incidence, Jeune adulte, Nourrisson, Nouveau-né, Pandémies (), Population rurale (), Saisons, Sous-type H1N1 du virus de la grippe A (physiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Thaïlande (épidémiologie).
- MESH :
- physiologie : Sous-type H1N1 du virus de la grippe A.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine, Thaïlande.
- Adolescent, Adulte, Adulte d'âge moyen, Collecte de données, Enfant, Enfant d'âge préscolaire, Hospitalisation, Humains, Incidence, Jeune adulte, Nourrisson, Nouveau-né, Pandémies, Population rurale, Saisons, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Thaïlande.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Data Collection, Hospitalization (statistics & numerical data), Humans, Incidence, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype (physiology), Influenza, Human (epidemiology), Influenza, Human (virology), Middle Aged, Pandemics (statistics & numerical data), Rural Population (statistics & numerical data), Seasons, Thailand (epidemiology), Young Adult.
- MESH :
- geographic , epidemiology : Thailand.
- epidemiology : Influenza, Human.
- physiology : Influenza A Virus, H1N1 Subtype.
- statistics & numerical data : Hospitalization, Pandemics, Rural Population.
- virology : Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Data Collection, Humans, Incidence, Infant, Infant, Newborn, Middle Aged, Seasons, Young Adult.
Abstract
Data on the burden of the 2009 influenza pandemic in Asia are limited. Influenza A(H1N1)pdm09 was first reported in Thailand in May 2009. We assessed incidence and epidemiology of influenza-associated hospitalizations during 2009–2010.
We conducted active, population-based surveillance for hospitalized cases of acute lower respiratory infection (ALRI) in all 20 hospitals in two rural provinces. ALRI patients were sampled 1∶2 for participation in an etiology study in which nasopharyngeal swabs were collected for influenza virus testing by PCR.
Of 7,207 patients tested, 902 (12.5%) were influenza-positive, including 190 (7.8%) of 2,436 children aged <5 years; 86% were influenza A virus (46% A(H1N1)pdm09, 30% H3N2, 6.5% H1N1, 3.5% not subtyped) and 13% were influenza B virus. Cases of influenza A(H1N1)pdm09 first peaked in August 2009 when 17% of tested patients were positive. Subsequent peaks during 2009 and 2010 represented a mix of influenza A(H1N1)pdm09, H3N2, and influenza B viruses. The estimated annual incidence of hospitalized influenza cases was 136 per 100,000, highest in ages <5 years (477 per 100,000) and >75 years (407 per 100,000). The incidence of influenza A(H1N1)pdm09 was 62 per 100,000 (214 per 100,000 in children <5 years). Eleven influenza-infected patients required mechanical ventilation, and four patients died, all adults with influenza A(H1N1)pdm09 (1) or H3N2 (3).
Influenza-associated hospitalization rates in Thailand during 2009–10 were substantial and exceeded rates described in western countries. Influenza A(H1N1)pdm09 predominated, but H3N2 also caused notable morbidity. Expanded influenza vaccination coverage could have considerable public health impact, especially in young children.
Url:
DOI: 10.1371/journal.pone.0048609
PubMed: 23139802
PubMed Central: 3490866
Affiliations:
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PMC:3490866Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Incidence and Epidemiology of Hospitalized Influenza Cases in Rural Thailand during the Influenza A (H1N1)pdm09 Pandemic, 2009–2010</title>
<author><name sortKey="Baggett, Henry C" sort="Baggett, Henry C" uniqKey="Baggett H" first="Henry C." last="Baggett">Henry C. Baggett</name>
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<country xml:lang="fr">Thaïlande</country>
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<affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Global Disease Detection Branch, Global Disease Detection and Emergency Response Division, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Thamthitiwat, Somsak" sort="Thamthitiwat, Somsak" uniqKey="Thamthitiwat S" first="Somsak" last="Thamthitiwat">Somsak Thamthitiwat</name>
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</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
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<author><name sortKey="Prapasiri, Prabda" sort="Prapasiri, Prabda" uniqKey="Prapasiri P" first="Prabda" last="Prapasiri">Prabda Prapasiri</name>
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</nlm:aff>
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<author><name sortKey="Naorat, Sathapana" sort="Naorat, Sathapana" uniqKey="Naorat S" first="Sathapana" last="Naorat">Sathapana Naorat</name>
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<author><name sortKey="Sawatwong, Pongpun" sort="Sawatwong, Pongpun" uniqKey="Sawatwong P" first="Pongpun" last="Sawatwong">Pongpun Sawatwong</name>
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</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
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<author><name sortKey="Ditsungnoen, Darunee" sort="Ditsungnoen, Darunee" uniqKey="Ditsungnoen D" first="Darunee" last="Ditsungnoen">Darunee Ditsungnoen</name>
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</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>Nakhon Phanom Provincial Health Office, Nakhon Phanom</wicri:regionArea>
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</affiliation>
</author>
<author><name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff5"><addr-line>Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Simmerman, James M" sort="Simmerman, James M" uniqKey="Simmerman J" first="James M." last="Simmerman">James M. Simmerman</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Srisaengchai, Prasong" sort="Srisaengchai, Prasong" uniqKey="Srisaengchai P" first="Prasong" last="Srisaengchai">Prasong Srisaengchai</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chantra, Somrak" sort="Chantra, Somrak" uniqKey="Chantra S" first="Somrak" last="Chantra">Somrak Chantra</name>
<affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Sa Kaeo Provincial Health Office, MOPH, Sa Kaeo, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>Sa Kaeo Provincial Health Office, MOPH, Sa Kaeo</wicri:regionArea>
<wicri:noRegion>Sa Kaeo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Peruski, Leonard F" sort="Peruski, Leonard F" uniqKey="Peruski L" first="Leonard F." last="Peruski">Leonard F. Peruski</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Global Disease Detection Branch, Global Disease Detection and Emergency Response Division, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Global Disease Detection Branch, Global Disease Detection and Emergency Response Division, Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sawanpanyalert, Pathom" sort="Sawanpanyalert, Pathom" uniqKey="Sawanpanyalert P" first="Pathom" last="Sawanpanyalert">Pathom Sawanpanyalert</name>
<affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>National Institute of Health, MOPH, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>National Institute of Health, MOPH, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maloney, Susan A" sort="Maloney, Susan A" uniqKey="Maloney S" first="Susan A." last="Maloney">Susan A. Maloney</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health (MOPH) – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Global Disease Detection Branch, Global Disease Detection and Emergency Response Division, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Global Disease Detection Branch, Global Disease Detection and Emergency Response Division, Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Akarasewi, Pasakorn" sort="Akarasewi, Pasakorn" uniqKey="Akarasewi P" first="Pasakorn" last="Akarasewi">Pasakorn Akarasewi</name>
<affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Bureau of Epidemiology, MOPH, Nonthaburi, Thailand</addr-line>
</nlm:aff>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>Bureau of Epidemiology, MOPH, Nonthaburi</wicri:regionArea>
<wicri:noRegion>Nonthaburi</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Data Collection</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Influenza A Virus, H1N1 Subtype (physiology)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (virology)</term>
<term>Middle Aged</term>
<term>Pandemics (statistics & numerical data)</term>
<term>Rural Population (statistics & numerical data)</term>
<term>Seasons</term>
<term>Thailand (epidemiology)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Collecte de données</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Hospitalisation ()</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Pandémies ()</term>
<term>Population rurale ()</term>
<term>Saisons</term>
<term>Sous-type H1N1 du virus de la grippe A (physiologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Thaïlande (épidémiologie)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Thailand</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term>
<term>Pandemics</term>
<term>Rural Population</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Thaïlande</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Data Collection</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Middle Aged</term>
<term>Seasons</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Collecte de données</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Pandémies</term>
<term>Population rurale</term>
<term>Saisons</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Thaïlande</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Data on the burden of the 2009 influenza pandemic in Asia are limited. Influenza A(H1N1)pdm09 was first reported in Thailand in May 2009. We assessed incidence and epidemiology of influenza-associated hospitalizations during 2009–2010.</p>
</sec>
<sec><title>Methods</title>
<p>We conducted active, population-based surveillance for hospitalized cases of acute lower respiratory infection (ALRI) in all 20 hospitals in two rural provinces. ALRI patients were sampled 1∶2 for participation in an etiology study in which nasopharyngeal swabs were collected for influenza virus testing by PCR.</p>
</sec>
<sec><title>Results</title>
<p>Of 7,207 patients tested, 902 (12.5%) were influenza-positive, including 190 (7.8%) of 2,436 children aged <5 years; 86% were influenza A virus (46% A(H1N1)pdm09, 30% H3N2, 6.5% H1N1, 3.5% not subtyped) and 13% were influenza B virus. Cases of influenza A(H1N1)pdm09 first peaked in August 2009 when 17% of tested patients were positive. Subsequent peaks during 2009 and 2010 represented a mix of influenza A(H1N1)pdm09, H3N2, and influenza B viruses. The estimated annual incidence of hospitalized influenza cases was 136 per 100,000, highest in ages <5 years (477 per 100,000) and >75 years (407 per 100,000). The incidence of influenza A(H1N1)pdm09 was 62 per 100,000 (214 per 100,000 in children <5 years). Eleven influenza-infected patients required mechanical ventilation, and four patients died, all adults with influenza A(H1N1)pdm09 (1) or H3N2 (3).</p>
</sec>
<sec><title>Conclusions</title>
<p>Influenza-associated hospitalization rates in Thailand during 2009–10 were substantial and exceeded rates described in western countries. Influenza A(H1N1)pdm09 predominated, but H3N2 also caused notable morbidity. Expanded influenza vaccination coverage could have considerable public health impact, especially in young children.</p>
</sec>
</div>
</front>
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</analytic>
</biblStruct>
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<author><name sortKey="Blanton, L" uniqKey="Blanton L">L Blanton</name>
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<author><name sortKey="Epperson, S" uniqKey="Epperson S">S Epperson</name>
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<author><name sortKey="Mustaquim, D" uniqKey="Mustaquim D">D Mustaquim</name>
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<author><name sortKey="Bishop, A" uniqKey="Bishop A">A Bishop</name>
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<author><name sortKey="Sanders, Cm" uniqKey="Sanders C">CM Sanders</name>
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<author><name sortKey="Green, J" uniqKey="Green J">J Green</name>
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<author><name sortKey="Malone, L" uniqKey="Malone L">L Malone</name>
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<author><name sortKey="White, H" uniqKey="White H">H White</name>
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<author><name sortKey="El Arifeen, S" uniqKey="El Arifeen S">S El Arifeen</name>
</author>
<author><name sortKey="Bhutta, Za" uniqKey="Bhutta Z">ZA Bhutta</name>
</author>
<author><name sortKey="Black, Re" uniqKey="Black R">RE Black</name>
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</TEI>
<affiliations><list><country><li>Thaïlande</li>
<li>États-Unis</li>
</country>
<region><li>Géorgie (États-Unis)</li>
</region>
</list>
<tree><country name="Thaïlande"><noRegion><name sortKey="Baggett, Henry C" sort="Baggett, Henry C" uniqKey="Baggett H" first="Henry C." last="Baggett">Henry C. Baggett</name>
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<name sortKey="Maloney, Susan A" sort="Maloney, Susan A" uniqKey="Maloney S" first="Susan A." last="Maloney">Susan A. Maloney</name>
<name sortKey="Naorat, Sathapana" sort="Naorat, Sathapana" uniqKey="Naorat S" first="Sathapana" last="Naorat">Sathapana Naorat</name>
<name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name>
<name sortKey="Peruski, Leonard F" sort="Peruski, Leonard F" uniqKey="Peruski L" first="Leonard F." last="Peruski">Leonard F. Peruski</name>
<name sortKey="Prapasiri, Prabda" sort="Prapasiri, Prabda" uniqKey="Prapasiri P" first="Prabda" last="Prapasiri">Prabda Prapasiri</name>
<name sortKey="Sawanpanyalert, Pathom" sort="Sawanpanyalert, Pathom" uniqKey="Sawanpanyalert P" first="Pathom" last="Sawanpanyalert">Pathom Sawanpanyalert</name>
<name sortKey="Sawatwong, Pongpun" sort="Sawatwong, Pongpun" uniqKey="Sawatwong P" first="Pongpun" last="Sawatwong">Pongpun Sawatwong</name>
<name sortKey="Simmerman, James M" sort="Simmerman, James M" uniqKey="Simmerman J" first="James M." last="Simmerman">James M. Simmerman</name>
<name sortKey="Srisaengchai, Prasong" sort="Srisaengchai, Prasong" uniqKey="Srisaengchai P" first="Prasong" last="Srisaengchai">Prasong Srisaengchai</name>
<name sortKey="Thamthitiwat, Somsak" sort="Thamthitiwat, Somsak" uniqKey="Thamthitiwat S" first="Somsak" last="Thamthitiwat">Somsak Thamthitiwat</name>
</country>
<country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Baggett, Henry C" sort="Baggett, Henry C" uniqKey="Baggett H" first="Henry C." last="Baggett">Henry C. Baggett</name>
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<name sortKey="Maloney, Susan A" sort="Maloney, Susan A" uniqKey="Maloney S" first="Susan A." last="Maloney">Susan A. Maloney</name>
<name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name>
<name sortKey="Peruski, Leonard F" sort="Peruski, Leonard F" uniqKey="Peruski L" first="Leonard F." last="Peruski">Leonard F. Peruski</name>
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</affiliations>
</record>
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