Abstract:
:Information on respiratory viruses in subtropical region is limited.Incidence, mortality, and seasonality of influenza (Flu) A/B, respiratory syncytial virus (RSV), adenovirus (ADV), and parainfluenza viruses (PIV) 1/2/3 in hospitalized patients were assessed over a 15-year period (1998-2012) in Hong Kong.Male predominance and laterally transversed J-shaped distribution in age-specific incidence was observed. Incidence of Flu A, RSV, and PIV decreased sharply from infants to toddlers; whereas Flu B and ADV increased slowly. RSV conferred higher fatality than Flu, and was the second killer among hospitalized elderly. ADV and PIV were uncommon, but had the highest fatality. RSV, PIV 2/3 admissions increased over the 15 years, whereas ADV had decreased significantly. A "high season," mainly contributed by Flu, was observed in late-winter/early-spring (February-March). The "medium season" in spring/summer (April-August) was due to Flu and RSV. The "low season" in late autumn/winter (October-December) was due to PIV and ADV. Seasonality varied between viruses, but predictable distinctive pattern for each virus existed, and temperature was the most important associating meteorological variable.Respiratory viruses exhibit strong sex- and age-predilection, and with predictable seasonality allowing strategic preparedness planning. Hospital-based surveillance is crucial for real-time assessment on severity of new variants.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Chan PKS,Tam WWS,Lee TC,Hon KL,Lee N,Chan MCW,Mok HY,Wong MCS,Leung TF,Lai RWM,Yeung ACM,Ho WCS,Nelson EAS,Hui DSCdoi
10.1097/MD.0000000000002024subject
Has Abstractpub_date
2015-11-01 00:00:00pages
e2024issue
46eissn
0025-7974issn
1536-5964pii
00005792-201511170-00015journal_volume
94pub_type
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