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Published on: January 28, 2019
Changing epidemiology of rotavirus G-types circulating in Hong Kong, China
Janice Yee Chi Lo1, Kai Cheung Szeto, Dominic Ngai Chong Tsang
1Virology Division, 9/F Public Health Laboratory Services Branch, Centre for Health Protection, Department of Health, 382 Nam Cheong Street, Shek Kip Mei, Hong Kong, China. janicelo@dh.gov.hk
Insights
Rotavirus G-type distribution in Hong Kong has shifted over time, with G1, G3, and G2 being most common. This changing epidemiology is crucial for ensuring rotavirus vaccine effectiveness.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Group A rotaviruses cause severe diarrhea in children globally.
- The World Health Organization recommends rotavirus vaccination.
- Understanding local rotavirus strain epidemiology is vital for vaccine efficacy.
Purpose of the Study:
- To investigate the epidemiology of rotavirus G-types in Hong Kong.
- To inform the anticipated rotavirus vaccination program.
Main Methods:
- Analysis of 747 rotavirus-positive stool specimens from 2001-2002.
- G-typing using reverse transcriptase-polymerase chain reaction (RT-PCR).
- Correlation of G-type distribution with patient demographics.
Main Results:
- G1 (40.4%), G3 (30.9%), and G2 (17.1%) were the predominant G-types.
- G1 strains were more common in children ≤5 years old.
- Significant temporal changes in G-type prevalence were observed compared to previous studies.
Conclusions:
- Rotavirus G-type distribution in Hong Kong has evolved.
- Consistent detection of G9 strains indicates ongoing surveillance needs.
- Continuous monitoring is essential for rotavirus vaccine impact and effectiveness.
Abstract:
Group A rotaviruses are the most common cause of severe diarrhoeal disease in young children worldwide. The development of a vaccine is advocated by the World Health Organization. Obtaining local baseline information regarding rotavirus strain variation is important to ensure matching of circulating and vaccine strains. The current study was undertaken to determine the epidemiology of rotavirus G-types in Hong Kong in anticipation of a vaccination program. From 2001 to 2002 over a period of one year, diarrhoeal stool specimens known to be positive for rotavirus were subjected to G-typing by reverse transcriptase-polymerase chain reaction using nested type-specific primers. Rotavirus G-type distribution was correlated with patient demographics. Among 747 rotavirus positive stool specimens, 723 strains could be G-typed as G1 (302, 40.4%), G2 (128, 17.1%), G3 (231, 30.9%), G4 (24, 3.2%), and G9 (38, 5.1%). G1 strains were found predominantly in those 5 years old or younger (P < 0.0001), while G2 strains were more prevalent among those over 5 years of age (P < 0.001). When compared with similar studies in 1983 to 1984 and 1999 to 2000, there were significant changes in the prevalence of various G-types, with consistent detection of G9 strains in the current study. It is concluded that rotavirus G-type distribution in Hong Kong has varied with time. Continuous monitoring of the epidemiology of rotavirus is important, especially in anticipation of the introduction of a vaccine, in order to document its impact and to ensure its continued effectiveness.
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