Influenza-related hospitalizations among children in Hong Kong

Susan S Chiu1, Yu Lung Lau, Kwok H Chan

  • 1Department of Pediatrics and Adolescent Medicine, University of Hong Kong, Hong Kong, China.

Insights

Influenza causes significant hospitalizations in Hong Kong children, with higher rates than in temperate regions. This study quantifies influenza-related hospitalizations, excluding respiratory syncytial virus (RSV) impacts.

Area of Science:

  • Pediatric infectious diseases
  • Public health epidemiology
  • Virology

Background:

  • Influenza burden in children is hard to define due to co-circulating viruses like respiratory syncytial virus (RSV).
  • Hong Kong's distinct influenza and RSV seasons allow for RSV-free estimation of influenza hospitalization rates.

Purpose of the Study:

  • To estimate the influenza-associated excess hospitalization rate in children under 15 in Hong Kong.
  • To provide a clearer picture of influenza's impact on pediatric hospital admissions in a subtropical region.

Main Methods:

  • Retrospective, population-based study in Hong Kong Special Administrative Region (1997-1999).
  • Utilized data from a single hospital with intensive virologic testing for diagnosis and model adjustment.
  • Estimated excess hospitalization rates attributable to influenza, adjusting for underestimation.

Main Results:

  • Influenza and RSV peaks were separated in 1998 and 1999, aiding analysis.
  • Adjusted excess hospitalization rates per 10,000 children varied by age: highest in infants (<1 year) at ~280, decreasing with age.
  • Rates for children <1 year were 278.5 (1998) and 288.2 (1999); 1-2 years: 218.4 (1998) and 209.3 (1999).

Conclusions:

  • Influenza is a significant cause of pediatric hospitalization in subtropical regions.
  • Hospitalization rates attributed to influenza in Hong Kong children exceed those reported in temperate climates.
  • The study provides crucial data for understanding influenza's pediatric burden in subtropical public health contexts.
Abstract

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