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Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia

BACKGROUND: Indonesia has the world's highest reported mortality for human infections with highly pathogenic avian influenza (HPAI) A(H5N1) virus. Indonesia is an agriculturally driven country where human‐animal mixing is common and provides a unique environment for zoonotic influenza A virus t...

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Autores principales: Root, Elisabeth Dowling, Agustian, Dwi, Kartasasmita, Cissy, Uyeki, Timothy M., Simões, Eric A. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5596523/
https://www.ncbi.nlm.nih.gov/pubmed/28715152
http://dx.doi.org/10.1111/irv.12468
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author Root, Elisabeth Dowling
Agustian, Dwi
Kartasasmita, Cissy
Uyeki, Timothy M.
Simões, Eric A. F.
author_facet Root, Elisabeth Dowling
Agustian, Dwi
Kartasasmita, Cissy
Uyeki, Timothy M.
Simões, Eric A. F.
author_sort Root, Elisabeth Dowling
collection PubMed
description BACKGROUND: Indonesia has the world's highest reported mortality for human infections with highly pathogenic avian influenza (HPAI) A(H5N1) virus. Indonesia is an agriculturally driven country where human‐animal mixing is common and provides a unique environment for zoonotic influenza A virus transmission. OBJECTIVES: To identify potential demographic and ecological risk factors for human infection with seasonal influenza A viruses in rural Indonesia, a population‐based study was conducted in Cileunyi and Soreang subdistricts near Bandung in western Java from 2008 to 2011. METHODS: Passive influenza surveillance with RT‐PCR confirmation of influenza A viral RNA in respiratory specimens was utilized for case ascertainment. A population census and mapping were utilized for population data collection. The presence of influenza A(H3N2) and A(H1N1)pdm09 virus infections in a household was modeled using Generalized Estimating Equations. RESULTS: Each additional child aged <5 years in a household increased the odds of H3N2 approximately 5 times (OR=4.59, 95%CI: 3.30‐6.24) and H1N1pdm09 by 3.5 times (OR=3.53, 95%CI: 2.51‐4.96). In addition, the presence of 16‐30 birds in the house was associated with an increased odds of H3N2 (OR=5.08, 95%CI: 2.00‐12.92) and H1N1pdm09 (OR=12.51 95%CI: 6.23‐25.13). CONCLUSION: Our findings suggest an increase in influenza A virus infections in rural Indonesian households with young children and poultry.
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spelling pubmed-55965232017-09-15 Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia Root, Elisabeth Dowling Agustian, Dwi Kartasasmita, Cissy Uyeki, Timothy M. Simões, Eric A. F. Influenza Other Respir Viruses Original Articles BACKGROUND: Indonesia has the world's highest reported mortality for human infections with highly pathogenic avian influenza (HPAI) A(H5N1) virus. Indonesia is an agriculturally driven country where human‐animal mixing is common and provides a unique environment for zoonotic influenza A virus transmission. OBJECTIVES: To identify potential demographic and ecological risk factors for human infection with seasonal influenza A viruses in rural Indonesia, a population‐based study was conducted in Cileunyi and Soreang subdistricts near Bandung in western Java from 2008 to 2011. METHODS: Passive influenza surveillance with RT‐PCR confirmation of influenza A viral RNA in respiratory specimens was utilized for case ascertainment. A population census and mapping were utilized for population data collection. The presence of influenza A(H3N2) and A(H1N1)pdm09 virus infections in a household was modeled using Generalized Estimating Equations. RESULTS: Each additional child aged <5 years in a household increased the odds of H3N2 approximately 5 times (OR=4.59, 95%CI: 3.30‐6.24) and H1N1pdm09 by 3.5 times (OR=3.53, 95%CI: 2.51‐4.96). In addition, the presence of 16‐30 birds in the house was associated with an increased odds of H3N2 (OR=5.08, 95%CI: 2.00‐12.92) and H1N1pdm09 (OR=12.51 95%CI: 6.23‐25.13). CONCLUSION: Our findings suggest an increase in influenza A virus infections in rural Indonesian households with young children and poultry. John Wiley and Sons Inc. 2017-08-09 2017-09 /pmc/articles/PMC5596523/ /pubmed/28715152 http://dx.doi.org/10.1111/irv.12468 Text en © 2017 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Root, Elisabeth Dowling
Agustian, Dwi
Kartasasmita, Cissy
Uyeki, Timothy M.
Simões, Eric A. F.
Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title_full Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title_fullStr Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title_full_unstemmed Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title_short Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia
title_sort demographic and ecological risk factors for human influenza a virus infections in rural indonesia
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5596523/
https://www.ncbi.nlm.nih.gov/pubmed/28715152
http://dx.doi.org/10.1111/irv.12468
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