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Published on: August 14, 2019
Influenza activity among the paediatric age group in Chennai
Nalini Ramamurty1, Lalitha C Pillai, P Gunasekaran
1King Institute of Preventive Medicine, Chennai, India. kinginst@md3.vsnl.net.in
Insights
Influenza A and B viruses were detected in Chennai children with acute respiratory infections. The predominant strain was Influenza A/H3N2/Panama, with activity peaking after rainfall.
Area of Science:
- Virology
- Public Health
- Epidemiology
Background:
- Acute respiratory infections (ARIs) are common globally, particularly in children.
- Influenza viruses are a significant cause of respiratory illness outbreaks worldwide.
- Limited data exists on influenza virus activity in Chennai, India.
Purpose of the Study:
- To isolate and identify influenza virus serotypes causing ARIs in children in Chennai.
- To understand the local epidemiology of influenza in a tertiary care setting.
Main Methods:
- Throat swabs were collected weekly from 240 children with ARIs over 12 months (2002).
- Influenza virus isolation was performed using Madin Darby Canine Kidney (MDCK) cell lines.
- Serotyping was confirmed via hemagglutination inhibition and immunofluorescence assays.
Main Results:
- Influenza viruses were isolated from 12.5% (30/240) of children.
- Influenza A/H3N2/Panama/2000/99 was the most common serotype (80% of isolates).
- Influenza B/Sichuan/379/99 was also detected, along with mixed infections.
Conclusions:
- Influenza A and B viruses are actively circulating in Chennai.
- Influenza activity peaked during and after the rainy season.
- The prevalence of A/H3N2/Panama aligns with global influenza trends.
Background & Objective:
Respiratory viral infections have a major impact on public health. Acute respiratory infections largely caused by viruses, are the most common illnesses experienced by otherwise healthy adults and children. Among the respiratory viruses, influenza viruses are known to cause outbreaks globally. Information on the activity of influenza virus in our country is limited and none from Chennai. The present study was carried out to isolate and identify the influenza virus serotypes causing acute respiratory infection in children attending a tertiary care centre at Chennai.
Methods:
During January to December 2002, 240 children with acute respiratory infection attending the out patient clinic of Institute of Child Health were included by convenient sampling. Throat swabs were collected from 4 to 5 cases every week. Isolation of influenza virus was attempted by inoculating the sample in Madin Darby Canine Kidney (MDCK) cell line. The isolates were typed by haemagglutination inhibition test and confirmed by immunoflourescence assay.
Results:
Virus isolation was positive in 30 (12.5%) of the 240 samples. Influenza A/H3N2/Panama/ 2000/99 was the predominant serotype isolated accounting for 24 (80%) of the 30 isolates. Influenza B/Sichuan/379/99 was isolated in 4 (13.33%) and a combination of Influenza A/H3N2 and B/Sichuan in 2 (6.6%) of the isolates.
Interpretation & Conclusion:
Isolation of influenza A and B viruses indicated a significant activity of these viruses in Chennai. Peak activity was observed during and after the first spell of rain. The predominance of A/H3N2/ Panama is an indication that the Indian scenario is similar to the global picture of influenza activity.
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