Emergence, Epidemiology, and Transmission Dynamics of 2009 Pandemic A/H1N1 Influenza in Kampala, Uganda, 2009-2015.
Identifieur interne : 000355 ( PubMed/Corpus ); précédent : 000354; suivant : 000356Emergence, Epidemiology, and Transmission Dynamics of 2009 Pandemic A/H1N1 Influenza in Kampala, Uganda, 2009-2015.
Auteurs : Matthew J. Cummings ; Barnabas Bakamutumaho ; Wan Yang ; Joseph F. Wamala ; John Kayiwa ; Nicholas Owor ; Barbara Namagambo ; Timothy Byaruhanga ; Allison Wolf ; Julius J. Lutwama ; Jeffrey Shaman ; Max R. O'DonnellSource :
- The American journal of tropical medicine and hygiene [ 1476-1645 ] ; 2018.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Child, Child, Preschool, Female, Humans, Infant, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (transmission), Male, Middle Aged, Pandemics (statistics & numerical data), Risk Factors, Seasons, Sentinel Surveillance, Uganda (epidemiology), Urban Population (statistics & numerical data), Young Adult.
- MESH :
- epidemiology : Influenza, Human, Uganda.
- statistics & numerical data : Pandemics, Urban Population.
- transmission : Influenza, Human.
- Adolescent, Adult, Age Factors, Child, Child, Preschool, Female, Humans, Infant, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Risk Factors, Seasons, Sentinel Surveillance, Young Adult.
Abstract
In sub-Saharan Africa, little is known about the epidemiology of pandemic-prone influenza viruses in urban settings. Using data from a prospective sentinel surveillance network, we characterized the emergence, epidemiology, and transmission dynamics of 2009 pandemic A/H1N1 influenza (H1N1pdm09) in Kampala, Uganda. After virus introduction via international air travel from England in June 2009, we estimated the basic reproductive number in Kampala to be 1.06-1.13, corresponding to attack rates of 12-22%. We subsequently identified 613 cases of influenza in Kampala from 2009 to 2015, of which 191 (31.2%) were infected with H1N1pdm09. Patients infected with H1N1pdm09 were more likely to be older adult (ages 35-64) males with illness onset during rainy season months. Urban settings in sub-Saharan Africa are vulnerable to importation and intense transmission of pandemic-prone influenza viruses. Enhanced surveillance and influenza pandemic preparedness in these settings is needed.
DOI: 10.4269/ajtmh.17-0524
PubMed: 29141723
Links to Exploration step
pubmed:29141723Le document en format XML
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Cummings</name><affiliation><nlm:affiliation>Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Bakamutumaho, Barnabas" sort="Bakamutumaho, Barnabas" uniqKey="Bakamutumaho B" first="Barnabas" last="Bakamutumaho">Barnabas Bakamutumaho</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Wan" sort="Yang, Wan" uniqKey="Yang W" first="Wan" last="Yang">Wan Yang</name><affiliation><nlm:affiliation>Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Wamala, Joseph F" sort="Wamala, Joseph F" uniqKey="Wamala J" first="Joseph F" last="Wamala">Joseph F. Wamala</name><affiliation><nlm:affiliation>South Sudan Country Office, World Health Organization, Juba, South Sudan.</nlm:affiliation></affiliation></author><author><name sortKey="Kayiwa, John" sort="Kayiwa, John" uniqKey="Kayiwa J" first="John" last="Kayiwa">John Kayiwa</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Owor, Nicholas" sort="Owor, Nicholas" uniqKey="Owor N" first="Nicholas" last="Owor">Nicholas Owor</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Namagambo, Barbara" sort="Namagambo, Barbara" uniqKey="Namagambo B" first="Barbara" last="Namagambo">Barbara Namagambo</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Byaruhanga, Timothy" sort="Byaruhanga, Timothy" uniqKey="Byaruhanga T" first="Timothy" last="Byaruhanga">Timothy Byaruhanga</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Wolf, Allison" sort="Wolf, Allison" uniqKey="Wolf A" first="Allison" last="Wolf">Allison Wolf</name><affiliation><nlm:affiliation>Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Lutwama, Julius J" sort="Lutwama, Julius J" uniqKey="Lutwama J" first="Julius J" last="Lutwama">Julius J. Lutwama</name><affiliation><nlm:affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</nlm:affiliation></affiliation></author><author><name sortKey="Shaman, Jeffrey" sort="Shaman, Jeffrey" uniqKey="Shaman J" first="Jeffrey" last="Shaman">Jeffrey Shaman</name><affiliation><nlm:affiliation>Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="O Donnell, Max R" sort="O Donnell, Max R" uniqKey="O Donnell M" first="Max R" last="O'Donnell">Max R. O'Donnell</name><affiliation><nlm:affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The American journal of tropical medicine and hygiene</title><idno type="eISSN">1476-1645</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (transmission)</term><term>Male</term><term>Middle Aged</term><term>Pandemics (statistics & numerical data)</term><term>Risk Factors</term><term>Seasons</term><term>Sentinel Surveillance</term><term>Uganda (epidemiology)</term><term>Urban Population (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Uganda</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Pandemics</term><term>Urban Population</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Seasons</term><term>Sentinel Surveillance</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In sub-Saharan Africa, little is known about the epidemiology of pandemic-prone influenza viruses in urban settings. Using data from a prospective sentinel surveillance network, we characterized the emergence, epidemiology, and transmission dynamics of 2009 pandemic A/H1N1 influenza (H1N1pdm09) in Kampala, Uganda. After virus introduction via international air travel from England in June 2009, we estimated the basic reproductive number in Kampala to be 1.06-1.13, corresponding to attack rates of 12-22%. We subsequently identified 613 cases of influenza in Kampala from 2009 to 2015, of which 191 (31.2%) were infected with H1N1pdm09. Patients infected with H1N1pdm09 were more likely to be older adult (ages 35-64) males with illness onset during rainy season months. Urban settings in sub-Saharan Africa are vulnerable to importation and intense transmission of pandemic-prone influenza viruses. Enhanced surveillance and influenza pandemic preparedness in these settings is needed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29141723</PMID><DateCompleted><Year>2018</Year><Month>12</Month><Day>11</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1476-1645</ISSN><JournalIssue CitedMedium="Internet"><Volume>98</Volume><Issue>1</Issue><PubDate><Year>2018</Year><Month>01</Month></PubDate></JournalIssue><Title>The American journal of tropical medicine and hygiene</Title><ISOAbbreviation>Am. J. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>Emergence, Epidemiology, and Transmission Dynamics of 2009 Pandemic A/H1N1 Influenza in Kampala, Uganda, 2009-2015.</ArticleTitle><Pagination><MedlinePgn>203-206</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4269/ajtmh.17-0524</ELocationID><Abstract><AbstractText>In sub-Saharan Africa, little is known about the epidemiology of pandemic-prone influenza viruses in urban settings. Using data from a prospective sentinel surveillance network, we characterized the emergence, epidemiology, and transmission dynamics of 2009 pandemic A/H1N1 influenza (H1N1pdm09) in Kampala, Uganda. After virus introduction via international air travel from England in June 2009, we estimated the basic reproductive number in Kampala to be 1.06-1.13, corresponding to attack rates of 12-22%. We subsequently identified 613 cases of influenza in Kampala from 2009 to 2015, of which 191 (31.2%) were infected with H1N1pdm09. Patients infected with H1N1pdm09 were more likely to be older adult (ages 35-64) males with illness onset during rainy season months. Urban settings in sub-Saharan Africa are vulnerable to importation and intense transmission of pandemic-prone influenza viruses. Enhanced surveillance and influenza pandemic preparedness in these settings is needed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cummings</LastName><ForeName>Matthew J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bakamutumaho</LastName><ForeName>Barnabas</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Wan</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wamala</LastName><ForeName>Joseph F</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>South Sudan Country Office, World Health Organization, Juba, South Sudan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kayiwa</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owor</LastName><ForeName>Nicholas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Namagambo</LastName><ForeName>Barbara</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Byaruhanga</LastName><ForeName>Timothy</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wolf</LastName><ForeName>Allison</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lutwama</LastName><ForeName>Julius J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>National Influenza Center, Uganda Virus Research Institute, Entebbe, Uganda.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaman</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Donnell</LastName><ForeName>Max R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>001</GrantID><Agency>World Health Organization</Agency><Country>International</Country></Grant><Grant><GrantID>K23 AI098479</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>01</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Trop Med Hyg</MedlineTA><NlmUniqueID>0370507</NlmUniqueID><ISSNLinking>0002-9637</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018571" MajorTopicYN="N">Sentinel Surveillance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014454" MajorTopicYN="N">Uganda</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014505" MajorTopicYN="N">Urban Population</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical 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